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Phenergan cream insect bites, and may be considered by a clinician if patient is experiencing any of these severe allergic reactions consistent with an insect bite (see PRECAUTIONS and WARNINGS). The following allergic reactions have been reported with use of epinephrine: Immunosuppression, decreased lung volume, bronchospasm, and peripheral vasodilatation. Severe (3 or greater) anaphylactic reaction (insect bite and/or insect stings). Use in Adults Adults are at a much higher risk when using this product. Adults with heart disease or diabetes mellitus with moderate to severe hypertension or congestive heart failure should not use epinephrine for an extended period. Children WARNING: Due to the risk of serious adverse reactions in children, EpiPen is not recommended for use in children under 12 years of age. Adults In the United States, epinephrine dosage should be increased by 30% or more if a child has an aggregate epinephrine dose of more than 1.5 mcg/min/milliliter or 30 mcg/min/1% syringe. There is no evidence that age affects epinephrine dosage in children. A decrease epinephrine dosage does not alter the effects of epinephrine in some types auto reactions (eg, severe anaphylactic or anaphylactoid reactions). In addition, children with conditions that may increase blood pressure, including severe heart failure or congestive failure, lowering sodium may reduce the risk of overdose with epinephrine injections. Epinephrine is available to purchase without a prescription from your hospital pharmacy or a without license (a.k.a. large chain drugstores, or Wal-Mart type stores). Be sure to ask about the cost of epinephrine. Ammunosuppressant and Cardiac Arrest In patients who drug store shampoo brands experience a cardiac arrest while receiving the epinephrine autoinjector, cardiopulmonary resuscitation should be performed immediately upon awakening. Do not attempt to restart the heart. If epinephrine is used, a minimum of 1 mL/kg body weight should be injected into the site of arrest for every 30 mcg of epinephrine required to effectively treat the patient by first-pass metabolism and then second-pass metabolism. Adults and Children Adults with congestive heart failure (CHF) or resulting from.

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