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Allergic emergency > Treatment
Facts about epinephrine
When to administer epinephrine? 
Epinephrine should be administered without delay whenever you experience any of the symptoms described below appearing when you are in a situation suggestive for an anaphylaxis reaction: itching or swelling of your lips, tongue, mouth, or throat:
  • swallowing difficulties
  • speaking difficulties
  • hoarseness
  • sensation of a lump in the throat
  • breathing difficulties
  • chest tightness associated with wheezing and breathing difficulties
  • palpitations
  • light headedness
  • loss of consciousness  
How to administer epinephrine? 
Every auto-injector has its own method of use which is in depth explained in its “Patient’s Instructions” and which your doctor should have taught you. Make sure that you know how to use it (besides the doctor’s explanations you should also attentively read the instructions for use accompanying any injector when purchased). If you have any doubts go back to your doctor and ask him. 

Where to inject epinephrine? 
The actions of epinephrine are faster when the injection is administered in a muscle area. The best place for epinephrine injections is in the lateral side of the thigh. 

When can the epinephrine injection be repeated? 
The need for additional epinephrine cannot be predicted. Although, usually symptoms should subside after the first shot of epinephrine, you should be prepared in case of a new reaction. If the symptoms persist a second injection can be administered after 5-10 minutes.
Tip: Usually symptoms subside after the first epinephrine injection but sometimes they come back after a short period of time (a few minutes). Whenever this happens you should administer a second dose of epinephrine immediately. Do not be afraid to do it. If your symptoms are recurring it means that the first dose of epinephrine was not enough for fighting the effects of the anaphylactic response and your body needs it.