To Be(nadryl) or Not to Be(nadryl)
Two simple rules on when to reach for Benadryl, epinephrine or both.
By Dr. Jennifer Sherman
If you’re reading this, you’re most likely wielding a bottle of Benadryl, two to four epinephrine injectors and (hopefully) an allergy action plan, at all times. And despite being armed with all of those things, you may still be unsure as to how to truly protect your allergic child. If this is you, know that you’re not alone.
So let’s attempt to get it straightened out, starting at the most basic level…
When to give Benadryl:
If you suspect your child has ingested their allergen, but aren’t 100% certain, GIVE Benadryl.
If your child is developing symptoms from their allergen, GIVE Benadryl.
If one bodily system is affected and symptoms are present, GIVE Benadryl. (For example, you see hives developing).
However, if multiple systems appear to be under attack (e.g., your child has hives – skin – and is sneezing, coughing or vomiting – respiratory and gastrointestinal), or your child has had an anaphylactic reaction in the past, GIVE epinephrine. Don’t wait. And yes, it’s okay (and many times, even necessary) to give BOTH! Your physician can clarify this when you create your allergy action plan.
The bottom line is, and this is something I tell my patients all the time, if the question for you becomes “should I use the epinephrine?” you should go ahead and use it. The downside to giving epinephrine to a young, healthy child is almost none. The same applies to Benadryl. Know that Benadryl helps slow histamine response, but epinephrine is the only thing that stops a systematic reaction.
It’s truly a judgment call. Here are two simple rules to follow:
Unknown or Known ingestion, no symptoms or only one mild symptom (and no prior history of anaphylaxis) – GIVE Benadryl.
Known ingestion, multiple or severe symptoms – GIVE epinephrine (or both).
Just remember to stay ahead of the reaction, not get behind it. And above all, just know that you can do this!
Dr Jennifer Sherman is a physician at Allergy & Asthma Specialists, PC in Saddle River, New Jersey. She is board certified in pediatrics, and allergy and immunology. Dr Sherman is a passionate advocate on national and local levels for patients with food allergy. She was named the honorary medical chair for the FAANs annual food allergy walk, serves as medical advisor to local support groups, is active in educating area school nurses, and frequently delivers lectures to other physicians on the subject of food allergy. Dr Sherman lives in New Jersey with her husband and their three sons.
– See more at: http://www.allermates.com/benadryl.php#sthash.9hVc804L.dpuf