TABLE 4.

Risk factors that may indicate the need to prescribe self-injectable epinephrine

Reaction history Reaction to trace allergen exposure Repeat exposures likely Specific food triggers known to be associated with severe/fatal reactions (eg, peanut, tree nut, seafood or milk) Generalized urticaria from insect venom Certain comorbidities Asthma Use of nonselective beta-blockers Additional factors Initial reaction details unclear, possible anaphylaxis Those living in a remote area away from medical care/access

Adapted with permission from reference 9