Allergy
Quick Guide
If you have
- Exposure to a possible allergen
- mild rash/hives
- mild itching
You may have
a mild allergic reaction
Consider
diphenhydrAMINE (generic for Benadryl®) 25 mg every 6 hours as needed
OR
Pediatrics
For children age 17 and under
diphenhydrAMINE (generic for Benadryl®) 1 mg/kg every 4-6 hours as needed, maximum 25 mg per dose
See also: Pediatrics
If you have
- Exposure to a possible allergen
- severe rash/hives, covering multiple areas of the body and worsening or not improving
- severe itching
- no difficulty breathing
- no sensation of throat closing
You may have
a moderate allergic reaction
Consider
diphenhydrAMINE (generic for Benadryl®) 25 mg every 6 hours as needed
AND
An oral corticosteroid such as
predniSONE 60 mg daily for 5 days
OR
dexamethasone 10 mg once
Pediatrics
For children age 17 and under
diphenhydrAMINE (generic for Benadryl®) 1 mg/kg every 4-6 hours as needed, up to 25 mg per dose
AND
An oral corticosteroid such as
dexamethasone 0.6 mg/kg once, maximum 10 mg
OR
prednisoLONE 1 mg per kg by mouth every 12 hours
See also: Pediatrics
If you have
- Exposure to a possible allergen
- difficulty breathing
- sensation of throat closing
- vomiting
- fainting
- severe rash
- severe itching
You may have
anaphylaxis
Seek emergency medical care
Consider
EPINEPHrine (generic for EpiPen®) 0.3 mg IM injection once
AND
diphenhydrAMINE (generic for Benadryl®) 25 mg every 6 hours as needed
AND
An oral corticosteroid such as
predniSONE 60 mg daily for 5 days
OR
dexamethasone 10 mg once
Pediatrics
For children age 17 and under
Seek emergency medical care
Consider
EPINEPHrine pediatric (generic for EpiPen Jr®) 0.15 mg IM injection once
diphenhydrAMINE (generic for Benadryl®) 1 mg/kg every 4-6 hours as needed, maximum 25 mg per dose
AND
An oral corticosteroid such as
dexamethasone 0.6 mg/kg once, maximum 10 mg
OR
prednisoLONE 1 mg per kg by mouth every 12 hours
See also: Pediatrics
Reference
Dexamethasone (generic for Decadron) is a steroid used to treat a wide variety of inflammatory conditions including croup, asthma and allergy. It is also used to prevent and treat acute mountain sickness. In the context of acute mountain sickness, recommendations are to carry dexamethasone for extended excursions above 3k-4k meters (10,000-12,000 feet). This medication is taken at the first sign of high altitude cerebral edema (HACE), a life-threatening form of altitude sickness, as an adjunct to the definitive treatment: immediate descent. HACE is characterized by unsteady gait (ataxia), confusion, stupor, and other severe neurologic signs.
Prescription only
WildernessMedication
Epinephrine (adrenaline, generic for EpiPen) injection is used to treat life-threatening allergic reaction, known as anaphylaxis. Anaphylaxis is defined as a severe allergic reaction with one or more of lip, tongue, or face swelling, shortness of breath, vomiting, low blood pressure, and rash. If anaphylaxis is suspected, give epinephrine right away and seek further medical attention.
Prescription only
SpecialMedication
Prednisone is a corticosteroid used to treat inflammation (not the same as an anabolic steroid, like testosterone). It is a versatile and common medication used in a wide variety of diseases. One common use of prednisone is to treat the inflammation in the airways that happens with an asthma attack. Prednisone can also be used to treat severe allergic reactions, including anaphylaxis if used with epinephrine. Prednisone is often used in conjunction with albuterol which takes minutes to start treating the symptoms of asthma, while prednisone takes hours to work. This medication should be taken with food.
Prescription only
GeneralMedication
Prednisolone is a corticosteroid used to treat inflammation (not the same as an anabolic steroid, like testosterone). PrednisoLONE, more commonly used by pediatric patients, is similar to, but should not be confused with, predniSONE, more commonly used by adults. One common use of prednisolone is to treat the inflammation in the airways that happens with an asthma attack. Prednisolone can also be used to treat severe allergic reactions, including anaphylaxis if used with epinephrine. Prednisolone is often used in conjunction with albuterol which takes minutes to start treating the symptoms of asthma, while prednisolone takes hours to work. This medication should be taken with food.
Prescription only
PediatricsMedication
Epinephrine pediatric (adrenaline, generic for EpiPen Jr) injection is used to treat life-threatening allergic reaction in children, known as anaphylaxis. Anaphylaxis is defined as a severe allergic reaction with one or more of lip, tongue, or face swelling, shortness of breath, vomiting, low blood pressure, and rash. If anaphylaxis is suspected, give epinephrine right away and seek further medical attention.
Prescription only
PediatricsMedication
Diphenhydramine (generic for Benadryl, generic for Banophen) treats allergic reactions. It may be used for both mild and severe allergic reactions.
GeneralMedication
Diphenhydramine (generic for Benadryl, generic for Banophen) treats allergic reactions. It may be used for both mild and severe allergic reactions.
GeneralMedication
Dexamethasone (generic for Decadron) is a corticosteroid used to treat inflammation (not the same as an anabolic steroid, like testosterone). It is a versatile and common medication used in a wide variety of diseases. One common use of dexamethasone is to treat the inflammation in the airway that happens with croup or with an asthma attack. Dexamethasone can also be used to treat severe allergic reactions, including anaphylaxis if used with epinephrine. This medication should be taken with food.
Prescription only
GeneralMedication
Diphenhydramine (generic for Benadryl, generic for Banophen) treats allergic reactions. It may be used for both mild and severe allergic reactions.
GeneralMedication
Epinephrine pediatric (adrenaline, generic for Adrenaclick) injection is used to treat life-threatening allergic reaction in children, known as anaphylaxis. Anaphylaxis is defined as a severe allergic reaction with one or more of lip, tongue, or face swelling, shortness of breath, vomiting, low blood pressure, and rash. If anaphylaxis is suspected, give epinephrine right away and seek further medical attention.
Prescription only
GeneralMedication
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How to approach Allergy Only your Duration Health provider can decide, based on your medical history and other factors, whether it is medically appropriate for you to receive prescriptions. We do not sell prefabricated bags of pharmaceuticals. Each Duration Health Med Kit that contains prescription medications is custom assembled, tailored to each individual patient's needs.
Duration Health is not a pharmacy, is not a nonprescription retailer, and does not sell medications directly. To be able to deliver a customized kit of medications, Duration Health has partnered with a third-party mail order pharmacy. You may request that any prescriptions be sent to an alternate pharmacy. Duration Health charges an administrative convenience fee for its services, but Duration Health does not sell prescription or over-the-counter ("OTC") drugs, mark-up the cost of prescription or OTC drugs, or retain any portion of the fees our affiliated pharmacy charges to you. Nor does Duration Health provide medical advice about or prescribe OTC medications. In states where Duration Health’s physician consultation services are not offered, Duration Health only offers OTC products and does not provide clients with access to obtain a physician consultation. Clients are free to purchase OTC medications of their choice as an OTC-only kit.
You must complete the included online telehealth visit, including a complete medical history and ID verification, before any prescriptions are issued. You may not be eligible to receive items pictured or described on this site. Furthermore, renewal of your prescriptions is contingent upon continued medical appropriateness. Generics only. Brand names are listed on our site for your reference, but in most cases, only generic (non-brand) medications are included in our Med Kits. No controlled substances. Our formulary excludes controlled substances like opioids, benzodiazepines, and other potentially addictive medications. Treatment not guaranteed. No medication is guaranteed to work or guaranteed to treat a particular condition or disease. Use medications only as directed by a physician. Medication uses listed on this site are for educational purposes only and are not intended to represent indications for treatment. Email support only. Our providers are available via email to answer questions about your Med Kit. For non-emergency use only. In an emergency, call 911 or seek local emergency care. No routine care. Duration Health email support cannot be used for routine primary care. Medications prescribed by Duration Health cannot be used for routine purposes. This product is intended only for people who are unable to obtain regular medical care. You must anticipate living, working or traveling where care is unavailable. As a condition of purchase, you must consent to use of these medications only when regular access to medical care is unavailable. Your eligibility for Health Savings Account (HSA) or Flexible Spending Account (FSA) payment and reimbursement is not guaranteed; consult with your health plan, a qualified accountant, or a tax professional to determine your eligibility for reimbursement. Duration Health does not provide or claim to provide any medication or other item to prevent, treat or cure COVID-19.
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