epinephrine

frostellie 523 posts Aug 20, 2011 5:30 PM	A nurse told me that some people are allergic to epinephrin. How have I missed this? I did have one client about five years ago who broke out in a rash all over her neck and I wasn't sure what it was. I called an expert in the field to ask what to do and was advised to carry on and it was probably just hives. I did and she was fine. Has anyone known of people with allergies to epinephrine?
mknapp 32 posts Aug 21, 2011 3:55 PM	A couple of years ago I had a client that told me she's had a reaction to epi at the dentists office. She wasn't sure what it would do. I dabbed a small amount on the inside of her elbow to test and she had an immediate reaction. She became short of breath and her heart raced. It subsided quickly but it was enough to teach me a valuable lesson. Listen to your clients; no matter how vague their statements are. I was ready to call 911. Never again.
frostellie 529 posts Aug 21, 2011 10:04 PM	Do you ask it on your forms or consultations? It never occurred to me.
mknapp 33 posts Aug 22, 2011 4:09 AM	My forms did not ask specifically about epi but any drugs the client is currently taking and any drug allergies or reactions. She did not specifically tell me about epinephrine. She only told me that the last time she went to the dentist she had a strange reaction but was able to complete the procedure. The dentist thought it might be the epi. I still don't know if it was epi but from now on I will let a Dr. do the testing.
Maggie 1996 posts Aug 22, 2011 8:05 AM	In my experience people who say they are allergic or sensitive to epinephrine is because when their dentist shoots them up they get rapid heart rate and a feeling of uneasiness so the dentist tells them to ask for an alternate to their standard novocaine with epi when they go there again.
minnesotajul 269 posts Aug 29, 2011 1:02 PM	I do include a section about allergies on my client registration form. I ask about allergies to epi, lidocaine, tetracaine, latex and ask to list any other allergies. I have had at least five clients state that they are allergic to epi.
Maggie 1998 posts Aug 31, 2011 5:36 AM	I have had several clients TELL me they are allergic to epi but as I said, when I questioned them further about why they say that, it is always the same...they reacted in the dentist's office with feeling their heart beating fast and hard and a feeling of uneasiness. We are not in a position to dispute this and need to document it, but a true allergic reaction to epi, I believe, is extremely rare. I think, regarding having it on our forms, we could go crazy listing things - people know what they are allergic/sensitive to - simply having a space to list allergies, to me, is adequate.
Laynee 43 posts Aug 31, 2011 11:16 PM	I have this on my form, along with all "caine" products. Anything I use that is going to be introduced or applied to the skin is pertinent. I just had a woman the other day allergic to epinephrine. I asked if she had any allergies and she said no. Then, there it was- in the paperwork, and bam, why yes she was! My paperwork is 10 pages long, including aftercare sheet and my sheet which they sign to verify I have disposed their needle in a sharps. It may be overkill but I am covering all my bases. I just tell them to arrive 1/2 early for paperwork.
Maggie 2000 posts Sep 02, 2011 5:32 AM	You have a very valid point there, to include specifically, the products we are using during the procedures! Last Edited on 2-Sep-2011 5:33 AM
survivor21 31 posts Oct 20, 2011 8:07 PM	I was told by a medical physcician that no one can be allergic to ep bcuz we produce it ourself... ---------- Survivor21
Rozan 865 posts Nov 02, 2011 7:00 PM	I have had 3-4 clients tell me they were allergic to epi, so I expanded on the topic with each client. I did NOT want to dispute them (or their perception of what they believed). I simply gave them the option, and I did tell them that there is a difference between being injected with epi and having it topically applied. In every case they choose to allow me to use a topical with epi in it, AND in every case; none of them had a reaction or ANY regrets in their choice to allow me to use a topical with epi in it. I believe a true allergic reaction to epi is extremely rare. That being said, never say never. ---------- Rose Ann Cloud, CPCP MicroPigmentation Colors, LLC www.MicroPigmentationColors.com Permanent Cosmetics By Rozan www.RoseAnnCloud.com
OKTat2Makeup 478 posts Nov 03, 2011 8:57 PM	A true allergy to epinephrine is extremely rare, very few cases worldwide have been confirmed. Epinephrine is adrenaline, so it is likely that the sudden rush will cause some to exhibit symptoms with the heart palpitations and skin flushing. Anxiety is also a possible reaction you may notice if someone is a little more sensitive to the small dose in the topical. Considering most of the experience our clientele have have with epi, it is commonly used during injections in a dental office. Injectable anesthetics also have other additives in them that can cause allergic reactions, not just the "caine" products. I have had clients that are sensitive to the adrenaline, and we proceeded with caution. These clients are pre-numbed well and the topical with epi is used sparingly. The client is mentally equipped and is aware when the topical will be applied. This helps them prepare mentally for the application. No problems with any of these pmu procedures on any epi sensitive clients. I have found that each of these clients with this issue also have issues with anxiety. I have often wondered what the correlation is. For the record, I do work in a medical setting and a doctor is within range to hear me. I am not taking unnecessary chances. ---------- Shanan Zickefoose, CPCP Tulsa, Oklahoma www.permanentmakeupbyshanan.com

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