Systemic mastocytosis and epinephrine: Your ultimate guide

Woman pulling end off epinephrine autoinjector
(Courtesy of Getty Images/AndreyPopov)
An epinephrine auto-injector might come with many questions. Here are the answers to help you carry your EpiPen with more confidence.

Living with systemic mastocytosis (SM) means living with the risk of anaphylaxisAnaphylaxis A severe allergic reaction that can turn fatal without treatment. Patients with SM are at a higher risk of developing anaphylaxis., a severe allergic reaction. Anaphylaxis may start with itching and flushing, but can quickly progress to constricted airways and a loss of consciousness. Left untreated, anaphylaxis can be fatal.

EpinephrineEpinephrine Also called adrenaline, this hormone is used in emergency situations to reverse symptoms during a severe allergic reaction (anaphylaxis). is a medication that puts the brakes on this reaction. Most patients with SM are told to carry an EpiPen, a device patients can use to self-inject epinephrine in an emergency. If that’s you, read on for all the details about this medication.

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Understanding the basics: Epinephrine 101

Do EpiPens need to be refrigerated? How does epinephrine work? How many doses do I need?

An epinephrine auto-injector might come with many questions. Here are the answers to help you carry your EpiPen with more confidence.

Photo shows auto epinephrine Injector

What people with mastocytosis should know about epinephrine

Epinephrine is the single most important medication for treating anaphylaxis. Learn what patients should know about this life-saving medication.

Woman seated in front of laptop looking at EpiPen

How to store and carry your EpiPen

Having an epinephrine auto-injector prescription is just the first step; where you keep it matters, too.


Pulling the cap: Tips on using epinephrine

From a fear of needles to worries about overreacting, many patients are hesitant to use epinephrine. Learn how to recognize the first signs of an emergency and react with less hesitation.

Photo shows woman having breathing problems

Identifying the signs of anaphylaxis

In anaphylactic episodes, time is of the essence. Learn when to use your EpiPen — and what to do after.

Woman’s hand holding a unused epinephrine Auto injector. The device is commonly used to treat the life threatening immune response known as anaphylaxis.

Patient perspective: To Epi or not to Epi, that is the question

When the consequences of anaphylaxis are so serious, no SM patient should feel shame for using their EpiPen, writes columnist Kim Lepine.

Photo shows auto epinephrine Injector

How to overcome a fear of needles when you have systemic mastocytosis

Hesitating to use an EpiPen can cost precious time. If you have a needle phobia, these tips can help.


The latest research: What’s next

Science’s understanding of epinephrine is still evolving. Learn the latest on how it affects patients with mast cell diseaseMast cell disease A group of conditions in which mast cells behave abnormally by building up in excess, releasing chemicals too easily or both. Includes mastocytosis, mast cell activation syndrome and hereditary alpha-tryptasemia. and how treatment might change in the future.

Older woman using nasal spray outdoors

Needle-free epinephrine may transform emergency treatment for anaphylaxis

For decades, epinephrine autoinjectors have been the mainstay of emergency treatment. That may soon change.

Photo shows man injecting epinephrine using auto-injector syringe/Getty Images

Study identifies previously unknown side effects from epinephrine

While epinephrine can save lives, it can also cause side effects. Learn about the most common ones and the problems researchers are just discovering.