How long should subjects wait before treating themselves with epinephrine

The difficulty for subjects in deciding when to treat themselves is one of the most thorny issues of food anaphylaxis. General advice is that children and adults should treat themselves with antihistamines immediately in the form of liquid antihistamines, and that epinephrine should be reserved for those cases in which the reaction is progressing or if, in the rare cases, symptoms are immediately severe without other symptoms. Everybody who has had a severe reaction to peanuts and those who are at risk of reactions should treat themselves appropriately with epinephrine if the first symptoms are progressing. Delay in administration of epinephrine has been identified as contributing to fatal


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