Parent/Guardian Signature Date Physician/Healthcare Provider Signature Date Auvi-QTM (epinephrine injection, USP) Directions EpiPen® (epinephrine) Auto-Injector Directions First, remove the EpiPen® (epinephrine) Remove the outer case of Auvi-Q. This will from the plastic carrying case automatically activate the voice instructions. Pull off the blue safety release cap Pull off RED safety guard. Hold orange tip near outer thigh (always Place black end against apply to thigh) outer thigh, then press firmly and hold for 5 seconds. Swing and firmly push orange tip against outer thigh. Hold on thigh for approximately 10 seconds. Remove EpiPen® (epinephrine) Auto-Injector and © 2002-2013 sanofi-aventis U.S. LLC. All rights massage the area for 10 more seconds. reserved. EpiPen®, EpiPen 2-Pak®, and EpiPen Jr 2-Pak® are registered trademarks of Mylan Inc. licensed exclusively to its wholly-owned subsidiary, Mylan Specialty L.P. Adrenaclick® 0.3 mg and Adrenaclick® 0.15 mg Directions Remove GREY caps labeled and “1” “2.” Place RED rounded tip against outer thigh, press down hard until needle penetrates. Hold for 10 seconds, then remove. .
Parent/Guardian Signature Date Physician/Healthcare Provider Signature Date EpiPen® (epinephrine) Auto-Injector Directions First, remove the EpiPen® (epinephrine) from the plastic carrying case Pull off the blue safety release cap Hold orange tip near outer thigh (always apply to thigh) Swing and firmly push orange tip against outer thigh. Hold on thigh for approximately 10 seconds. Remove EpiPen® (epinephrine) Auto-Injector and massage the area for 10 more seconds. EpiPen®, EpiPen 2-Pak®, and EpiPen Jr 2-Pak® are registered trademarks of Mylan Inc. licensed exclusively to its wholly-owned subsidiary, Mylan Specialty L.P. Auvi-QTM (epinephrine injection, USP) Directions Remove the outer case of Auvi-Q. This will automatically activate the voice instructions. Pull off RED safety guard. Place black end against outer thigh, then press firmly and hold for 5 seconds. © 2002-2013 sanofi-aventis U.S. LLC. All rights reserved. Adrenaclick® 0.3 mg and Adrenaclick® 0.15 mg Directions Remove GREY caps labeled “1” and “2.” Place RED rounded tip against outer thigh, press down hard until needle penetrates. Hold for 10 seconds, then remove. .