For all allergic reactions, the patient should be instructed on how to eliminate exposure to the causative agent. This may be difficult, especially in the case of food allergy. An adult or pediatric Epi-Pen prescription should be given with clear instructions for serious allergic reactions or anaphylaxis when the risk of another reaction is judged to be substantial. The patient should be referred to an allergist for in-depth preventive management and attempts at allergen identification. 12 Patients with anaphylactic reactions should be encouraged to wear Medic-Alert bracelets. Any anaphylactic patient on a b blocker should be switched to another antihypertensive drug.1 The patient should be instructed to return immediately if there is any recurrence of symptoms.
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