Anaphylaxis: The Serious Allergic Reaction on Drug Labels
[Glossary · Injecting]

Anaphylaxis

Also called anaphylactic reaction, serious allergic reaction, hypersensitivity reaction, anaphylactoid reaction · Reviewed

Definition: Anaphylaxis is a severe, whole-body allergic reaction that can be life-threatening. MedlinePlus says it usually happens quickly after exposure, often within seconds or minutes, and that medicines are one of the common causes. Many drug labels list it as a serious allergic (hypersensitivity) reaction.

Signs MedlinePlus lists

  • trouble breathing, coughing or wheezing;
  • swelling of the face, eyes or tongue, or trouble swallowing;
  • hives, itching or red skin;
  • chest tightness, a pounding heart, dizziness or fainting;
  • stomach pain, nausea, vomiting or diarrhea.

MedlinePlus calls it an emergency: call 911 or the local emergency number right away, and use an epinephrine injector or nasal spray immediately if one is available. It notes that some medicines can cause an anaphylactoid reaction on first exposure, which is not the same immune response but has the same symptoms, risks and treatment.

What labels on this site say

Anaphylaxis on three current US labels
ProductWhat the label says
Aveed (testosterone undecanoate)Boxed warning: anaphylaxis can happen during or right after any injection; 30 minutes of observation after each shot
Ozempic (semaglutide)Serious allergic reactions such as anaphylaxis and angioedema have been reported; stop Ozempic if they occur
Mounjaro (tirzepatide)Anaphylaxis and angioedema have been reported; if one happens, Mounjaro is stopped

Aveed is given only through a REMS program because of this risk.

Why it matters for your log

Hives or swelling at the shot are not always anaphylaxis; see injection site reaction. If you have had any allergic reaction, log the product, lot, time of the dose and when symptoms began, so your prescriber can tell what caused it.

Read more on Dose Track: Aveed side effects · Ozempic side effects · Mounjaro side effects · Side effects from FDA labels

General education drawn from labels and published studies, not personal medical advice. Your prescriber, pharmacist and the label that came with your product are the final word.

Frequently asked questions

How fast does anaphylaxis start?+
MedlinePlus says symptoms develop quickly, often within seconds or minutes of exposure.
Why is there a 30-minute wait after an Aveed shot?+
The Aveed boxed warning says anaphylaxis and oil microembolism reactions can happen during or right after any injection, so each shot is followed by 30 minutes of observation.