3.8 Allergic Emergencies
Dose of intramuscular injection of adrenaline (epinephrine) for anaphylactic shock. |
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Age |
Dose |
Volume of adrenaline 1 in 1000 (1mg / ml) |
Dose of auto-injector |
Under 6 years |
150 micrograms |
0.15ml |
150 microgram |
6-12 years |
300 micrograms |
0.3 ml |
300 microgram |
Adult and adolescent |
500 micrograms |
0.5 ml |
300 or 500 microgram |
Based on advice from the Resuscitation Council (UK). |
Patients should be advised to:
- contact emergency services after the first injection
- use the second auto-injector 5–15 minutes after the first one if they do not start to feel better
Prescribe adrenaline auto-injectors by the brand name as different brands have different administration techniques
Please see MHRA guidance which advises that patients should carry TWO auto-injectors at all times
Patients may need two auto-injectors at different locations such as school and home
Replace like for like as and when they expire/ are used
Related NICE guidance:
NICE CG134 Anaphylaxis: assessment and referral after emergency treatment
TA 246 (Feb 2012) Pharmalgen® for bee and wasp venom allergy
Antihistamines can be found in chapter 12 – ENT
Pack |
---|
1 pre-filled disposable injection |
Pack |
---|
1 pre-filled disposable injection |
For use where a different device to Jext is required.
Pack |
---|
1 pre-filled disposable injection |
For use where a different device to Jext is required.
Pack |
---|
1 pre-filled disposable injection |
For use in the healthcare setting and where a different device to Jext is required.
Pack |
---|
1 pre-filled disposable injection |
Pack |
---|
10 ampoule |
CCG commissions for chronic spontaeous urticaria only - please complete blueteq form. NHS England commissions for all other indications
Pack |
---|
1 vial |
Pack |
---|
1 pre-filled disposable injection |
- First Line Drugs
- Second Line Drugs
- Specialist Initiated Drugs
- Specialist Only Drugs
- Mixed Status