3.8 Allergic Emergencies

Dose of intramuscular injection of adrenaline (epinephrine) for anaphylactic shock.
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

NICE CG134 Anaphylaxis: assessment and referral after emergency treatment

Antihistamines can be found in chapter 12 – ENT

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

Pack
1 pre-filled disposable injection

Pack
1 pre-filled disposable injection

Pack
1 pre-filled disposable injection
2 pre-filled disposable injection

Pack
1 pre-filled disposable injection
2 pre-filled disposable injection

Pack
1 pre-filled disposable injection

Formulation details are not available at this point, however, these will follow when DM+D codes are available.