Joint Formulary & PAD

Adrenaline/epinephrine - Anaphylaxis

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I agree that in using this database I understand that this platform only provides guidance on local prescribing policy and that all prescribing decisions are ultimately the responsibility of the clinician.

Status 1

Green
Formulations :
  • Auto-injector
Formulary Status :
Primary Care
ASPH
RSFT
SASH
SABP
Associated Icons :
SPC
Restrictions / Comments :
Important
Epipen,/Jext / Emerade - Prescribe by brand. Injection technique is device-specific
 

Status 2

Green
Formulations :
  • Injection
Formulary Status :
Primary Care
ASPH
RSFT
SASH
SABP
Associated Icons :
SPC
Restrictions / Comments :
Important
Ampoules and pre-filled syringes. 1:1,000 and 1:10,000
 

Status 3

See narrative
Formulations :
  • Nasal spray
Formulary Status :
Primary Care
ASPH
RSFT
SASH
SABP
Associated Icons :
SPC
Restrictions / Comments :
Important

EURneffy adrenaline nasal spray has NOT been agreed for addition to formulary and should not be prescribed in Primary Care.

There has been agreement at ASPH for EURneffy nasal spray to be trialled in a small cohort of patients. The supplies for this patient group will be made by the Trust.

 

Documentation

Guidelines (Local)
Adrenaline auto injectors - Quantity to supply / prescribe - Dec 2021
Webpage
Jext - patient support materials
Webpage
Epipen - patient support materials
Webpage
Emerade - patient support materials
Miscellaneous
AccuRx message template - Patient advice for adrenaline auto-injectors
Miscellaneous
Anaphylaxis - PAEDIATRIC Hospital Discharge checklist - Dec 2021
Miscellaneous
Anaphylaxis - ADULT Hospital Discharge checklist - Dec 2021
Information
Adrenaline Aide Memoire for GPs - Sept 2025

PAD Profile

ChemicalSubstance :
Adrenaline/epinephrine
Indication :
Anaphylaxis
Group Name :
Keywords :
adrenaline auto-injectors, adrenaline auto injectors, allergic emergencies, anaphylactic shock, AAIs
Brand Names Include :
Epinephrine, Anapen, EpiPen, Jext, Emerade, EURneffy
Important Information :
Latest Additions Date From :
Latest Additions Date To :
Guidelines :
Supporting Documents :
8
Traffic Light Entries :
3

Committee Recommendations (1)

01 Dec 21 - Surrey Heartlands Integrated Care System Area Prescribing Committee (APC)

The Surrey Heartlands APC have agreed a variety of resources to support the safe and effective prescribing of adrenaline auto-injectors:

  • an Aide Memoire for Primary Care when prescribing adrenaline auto-injectors
  • guidance for the prescribing of appropriate quantities
  • a checklist / proforma for completion by secondary care when discharging adults or children following anaphylaxis
  • an AccuRx template

See below for these documents

The prescribing of Jext, EpiPen and Emerade are supported and should be prescribed by BRAND to ensure the patient receives the correct device.
Patients should receive regular device training. Patient support materials are also available below.

Other Indications

Below are listed other indications that Adrenaline/epinephrine is used to treat.

Other Drugs

Below are listed other drugs that are used to treat Anaphylaxis.