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Bedfordshire and Luton Joint Formulary
Bedfordshire Hospitals NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes ICB
03.04.03 Allergic emergencies
03.04.03 Anaphylaxis

Adrenaline / epinephrine (EpiPen® )
(Auto-injector)

Formulary

Adult: 300micrograms for adults and children weighing more than 25 kg
Junior:150micrograms for children weighing 7.5 – 25 kg. 

NOTE: Ensure that training is given to all patients, for all prescriptions, irrespective of whether patients have received or used the product previously.
All prescribing to ensure patient has 2 devices.

Entry updated October 2024

Adrenaline / Epinephrine (Jext®)
(Auto-injector)

Formulary

Adult: 300micrograms for children and adolescents over 30 kg
Junior:150micrograms for children between 15 kg and 30 kg

NOTE: Ensure that training is given to all patients, for all prescriptions, irrespective of whether patients have received or used the product previously.
All prescribing to ensure patient has 2 devices.

Entry updated: October 2024

Adrenaline / epinephrine 1 in 10,000 (dilute)

RED
Formulary
1 in 10,000 10mL Pre-filled syringe.

Available on crash trolley.

Adrenaline / epinephrine 1 in 10,000 (dilute)

RED
Formulary
1 in 10,000 1mL Injection
1 in 10,000 10mL Injection

Available on crash trolley.

Adrenaline / epinephrine 1 in 1,000

RED
Formulary
1 in 1000 1mL Anaphylaxis Pre-filled syringe

Available in anaphylaxis box.

Adrenaline / epinephrine 1 in 1,000

RED
Formulary

1 in 1000 1mL Injection
1 in 1000 5mL Injection

 

Off-label use: To be diluted with 0.9% sodium chloride and administered via nebuliser. Use is restricted to patients with airway obstruction, as recommended by the ENT consultant ONLY. 

[DTC April 2025]

Non formulary items
03.04.03 Angioedema
03.04.03 Intramuscular adrenaline (epinephrine)
03.04.03 Intravenous adrenaline (epinephrine)
03.04.03 Self-administration of adrenaline (epinephrine)
Classifications
May be initiated in any care setting
Specialist to advise therapy and provide first 28 days supply, continuation in Primary Care
Specialist to initiate and stabilise medicine prior to continuation in Primary Care
To be prescribed as per Shared Care Guidance. If no SCG in place status reverts to red.
Red medicines are designated as specialist only medicines which should only be prescribed by a specialist, usually within secondary care (either due to the requirement for specialist knowledge, long-term monitoring requirements, or restrictions that mean medicine supplies are only available to hospitals).
A decision has been made either locally and/or nationally not to routinely commission this preparation. Do not prescribe.
To be purchased over the counter. May be prescribed for chronic, long term conditions or on admission to hospital if essential.