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The document provides clear guidance on the prescription of adrenaline auto injectors for children.
The guidance should be used by healthcare professionals that are involved in potential prescription of adrenaline auto injectors to children.
The prescription of an adrenaline injector should only be considered
The prescription of an adrenaline autoinjector should be on the basis of a risk assessment which indicates a significant risk of anaphylaxis. There are currently no agreed national guidelines for the prescription of adrenaline autoinjectors in the UK but various local and international guidelines exist. This guideline represents guidance on the basis of current practice in the RHSC, Glasgow
Adrenaline auto injector prescription is recommended if
Adrenaline auto injector prescription may be considered on an individual basis if
*Anaphylaxis is a rapidly evolving generalised multi-system allergic reaction characterized by one or more symptoms or signs of respiratory and/or cardiovascular involvement and involvement of other systems such as the skin and/or the gastrointestinal tract.
**A generalized allergic reaction characterized by one or more symptoms or signs of skin and/or gastrointestinal tract involvement without respiratory and/or cardiovascular involvement.
0-10 kg: Please discuss with allergy clinic consultant if adrenaline prescription considered
10-30kg: Epipen or Anapen junior
30kg: up Epipen or Anapen
Families should be given a prescription for 2 devices only unless a risk assessment indicates an exceptional need for more devices.
Last reviewed: 13 October 2016
Next review: 11 October 2018
Author(s): C Doherty
Approved By: Area Drugs & Therapeutics Committee