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Epinephrine (adrenaline)

Medicines for Pain and Palliative Care
Injection1 mg · 1 ml · 100 mcg · 10 ml8 brands · 8 makers
Epinephrine (adrenaline) is listed in Nepal's National List of Essential Medicines (NLEM, Sixth Revision 2021) under Medicines for Pain and Palliative Care. 8 brand names for this medicine are listed in the NepalDoc medicine catalog.
Generic nameepinephrine (adrenaline)
Therapeutic classMedicines for Pain and Palliative Care > 2.2 Opioid analgesics
Therapeutic classCardiovascular Medicines > 12.2 Antiarrhythmic medicines (complementary list)
Therapeutic classMedicines Acting on the Respiratory Tract > 25.1 Antiasthmatic and medicines for chronic obstructive pulmonary disease
Form & strength (NLEM)Injection: 1 mg (as hydrochloride or hydrogen tartrate) in 1 ml ampoule (1:1000)
Form & strength (NLEM)Injection: 100 mcg (as acid tartrate or hydrochloride)/ ml in 10 ml ampoule
Form & strength (NLEM)Injection: 1 mg (as hydrochloride or acid tartrate) in 1 ml ampoule
Source / स्रोतNational List of Essential Medicines Nepal (2021); NepalDoc medicine catalog

What it's for

Epinephrine Injection, 0.3 mg and Epinephrine Injection, 0.15 mg are indicated in the emergency treatment of allergic reactions (Type I) including anaphylaxis to stinging insects (e.g., order Hymenoptera, which include bees, wasps, hornets, yellow jackets and fire ants) and biting insects (e.g., triatoma, mosquitoes), allergen immunotherapy, foods, drugs, diagnostic testing substances (e.g., radiocontrast media) and other allergens, as well as idiopathic anaphylaxis or exercise-induced anaphylaxis.

From the U.S. FDA-approved label for Epinephrine (adrenaline). Full label: DailyMed.

Epinephrine Injection, 0.3 mg and Epinephrine Injection, 0.15 mg are indicated in the emergency treatment of allergic reactions (Type I) including anaphylaxis to stinging insects (e.g., order Hymenoptera, which include bees, wasps, hornets, yellow jackets and fire ants) and biting insects (e.g., triatoma, mosquitoes), allergen immunotherapy, foods, drugs, diagnostic testing substances (e.g., radiocontrast media) and other allergens, as well as idiopathic anaphylaxis or exercise-induced anaphylaxis. Epinephrine Injection, 0.3 mg and Epinephrine Injection, 0.15 mg are intended for immediate administration in patients who are determined to be at increased risk for anaphylaxis, including individuals with a history of anaphylactic reactions. Anaphylactic reactions may occur within minutes after exposure and consist of flushing, apprehension, syncope, tachycardia, thready or unobtainable pulse associated with a fall in blood pressure, convulsions, vomiting, diarrhea and abdominal cramps, involuntary voiding, wheezing, dyspnea due to laryngeal spasm, pruritus, rashes, urticaria or angioedema.

From the U.S. FDA-approved label for Epinephrine (adrenaline). Full label: DailyMed.

Patients greater than or equal to 30 kg (66 lbs): Epinephrine injection, 0.3 mg Patients 15 to 30 kg (33 lbs to 66 lbs): Epinephrine injection, 0.15 mg Inject intramuscularly or subcutaneously into the anterolateral aspect of the thigh, through clothing if necessary. Each device is a single-dose injection.

Directions from the U.S. FDA-approved label — your doctor or pharmacist may advise differently.

In conjunction with use, seek immediate medical or hospital care. Do not inject intravenously, into buttock, or into digits, hands, or feet. To minimize the risk of injection related injury, hold the child’s leg firmly in place and limit movement prior to and during injection when administering to young children. Rare cases of serious skin and soft tissue infections have been reported following epinephrine injection. Advise patients to seek medical care if they develop signs or symptoms of infection. The presence of a sulfite in this product should not deter use.

Warnings and precautions excerpt from the U.S. FDA-approved label — not a complete list. Talk to a pharmacist or doctor before use.

Due to the lack of randomized, controlled clinical trials of epinephrine for the treatment of anaphylaxis, the true incidence of adverse reactions associated with the systemic use of epinephrine is difficult to determine. Adverse reactions reported in observational trials, case reports, and studies are listed below. Common adverse reactions to systemically administered epinephrine include anxiety; apprehensiveness;

Excerpt from the U.S. FDA-approved label — not a complete list. Talk to a pharmacist or doctor about side effects.

8 products from 8 makers in the NepalDoc medicine catalog use this generic:

BrandCompositionMakerPack
Adrenaline 1.8 mg InjectionAdrenaline (Epinephrine)Hindusthan Pharmaceuticals Ltd.
Adraclor InjectionAdrenaline (1mg)Suncure Lifescience Pvt Ltdampoule of 1 ml Injection
Adrelin InjectionAdrenaline (NA)Klar Sehen Pvt Ltdvial of 1 ml Injection
Adrenaline Tartrate InjectionAdrenaline (NA)Harson Laboratoriesvial of 1 ml Injection
Adroglare 1mg InjectionAdrenaline (1mg)Swiss Parenterals Ltdvial of 1 ml Injection
Dianora 1mg InjectionAdrenaline (1mg)Cachet Pharmaceuticals Pvt Ltdvial of 2 ml Injection
Enatrate InjectionAdrenaline (NA)Entod Pharmaceuticals Ltdvial of 1 ml Injection
Vasocon InjectionAdrenaline (1mg)Neon Laboratories Ltdvial of 1 ml Injection

Brand list from the NepalDoc medicine catalog. Availability varies by pharmacy — call ahead to confirm stock.

Protect from light. Protect it from light. Store at 20° to 25°C (68° to 77°F);

Storage information from the U.S. FDA-approved label.

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+ Safety information

This page is information only and is not medical advice. Medicine details come from the sources listed above and may change — always confirm the medicine, strength and dose with a pharmacist or doctor before use. NLEM listing does not guarantee that a medicine is in stock at any pharmacy.

NepalDoc — Nepal's Healthcare Super-App (Beta) / नेपालको स्वास्थ्य सुपर-एप (बेटा).
Medicine information only — not medical advice. Confirm with a pharmacist or doctor.