Adrenaline (Epinephrine) Injection 1:10,000 (glass prefilled syringe)

Read all of this leaflet carefully before you start using this medicine because it contains important information for you

• Keep this leaflet. You may need to read it again.
• If you have any further questions, please ask your doctor or nurse.
• This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
• If you get any side effects, talk to your doctor or nurse. This includes any possible side effects not listed in this leaflet. See section 4.

What is in this leaflet:

1. What Adrenaline injection is, and what it is used for
2. What you need to know before Adrenaline injection is given
3. How Adrenaline injection is given
4. Possible side effects
5. How to store Adrenaline injection
6. Contents of the pack and other information

This medicine is used for:

• Treatment of cardiac arrest (unexpected loss of heart function, breathing and consciousness),
• Treatment of acute anaphylaxis in adults (serious shock or collapse produced by a severe allergic reaction).

You must not be given Adrenaline Injection:

If you are allergic (hypersensitive) to any ingredients of this medicine (listed in section 6) where an alternative presentation of Adrenaline or alternative vasopressor is available.

Warnings and precautions

Adrenaline injection is indicated for emergency treatment. Continuous medical supervision is necessary after administration.

Precautions for use

The risk of side effects is increased if you:

• have medical history of hyperthyroidism (disease of the thyroid gland),
• have severe renal insufficiency,
• suffer from hypercalcaemia (increase of calcium concentration in the blood),
• suffer from hypokalaemia (decrease of potassium concentration in the blood),
• have diabetes mellitus,
• have cardiac disease or arterial hypertension,
• have brain damage or hardening of the arteries in the brain,
• have glaucoma (increased pressure in the eye),
• have prostate disorders,
• are elderly,
• are pregnant.

Other medicines and Adrenaline injection

Tell your doctor if you are taking, have recently taken or might take any other medicines.

Medicines that may interact with Adrenaline injection include:

• Volatile halogen anaesthetics (gas used during anaesthesia),
• Certain antidepressants,
• Drugs to treat high blood pressure, heart conditions,
• Drugs to treat diabetes.

Pregnancy & breast-feeding

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor, pharmacist or nurse for advice before you are given this medicine.

Driving and using machines

Having Adrenaline injection does not affect your ability to drive or use machines.

Adrenaline injection contains sodium This medicinal product contains 2.70 mg of sodium per ml of solution for injection. This needs to be taken into consideration by patients on strict sodium diet.

The product also contains Sodium Metabisulphite which may cause allergic (hypersensitive) type reactions in some people and can lead to breathing difficulties or collapse. People with a history of asthma or allergies are most likely to experience these problems.

This medicinal product is not intended to deliver volumes of less than 2ml.

In case of life threatening allergic reactions (acute anaphylaxis):

Adults will be given a dose of 0.05 mg (0.5 ml of Adrenaline 1:10,000 solution) repeated as necessary until the desired response is achieved.

In case of cardiac arrest:

Adults: 1 mg (10 ml of Adrenaline 1:10,000 solution) is given into a vein or into a bone every 3-5 minutes until the heart starts to work.

Children above 5 kg: 10 micrograms/kg (0.1 ml/kg of Adrenaline 1:10,000 solution) is given into a vein or into a bone every 3-5 minutes until the heart starts to work.

This medicinal product is not suitable for delivering a dose of less than 0,5 ml and should therefore, not be used in neonates and infants for which the body weight is less than 5 kg.

Reporting of side effects

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via Yellow Card Scheme - Website: www.mhra.gov.uk/yellowcard or search for MHRA Yellow card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.

What Adrenaline (Epinephrine) Injection 1:10,000 contains

The active ingredient is Adrenaline (Epinephrine) as acid tartrate.

Each 10ml solution for injection contains 1mg of adrenaline(epinephrine) as the acid tartrate.

The other ingredients are Sodium Chloride, Citric Acid Monohydrate, Sodium Citrate Dihydrate, Sodium Metabisulphite and Water for Injections. Dilute Hydrochloric acid may be added to adjust the acidity.

What Adrenaline injection looks like and contents of the pack

Adrenaline injection is a clear colourless solution supplied in a pre-filled syringe. Each prefilled syringe contains 10ml of the solution.

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