Adrenaline injection 1:10 000
- James A. Keipert
- Aust Prescr 1995;18:59
- 1 July 1995
- DOI: 10.18773/austprescr.1995.063
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Sir, For the medical management of severe anaphylactic reactions in children under the age of 12 years, it is recommended that adrenaline should be used in the dilution of 1:10 000 (wall chart 'Medical management of severe anaphylactoid and anaphylactic reactions', insert to Aust Prescr Vol. 17 No. 4 1994).
In the Emergency Drug (Doctor's Bag) Supplies, I note that adrenaline is only available in a dilution of 1:1000. I think that adrenaline also should be available in a 1:10 000 strength.
Dr James A. Keipert
East Melbourne, Vic.
The Pharmaceutical Benefits Advisory Committee (PBAC) considered an application for the inclusion of the above-mentioned item on the Emergency Drug (Doctor's Bag) Supplies List at its March 1995 meeting.
The application was rejected since the only known adrenaline 1:10 000 injection product is supplied in 10 mL ampoules in packs of 50, whereas a single 1 mL ampoule (or at least no more than 5) would be most suitable for pharmaceutical benefit listing.
Further, the PBAC felt that by using a tuberculin syringe, an appropriate volume could be extracted from the currently listed adrenaline 1:1000 product. In addition, the presence of two strengths of adrenaline in a doctor's bag could lead to confusion in an emergency.
East Melbourne, Vic.