Greater Glasgow and Clyde Medicines
Key to symbols The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP The medicine should only be used and prescribed by a specialist Indicates the preferred choice within a class or group of medicines
The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP
The medicine should only be used and prescribed by a specialist
Indicates the preferred choice within a class or group of medicines
3.4. Antihistamines, hyposensitisation, and allergic emergencies

3.4.3. Allergic emergencies

Preferred List
ADRENALINE / EPINEPHRINE (Injection)

Prescribing Notes:

  • Includes autoinjector devices for self-administration (e.g. Jext® or Epipen® range of devices)
  • It should be noted that the recommended administration technique for different devices can vary. When a device is changed, either by the manufacturer or by changing brand,  it is essential that patients and carers receive clear instructions on the use of the device prescribed.
    Patients should be made aware of the importance of checking expiry dates.

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Total Formulary
Specialist Only
BEROTRALSTAT (ORLADEYO) (capsules)

Restrictions:

Use for the routine prevention of recurrent attacks of hereditary angioedema (HAE) is restricted to specialist use in patients who experience ≥ two clinically significant attacks per month.

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CHLORPHENAMINE
Specialist Only
CONESTAT ALFA (Ruconest) (injection)

Restrictions:

Treatment of acute angioedema attacks in adults and adolescents with hereditary angioedema (HAE) due to C1 esterase inhibitor deficiency is restricted to specialist use only.

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HYDROCORTISONE
Specialist Only
ICATIBANT ACETATE

Restrictions:

It is restricted to specialist use only on the advice of the Immunology Service.

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Specialist Only
LANADELUMAB (TAKHYZYRO)

Restrictions:

Restricted to specialist use only in patients with hereditary angioedema (HAE) type I or II, who would otherwise be considered for long-term prophylaxis treatment with C1-esterase inhibitor.

BNF Link