Epinephrine
Active ingredient · 6 therapeutic classes
Sold as Eurneffy · Neuro II · NEFFY · EPIPEN · ANAPEN
- Drug class
- Local Hemostatics
- Availability
- Prescription and OTC
- Routes
- Intramuscular, Block/Infiltration, Nasal, Intracardiac, Subcutaneous
- Markets covered
- 4
- Products on record
- 152
- FDA reports (12 mo)
- 7,983
Overview
Plain-language summary, compiled from the cited regulatory records
Epinephrine is a medication that acts as a non-selective alpha and beta adrenergic agonist [1]. It belongs to the drug class of Other Agents For Local Oral Treatment (A01AD) [1].
Epinephrine is approved for use in adult patients experiencing hypotension associated with septic shock [1]. Its indication is to increase mean arterial blood pressure in these patients [1]. It is available under various brand names, including Neuro II [1].
In the past 12 months, there have been 7,983 adverse event reports associated with epinephrine [2]. The most frequently reported reactions include "Drug Ineffective," "Off Label Use," "Fatigue," "Nausea," and "Headache" [2].
This is not medical advice. Consult a qualified healthcare professional.
Regulatory status by market
| Market | Regulator | Products | Last revision |
|---|---|---|---|
| GB United Kingdom | MHRA | 101 | May 29, 2026 |
| CA Canada | Health Canada | 42 | May 25, 2026 |
| US United States | FDA | 8 | January 8, 2026 |
| EU European Union | EMA | 1 | June 1, 2026 |
GBUnited Kingdom· MHRA
101 products
Uses
Lidocaine 10 mg/ml (1% w/v) with Adrenaline (Epinephrine) 1:200 000 is indicated for regional anaesthesia in adults and children above 1 year of age.
How to take
CACanada· Health Canada
42 products
Uses
Articaine Hydrochloride and Epinephrine Injection is indicated for infiltration anesthesia and nerve block anesthesia in clinical dentistry. Local or loco-regional dental anesthesia suitable for operations such as: single extractions, with no complications; multiple extractions; extractions of impacted teeth; trephinement; apical resections; removal of cysts; alveolectomies; preparation of cavity; biopulpectomies; and maxillo-facial surgery Muco-gingival operations and other surgical operations on the bone when long lasting ischaemia and analgesia are required.
1 Pediatrics Pediatrics (less than 4 years of age): Safety and effectiveness of Articaine Hydrochloride and Epinephrine Injection in pediatric patients below the age of 4 years have not been established. The use of Articaine Hydrochloride and Epinephrine Injection in children under the age of 4 years is not recommended.
175 mL/kg) in pediatric patients has not been established. [See 4 DOSAGE AND ADMINISTRATION].
USUnited States· FDA
8 products
Uses
1 INDICATIONS AND USAGE Epinephrine is a non-selective alpha and beta adrenergic agonist indicated: • To increase mean arterial blood pressure in adult patients with hypotension associated with septic shock. 1 ) • For emergency treatment of allergic reactions (Type 1), including anaphylaxis.
2 ) • For induction and maintenance of mydriasis during intraocular surgery. 1 Hypotension associated with Septic Shock Epinephrine Injection, 1 mg/mL is indicated to increase mean arterial blood pressure in adult patients with hypotension associated with septic shock.
2 Anaphylaxis Emergency treatment of allergic reactions (Type I), including anaphylaxis, which may result from allergic reactions to insect stings, biting insects, foods, drugs, sera, diagnostic testing substances and other allergens, as well as idiopathic anaphylaxis or exercise-induced anaphylaxis.
The signs and symptoms associated with anaphylaxis include flushing, apprehension, syncope, tachycardia, thready or unobtainable pulse associated with hypotension, convulsions, vomiting, diarrhea and abdominal cramps, involuntary voiding, airway swelling, laryngospasm, bronchospasm, pruritus, urticaria or angioedema, swelling of the eyelids, lips, and tongue.
EUEuropean Union· EMA
1 product
Uses
EURneffy is indicated in the emergency treatment of allergic reactions (anaphylaxis) due to insect stings or bites, foods, medicinal products and other allergens as well as idiopathic or exercise induced anaphylaxis. Treatment is indicated for adults and children aged 4 years and over with a body weight of 15 kg or more.
How to take
Drug interactions
Known interactions involving Epinephrine. Select one for details. This list is informational and not a complete interaction checker.
Showing 240 of 363. Type above to find a specific drug.
Interaction data compiled from DDInter (academic, CC-BY). Severity classification only - this is not a complete interaction checker and not medical advice.
Sources & citations
- [1]MHRA (UK) · PL144340061 · revised May 29, 2026
- [2]Health Canada (DPD) · 02561980 · revised May 6, 2026
- [3]FDA DailyMed · 01fd19cd-190c-49… · revised December 18, 2025 [PDF]
- [4]European Medicines Agency · EMEA/H/C/006139 · revised June 1, 2026
- [5]OpenFDA adverse-event reports (US), 12 months ending June 4, 2026.
Information on this page is compiled from public regulatory records. Drugvu is not affiliated with any regulator or pharmaceutical manufacturer. This is not medical advice. Always consult a qualified healthcare professional.