Delivering a Healthy WA
Anaphylaxis

Adrenaline autoinjectors prescription & dose

EpiPen®Anapen®

Action Plan for Anaphylaxis (Personal) for EpiPen

ASCIA Travel plan for carrying an adrenaline autoinjector on an aeroplace

ASCIA Action Plan for Anaphylaxis (general) for EpiPen®

Action Plan for Anaphylaxis (Personal) for Anapen

Adrenaline autoinjector facts

Give adrenaline autoinjector following the ASCIA Action Plan for Anaphylaxis

Education videos on how to administer the devices are available at:

Regular practice with a replica trainer device

  • Patients and carers  are encouraged to regularly practise how to use the prescribed adrenaline autoinjector using a replica trainer device (does not contain medicine, has no needle, simulates action and sound ('click'), and can be repeatedly reset).
  • A complementary trainer device is provided to you when you join EpiClub (external site) or Analert (external site) (free adrenaline autoinjector expiry reminders and education).
  • Replica trainer devices are also available from Allergy & Anaphylaxis Australia’s (external site) online

Adrenaline autoinjectors for general use to equip first aid kits

Prescription on Pharmaceutical Benefits Scheme (PBS)

  • Adrenaline autoinjectors are prescribed to patients assessed to have a significant risk of anaphylaxis.
  •  ASCIA Action Plan for Anaphylaxis (Personal) (external site) should be completed by the doctor at time of prescribing an adrenaline autoinjector. 
  • Initial PBS authority prescription is provided by or in consultation with a specialist.
  • A prescription is provided at discharge from hospital/ED following treatment for anaphylaxis with adrenaline.
  • Continuing PBS authority prescriptions for adrenaline autoinjectors can be provided by a GP.
  • Adrenaline autoinjectors are available on PBS authority prescription, maximum 2 adrenaline autoinjectors per patient at any one time, no repeats can be issued. Renewal is required prior to the device’s expiry.
  • If required, additional devices can be purchased at full price over the counter from a pharmacy. 

Dose: prescribing guidelines for adrenaline autoinjectors

ASCIA Prescribing Guidelines* (differs to the product information leaflet)

Children < 10kg (less than 1 year)

Not usually recommended

* For the full ASCIA prescribing guidelines (external site) for adrenaline autoinjector prescription (external site)

Children 10-20kg (approx aged 1-5 years)

0.15 mg (green label) 

Adults or children over 20kg (approx aged > 5 years)

0.30 mg (yellow label)

Schedule 3 Pharmacist only medicine

Under the Federal Poisons Standard 2012 and the WA Poisons Act 1964, an adrenaline autoinjector, containing 0.02 - 1.00 per cent adrenaline is classified as a Schedule 3 Pharmacist Only Medicine and can be sold for therapeutic use over the counter under the supervision of a pharmacist.

Pharmacists information bulletin: supplying adrenaline autoinjectors - schedule 3 medicines (Word 420KB) from the Pharmaceutical Services Branch

Availability

Patients personal therapeutic use

Over the counter (full price). PBS authority prescription (subsidised).

Schools & Child Care to supply in first aid kit

Exempt from holding a permit. Over the counter or  wholesale.

Organisations to supply in first aid kit

Permit required.  Over the counter or wholesale.

Disposal of adrenaline autoinjectors

  • Used adrenaline autoinjectors that have been administered to treat anaphylaxis can be handed over to the ambulance officer when they arrive for the patient. It is also important to report to the ambulance officer the time at which each EpiPen was administered.
  • Unusable adrenaline autoinjectors (expired, accidentally fired or liquid is discoloured/contains granules) should be disposed of appropriately into a biohazard bin (yellow or purple). Your local public hospital will have these bins and can dispose of adrenaline autoinjectors for you. Your GP is also likely to assist you. Some chemists/pharmacies provide a medications disposal service for a fee.


Giving  EpiPen®  for over 5 years olds (>20kg)
Giving EpiPen® for over 5 years olds (>20kg)
Giving  Anapen300®
Giving Anapen300®

Giving  EpiPenJr®  for  1-5 year olds (10-20kg)
Giving EpiPenJr® for 1-5 year olds (10-20kg)
Giving  Anapen150®
Giving Anapen150®