Epinephrine

Generic Name
Epinephrine
Brand Names
Adrenalin, Allerject, Anapen, Articadent, Astracaine, Auvi-Q, Citanest, Citanest Forte, Emerade, Epipen, Lignospan, Marcaine, Marcaine With Epinephrine, Octocaine, Octocaine With Epinephrine, Orabloc, Scandonest, Sensorcaine, Sensorcaine With Epinephrine, Septanest, Septocaine, Symjepi, Ultacan, Ultracaine, Vivacaine, Xylocaine, Xylocaine With Epinephrine, Zorcaine, Eurneffy
Drug Type
Small Molecule
Chemical Formula
C9H13NO3
CAS Number
51-43-4
Unique Ingredient Identifier
YKH834O4BH
Background

Epinephrine, also known as adrenaline, is a hormone and neurotransmitter and produced by the adrenal glands that can also be used as a drug due to its various important functions. Though it has long been used in the treatment of hypersensitivity reactions, epinephrine in the auto-injector form (EpiPen) has been available since 1987 in the USA. Many new produ...

Indication

Epinephrine injection is indicated in the emergency treatment of type I allergic reactions, including anaphylaxis. It is also used to increase mean arterial blood pressure in adult patients with hypotension associated with septic shock.
...

Associated Conditions
Anaphylaxis, Angioneurotic Edema, Bleeding, Bronchospasm, Complete Heart Block, Hypotension, Idiopathic Anaphylaxis, Laryngotracheobronchitis, Mild Intermittent Asthma, Nasal Congestion, Open Angle Glaucoma (OAG), Respiratory Distress, Severe Asthma, Syncope, Type I Hypersensitivity, Urticaria, Uterine Contractions, Ventricular Fibrillation, Resuscitation in cardiac arrest following anesthetic accidents, Severe hypersensitivity reactions, Unresponsive Asystole, Unresponsive Bradycardia
Associated Therapies
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allergicliving.com
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Epinephrine Film Offers Oral Allergy Relief in Few Minutes: Study

A novel epinephrine film, Anaphylm, developed by Aquestive Therapeutics, provides rapid relief for oral allergy syndrome (OAS) symptoms, with complete symptom relief in about 12 minutes. The film's effectiveness was tested in OAS patients to ensure mouth swelling does not hinder absorption. Aquestive plans to conduct further studies and submit Anaphylm for FDA approval in early 2025, aiming for a 2026 launch. The film, designed for adults and children weighing 66 pounds and more, offers a convenient alternative to auto-injectors.
biospace.com
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Aquestive Therapeutics Announces Positive Topline Results from Oral Allergy Syndrome

Aquestive Therapeutics announces positive OAS challenge study results for Anaphylm, showing rapid symptom resolution and consistent PK profile. The study met primary and secondary endpoints, positioning Anaphylm for a pre-NDA meeting in Q4 2024.
hcplive.com
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Anaphylm Sublingual Film Achieves Rapid Resolution of Allergen-Related Symptoms

Anaphylm (epinephrine) sublingual film rapidly resolves severe allergic reaction symptoms within 2 minutes, with a consistent pharmacokinetic profile. The Oral Allergy Syndrome (OAS) challenge study demonstrated Anaphylm's efficacy and safety, prompting Aquestive Therapeutics to seek FDA pre-NDA meeting and plan pediatric trials and NDA submission.
forbes.com
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Why Does an $84,000 Drug in the U.S. Cost Less Than $1,000 in India

Prescription drugs like Sovaldi, Humira, Epipen, Insulin, Cymbalta, and Ozempic/Wegovy cost significantly more in the U.S. than in other countries. Reasons for this disparity include lack of government price regulation, market exclusivity, high R&D costs, complex pricing structures, consumer willingness to pay, lobbying influence, global pricing strategies, and limited competition. The U.S. has not regulated prices due to its free-market system's success in producing breakthrough drugs and the pharmaceutical industry's economic importance. Government intervention, such as Medicare negotiating drug prices and capping costs, is becoming more common to address high drug prices.

Innovating allergy drug delivery with a needle-free alternative

EURneffy, a needle-free adrenaline nasal spray, was approved in the EU and US as a first-of-its-kind treatment for anaphylaxis, overcoming barriers like fear of injections and accidental needle-related side effects. It offers comparable efficacy to traditional injectables, with simpler use and better temperature sensitivity, potentially increasing patient compliance.
cbs8.com
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Needle-free epinephrine was developed in San Diego

Epinephrine nasal spray Neffy, developed by ARS Pharmaceuticals, aims to reduce fear of needle injections for treating severe allergic reactions. FDA-approved for patients 66 lbs or heavier, it offers painless, instantaneous relief with potential side effects like throat irritation. ARS is working on lower doses for children and infants.

Forget EpiPens. New treatment for severe allergic reactions skips the needle

ARS Pharmaceuticals introduces Neffy, a needle-free epinephrine nasal spray for treating severe allergic reactions, approved by the FDA. Aimed at reducing fear and hesitation associated with EpiPen injections, Neffy offers a simpler, quicker administration method, potentially improving treatment accessibility for millions.
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