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Intranasal adrenaline (EURneffy)

 

Following a limited submission

AWMSG advice

Status: Recommended

Adrenaline (EURneffy®) is recommended as an option for use in NHS Wales for the emergency treatment of severe 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 with a body weight ≥ 30kg.

Prescribers are reminded to consult the British Society for Allergy and Clinical Immunology (BSACI) advice on the prescribing of self-administered emergency adrenaline to people at risk of anaphylaxis.

 Recommendation and Decision Rationale: adrenaline (EURneffy) 6284 (PDF, 249Kb)
 Evidence Summary Report: adrenaline (EURneffy) 6284 (PDF, 145Kb)
 Equality and Health Impact Assessment: adrenaline (EURneffy) 6284 (PDF, 212Kb)

Medicine details

Medicine name Intranasal adrenaline (EURneffy)
Formulation 2 mg in 100 microlitres nasal spray, solution in single-dose container
Reference number 6284
Indication

For the emergency treatment of allergic reactions (anaphylaxis), and idiopathic or exercise induced anaphylaxis, in adults and children weighing 30kg or more

Company ALK Abello
BNF chapter Respiratory system
Assessment type Limited
Status Recommended
Scrutiny Panel meeting date 05/03/2026
LOWMAG meeting date 01/07/2026
AWMSG meeting date 09/09/2026
Date of issue 15/09/2026
Further information

In July 2026, the licence for EURneffy was extended to include the 1mg nasal spray for the emergency treatment of severe 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 children aged 4 years and over weighing 15 kg to less than 30 kg. Health boards in Wales should also make this product available for prescribing in accordance with the AWMSG policy statement on paediatric licence extensions.

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