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Overview

Epinephrine

Prescription vs.OTC: Prescription by Doctor required

Epinephrine belongs to a class of drugs known as alpha-beta-adrenergic agonists. It is used to cure severe allergic reactions that are caused by insect bites, foods, medications, latex and other causes not listed here as well. It functions by relaxing the muscles, tightening the blood vessels, reducing swelling and stimulating the heart.

On using Epinephrine you may experience side effects such as nervousness, sweating, headache, vomiting, nausea, anxiety, paleness and dizziness. Inform your doctor if any of these reactions persist and worsen over time.

Before using Epinephrine tell your doctor or pharmacist if; you are allergic to any medicines, foods, substances or any ingredient contained in this medication, you are taking any prescription or non-prescription drugs, you have chest pain, irregular heartbeat, asthma, high blood pressure, depression, Parkinson?s disease, you are pregnant, or are planning to become pregnant or are breastfeeding a baby.

This medication needs to be injected into the body. It comes as a pre-filled automatic device containing a solution. You can inject the medication under the skin or intramuscularly. The usual dose is about 0.5 to 1 mg taken once a day.

severe allergic reaction
, local anaesthesia,
cardiac arrest
bleeding
In addition to its intended effect, Epinephrine may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Headache
Restlessness
Tremor
Is It safe with alcohol?
Interaction with alcohol is unknown. Please consult your doctor.
Are there any pregnancy warnings?
Noradria 2mg injection may be unsafe to use during pregnancy.
Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.
Are there any breast-feeding warnings?
Noradria 2mg injection is probably safe to use during breastfeeding. Please consult your doctor.
Is it safe to drive while on this medicine?
Patient's ability to drive and use machines may be affected by the anaphylactic reaction.
Does this affect kidney function?
There is no data available. Please consult doctor before consuming the drug.
Does this affect liver function?
There is no data available. Please consult doctor before consuming the drug.
Are there any missed dose instructions?
If you miss a dose of Epinephrine, please consult your doctor.\n
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.
Interaction with Medicine
Clodict 100Mg Tablet
ARKAMIN 100MCG TABLET
Cloneon 150Mg Injection
Catapres 150Mcg Tablet

Popular Questions & Answers

Does Uric Acid in blood increases after walking & jogging for 100 Minutes? If yes, Will it be momentary reading or actual reading in blood?

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Does Uric Acid in blood increases after walking & jogging for 100 Minutes? If yes, Will it be momentary reading or ac...
No Uric Acid in blood will not increase after walking Several possible causes of high uric acid, or hyperuricemia, exist. Genetics can predispose you to produce higher amounts of uric acid than normal. Certain foods and medications, such as diuretics, epinephrine and aspirin, can also increase the amount of uric acid in your blood. Uric acid can also be high in the blood if your kidneys are not passing it through to the urine efficiently and high uric acid in the blood can be a sign of kidney failure.
1 person found this helpful

I get stomach cramps if I have eggs (boiled or cooked). The pain is intolerable and is nauseating. What could be the possible reasons and how to treat this? Please suggest home remedies to quickly reduce the effects if accidentally taken.

MD , MBBS
General Physician, Aligarh
You are having egg allergy. Antihistamines may help to relieve mild symptoms of egg allergy, such as itching. In addition, your allergist may prescribe epinephrine (adrenaline) in an auto-injector, to be taken in the event you develop symptoms of anaphylaxis a potentially fatal reaction that includes shortness of breath, swelling of the throat, and dizziness from a sudden drop in blood pressure. Your allergist will teach you how to use the auto-injector, which should be kept with you at all times and used as soon as symptoms start to appear. You or someone near you should also call for an ambulance, even if epinephrine provides relief, as the symptoms may recur.

I have problem of hives. Can I get relief from this. If possible then please help me. I am very thankful to you. I went to many doctor .but I found nothing regarding my problem,

M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG
Sexologist, Sri Ganganagar
I have problem of hives. Can I get relief from this. If possible then please help me. I am very thankful to you. I we...
When antihistamines don't provide relief, oral corticosteroids may be prescribed. A biologic drug, omalizumab (Xolair), is also approved to treat chronic hives in those at least 12 years of age. For severe hive or angioedema outbreaks, an injection of epinephrine (adrenaline) or a cortisone medication may be needed.
2 people found this helpful

I am suffering from a diseases called urticaria for last 1 yr. Is there any allopathy medicine to get complete relief.

MBBS, FELLOWSHIP IN PAEDIATRICS
Pediatrician, Ghaziabad
I am suffering from a diseases called urticaria for last 1 yr. Is there any allopathy medicine to get complete relief.
Urticaria also known commonly as hives can be due to various reasons. Treatment may not be needed if the hives are mild. They may disappear on their own. To reduce itching and swelling: Do not take hot baths or showers. Do not wear tight-fitting clothing, which can irritate the area. Your provider may suggest that you take an antihistamine such as diphenhydramine (Benadryl). Follow your provider's instructions or the package instructions about how to take the medicine. If your reaction is severe, especially if the swelling involves your throat, you may need an emergency shot of epinephrine (adrenaline) or steroids. Hives in the throat can block your airway, making it difficult to breathe. Hives may be uncomfortable, but they are usually harmless and disappear on their own. In most cases, the exact cause of hives cannot be identified.
1 person found this helpful

Find a wheat allergy in recent test, nowadays avoiding food which contain wheat, is there any solution for start eating wheat contain food?

BDS, MDS
Dentist, Gorakhpur
Unfortunately the best solution is to avoid eating wheat or wheat products. There are some methods to avoid allergic reaction while having wheat like taking antihistaminic drugs, epinephrine, steroids, immunomodulators ect. But not advocated since these are long term medications and also will compromise your body further. Thank you.
3 people found this helpful

Popular Health Tips

Postural Tachycardia Syndrome (POTS)

CCT (UK) General Psychiatry, MD-Psychiatry, MBBS Bachelor of Medicine and Bachelor of Surgery
Psychiatrist, Delhi
Postural Tachycardia Syndrome (POTS)


Postural tachycardia syndrome (pots) can be a life altering and debilitating chronic health condition. Simply standing up can be a challenge for people with pots as their body is unable to adjust to gravity. Pots is characterised by orthostatic intolerance (the development of symptoms when upright that are relieved by lying down). Symptoms include headaches, fatigue, palpitations, sweating, nausea, fainting and dizziness and are associated with an increase in heart rate from the lying to upright position of greater than 30 beats per minute, or a heart rate of greater than 120 beats per minute within 10 minutes of standing. 

Diagnosis:-

Detailed questioning of the patient is the key to accurate diagnosis. Physical examination and appropriate investigations are also important. Other causes of symptoms need to be considered and identified.

Patients are usually diagnosed by a cardiologist, neurologist or medicine for the elderly consultant.

To be given a diagnosis of pots, a person needs to have:

A sustained increase in heart rate of greater than 30 beats per minute within 10 minutes of standing those aged 12-19 years require an increase of at least 40 beats per minutethese criteria may not apply to those with a low heart rate when resting there is usually no drop in blood pressure on standing

Investigations

It may be necessary for patients to have some or all of the tests below

Electrocardiography (ecg)

An ecg is performed to rule out any heart problems that may cause symptoms similar to those found in pots.

The active stand test

The active stand test can be used to diagnose pots. Under careful supervision, heart rate and blood pressure are measured after resting lying down, then immediately upon standing and after 2, 5 and 10 minutes. This test may bring on symptoms of pots and some people may faint.

Head-up tilt table test

This involves lying on a table that can be tilted to an angle of 60 to 70 degrees in a quiet, dimly lit, temperature controlled room. Blood pressure and heart rate are recorded in a continuous manner. After a period of 5 to 20 minutes of lying flat, the table is tilted. Although a diagnosis of pots should be made by an increase in heart rate of 30 bpm within the first 10 minutes, this upright position can last between 10 and 45 minutes. The patient will be asked how they are feeling during the test, so symptoms can be matched with heart rate and blood pressure. The test will end if your blood pressure becomes too low, satisfactory results have been obtained, or the maximum time has elapsed.

If facilities are available, some patients are tilted after a carbohydrate drink (liquid meal challenge), exercise or heat.

24 hour ambulatory blood pressure and heart rate monitor

Sticky patches are applied to the chest and are linked to a little box which is attached by a belt your waist. It monitors heart rate over a 24 hour period. A blood pressure cuff on your arm will intermittently check your blood pressure. The patient is asked to go about their usual daily activities, trying to reproduce events that seem to cause the symptoms. A diary stating the time and activity performed at the moment when the symptoms started should be kept. Doctors look to see if there is a fast heart rate or drop in blood pressure at the time of symptoms.

Echocardiogram (heart ultrasound)

This test is to check if the heart’s structure is normal. In this test a technician will apply some jelly on the chest and will roll an ultrasound probe in many directions to create a 3 dimensional image of the heart. It is a painless and harmless test that similar to the ultrasound scan used routinely during pregnancy to look at the unborn baby.

24-hour urine collection 

Individuals with pots often have low urinary sodium levels of less than 150 millimole per 24 hours.

Another 24 hour urine collection may be carried out to test for high levels of noradrenaline and epinephrine to rule out pheochromocytoma (a growth on the adrenal gland) as a possible cause of symptoms.

Blood tests

Bloods are taken to rule out other conditions. These may include:

Kidney function blood count including ferritin liver tests thyroid tests calcium levels glucose

Blood can also be taken for norepinephrine whilst lying and then standing (or when upright on the tilt table); if levels exceed 600 picogram/millilitre, it may suggest hyperadrenergic pots.

Other tests which may be carried out

  • Eeg
  • Autonomic function screening tests
  • Sweat testing.
2 people found this helpful

Gastrointestinal Bleeding - How To Treat It?

MBBS, MD - General Medicine, DM - Gastroenterology
Gastroenterologist, Ahmedabad
Gastrointestinal Bleeding - How To Treat It?

Gastrointestinal bleeding, as the name suggests, is characterized by bleeding in the gastrointestinal (GI) tract and its accessory organs (esophagus, stomach, colon, small intestine, rectum, and anus). The bleeding also referred to as gastrointestinal hemorrhage, is not a disease in itself. However, it may be an indication of a disease, injury or infection in the digestive tract of a person. The bleeding in the GI tract may be mild to chronic (often fatal), depending on the severity of the condition that triggers the bleeding.

What causes the gastrointestinal bleeding?
As stated, the gastrointestinal bleeding may be indicative of some digestive tract disorder. Some of the common conditions that may trigger the bleeding include

  • Tumors that are malignant in nature.
  • Hemorrhoids (a painful condition where veins around the anus, as well as the lower part of the rectum, swell up)
  • Peptic ulcers.
  • Diverticulosis (formation of diverticula or pouches in the walls of the large intestine).
  • Inflammatory bowel disorder.
  • Colon polyps (a small mass of cells that develop on the inner lining of the large intestine or colon).
  • There may be problems in the blood vessels (in the digestive tract).
  • Anal fissures.
  • Esophageal varices (the veins of the stomach or esophagus swell up due to a liver disorder, such as cirrhosis).
  • Angiodysplasia (it is a minute vascular malformation that takes place in the gut).
  • There may be an inflammation of the gastrointestinal lining.

Symptoms:
The appearance of blood in the stool and vomit is one of the characteristic symptoms of the gastrointestinal bleeding. Other symptoms indicative of a bleeding include

  • Weakness and fatigue.
  • The stool appears black and tarry.
  • A person may complain of uneasiness and shortness of breath.
  • The skin appears pale. In some cases, prolonged bleeding that goes unattended may result in anemia.
  • Abdominal pain.
  • The stool may also appear maroon or bright red (often in the case of bleeding from the lower gastrointestinal part).

Consult a doctor at the earliest if the symptoms persist for more than a week.Timely medical assistance can help to minimize the extent of the damage.

Diagnosis and treatment:
Gastrointestinal bleeding in the colon or the stomach is easy to diagnose. However, the diagnosis of the bleeding that occurs in the small intestine may be tricky and often requires the use of advanced and sophisticated equipment. The diagnosis is often done by

  • Physical examination.
  • Liver function tests.
  • Complete blood count.
  • Endoscopy, colonoscopy, and sigmoidoscopy.

Treatment:

  • Endoscopic injections (often diluted epinephrine) at the bleeding site provides great relief.
  • To close or clamp off a bleeding blood vessel, doctors may use Endoscopic clips.
  • Endoscopic intravariceal cyanoacrylate injection is used to treat varices in the stomach effectively.
  • There are medications available to treat GI bleeding triggered by ulcers.
  • In the case of an acute bleeding, a person may need surgery (Laparoscopy).

6 Best Ways You Can Surely Prevent Diabetes!

DFID(Fellowship in Diabetes), MD - Internal Medicine, MBBS, PG Dip In Endocrinology, Endocrinology and Diabetes-SCE
Diabetologist, Delhi
6 Best Ways You Can Surely Prevent Diabetes!

Diabetes is a lifestyle disease that results in high blood sugar levels in the body. It basically means that the body is either insensitive to insulin or the insulin production levels in the body go down. The various symptoms of diabetes are blurred vision, weight loss and hunger.

Some other symptoms of diabetes are:

  1. Excessive urine output
  2. Wounds that take time to heal
  3. Yeast infections
  4. You may experience fatigue on a regular basis
  5. Frequent Mood Changes

Diabetes is also known as a Lifestyle disease. From the food you eat to the amount of activity, they are all connected to diabetes prevention. The various modifications that you may carry out to prevent diabetes are:

  1. Exercise: You should exercise on a regular basis as it increases your overall wellbeing. It helps you to lose weight and allows you to maintain optimal blood sugar levels. It can also improve your body's sensitivity to insulin to prevent blood sugar problems. Exercise helps in increasing endorphin levels in the body which are responsible for keeping you happy and satiated, thereby avoiding depression and over-eating.
  2. Eat more whole grains: Unlike simple carbohydrates, whole grains are complex carbohydrates that raise your blood sugar steadily instead of spiking it suddenly. Avoid refined grains as most of the important nutrients are stripped from refined grains. A Well-balanced diet with adequate amounts of PUFA/MUFA help in increasing the insulin sensitivity, reducing cholesterol and heart problems, etc.
  3. Eat a lot of fiber: If you have type 2 diabetes, you should be, including high-fiber foods in your diet is a healthy way to control high blood sugar. Fiber does not raise blood glucose levels. Because it is not broken down by the body, the fiber in an apple or a slice of whole grain bread has no effect on blood glucose levels because it isn't digested. The grams of fiber can actually be subtracted from the total grams of carb you are eating if you are using carbohydrate counting for meal planning. Fiber helps you in feeling satiated, thus prevents you from overeating. It also improves your blood sugar levels and decreases your chances of getting affected by heart disease.
  4. Lose weight: You should aim to maintain a healthy weight level as it also decreases the risk of diabetes. It also helps in improving your cardiovascular health. Follow a regimen, which is based on a balanced diet and moderate amount of exercise. Losing weight is the best way to keep diabetes away. Weight is something that we can keep under control. The waist size of men and women should not be more than 150 cm and 90 cm respectively. Always maintain your ideal body weight as per your BMI (Body Mass Index). Globally, obesity is one of the leading causes of diabetes.
  5. Avoid sugary drinks: With ten teaspoons of sugar in every 12-ounce can or bottle, sweet drinks can send your blood sugar soaring and boost your risk for weight gain, high blood pressure, stroke, and heart disease. One sugary drink a day adds 150 empty calories and 40 to 50 grams of blood-sugar-raising carbohydrates to your diet, and can lead to a weight gain of 15 pounds per year. Switching to healthier drinks can save hundreds of calories and a lot of carbohydrates.
  6. Avoid Stress: When you are stressed, your blood sugar levels rise. Stress hormones like epinephrine and cortisol kick in since one of their major functions is to raise blood sugar to help boost energy when it's needed most. You can't fight danger when your blood sugar is low, so it rises to help meet the challenge. Both physical and emotional stress can prompt an increase in these hormones, resulting in an increase in blood sugars and diabetes. Ensuring a stress-free life is very important if you want to stay away from diabetes. Avoid stress by going out for garden-walks, indulging in social causes/activities, yoga, meditation, etc.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2564 people found this helpful

Chronic Urticaria - 7 Tips To Deal With It!

MD - Dermatology, Venereology & Leprosy
Dermatologist, Bhubaneswar
Chronic Urticaria - 7 Tips To Deal With It!

Are you looking for ways to deal with chronic urticaria? This is an uncomfortable skin health condition which is featured by red, itchy welts appearing on any part of your body. The cause of this condition is unknown to us most of the times. When the cause of chronic urticaria cannot be determined, the condition is called chronic idiopathic urticaria. There are several ways of dealing with this condition.

Here is a list of the top ways to deal with chronic urticaria:

  1. Try to Avoid Known Triggers: Avoiding known triggers is the best way of controlling chronic urticaria. You should consult an allergist for determining the triggers which might affect you. The most common triggers include foods such as eggs, shellfish, peanuts, and several food additives. Several pain medications, physical stimuli like temperature, exercise, pollen, and certain bacterial infections and viral infections are common triggers.

  2. Take Your Medicines Regularly: You should regularly take your medicines prescribed for dealing with chronic urticaria. Antihistamines are commonly used. The use of corticosteroids or epinephrine infections may also be required.

  3. Soothe Your Skin: Scratching is bad for your chronic urticaria and should be avoided to prevent the hives from being aggravated. Dry skin triggers scratching and so you should keep your skin well moisturised. Take frequent baths, and use moisturising creams and ointments.

  4. Wear Loose Clothes: Friction and pressure on your affected skin may worsen the hives. You should abstain from wearing tight belts, constricting clothes, and shoes which do not fit well. Choose soft fabric material clothes.

  5. Vitamin D Supplements: Adding vitamin D supplements may help in reducing the symptoms of chronic urticaria. You should consult your dermatologist before taking vitamin D supplements on your own.

  6. Alternative Therapies: Stress accounts for worsening this health condition. You should practice techniques which relax your mind and soul, such as meditation, yoga, and deep breathing. These are effective in stress relief. Some studies state that acupuncture may also be associated with decreasing the symptoms of chronic urticaria.

  7. Manage Your Symptoms: If you are suffering from chronic urticaria, all your efforts will be directed towards managing all the visible symptoms. However, you must also deal with the invisible symptoms such as depression and anxiety. Living with this condition is a challenging and painful task, which often results in depression, and emotional imbalance. Emotional stress, fatigue, and emotional distress are triggered by chronic urticaria.

It is important for you to consult a dermatologist if you experience any symptom of chronic urticaria. Early diagnosis and an early treatment will prevent the condition from worsening further. In case you have a concern or query you can always consult an expert & get answers to your questions!

2430 people found this helpful

Chronic Urticaria - How To Deal With It?

MD - Dermatology, MBBS
Dermatologist, Hyderabad
Chronic Urticaria - How To Deal With It?

Are you looking for ways to deal with chronic urticaria? This is an uncomfortable skin health condition which is featured by red, itchy welts appearing on any part of your body. The cause of this condition is unknown to us most of the times. When the cause of chronic urticaria cannot be determined, the condition is called chronic idiopathic urticaria. There are several ways of dealing with this condition.

Here is a list of the top ways to deal with chronic urticaria:

  1. Try to Avoid Known Triggers: Avoiding known triggers is the best way of controlling chronic urticaria. You should consult an allergist for determining the triggers which might affect you. The most common triggers include foods such as eggs, shellfish, peanuts, and several food additives. Several pain medications, physical stimuli like temperature, exercise, pollen, and certain bacterial infections and viral infections are common triggers.

  2. Take Your Medicines Regularly: You should regularly take your medicines prescribed for dealing with chronic urticaria. Antihistamines are commonly used. The use of corticosteroids or epinephrine infections may also be required.

  3. Soothe Your Skin: Scratching is bad for your chronic urticaria and should be avoided to prevent the hives from being aggravated. Dry skin triggers scratching and so you should keep your skin well moisturised. Take frequent baths, and use moisturising creams and ointments.

  4. Wear Loose Clothes: Friction and pressure on your affected skin may worsen the hives. You should abstain from wearing tight belts, constricting clothes, and shoes which do not fit well. Choose soft fabric material clothes.

  5. Vitamin D Supplements: Adding vitamin D supplements may help in reducing the symptoms of chronic urticaria. You should consult your dermatologist before taking vitamin D supplements on your own.

    1. Alternative Therapies: Stress accounts for worsening this health condition. You should practice techniques which relax your mind and soul, such as meditation, yoga, and deep breathing. These are effective in stress relief. Some studies state that acupuncture may also be associated with decreasing the symptoms of chronic urticaria.

  6. Manage Your Symptoms: If you are suffering from chronic urticaria, all your efforts will be directed towards managing all the visible symptoms. However, you must also deal with the invisible symptoms such as depression and anxiety. Living with this condition is a challenging and painful task, which often results in depression, and emotional imbalance. Emotional stress, fatigue, and emotional distress are triggered by chronic urticaria.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2800 people found this helpful