Therapeutic AreaFormulary ChoicesCost for 28
(unless otherwise stated)
Rationale for decision / comments
Antihistamines
Non-sedating antihistaminesFor nasal allergy and treatment with corticosteroid nasal sprays, please see Chapter 12.
First- line:


Green crossLoratadine
- suitable for self-care
10mg tablets: £0.85 (30)
5mg/5ml solution: £6.96 (100ml)

Green crossCetirizine
- suitable for self-care
10mg tablets: £0.77 (30)
5mg/5ml solution: £17.16 (200ml)
Second-line:Desloratadine
5mg tablets: £1.38 (30)


Sedating antihistamines

Green crossChlorphenamine
- suitable for self-care
4mg tablets: £3.66
2mg/5ml SF solution: £2.21 (150ml)
Anaphylaxis
Adrenaline
See NHS Somerset Advice on use for GP
See MHRA Drug Safety Update (November 2021) for important safety information
It is recommended that patients are prescribed two pens which they should carry at all times.
as Emerade®


Solution for injection auto-injector
150micrograms/0.15ml (1 in 1,000): £25.99
300micrograms/0.3ml (1 in 1,000): £25.99
500micrograms/0.5ml (1 in 1,000): £26.99
Adults below 60 kg the usual dose is 300 micrograms.
Adults over 60 kg the usual dose is 300 to 500 micrograms.
Children between 15 kg and 30 kg the usual dose is 150 micrograms.
Children over 30 kg the usual dose is 300 micrograms.
Adolescents over 30 kg the dosage recommendations for adult patients should be followed.
as EpiPen Jr®Solution for injection auto-injector
150micrograms/0.3ml (1 in 2,000): £34.30
Children 7.5-25 kg
as EpiPen®Solution for injection auto-injector
300micrograms/0.3ml (1 in 1,000): £34.30
Adults
as Jext®Solution for injection auto-injector
150micrograms/0.15ml (1 in 1,000): £34.30
300micrograms/0.3ml (1 in 1,000): £34.30
The usual dose is 150 micrograms for children 15-30 kg.
Children and adolescents over 30 kg should be prescribed 300 micrograms.
The usual dose is 300 micrograms for adults over 30 kg.