There is a paucity of local data about anaphylaxis and the use of adrenaline (epinephrine) prescribed for out-patient use. We described in this brief report our experience of out-patient-prescription of epinephrine of a university affiliated teaching hospital. The dispensing rate has been far below that of reported Western data. Our patients were prescribed upon fulfilling the current consensus but some may have suboptimal dosing. Lack of availability and carrying out-dated epinephrine auto-injector seems an issue. Issues of logistics, availability and clinical indications and were discussed. A local guideline to better define its usage seems warranted.
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