Allergies & Immunity

Anaphylaxis: Recognise It, Inject Adrenaline

Hesitation kills more than the reaction itself.

Dr. Sophie Renard

Allergist

6 min read
Medical illustration of Anaphylaxis: Recognise It, Inject Adrenaline

In simple terms

Anaphylaxis is a rapidly evolving multi-system allergic reaction. Adrenaline is the only treatment that saves lives.

What you need to remember

  • Common triggersFoods (peanut, tree nuts, shellfish), insect stings, medications (antibiotics, NSAIDs), latex, exercise-induced.
  • Immediate actionIntramuscular adrenaline (anterolateral thigh)
  • After the reactionHospital observation 4-6 hours, allergy referral, two adrenaline injectors and an emergency action plan.

Sudden multi-system reaction usually with skin involvement plus respiratory, cardiovascular, gastrointestinal or neurological signs.

Common triggers

Foods (peanut, tree nuts, shellfish), insect stings, medications (antibiotics, NSAIDs), latex, exercise-induced.

Immediate action

  • Intramuscular adrenaline (anterolateral thigh)
  • Call emergency services
  • Lay flat with legs raised (unless breathless)
  • Repeat adrenaline after 5-10 min if no response

After the reaction

Hospital observation 4-6 hours, allergy referral, two adrenaline injectors and an emergency action plan.

Antihistamines and steroids do not treat anaphylaxis — adrenaline is the only first-line therapy.

The words explained

Medical terms used above, in everyday language.

Antibiotic
A medicine that kills bacteria. It does not work against viruses like colds or flu.
Cardiovascular
Related to the heart and blood vessels.

When should you see a doctor?

  • Your symptoms last more than a few weeks or keep coming back.
  • They get worse quickly, or stop you doing everyday things.
  • You notice sudden pain, breathing trouble, fainting or bleeding — seek urgent care.
  • You already take medication and want to change anything about it.

This article explains general health information. It does not replace advice from your own doctor.

Frequently asked questions

What is Anaphylaxis: Recognise It, Inject Adrenaline?
Anaphylaxis is a rapidly evolving multi-system allergic reaction. Adrenaline is the only treatment that saves lives.
What are the main symptoms or signs of Anaphylaxis: Recognise It, Inject Adrenaline?
Common signs vary from person to person. The article above lists the symptoms to watch for, how they progress, and when they need medical attention.
When should you see a doctor for Anaphylaxis: Recognise It, Inject Adrenaline?
See a doctor if symptoms last more than a few weeks, get worse quickly, stop you doing everyday things, or if you notice sudden pain, breathing trouble, fainting or bleeding.