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<p>The Medicines and Healthcare products Regulatory Agency (MHRA) has published guidance
on the use of adrenaline auto-injectors in schools, and there is provision in this
guidance for the use of an adrenaline auto-injector on someone to whom it was not
prescribed, in a medical emergency. However, regulation 238 of the Human Medicines
Regulations 2012 provides an exemption from certain requirements related to the administration
of medicines. Specifically, it allows for parenteral, rather than injected or absorbed,
administration of specified medicines in emergency situations, where the purpose is
to save a life. For instance, adrenaline prescribed for a specific person, or even
to an unknown person, can be administered under this regulation, if it is necessary
to save a life during an emergency. The use in emergencies is covered by schedule
19 and regulation 238, where age is not specified.</p><p>An Expert Advisory Group
for Allergy was established in 2023, across the Government and clinical organisations,
and chaired by the National Allergy Strategy Group and the Department, to recommend
further action by the MHRA, Department of Health and Social Care, Department for Education,
and the National Health Service. The Department of Health and Social Care and the
MHRA are currently considering updates to the 2017 guidance, to ensure that any updated
clarifications are supported by evidence, and that any open questions are answered.</p>
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