allergyatlasCANADIAN TREATMENT GUIDEFor Canadian clinicians

Epinephrine.

3 treatments

Canadian label weight bands

Auto-injector

Epinephrine

0.3 mg single dose

Inject 0.3 mg into the outer mid-thigh promptly

Usually >30 kgEmergency use
Auto-injector

Epinephrine

0.15 mg single dose

Inject 0.15 mg into the outer mid-thigh promptly

15–30 kgEmergency use
Nasal epinephrine

Epinephrine

2 mg / 0.1 mL · single-dose spray

1 spray (2 mg) into one nostril

30 kg and aboveEmergency use
Label weight bands & CSACI guidance

The filter follows Canadian product labels: EpiPen Jr 0.15 mg at 15–30 kg, EpiPen 0.3 mg above 30 kg, and Neffy 2 mg at 30 kg or more. CSACI guidance supports a 0.3 mg autoinjector from 25 kg to reduce underdosing; that threshold differs from the EpiPen label. Below 15 kg, CSACI supports a 0.15 mg autoinjector when an appropriate lower-dose device is unavailable. These autoinjector recommendations do not change Neffy’s labelled weight threshold.

Canadian anaphylaxis review · 2024, Table 6 ↗

Epinephrine first. Emergency care immediately.

For suspected anaphylaxis, administer epinephrine promptly and call 911. Antihistamines and asthma inhalers do not replace epinephrine. Keep two doses accessible and follow the individual emergency plan. Clinical reference ↗

About Allergy Atlas

Payam Salimi

AUTHOR

Payam Salimi

PGY-4 · Clinical Immunology & Allergy
University of Manitoba

I created Allergy Atlas during my allergy residency as a practical educational resource. I’m continually updating the content, adding resources, and improving the site as I learn and receive feedback. I hope you find it useful.

If you notice an error, have a suggestion, or would like to get in touch, please contact salimip@myumanitoba.ca.

Reviewers & Advisors

Allergy Atlas continues to evolve with advice, feedback, and contributions from colleagues. Thank you to those helping improve this resource.

  • Dr. Lundy McKibbin (University of Manitoba)

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