Emergency, Critical Care & Anaphylaxis
The resuscitation, antidote and critical-care injectables that a functioning emergency department cannot run without — most of them named directly on the WHO Model List.
The WHO Model List places epinephrine, or adrenaline, among the medicines used in anaphylaxis, and names calcium gluconate and acetylcysteine among specific antidotes to poisoning. Atropine appears both as a pre-operative medication and as an antidote, at 1 mg/mL in a 1 mL ampoule.
At a glance
- Adrenaline, atropine, calcium gluconate, acetylcysteine, furosemide and heparin all appear on the WHO Model List.
- Calcium gluconate is both an electrolyte replacement and the antidote for magnesium sulfate overdose.
- Acetylcysteine is the antidote used in paracetamol overdose.
- Sterile injectables ship with sterility and bacterial endotoxin results on the batch COA.
- We supply 14 emergency and critical-care products, including vasoactive and antidotal injectables.
01What the published guidance says
Every statement below is drawn from WHO or MSF published material and linked to its source. We summarise; we do not reproduce. Statements marked as our own are commercial positions, not clinical guidance.
Anaphylaxis and acute allergy
The Model List places epinephrine (adrenaline) among the medicines used in anaphylaxis, and carries dexamethasone injection 4 mg/mL in 1 mL ampoule as disodium phosphate salt for both antiallergic use and palliative care, as well as in the antiemetic section.
Pre-operative and emergency antimuscarinics
Atropine appears twice on the Model List — as a pre-operative medication at 400 micrograms/mL and 1 mg/mL (sulfate) in 1 mL ampoule or vial, and among specific antidotes.
Specific antidotes
The Model List names calcium gluconate and acetylcysteine among specific antidotes to poisoning. Acetylcysteine is the established antidote in paracetamol overdose; calcium gluconate is also the antidote administered for magnesium sulfate overdose in obstetric care.
Dexamethasone is a multi-role hospital injectable
Beyond allergy, the Model List carries dexamethasone injection in the antiemetic section, where it appears alongside metoclopramide and ondansetron.
02Products in this therapeutic group
Each entry links to its full specification page.
| Product | Dosage form | Presentation notes | Detail |
|---|---|---|---|
| Atropine Sulphate Injection 1mg | Injection | View Atropine Sulphate Injection 1mg → | |
| Adrenaline Injection 1mg/1mL | Injection | Epinephrine Emergency Drug | View Adrenaline Injection 1mg/1mL → |
| Chlorpheniramine Injection 20mg/2mL | Injection | Antihistamine Allergy | View Chlorpheniramine Injection 20mg/2mL → |
| Furosemide Injection 20mg/2mL | Injection | Loop Diuretic | View Furosemide Injection 20mg/2mL → |
| Calcium Gluconate Injection | Injection | Calcium Supplement & Emergency | View Calcium Gluconate Injection → |
| Phentolamine Injection 10mg per 1ml | Injection | View Phentolamine Injection 10mg per 1ml → | |
| Acetylcysteine Injection 1g per 5ml | Injection | View Acetylcysteine Injection 1g per 5ml → | |
| Dexamethasone Injection 4mg/mL 2ml | Injection | View Dexamethasone Injection 4mg/mL 2ml → | |
| Diphenhydramine Injection 50mg/mL 2mL | Injection | View Diphenhydramine Injection 50mg/mL 2mL → | |
| Dobutamine Injection 12.5mg/mL 2mL ampoule | Injection | View Dobutamine Injection 12.5mg/mL 2mL ampoule → | |
| Aceglutamide Injection 100mg per 5mL | Injection | View Aceglutamide Injection 100mg per 5mL → | |
| Citicoline 250mg Injection | Injection | View Citicoline 250mg Injection → | |
| Heparin Sodium Injection 2mL:5000IU | Injection | View Heparin Sodium Injection 2mL:5000IU → | |
| Nimodipine Injection 10mg per 50ml | Injection | View Nimodipine Injection 10mg per 50ml → |
14 products in this group · part of 186 finished dosage forms across 14 therapeutic areas.
03Specifying your order
The five things worth stating on a purchase order for this group, so the quotation comes back right first time.
Strength and fill
State the concentration and the fill volume. Emergency presentations differ between markets and two ampoules can look alike.
Container type
Ampoule, vial or pre-filled syringe. Confirm which your protocol and your waste-handling procedures assume.
High-alert labelling
For adrenaline and atropine, specify any additional differentiation your pharmacy requires to avoid strength confusion.
Antidote pairing
If you stock magnesium sulfate, confirm whether calcium gluconate must be supplied alongside it as the antidote.
Endotoxin data
Specify that sterility and bacterial endotoxin results are required on the batch certificate of analysis.
04How we supply it
Standardised GMP production workshops with an independent R&D laboratory and a complete quality-inspection centre.
Resuscitation & vasoactive
Adrenaline, atropine, calcium gluconate, dobutamine and phentolamine injectables.
Antidotes & antidotal support
Acetylcysteine injection, calcium gluconate and phentolamine.
Critical-care adjuncts
Furosemide, heparin sodium, nimodipine, dexamethasone, diphenhydramine, chlorpheniramine and the neurotrophic injectables citicoline and aceglutamide.
Traceability
Every injectable batch ships with a COA covering assay and related substances. Sterility and bacterial endotoxin results are included for sterile products.
05Safety, labelling & regulatory notes
Points worth carrying into your tender, label review or clinical briefing.
- Emergency injectables are hospital-use products. Confirm the strength, volume and container on the purchase order — emergency presentations differ between markets.
- Adrenaline and atropine are high-alert medicines where strength confusion carries immediate patient risk. Verify labelling and differentiate pack designs.
- Acetylcysteine for paracetamol overdose is a time-critical intervention. Stock levels should be planned against local poisoning burden, not average consumption alone.
- Nimodipine injection is used in a specific neurological indication. Confirm the registered indication in your market before promoting it.
06Questions buyers ask
6 answers covering specification, documentation and regulatory questions for this group.
Which of these emergency medicines are on the WHO Model List?
Do you supply acetylcysteine as the paracetamol antidote?
Can you supply calcium gluconate for magnesium sulfate overdose?
Do emergency injectables come with endotoxin data?
Do you supply calcium gluconate as the antidote for magnesium sulfate overdose?
Which of your emergency injectables carry endotoxin data?
07Related therapeutic areas
Adjacent groups you may want to combine on one purchase order.
Request a quotation for Emergency & Critical Care
Send us the products, strengths and pack sizes you need, together with the destination country, and we will return a quotation with the documentation package and lead time. Registration support documents are provided with every order.
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