Epinephrine |
![]() Last updated: 16/09/2025 |
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(Also known as: adrenaline) |
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Epinephrine is widely used drug for anaphylactoid shock | |
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Primarily used to treat anaphylaxis and for cardiac resuscitation | |
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Dogs; Cats; Other domesticated animals; Cattle; Horses; Pigs; Sheep |
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Approved - usually available as a prescription only medicine to be authorised by suitably qualified person (POM-VPS) | |
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Approved |
Chemical structure |
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Epinephrine exhibits optical isomerism, specifically existing as two enantiomers: R(-)-epinephrine and S(+)-epinephrine. The molecule contains a single chiral centre at the carbon bearing the hydroxyl group adjacent to the amine (the beta-carbon), which gives rise to these two forms. The R(-)-enantiomer, also called L-epinephrine, is the naturally occurring, biologically active hormone secreted by the adrenal glands. | |
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C₉H₁₃NO₃ | |
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CNCC(C1=CC(=C(C=C1)O)O)O | |
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CNC[C@@H](C1=CC(=C(C=C1)O)O)O | |
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UCTWMZQNUQWSLP-VIFPVBQESA-N | |
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InChI=1S/C9H13NO3/c1-10-5-9(13)6-2-3-7(11)8(12)4-6/h2-4,9-13H,5H2,1H3/t9-/m0/s1 | |
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Yes |
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Common Name | Relationship | Link |
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epinephrine | - | ![]() |
General status |
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Medicinal drug | |
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Hormone | |
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Unclassified medicinal drug; Hornone | |
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Synthetic | |
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Antagonizes the effects of histamine, raises blood sugar, increases heart rate and contractility, and increases systolic blood pressure. | |
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[Adrenergic receptors] | |
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51-43-4 | |
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51028-73-0 | |
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200-098-7 | |
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5816 | |
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Multiple therapeutic classes | |
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QA01AD01; QB02BC09; QC01CA03; QC01CA24; QR01AA14; QR03AA01; QR03AK01; QS01EA01; QS01EA51 | |
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No | |
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183.21 | |
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4-[(1R)-1-hydroxy-2-(methylamino)ethyl]benzene-1,2-diol | |
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4-[(1R)-1-hydroxy-2-(methylamino)ethyl]benzene-1,2-diol | |
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White microcrystalline powder | |
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Commercial |
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Current | |||
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1893, clinical effects first observed; 1898, first isolated | |||
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Usually formulated as solutions for injection but also as cutaneous sprays for topical use | |||
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Commercial production of epinephrine involves a carefully controlled multi-step chemical synthesis designed to yield the biologically active R(-)-enantiomer. The process typically begins with a catechol precursor, such as 3,4-dihydroxybenzaldehyde, which undergoes condensation with methylamine to form an imine intermediate. This is followed by asymmetric hydrogenation, often catalysed by a rhodium complex with a chiral phosphine ligand, to produce the desired stereochemistry at the beta-carbon. The resulting compound is then subjected to oxidation and salt formation, yielding epinephrine hydrochloride. Modern innovations in manufacturing, such as fermentation-based biotechnological methods and process automation, are increasingly adopted to improve efficiency, reduce waste, and meet rising global demand. | |||
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Published GHG data is not available for most pharmaceuticals. However, according to industry, global averages suggest producing 1 kg of a typical active pharmaceutical ingredient can range from 10 to 100 kg CO₂e for small molecule drugs and potentially up to 1000 kg CO₂e for complex biologicals such as vaccines, depending on the drug type, its formulation, complexity of synthesis, solvent recovery, and energy sources used. Notably, if the more modern fermentation route is used for production GHG emissions are likely to be towards the lower end of the range, if not less. |
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100 | Q3 Q = Miscellaneous data from online sources 3 = Unverified data of known source |
Moderate | ||||||||
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211.5 | Q3 Q = Miscellaneous data from online sources 3 = Unverified data of known source |
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215 | Q3 Q = Miscellaneous data from online sources 3 = Unverified data of known source |
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4.27 X 10-02 | Calculated | - | |||||||
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-1.37 | Q3 Q = Miscellaneous data from online sources 3 = Unverified data of known source |
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1.28 | Q3 Q = Miscellaneous data from online sources 3 = Unverified data of known source |
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8.59 | Q3 Q = Miscellaneous data from online sources 3 = Unverified data of known source |
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Degradation |
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As this parameter is not normally measured directly, a surrogate measure is used: ‘Photochemical oxidative DT₅₀’. Where data is available, this can be found in the Fate Indices section below. | ||||||||||
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Soil adsorption and mobility |
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Fate indices |
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Known metabolites |
None
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Terrestrial ecotoxicology |
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90 | Q3 Q = Miscellaneous data from online sources Mouse3 = Unverified data of known source |
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1.83 | F4 F = U.S. EPA ECOTOX database / U.S. EPA pesticide fate database / Miscellaneous WHO documents / FAO data, IPCS INCHEM data (US EPA Databases Related to Pesticide Risk Assessment ) Crassostrea gigas Larva4 = Verified data |
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General |
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90 | Q3 Q = Miscellaneous data from online sources Mouse3 = Unverified data of known source |
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300 | Q3 Q = Miscellaneous data from online sources Mouse3 = Unverified data of known source |
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Excreted rapidly in urine | Q3 Q = Miscellaneous data from online sources 3 = Unverified data of known source |
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Health issues |
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No information available |
Handling issues |
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When heated to decomposition it will emit toxic fumes Combustible IMDG Transport Hazard Class 6.1 |
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Health: H301, H311, H315, H319, H335 | |||
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Not listed (Not listed) | |||
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UN2811 | |||
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Packaging Group II (moderate danger) | |||
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Chemically stable under standard ambient conditions |
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epinephrine | ||
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Record last updated: | 16/09/2025 |
Contact: | aeru@herts.ac.uk |
Please cite as: | Lewis, K.A., Tzilivakis, J., Warner, D. and Green, A. (2016) An international database for pesticide risk assessments and management. Human and Ecological Risk Assessment: An International Journal, 22(4), 1050-1064. DOI: 10.1080/10807039.2015.1133242 |