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Epinephrine shortage — availability across Europe

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MEDICALLY REVIEWED
Dr. Chrysoula I. Liakou MD, PhD
Internal Medicine Specialist
Cancer Immunology Researcher
Reviewed 30 July 2026 · next review due 30 January 2027

Epinephrine currently has availability issues reported in 4 European registers: Austria, Greece, Ireland, Italy.

Shortage  ATC C01CA24 · also listed as: EPINEPHRIN · EPINEPHRINE · EPINEFRINA · data refreshed 11 September 2026

Key facts

As of 11 September 2026, 4 of the 9 tracked registers list current availability issues for Epinephrine, covering 7 affected product presentations. The longest-running open report was filed in Italy on 2023-09-27 and has now been open for about 36 months. Where agencies state a cause, unexpectedly high demand lead with 2 of the 5 stated-cause reports, followed by commercial decisions or discontinuation with 2. The furthest expected-resolution date currently on file is 2027-01-01; the earliest is 2026-11-01. Notably, 1 report has already passed the expected-resolution date without closing — prognoses for this medicine should be read as estimates, not commitments. Momentum is current, not historical: 3 of the open reports were filed within the last 90 days. The issue spread across registers over time rather than at once: Italy reported first (2023-09-27), with Greece following roughly 33 months later — a pattern typical of supply problems cascading between national markets. Registers in Greece, Ireland, Italy indicate that alternatives or equivalents are available — a pharmacist or doctor can advise on switching. In the WHO ATC classification, Epinephrine is coded C01CA24 — a medicine acting on the cardiovascular system — so clinically related products appear under “Related medicines” below.

WhereStatus & productsSinceExpected end Reason / alternativesSource
🇦🇹 AustriaShortage
EpiPen 300 Mikrogramm Injektionslösung in einem FertigPen
2026-06-12register ↗
🇬🇷 GreeceLimited availability
EPINEPHRINE
2026-06-152026-11-01ΑΡΗΤΗ A.E. διαδικασία περιεκτικότητας
Alternatives: Προβλήματα στην παραγωγική
register ↗
🇮🇪 IrelandShortage
Anapen 300 micrograms in 0.3 ml solution for injection in a pre-filled s
+ 1 more products
Anapen 500 micrograms / 0.3 ml solution for injection in a pre-filled sy
2024-09-032027-01-01Unexpected increased demand (Ireland only)
Alternatives: Alternative(s) available — see the national register.
register ↗
🇮🇹 ItalyShortage
ADRENALINA S.A.L.F.
+ 2 more products
CHENPEN
FASTJEKT
2023-09-272026-12-31Cessata commercializzazione temporanea
Alternatives: AIFA: equivalents with the same active substance are available.
register ↗

New register reports per month

2024-02: 12024-03: 02024-04: 02024-05: 02024-06: 02024-07: 02024-08: 02024-09: 12024-10: 02024-11: 02024-12: 02025-01: 02025-02: 02025-03: 02025-04: 02025-05: 02025-06: 02025-07: 02025-08: 02025-09: 02025-10: 02025-11: 02025-12: 02026-01: 02026-02: 02026-03: 02026-04: 02026-05: 02026-06: 22026-07: 12026-08: 12024-022026-08

Full report history (7 register entries)

Every individual register entry for Epinephrine in the tracked sources, newest first — including resolved and discontinued reports.

Reg.ProductStatusReportedExpected endStated reason
🇮🇹 ITFASTJEKTShortage2026-08-01Elevata richiesta: distribuzione contingentata
🇮🇪 IEAnapen 300 micrograms in 0.3 ml solution for injection in a pre-filledShortage2026-07-302026-08-14Unexpected increased demand (Ireland only)
🇬🇷 GREPINEPHRINELimited availability2026-06-152026-11-01ΑΡΗΤΗ A.E. διαδικασία περιεκτικότητας
🇦🇹 ATEpiPen 300 Mikrogramm Injektionslösung in einem FertigPenShortage2026-06-12
🇮🇪 IEAnapen 500 micrograms / 0.3 ml solution for injection in a pre-filled Shortage2024-09-032027-01-01Manufacturing delay (Multiple countries)
🇮🇹 ITADRENALINA S.A.L.F.Shortage2024-02-012026-12-31Cessata commercializzazione temporanea
🇮🇹 ITCHENPENShortage2023-09-272026-12-31Cessata commercializzazione temporanea

Frequently asked

Is Epinephrine currently in shortage in Europe?

Yes. As of 11 September 2026, availability issues are reported in: Austria, Greece, Ireland, Italy. Availability is national — a shortage in one country does not mean it is short everywhere.

When is the Epinephrine shortage expected to end?

Agency prognoses on file range from 2026-11-01 to 2027-01-01. These are manufacturer-reported estimates and frequently move; check the linked register entry for the latest date.

Are there alternatives to Epinephrine?

6 of the active register entries indicate alternatives or equivalents (same active substance or an alternative treatment). Do not switch on your own — a pharmacist or prescriber can confirm the right substitute in your country.

Where does this Epinephrine availability data come from?

Directly from the official medicines-agency registers that list Epinephrine: BASG (Austria), EOF limited-availability list (Greece), HPRA (Ireland), AIFA (Italy). Every row on this page links to the underlying official record, and the dataset is refreshed from the primary sources every morning. Cross-language matching groups the same active substance across registers, so national spellings all resolve to this page.

Related medicines (same ATC class)

Embed this tracker

Pharmacies, patient sites and newsrooms are welcome to embed the live status of Epinephrine — free, with attribution. Copy this snippet:

<iframe src="https://www.mobidoctor.eu/medicine-shortages/medicine-shortages/epinephrine/embed.html" width="100%" height="150" loading="lazy" style="border:1px solid #e1e0d9;border-radius:12px" title="Epinephrine availability in Europe"></iframe>
<p style="font-size:12px">Source: <a href="https://www.mobidoctor.eu/medicine-shortages/medicine-shortages/epinephrine/">Epinephrine shortage status — European Medicine Shortage Tracker</a> by MobiDoctor</p>
Cite: “Epinephrine: availability status across 4 European registers — European Medicine Shortage Tracker (MobiDoctor), 11 September 2026.” Link this page and the agency record. Statuses come from the linked official registers and can change daily.