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. 2021 Jan 28;30(1):1–25. doi: 10.1007/s40629-020-00158-y

Table 11.

Indications for the prescription of an additional (second) adrenaline auto-injector

History of extremely severe anaphylaxis
Obesity >100 kg BW
Uncontrolled bronchial asthma
Nearest emergency medical care is poorly accessible
Especially high risk for severe anaphylaxis (e.g., adults with mastocytosis after anaphylaxis)
Organizational: second auto-injector for childcare facility, school, or depending on the family situation