The NCL adrenaline auto injector (AAI) safety bulletin has been reviewed and updated to include recommendations from the British Society for Allergy and Clinical Immunology (BSACI). 

The updated bulletin includes:

• Parents may request that a total of four AAIs are prescribed, two for school and two for other times
• This can be reduced back to two once the child is able to administer and allowed to carry their own AAIs at school
• Parents should be reminded that their child should always have access to the AAIs even on the way to school
• Requests for more than two (four, for a child) AAIs should be discouraged. The overriding principle is that the patient should always be carrying the AAIs, rather than having them at multiple locations which might not be accessible at all times.

This article was updated on 5 June 2025 to reflect the latest recommendations from the British Society for Allergy and Clinical Immunology (BSACI).