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Should epinephrine be available over-the-counter?

My answer may surprise you (but hopefully not!).

I was invited to speak at a conference in December 2025 about a topic near and dear to my heart…

The Accessibility of Epinephrine for Anaphylaxis

I arrived at the meeting with my patients on my heart. I never want any of them to be without their epi, then need it, and not be able to get it because they don’t have a prescription with them. Hello, this is 2025. And now it’s 2026. Let’s go.

So here is the full meeting. My panel starts around 01:29:01 “Session 2: Regulatory Pathways for Epinephrine Products, Including Considerations for Prescription and Nonprescription Development.”

Should epinephrine be available over-the-counter?

What do you think?


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AAAAI Allergist Finder: https://allergist.aaaai.org/find/
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OIT Allergist Finder: https://fastoit.org/find-oit-allergists/


A note from Dr. Hoyt

I have talked about a non-profit…

I lead the non-profit The Teal Schoolhouse. Its primary program is Code Ana. Code Ana equips schools for medical emergencies like anaphylaxis.

Code Ana’s Online Epinephrine Training Program helps support that goal. Through this program, you will educate yourself while you support this important mission!

A medical emergency response plan is important for everyone at any school. Code Ana’s program Med-E Ready is a comprehensive approach to school-focused medical preparedness. This program guides schools through the process of creating a medical emergency response plan. A response team is also developed! This is one of the most important components of a school’s food allergy policy!

Does your kiddo’s school have Code Ana?


Remember, Dr. Hoyt is an allergist, but she isn’t your allergist, so talk with your allergist about what you’ve just learned!

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