<prompt> Which drug is not given in anaphylactic shock: Sept ember 2005AdrenalineSteroidsAntibioticsAntihistamine  <response>: Ans. C: Antibiotics Epinephrine adrenaline is the primary treatment for anaphylaxis with no absolute contraindication to its use. Epinephrine improves airway patency, improves blood pressure, and may be life-saving. The recommended dose is 0.5 mg or 0.5 mL adrenaline injection 1 in 1000 given intramuscularly. Anaphylaxis can lead to massive losses of intravascular fluids. Thus large amounts of intravenous fluids maybe required. Antihistamines may have adjuvant value. Coicosteroids should be added in severerecurrent cases. 