This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pharmacology
Which drug is not given in anaphylactic shock: Sept ember 2005 
Select and explain. 
A. Adrenaline, B. Steroids, C. Antibiotics, D. Antihistamine
C: Antibiotics
Answer: C: Antibiotics 
Explanation: 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 severe/recurrent cases.