Naloxone
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Drug Status
Government Approvals
US(FDA), UK(BNF)
WHO Essential Medicine
NO
Known Teratogen
No
Pharmaceutical Class
Opioid Antagonist
Controlled Drug Substance
No
Summary
Naloxone is used to treat opioid overdoses, which are situations where someone has taken too much of a drug like heroin or prescription painkillers. It quickly reverses the effects of these drugs, helping to restore normal breathing and consciousness. Naloxone is a critical tool in emergency situations to save lives.
Naloxone works by blocking opioid receptors in the brain, which are parts of the brain that opioids attach to. This action stops the opioids from working, reversing their effects. Think of it like a key that fits into a lock, preventing opioids from causing harm and helping the person to breathe normally again.
The usual dose of naloxone for adults in an opioid overdose is 0.4 to 2 mg, which can be given through a vein, muscle, or under the skin. The dose can be repeated every 2 to 3 minutes if needed. For children, the dose is usually 0.01 mg per kilogram of body weight.
Common side effects of naloxone include nausea, vomiting, sweating, and a fast heartbeat. These effects are part of opioid withdrawal, which is the body's reaction to suddenly stopping opioids. They are usually mild to moderate and not life-threatening, but can be uncomfortable.
Naloxone can cause withdrawal symptoms in people who are dependent on opioids, which include nausea, vomiting, sweating, and agitation. It should be used with caution in people with heart problems, as it may affect blood pressure or heart rhythm. Always use naloxone as directed by a healthcare professional.
Indications and Purpose
How does naloxone work?
Naloxone works by blocking opioid receptors in the brain, which reverses the effects of opioids. Think of it like a key that fits into a lock, preventing opioids from attaching and causing harm. This action restores normal breathing and consciousness in people experiencing an overdose. Naloxone is a critical tool in emergency situations to save lives.
Is naloxone effective?
Naloxone is highly effective in reversing opioid overdoses. It works by blocking opioid receptors in the brain, which quickly reverses the effects of opioids. Naloxone can restore normal breathing and consciousness in people experiencing an overdose. Its effectiveness is well-documented, making it a critical tool in emergency situations to save lives.
What is naloxone?
Naloxone is a medication used to reverse opioid overdoses. It belongs to the opioid antagonist class, which means it blocks the effects of opioids in the brain. Naloxone works quickly to restore normal breathing and consciousness in people experiencing an overdose. It is a critical tool in emergency situations to save lives.
Directions for Use
For how long do I take naloxone?
Naloxone is used for short-term, emergency treatment of opioid overdoses and is not taken regularly. It is administered as needed in overdose situations. Keep naloxone accessible for emergencies and follow your healthcare provider's instructions for its use. There is no long-term use associated with naloxone.
How do I dispose of naloxone?
Dispose of unused naloxone by taking it to a drug take-back program or collection site at a pharmacy or hospital. If these options are unavailable, you can throw it in the trash at home. Remove it from its original container, mix it with something undesirable like used coffee grounds, seal it in a plastic bag, and throw it away.
How do I take naloxone?
Naloxone is usually administered as an injection or nasal spray in emergency situations to reverse opioid overdoses. It is not taken on a regular schedule like daily medications. If you are prescribed naloxone, your healthcare provider will instruct you on how to use it properly. Always follow their instructions and keep it accessible in case of an emergency. If you miss a dose, it is not applicable as naloxone is used as needed.
How long does it take for naloxone to start working?
Naloxone works quickly, usually within 2 to 5 minutes after administration. It rapidly reverses the effects of opioids, restoring normal breathing and consciousness in overdose situations. The speed of its action can depend on factors like the severity of the overdose and the method of administration. Always seek emergency medical help after using naloxone.
How should I store naloxone?
Store naloxone at room temperature, away from light and moisture. It does not require refrigeration. Keep it in its original packaging until needed, and ensure it is easily accessible in case of an emergency. Always check the expiration date and replace expired naloxone to ensure it is effective when needed.
What is the usual dose of naloxone?
The usual dose of naloxone for adults in an opioid overdose situation is 0.4 to 2 mg, administered intravenously, intramuscularly, or subcutaneously. The dose may be repeated every 2 to 3 minutes if needed. For children, the dose is typically 0.01 mg/kg. Always follow the specific dosing instructions provided by your healthcare provider or emergency personnel.
Warnings and Precautions
Can I take naloxone with other prescription drugs?
Naloxone does not have significant drug interactions because it is used in emergency situations to reverse opioid overdoses. It works by blocking opioid receptors and does not interact with other medications in a way that increases risks or reduces effectiveness. Always inform your healthcare provider about all medications you take to ensure safe treatment.
Can naloxone be taken safely while breastfeeding?
Naloxone is considered safe to use while breastfeeding in emergency situations. It is not known to pass into breast milk in significant amounts. The benefits of using naloxone to reverse an opioid overdose outweigh potential risks to the infant. Always consult your healthcare provider for guidance on using naloxone while breastfeeding.
Can naloxone be taken safely while pregnant?
Naloxone is considered safe to use during pregnancy in emergency situations to reverse opioid overdoses. The benefits of using naloxone to save the mother's life outweigh potential risks to the fetus. There is limited data on its effects during pregnancy, but it is generally well-tolerated. Always consult your healthcare provider for guidance.
Does naloxone have adverse effects?
Adverse effects are unwanted reactions to a medication. Naloxone can cause withdrawal symptoms in people dependent on opioids, such as nausea, vomiting, and agitation. These effects are generally mild to moderate. Serious adverse effects are rare but can include changes in blood pressure or heart rhythm. If adverse effects occur, seek medical attention and inform your healthcare provider.
Does naloxone have any safety warnings?
Yes, naloxone has safety warnings. It can cause withdrawal symptoms in people dependent on opioids, which include nausea, vomiting, sweating, and agitation. These symptoms are usually not life-threatening but can be uncomfortable. Naloxone should be used with caution in people with heart problems, as it may cause changes in blood pressure or heart rhythm. Always use naloxone as directed by a healthcare professional.
Is it safe to drink alcohol while taking naloxone?
Naloxone is used in emergency situations to reverse opioid overdoses and is not typically affected by alcohol. However, alcohol can worsen the effects of opioids and increase the risk of overdose. It is best to avoid alcohol if you are at risk of opioid overdose or have been prescribed naloxone for emergency use.
Is it safe to exercise while taking naloxone?
Naloxone is used in emergency situations to reverse opioid overdoses and is not taken regularly. It does not affect your ability to exercise. However, if you have recently experienced an overdose, it is important to rest and recover before resuming physical activity. Always consult your healthcare provider for guidance on exercise after an overdose.
Is it safe to stop naloxone?
Naloxone is used for short-term, emergency treatment of opioid overdoses and is not taken regularly. There are no withdrawal symptoms associated with stopping naloxone, as it is not used continuously. If you have been prescribed naloxone, keep it accessible for emergencies and follow your healthcare provider's instructions for its use.
Is naloxone addictive?
Naloxone is not addictive. It does not have habit-forming potential and does not cause dependency or withdrawal symptoms. Naloxone works by blocking the effects of opioids in the brain, which helps reverse an overdose. It does not produce any euphoric effects or cravings, making it safe to use in emergency situations without the risk of addiction.
Is naloxone safe for the elderly?
Naloxone is safe for use in the elderly during opioid overdoses. The elderly may be more vulnerable to medication effects, but naloxone's benefits in reversing overdoses outweigh potential risks. It can cause withdrawal symptoms, which may be more pronounced in older adults. Always consult a healthcare provider for guidance on using naloxone safely.
What are the most common side effects of naloxone?
Side effects are unwanted reactions to a medication. Common side effects of naloxone include nausea, vomiting, sweating, and increased heart rate. These occur as part of opioid withdrawal and are usually mild to moderate. If you experience new symptoms after using naloxone, they may be temporary or unrelated. Always consult your doctor if you have concerns.
Who should avoid taking naloxone?
Naloxone has no absolute contraindications, meaning it can be used in any situation where an opioid overdose is suspected. However, caution is advised in people with heart problems, as it may cause changes in blood pressure or heart rhythm. Always consult a healthcare professional for guidance on using naloxone safely.