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Naloxone Hydrochloride

What are opioids?

Opioids, sometimes called narcotics, are a type of drug. They include strong prescription pain relievers such as oxycodone, hydrocodone, fentanyl, and tramadol. The illegal drug heroin is also an opioid.

A health care provider may give you a prescription opioid to reduce pain after you have had a major injury or surgery. You may get them if you have severe pain from health conditions like cancer. Some providers prescribe them for chronic pain.

Prescription opioids used for pain relief are generally safe when taken for a short time and as prescribed by your provider. However, people who take opioids are at risk for opioid use disorder (OUD) and overdose. These risks increase when these medicines are misused. Misuse can include taking more than your prescribed dose or taking it more often, using it to get high, or taking someone else's opioids.

What is an opioid overdose?

Opioids affect the part of the brain that regulates breathing. When people take high doses of opioids, it can lead to an overdose, with the slowing or stopping of breathing and sometimes death.

What causes an opioid overdose?

An opioid overdose can happen for a variety of reasons, including if you:

  • Take an opioid to get high.
  • Take an extra dose of a prescription opioid or take it too often (either accidentally or on purpose).
  • Mix an opioid with other medicines, illegal drugs, or alcohol. An overdose can be fatal when mixing an opioid and certain anxiety treatment medicines, such as Xanax or Valium.
  • Take an opioid medicine that was prescribed for someone else. Children are especially at risk of an accidental overdose if they take medicine not intended for them.

There is also a risk of overdose if you are getting medications for opioid use disorder (MOUD). MOUD is a treatment for OUD. Many of the medicines used for MOUD are also controlled substances that can be misused.

Who is at risk of an opioid overdose?

Anyone who takes an opioid can be at risk of an overdose, but you are at higher risk if you:

  • Take illegal opioids
  • Take more opioid medicine than you are prescribed
  • Combine opioids with other medicines and/or alcohol
  • Have certain medical conditions, such as sleep apnea, or reduced kidney or liver function
  • Are over 65 years old
What are the signs of an opioid overdose?

The signs of an opioid overdose include:

  • Very small pupils of the eyes
  • Falling asleep or loss of consciousness
  • Slow, shallow breathing
  • Choking or gurgling sounds
  • Vomiting
  • Limp body
  • Pale, blue, or cold skin
  • Faint heartbeat
  • Purple lips and fingernails
What should I do if I think that someone is having an opioid overdose?

If you think someone is having an opioid overdose:

  • Call 911 immediately.
  • Give the person naloxone, if it is available. Naloxone is a safe medication that can quickly stop an opioid overdose. There are two forms. One is a nasal spray that you spray info the nose. The other type is injected into the muscle under the skin, or into the veins. Naloxone works by blocking the effects of the opioids on the body. It's important to read the product instructions and check the expiration date before you give it to someone.
  • Try to keep the person awake and breathing.
  • Lay the person on their side to prevent choking.
  • Stay with the person until emergency workers arrive.

Naloxone won't harm someone if they're overdosing on drugs other than opioids, so it's best to use it if you think someone is overdosing.

Can an opioid overdose be prevented?

If you are taking opioid pain medicine, there are steps you can take to help prevent an opioid overdose:

  • Take your medicine exactly as prescribed by your provider. Do not take more medicine at once or take medicine more often than you are supposed to.
  • Never mix the pain medicines with alcohol, sleeping pills, or illegal substances.
  • Store your medicine safely where children or pets can't reach it. Consider using a medicine lockbox. Besides keeping children safe, it also prevents someone who lives with you or visits your house from stealing your medicines.
  • Dispose of unused medicine promptly.

It is also important to teach your family and friends how to respond to an overdose. If you are at higher risk of an overdose, you will want get naloxone and carry it with you wherever you go. You can buy naloxone at a pharmacy.

Naloxone Hydrochloride FDA Approved Drugs

BUNAVAIL [Buprenorphine HydrochlorideC29H41NO4ClH : Naloxone HydrochlorideC19H21NO4ClH]
RX
-
eq 2.1mg base : eq 0.3mg base (buccal film)
eq 4.2mg base : eq 0.7mg base (buccal film)
eq 6.3mg base : eq 1mg base (buccal film)
BdsiJun 6, 2014
  • Maintenance treatment of opioid dependence.
  • Treatment of opioid dependence.
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

BUPRENORPHINE HYDROCHLORIDE AND NALOXONE HYDROCHLORIDE [Buprenorphine HydrochlorideC29H41NO4ClH : Naloxone HydrochlorideC19H21NO4ClH]
RX
-
eq 2mg base : eq 0.5mg base (sublingual tablet)
eq 8mg base : eq 2mg base (sublingual tablet)
Actavis ElizabethFeb 22, 2013
Amneal PharmsFeb 22, 2013
Ethypharm Usa CorpOct 16, 2015
Kremers Urban PharmsSep 19, 2016
Sun Pharm Inds LtdAug 5, 2016
Teva Pharms UsaSep 8, 2014
West-ward Pharms IntJun 27, 2014
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

EVZIO [Naloxone HydrochlorideC19H21NO4ClH]
RX
-
0.4mg/0.4ml (0.4mg/0.4ml) (intramuscular, subcutaneous solution)
2mg/0.4ml (2mg/0.4ml) (intramuscular, subcutaneous solution)
Kaleo IncApr 3, 2014
  • Use of a delivery device to administer a dose of naloxone.
  • Use of an auto injector to administer naloxone hcl.
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

NALOXONE [Naloxone HydrochlorideC19H21NO4ClH]
RX
-
0.4mg/ml (injection injectable)
West-ward Pharms IntSep 24, 1986
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

NALOXONE HYDROCHLORIDE [Naloxone HydrochlorideC19H21NO4ClH]
RX
-
0.4mg/ml (injection injectable)
1mg/ml (injection injectable)
AkornFeb 28, 2017
HospiraJan 7, 1987
Intl MedicationSep 24, 1986
Mylan InstitutionalJun 29, 2016
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

NALOXONE HYDROCHLORIDE AND PENTAZOCINE HYDROCHLORIDE [Naloxone HydrochlorideC19H21NO4ClH : Pentazocine HydrochlorideC19H27NOClH]
RX
-
eq 0.5mg base : eq 50mg base (oral tablet)
Gavis PharmsJul 11, 2001
Sun Pharm Inds LtdMar 17, 2000
Watson LabsJan 21, 1997
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

NARCAN [Naloxone HydrochlorideC19H21NO4ClH]
RX
-
2mg/spray (nasal spray, metered)
4mg/spray (nasal spray, metered)
AdaptJan 24, 2017
  • Use of naloxone hydrochloride for emergency treatment of known or suspected opioid overdose, as manifested by respiratory and/or central nervous system depression..
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

SUBOXONE [Buprenorphine HydrochlorideC29H41NO4ClH : Naloxone HydrochlorideC19H21NO4ClH]
RX
-
eq 12mg base : eq 3mg base (buccal, sublingual film)
eq 2mg base : eq 0.5mg base (buccal, sublingual film)
eq 4mg base : eq 1mg base (buccal, sublingual film)
eq 8mg base : eq 2mg base (buccal, sublingual film)
Indivior IncAug 10, 2012
  • This drug is administered by sublingual route to humans for maintenance treatment of opioid dependence.
  • Treatment of opioid dependence/sublingual or buccal application.
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

ZUBSOLV [Buprenorphine HydrochlorideC29H41NO4ClH : Naloxone HydrochlorideC19H21NO4ClH]
RX
-
eq 0.7mg base : eq 0.18mg base (sublingual tablet)
eq 1.4mg base : eq 0.36mg base (sublingual tablet)
eq 11.4mg base : eq 2.9mg base (sublingual tablet)
eq 2.9mg base : eq 0.71mg base (sublingual tablet)
eq 5.7mg base : eq 1.4mg base (sublingual tablet)
eq 8.6mg base : eq 2.1mg base (sublingual tablet)
Orexo Us IncOct 4, 2016
  • Sublingual administration of a pharmaceutical composition comprising buprenorphine and naloxone.
  • Sublingual administration of a pharmaceutical composition comprising buprenorphine.
  • Sublingual or buccal administration of a pharmaceutical composition comprising buprenorphine and naloxone.
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

WARNING: Consult a licensed physician in the appropriate field for medical treatment and drug prescription. Do not self medicate.