FDA/CDC

FDA approves generic naloxone spray for opioid overdose treatment


 

The Food and Drug Administration on April 19 approved the first generic naloxone hydrochloride nasal spray (Narcan) as treatment for stopping or reversing an opioid overdose.

“In the wake of the opioid crisis, a number of efforts are underway to make this emergency overdose reversal treatment more readily available and more accessible,” said Douglas Throckmorton, MD, deputy center director for regulatory programs in the FDA’s Center for Drug Evaluation and Research, in a press release. “In addition to this approval of the first generic naloxone nasal spray, moving forward, we will prioritize our review of generic drug applications for naloxone.”

The agency said the naloxone nasal spray does not need assembly and can be used by anyone, regardless of medical training. The drug is administered by spraying naloxone into one nostril while a patient is lying on his or her back and can be repeated. If the spray is administered quickly after the overdose begins, the effect of the opioid will be countered, often within minutes. However, patients should still seek immediate medical attention.

The FDA cautioned that, when used on a patient with an opioid dependence, naloxone can cause severe opioid withdrawal, characterized by symptoms such as body aches, diarrhea, tachycardia, fever, runny nose, sneezing, goose bumps, sweating, yawning, nausea or vomiting, nervousness, restlessness or irritability, shivering or trembling, abdominal cramps, weakness, and increased blood pressure.

Find the full press release on the FDA website.

Recommended Reading

Coagulopathy outbreak underscores danger of synthetic cannabinoids
The Hospitalist
Drug overdose deaths down since late 2017
The Hospitalist
FDA approves sufentanil for adults with acute pain
The Hospitalist
Drug test results ‘should not dictate treatment’
The Hospitalist
Understanding properties of fentanyl, other opioids key to treatment
The Hospitalist
USPSTF issues draft research plan on opioid use disorder prevention
The Hospitalist
Synthetic opioids drive spike in U.S. fatal drug overdoses
The Hospitalist
In California, opioids most often prescribed in low-income, mostly white areas
The Hospitalist
Report calls for focus on ‘subpopulations’ to fight opioid epidemic
The Hospitalist
FDA to expand opioid labeling with instructions on proper tapering
The Hospitalist
   Comments ()