ANTIDOTES AND ANTIVENOMS Antidotes  

AMH 2022 section 4.2

Active ingredients (generic names)

NALOXONE (nah-lox-own)

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Nasal spray.

What it is used for

Doses

How it works
  • Reverses the action of opioid medicines (eg morphine) by attaching to and blocking the parts of the brain (receptors) where opioids work
ANATOMY Brain
Side effects
  • Agitation

Fast pulse (heart rate)

Anxiety (worry)

Confusion
(if dependent on opioids)

Warnings
  • Need to repeat dose until person alert and responsive
  • Long-acting medicines (eg methadone, or slow-release tablets) — may need longer observation period

 

 

Urgent medical consult

Tell the patient
  • May need more than 1 dose
Check
  • Make sure oxygen and ventilation are available to support person until naloxone works
  • Watch person for at least 2 hours — effects of opioid may return as naloxone wears off. May need to give another dose