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Class
Opioid Antagonist
Action
Competitive antagonist, occupies the bonding site for opioids preventing interaction
Indications
1) Suspected opioid overdose with coma and respiratory depressions (RR <12)
Contraindications
1) Neonate Overdose
2) Allergy
Pharmacokinetics
Onset: 3-5 minutes
Peak: 15 minutes
Duration: 30 Minutes
Side Effects
Irritability, Nausea, Opiate Withdrawal
Precautions
aggression when regaining consciousness. Focus on respiratory drive. Repeat dosing is likely, opiates will likely outlast naloxone
Routes
IN, Auto-Injector
Dosage (Per Maine Protocol)
0.5 mg IN every 2 minutes alternating nostrils until return of spontaneous respirations >12
Protocol Referenced
Yellow 1