Naloxone Hcl

Therapeutic Group

All Other Therapeutic Products, Anti-dotes

Indication Dosage

Overdosage With Opioids: 

By IV Inj, Or By Sc Inj, Or By IM Inj: 

  • Adult & Children Above 12 Yrs: Initially 400 Mcg, Then 800 Mcg For Up To 2 Doses At 1 Minute Intervals If No Response To Preceding Dose, Then Increased To 2 Mg For 1 Dose If Still No Response (4 Mg Dose May Be Required In Seriously Poisoned Patients), Then Review Diagnosis; Further Doses May Be Required If Respiratory Function Deteriorates 
  • Children 1 Month-11 Yrs: Initially 100 Mcg/kg, If No Response, Repeat At Intervals Of 1 Minute To A Total Max. 2 Mg, Then Review Diagnosis; Further Doses May Be Required If Respiratory Function Deteriorates 

By Continuous IV infusion 

  • Adult & Children: Using An Infusion Pump, Adjust the Rate According To Response; Initially, the Rate May Be Set At 60% Of The Initial Resuscitative IV Injection Dose Per Hour, A Dose Is That maintains satisfactory Ventilation For At Least 15 Minutes 

Overdosage With Opioids In A Non-medical Setting: 

By IM Inj: 

  • Adult: 400 Mcg Every 2-3 Minutes, Each Dose Given In Subsequent Resuscitation Cycles If the Patient Not Breathing Normally, Continue Until Consciousness is Regained, Breathing Normally, Medical Assistance is Available, Or Contents Of Syringe Used Up; To Be Injected Into Deltoid Region Or Anterolateral Thigh 

Reversal Of Postoperative Respiratory Depression: 

By IV Inj: 

  • Adult & Children Above 12 Yrs: Initially 100-200 Mcg, Alternatively (by IV Injection) Initially 1.5-3 Mcg/kg, If Response Inadequate, Give Subsequent Doses, (by IV Injection) 100 Mcg Every 2 Minutes, Alternatively (by IM Injection) 100 Mcg Every 1-2 Hours 
  • Children 1 Month-11 Yrs: 1 Mcg/kg, Repeated Every 2-3 Minutes If Required

Content

  • Inj 0.4mg: Per ml: Naloxone Hci 0.4mg; 1 ml (0.4mg) Amp.

Pregnancy

Use Only If Potential Benefit Outweighs Risk.

Stability

  • Opioid Receptor Antagonists

Contra Indications

  • None Known

Precautions

  • None Known

Lactation

  • Avoid Unless Essential

Side Effects

  • Agitation
  • Cardiac Arrest
  • Headache
  • Dizziness
  • Dyspnoea (in Children)
  • Hypertension
  • Hyperventilation
  • Hypotension
  • Nausea
  • Pulmonary Oedema
  • Tachycardia
  • Ventricular Fibrillation
  • Vomiting
  • Arrhythmia
  • Bradycardia
  • Diarrhoea
  • Dry Mouth
  • Excitement
  • Hyperventilation
  • Paraesthesia
  • Sweating
  • Tremor.
  • Rare: Seizures
  • Anaphylaxis

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