Comparison of intranasal and intramuscular naloxone in opioid overdoses managed by ambulance staff: a double-dummy, randomised, controlled trial

Original research
par
Skulberg, Arne Kristian et al

Date de publication

2022

Géographie

Norway

Langue de la ressource

English

Texte disponible en version intégrale

Oui

Open Access / OK to Reproduce

Oui

Évalué par des pairs

Yes

L’objectif

To measure and evaluate clinical response to nasal naloxone in opioid overdoses in the pre-hospital environment.

Constatations/points à retenir

Intranasal naloxone (1.4 mg/0.1 mL) was less efficient than 0.8 mg intramuscular naloxone for return to spontaneous breathing within 10 minutes in overdose patients in the pre-hospital environment when compared head-to-head. Intranasal naloxone at 1.4 mg/0.1 mL restored breathing in 80% of participants after one dose and had few mild adverse reactions.

La conception ou méthodologie de recherche

Randomised, controlled, double-dummy, blinded, non-inferiority trial, and conducted at two centres. A commercially available 1.4 mg/0.1 mL intranasal naloxone was compared with 0.8 mg/2 mL naloxone administered intramuscularly.

Mots clés

Overdose
Hospitals
About PWUD
Outcomes