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

Original research
by
Skulberg, Arne Kristian et al

Release Date

2022

Geography

Norway

Language of Resource

English

Full Text Available

Yes

Open Access / OK to Reproduce

Yes

Peer Reviewed

Yes

Objective

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

Findings/Key points

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.

Design/methods

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.

Keywords

Overdose
Hospitals
About PWUD
Outcomes