|Drug Name:||Naloxone Hydrochloride|
The usual initial dose is 0.01 mg/kg body weight administered I.V., I.M.
or S.C.This dose may be repeated in accordance with adult administration guidelines for postoperative opioid depression.
Naloxone hydrochloride injection is indicated for the complete or partial reversal of opioid depression, including respiratory depression, induced by natural and synthetic opioids including propoxyphene, methadone, and certain mixed agonist-antagonist analgesics: nalbuphine, pentazocine, butorphanol, and cyclazocine.Naloxone hydrochloride is also indicated for the diagnosis of suspected or known acute opioid overdosage.Naloxone hydrochloride injection may be useful as an adjunctive agent to increase blood pressure in the management of septic shock (see CLINICAL PHARMACOLOGY: Adjunctive Use in Septic Shock).
Naloxone hydrochloride injection should be administered cautiously to persons including newborns of mothers who are known or suspected to be physically dependent on opioids.
In such cases, an abrupt and complete reversal of opioid effects may precipitate an acute withdrawal syndrome.The signs and symptoms of opioid withdrawal in a patient physically dependent on opioids may include, but are not limited to, the following: body aches, diarrhea, tachycardia, fever, runny nose, sneezing, piloerection, sweating, yawning, nausea or vomiting, nervousness, restlessness or irritability, shivering or trembling, abdominal cramps, weakness, and increased blood pressure.In the neonate, opioid withdrawal may also include: convulsions, excessive crying, and hyperactive reflexes.