Narcan (Naloxone Hydrochloride)
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Naloxone Hydrochloride Information
(nal ox' one)
- Lay the person on their back to give the medication.
- Remove the naloxone nasal spray from the box. Peel back the tab to open the spray.
- Do not prime the nasal spray before using it.
- Hold the naloxone nasal spray with your thumb on the bottom of the plunger and your first and middle fingers on either side of the nozzle.
- Gently insert the tip of the nozzle into one nostril, until your fingers on either side of the nozzle are against the bottom of the person's nose. Provide support to the back of the person's neck with your hand to allow the head to tilt back.
- Press the plunger firmly to release the medication.
- Remove the nasal spray nozzle from the nostril after giving the medication.
- Turn the person on their side (recovery position) and call for emergency medical assistance immediately after giving the first naloxone dose.
- If the person does not respond by waking up, to voice or touch, or breathing normally or responds and then relapses, give another dose. If needed, give additional doses (repeating steps 2 through 7) every 2 to 3 minutes in alternate nostrils with a new nasal spray each time until emergency medical assistance arrives.
- Put the used nasal spray(s) back in the container and out of reach of children until you can safely dispose of it.
Before receiving naloxone nasal spray,
- tell your doctor and pharmacist if you are allergic to naloxone, any other medications, or any of the ingredients in naloxone nasal spray. Ask your pharmacist for a list of the ingredients.
- tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Many medications that affect your heart or blood pressure may increase the risk that you will develop serious side effects from using naloxone nasal spray. Be sure to tell your doctor about all the medications you are taking.
- tell your doctor if you have or have ever had heart disease.
- tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. If you receive naloxone nasal spray during pregnancy, your doctor may need to monitor your unborn baby carefully after you receive the medication.
- nasal dryness, nasal swelling, or congestion
- muscle pain
- signs of opiate withdrawal such as body aches, diarrhea, fast, pounding, or irregular heartbeat, fever, runny nose, sneezing, sweating, yawning, nausea, vomiting, nervousness, restlessness, irritability, shivering, trembling, stomach cramps, weakness, and the appearance of hair on the skin standing on end
- loss of consciousness
- crying more than usual (in babies treated with naloxone nasal spray)
- stronger than normal reflexes (in babies treated with naloxone nasal spray)