In the first head‐to‐head study of nalmefene nasal spray (OPVEE is the trade name) vs. naloxone to reverse opioid overdose conducted in volunteers, researchers found that nalmefene worked faster than a 4 milligram (mg) dose of naloxone. It worked much faster, in fact, 2.7 mgs of OPVEE reversed respiratory depression within five minutes, compared to 20 minutes for 4 mgs of naloxone. The study, “Reversal of Opioid‐Induced Respiratory Depression in Healthy Volunteers: Comparison of Intranasal Nalmefene and Intranasal Naloxone,” was published March 11 in the Journal of Clinical Pharmacology . The opioid that was given to the volunteers was remifentanil, a synthetic opioid.
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Alison Knopf (2024) studied this question.
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