Opvee

— THERAPEUTIC CATEGORIES —
  • Poisoning/overdose

Opvee Generic Name & Formulations

General Description

Nalmefene 2.7mg; per 0.1mL; nasal spray.

Pharmacological Class

Opioid antagonist.

How Supplied

Single-dose nasal spray—2

Manufacturer

Generic Availability

NO

Mechanism of Action

Opvee is an antagonist at opioid receptors.

Opvee Indications

Indications

Emergency treatment of known or suspected overdose induced by natural or synthetic opioids in patients ≥12yrs, as manifested by respiratory and/or CNS depression.

Opvee Dosage and Administration

Adults and Children

<12yrs: not established. ≥12yrs: Give as single spray intranasally into the nostril. May give additional doses (using a new nasal spray) every 2–5mins if unresponsive or relapses into respiratory depression. 

Opvee Contraindications

Not Applicable

Opvee Boxed Warnings

Not Applicable

Opvee Warnings/Precautions

Warnings/Precautions

Not a substitute for emergency medical care. Seek immediate emergency medical assistance after the first dose. Risk for recurrent respiratory and CNS depression. May precipitate severe opioid withdrawal. Post-op use in preexisting cardiac disorders; monitor. Risk for opioid overdose from attempts to overcome blockade. Elderly. Pregnancy; monitor for neonatal withdrawal symptoms. Nursing mothers.

Opvee Pharmacokinetics

Metabolism

Hepatic (glucuronide conjugation).

Elimination

Renal, fecal. Half-life: 11.4 hours. Apparent clearance: 75.7 L/hr. 

Opvee Interactions

Interactions

Caution with concomitant cardiotoxic drugs. Incomplete reversal of buprenorphine or pentazocine; may require repeated doses. 

Opvee Adverse Reactions

Adverse Reactions

Nasal discomfort, headache, nausea, dizziness, hot flush, vomiting, anxiety, fatigue, nasal congestion, throat irritation, rhinalgia, decreased appetite, dysgeusia, erythema, hyperhidrosis; acute withdrawal syndrome. 

Opvee Clinical Trials

See Literature

Opvee Note

Not Applicable

Opvee Patient Counseling

See Literature

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