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FDA approves over-the-counter sales of
lifesaving opioid overdose treatment Narcan nasal spray
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Wed, Mar 29 2023 9:55 AM EDT
Key Points
• The FDA's decision means people will be able to buy the 4 milligram nasal spray in supermarkets, gas stations, convenience stores and vending machines.
• Emergent BioSolutions, the manufacturer, has said Narcan should be available without a prescription by late summer.
• Narcan reverses fatal overdoses by blocking the effect that opioids have on the nervous system. The nasal spray must be administered as soon as an overdose is suspected.
The Food and Drug Administration on Wednesday approved sales without a prescription of the nasal spray Narcan to reverse opioid overdoses, a decision that promises to significantly expand access to the lifesaving treatment.
The FDA's decision means people will be able to buy the 4 milligram nasal spray in supermarkets, convenience stores, gas stations, vending machines and online. Emergent BioSolutions, the manufacturer, has said Narcan should be available without a prescription by late summer.
FDA Commissioner Dr. Robert Califf, in a statement, said the agency is encouraging the company to make the nasal spray available as soon as possible at an affordable price.
Narcan reverses fatal overdoses by blocking the effect that opioids have on the nervous system. The nasal spray must be administered as soon as an overdose is suspected.
Two nasal spray devices typically come in a single package. The first dose should be administered in one nostril of the person suffering an overdose and then 911 should be called, according to the instructions. If the person is still unresponsive after two to three minutes, the second dose should be administered.
After the FDA's decision, Walgreens said it will offer over-the-counter Narcan later this year in-store and online nationwide.
"Delivering access to this lifesaving medication that can reverse the effects of an overdose if administered in time is imperative and Walgreens is already working with suppliers to bring this OTC medication to shelves," said Zoe Krey, a Walgreens spokesperson.
The FDA said in November it was considering approving naloxone products, the generic name for medications that reverse opioid overdoses, for use without a prescription. The push to make naloxone easier to access is part of the agency's efforts to fight the opioid crisis.
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