Opioid overdose causes central nervous system depression and respiratory depression. Supportive ventilation is usually sufficient to prevent death but invasive ventilation may be avoided by cautious administration of naloxone.
Cardiac arrest
If cardiac arrest occurs, start CPR immediately according to local advanced life support protocols.[26]Resuscitation Council UK. 2021 resuscitation guidelines. 2021 [internet publication].
https://www.resus.org.uk/library/2021-resuscitation-guidelines
[32]Lavonas EJ, Akpunonu PD, Arens AM, et al. 2023 American Heart Association focused update on the management of patients with cardiac arrest or life-threatening toxicity due to poisoning: an update to the American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2023 Oct 17;148(16):e149-84.
https://www.ahajournals.org/doi/full/10.1161/CIR.0000000000001161?rfr_dat=cr_pub++0pubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org#sec-10
http://www.ncbi.nlm.nih.gov/pubmed/37721023?tool=bestpractice.com
The opioid antagonist, naloxone, is unlikely to be beneficial if the patient is definitely pulseless and receiving CPR. For these patients, standard resuscitation alone is indicated due to the theoretical basis for harm.[25]Dezfulian C, Orkin AM, Maron BA, et al. Opioid-associated out-of-hospital cardiac arrest: distinctive clinical features and implications for health care and public responses: a scientific statement from the American Heart Association. Circulation. 2021 Apr 20;143(16):e836-70.
https://www.ahajournals.org/doi/full/10.1161/CIR.0000000000000958?rfr_dat=cr_pub++0pubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org
http://www.ncbi.nlm.nih.gov/pubmed/33682423?tool=bestpractice.com
However, if there is uncertainty as to whether there is a pulse, naloxone should be given.[25]Dezfulian C, Orkin AM, Maron BA, et al. Opioid-associated out-of-hospital cardiac arrest: distinctive clinical features and implications for health care and public responses: a scientific statement from the American Heart Association. Circulation. 2021 Apr 20;143(16):e836-70.
https://www.ahajournals.org/doi/full/10.1161/CIR.0000000000000958?rfr_dat=cr_pub++0pubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org
http://www.ncbi.nlm.nih.gov/pubmed/33682423?tool=bestpractice.com
See Initial naloxone administration below.
Initial ventilation
Ventilatory support is the most important intervention and may be life-saving on its own.[32]Lavonas EJ, Akpunonu PD, Arens AM, et al. 2023 American Heart Association focused update on the management of patients with cardiac arrest or life-threatening toxicity due to poisoning: an update to the American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2023 Oct 17;148(16):e149-84.
https://www.ahajournals.org/doi/full/10.1161/CIR.0000000000001161?rfr_dat=cr_pub++0pubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org#sec-10
http://www.ncbi.nlm.nih.gov/pubmed/37721023?tool=bestpractice.com
The primary focus should be to support the airway and breathing, particularly for patients with stupor and a respiratory rate of 12 breaths/minute or less.[33]Boyer EW. Management of opioid analgesic overdose. N Engl J Med. 2012 Jul 12;367(2):146-55.
http://www.nejm.org/doi/full/10.1056/NEJMra1202561
http://www.ncbi.nlm.nih.gov/pubmed/22784117?tool=bestpractice.com
In these patients, maintain the airway through chin-lift, head-tilt, or jaw-thrust maneuvers.[33]Boyer EW. Management of opioid analgesic overdose. N Engl J Med. 2012 Jul 12;367(2):146-55.
http://www.nejm.org/doi/full/10.1056/NEJMra1202561
http://www.ncbi.nlm.nih.gov/pubmed/22784117?tool=bestpractice.com
Breathing may require additional ventilatory support through the use of a bag-valve mask with supplemental oxygen in order to maintain oxygen saturations within target range. It is important to adequately ventilate the patient prior to administration of naloxone, to decrease the likelihood of precipitating acute respiratory distress syndrome, which may be associated with reversal in the presence of hypercarbia.[33]Boyer EW. Management of opioid analgesic overdose. N Engl J Med. 2012 Jul 12;367(2):146-55.
http://www.nejm.org/doi/full/10.1056/NEJMra1202561
http://www.ncbi.nlm.nih.gov/pubmed/22784117?tool=bestpractice.com
[34]Mills CA, Flacke JW, Flacke WE, et al. Narcotic reversal in hypercapnic dogs: comparison of naloxone and nalbuphine. Can J Anaesth. 1990 Mar;37(2):238-44.
http://www.ncbi.nlm.nih.gov/pubmed/2311152?tool=bestpractice.com
[35]Mills CA, Flacke JW, Miller JD, et al. Cardiovascular effects of fentanyl reversal by naloxone at varying arterial carbon dioxide tensions in dogs. Anesth Analg. 1988 Aug;67(8):730-6.
http://www.ncbi.nlm.nih.gov/pubmed/3134834?tool=bestpractice.com
Patients who present with acute respiratory distress syndrome may require higher concentrations of supplemental oxygen and should be managed with supportive care, low tidal volume ventilation, and positive end-expiratory pressure.[36]Thadani PV. NIDA conference report on cardiopulmonary complications of "crack" cocaine use. Clinical manifestations and pathophysiology. Chest. 1996 Oct;110(4):1072-6.
http://www.ncbi.nlm.nih.gov/pubmed/8874270?tool=bestpractice.com
[37]Ware LB, Matthay MA. The acute respiratory distress syndrome. N Engl J Med. 2000 May 4;342(18):1334-49.
http://www.ncbi.nlm.nih.gov/pubmed/10793167?tool=bestpractice.com
Initial naloxone administration
If the patient has signs of opioid-induced respiratory depression but has a pulse, or if there is uncertainty as to whether there is a pulse, naloxone should be given.[25]Dezfulian C, Orkin AM, Maron BA, et al. Opioid-associated out-of-hospital cardiac arrest: distinctive clinical features and implications for health care and public responses: a scientific statement from the American Heart Association. Circulation. 2021 Apr 20;143(16):e836-70.
https://www.ahajournals.org/doi/full/10.1161/CIR.0000000000000958?rfr_dat=cr_pub++0pubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org
http://www.ncbi.nlm.nih.gov/pubmed/33682423?tool=bestpractice.com
In the US, intranasal naloxone is now approved for use without a prescription. Healthcare professionals should therefore be aware that naloxone may have initially been administered by a patients’ family or caregivers.
If the patient has reduced level of consciousness but is breathing normally, naloxone treatment should be considered.[25]Dezfulian C, Orkin AM, Maron BA, et al. Opioid-associated out-of-hospital cardiac arrest: distinctive clinical features and implications for health care and public responses: a scientific statement from the American Heart Association. Circulation. 2021 Apr 20;143(16):e836-70.
https://www.ahajournals.org/doi/full/10.1161/CIR.0000000000000958?rfr_dat=cr_pub++0pubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org
http://www.ncbi.nlm.nih.gov/pubmed/33682423?tool=bestpractice.com
The endpoint of naloxone therapy should be the restoration of adequate spontaneous ventilation but not necessarily complete arousal.[31]Williams K, Lang ES, Panchal AR, et al. Evidence-based guidelines for EMS administration of naloxone. Prehosp Emerg Care. 2019 Nov-Dec;23(6):749-63.
https://www.tandfonline.com/doi/full/10.1080/10903127.2019.1597955
http://www.ncbi.nlm.nih.gov/pubmed/30924736?tool=bestpractice.com
Administer naloxone through one of the following routes:
Intravenous: if access can be safely obtained, this administration route is likely to be the safest in terms of patient management due to the ability to titrate the dose.[31]Williams K, Lang ES, Panchal AR, et al. Evidence-based guidelines for EMS administration of naloxone. Prehosp Emerg Care. 2019 Nov-Dec;23(6):749-63.
https://www.tandfonline.com/doi/full/10.1080/10903127.2019.1597955
http://www.ncbi.nlm.nih.gov/pubmed/30924736?tool=bestpractice.com
Intranasal: often used in the prehospital setting. Intranasal naloxone has been shown to be safe and effective in the prehospital setting in a number of trials, and is now approved for use without a prescription in the US.[38]Kerr D, Kelly AM, Dietze P, et al. Randomized controlled trial comparing the effectiveness and safety of intranasal and intramuscular naloxone for the treatment of suspected heroin overdose. Addiction. 2009 Dec;104(12):2067-74.
http://www.ncbi.nlm.nih.gov/pubmed/19922572?tool=bestpractice.com
[39]Chou R, Korthuis PT, McCarty D, et al. Management of suspected opioid overdose with naloxone in out-of-hospital settings: a systematic review. Ann Intern Med. 2017 Dec 19;167(12):867-75.
https://www.acpjournals.org/doi/full/10.7326/M17-2224?rfr_dat=cr_pub++0pubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org
http://www.ncbi.nlm.nih.gov/pubmed/29181532?tool=bestpractice.com
[40]Dietze P, Jauncey M, Salmon A, et al. Effect of intranasal vs intramuscular naloxone on opioid overdose: a randomized clinical trial. JAMA Netw Open. 2019 Nov 1;2(11):e1914977.
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2755306
http://www.ncbi.nlm.nih.gov/pubmed/31722024?tool=bestpractice.com
Repeat doses of naloxone
Most patients respond with return of spontaneous respirations and minimal withdrawal symptoms. Repeat doses of naloxone can be given every 2 to 3 minutes.
The duration of effect of most opioids is 4 hours or less, but some may last significantly longer. The effects of methadone, levomethadyl, and buprenorphine can last from 24 to 72 hours. Higher doses of naloxone may be required before a response is seen in patients who have taken overdoses of opioids such as buprenorphine or propoxyphene.
Fentanyl and its analogs (e.g., 3-methylfentanyl, carfentanil) are potent opioids; patient response may require the administration of multiple doses of naloxone.[8]Centers for Disease Control and Prevention. Rising numbers of deaths involving fentanyl and fentanyl analogs, including carfentanil, and increased usage and mixing with non-opioids. HAN no. 413. July 2018 [internet publication].
https://emergency.cdc.gov/han/han00413.asp
Counterfeit hydrocodone/acetaminophen tablets containing fentanyl have been associated with delayed, recurrent toxicity.[41]Sutter ME, Gerona RR, Davis MT, et al. Fatal fentanyl: one pill can kill. Acad Emerg Med. 2017 Jan;24(1):106-13.
https://onlinelibrary.wiley.com/doi/full/10.1111/acem.13034
http://www.ncbi.nlm.nih.gov/pubmed/27322591?tool=bestpractice.com
The duration of effect of naloxone is 30 to 90 minutes, and patients should be observed after this time frame for resedation. Some patients who have taken longer-acting or potent opioids may require further intravenous bolus doses or an infusion of naloxone.[41]Sutter ME, Gerona RR, Davis MT, et al. Fatal fentanyl: one pill can kill. Acad Emerg Med. 2017 Jan;24(1):106-13.
https://onlinelibrary.wiley.com/doi/full/10.1111/acem.13034
http://www.ncbi.nlm.nih.gov/pubmed/27322591?tool=bestpractice.com
[42]Rogers JS, Rehrer SJ, Hoot NR. Acetylfentanyl: an emerging drug of abuse. J Emerg Med. 2016 Mar;50(3):433-6.
http://www.ncbi.nlm.nih.gov/pubmed/26589567?tool=bestpractice.com
The dose or infusion rate should be titrated to the smallest effective dose that maintains spontaneous normal respiratory drive.[43]Howland MAH. Antidotes in depth opioid antagonists. In: Goldfrank LR, Flomenbaum NE, Lewin NA, et al, eds. Goldfrank's toxicological emergencies. 8th ed. New York, NY: McGraw-Hill; 2006:614-7. All patients should be monitored for recurrence of signs and symptoms of opioid toxicity for at least 4 hours from the last dose of naloxone or discontinuation of the naloxone infusion. Patients who have overdosed on long-acting or very potent opioids should have more prolonged monitoring.
Naloxone-resistant patients
Patients who do not respond to naloxone should have an alternative diagnosis sought for their clinical symptoms. The exception to this is intoxication with buprenorphine, a long-acting opioid partial agonist. This drug has a higher affinity for the opioid receptors than other opioids, and naloxone may not be effective at reversing the effects of buprenorphine-induced opioid overdose.[44]van Dorp E, Yassen A, Sarton E, et al. Naloxone reversal of buprenorphine-induced respiratory depression. Anesthesiology. 2006 Jul;105(1):51-7.
http://www.ncbi.nlm.nih.gov/pubmed/16809994?tool=bestpractice.com
[45]Gal TJ. Naloxone reversal of buprenorphine-induced respiratory depression. Clin Pharmacol Ther. 1989 Jan;45(1):66-71.
http://www.ncbi.nlm.nih.gov/pubmed/2491980?tool=bestpractice.com
Naloxone may be less effective in reversing an overdose among patients who have taken illicit opioid products containing xylazine (an alpha adrenergic agonist).[9]Kariisa M, Patel P, Smith H, et al. Notes from the Field: xylazine detection and involvement in drug overdose deaths - United States, 2019. MMWR Morb Mortal Wkly Rep. 2021 Sep 17;70(37):1300-2.
https://www.cdc.gov/mmwr/volumes/70/wr/mm7037a4.htm?s_cid=mm7037a4_w
http://www.ncbi.nlm.nih.gov/pubmed/34529640?tool=bestpractice.com
In all cases, support of ventilation, oxygenation, and blood pressure should be sufficient to prevent the complications of opioid overdose and should be given priority if the response to naloxone is not prompt.
Safety of naloxone
Naloxone given to nonopioid-intoxicated or nondependent patients, even in high doses, produces no clinical effects. The safety profile of naloxone is remarkably high, especially when used in low doses and titrated to effect.
Use naloxone with caution in opioid-dependent/tolerant patients. Withdrawal may be induced in opioid-tolerant patients with use of naloxone; the onset of withdrawal is faster with higher doses of naloxone. Although rarely life-threatening, the patient's behavior may be unpredictable and opioid withdrawal can be unpleasant for both the patient and healthcare staff. Vomiting often accompanies opioid withdrawal after antidote administration and can result in pulmonary aspiration if patients do not rapidly regain consciousness. Opioid-tolerant patients who receive larger doses of naloxone and experience withdrawal still have an excellent prognosis, with withdrawal symptoms subsiding in about an hour.
Naloxone can safely be used to manage opioid toxicity during pregnancy, particularly when used in combination with buprenorphine.[46]Link HM, Jones H, Miller L, et al. Buprenorphine-naloxone use in pregnancy: a systematic review and metaanalysis. Am J Obstet Gynecol MFM. 2020 Aug;2(3):100179.
http://www.ncbi.nlm.nih.gov/pubmed/33345863?tool=bestpractice.com
Both the American Society of Addiction Medicine and the American College of Obstetricians and Gynecologists note that combination products are likely to be safe and effective during pregnancy, if used as prescribed.[47]Committee Opinion No. 711: Opioid use and opioid use disorder in pregnancy. Obstet Gynecol. 2017 Aug;130(2):e81-94.
https://journals.lww.com/greenjournal/Fulltext/2017/08000/Committee_Opinion_No__711__Opioid_Use_and_Opioid.57.aspx
http://www.ncbi.nlm.nih.gov/pubmed/28742676?tool=bestpractice.com
[48]The ASAM national practice guideline for the treatment of opioid use disorder: 2020 focused update. J Addict Med. 2020 Mar/Apr;14(2s 1 suppl):1-91.
https://journals.lww.com/journaladdictionmedicine/Fulltext/2020/04001/The_ASAM_National_Practice_Guideline_for_the.1.aspx
http://www.ncbi.nlm.nih.gov/pubmed/32511106?tool=bestpractice.com
Naloxone unavailable
If naloxone is unavailable, ventilatory support is usually all that is needed in respiratory compromise or apnea, until the patient can maintain intrinsic ventilation or naloxone can be obtained. The duration of supportive treatment will depend on the specific opioid taken. Ventilatory support should continue to maintain oxygen saturations within target range until spontaneous normal respiratory drive returns.
Patients with retained opiate-filled drug packages
Whole bowel irrigation should be considered in patients who have large numbers of carefully wrapped packets (body packers) and not in patients with small numbers of loosely wrapped packages (body pushers). Whole bowel irrigation can speed up the passage of drug packages in body packers where there is radiologic evidence of retained packages and no clinical features of opioid toxicity suggestive of package leakage. An osmotically balanced polyethylene glycol electrolyte solution may be given orally or via a nasogastric tube until the rectal effluent is clear and all packages have been passed. Contraindications to whole bowel irrigation include loss of protective airway reflexes, ileus, bowel obstruction, bowel perforation, hemodynamic instability, or clinical evidence of packet leakage.
Naltrexone
Naltrexone is an opioid antagonist used to prevent relapse in detoxified formerly opioid-dependent patients, but it has no place in the acute overdose setting.