FDA Approves Naloxone (Narcan) Available Without Prescription

Medical Providers:
Dr. Michael Vines, MD
Alex Spritzer, FNP, CARN-AP, PMHNP
Clinical Providers:
Natalie Foster, LPC-S, MS
Last Updated: April 18, 2023

The rising number of deaths connected to Fentanyl and other opioids continues to be a major concern nationwide as lawmakers search for solutions to address the ongoing Fentanyl Crisis.

Based on data from the Centers for Disease Control and Prevention, drug overdoses remain the leading cause of accidental deaths in the U.S. Their findings reveal that nearly 81,000 Americans lost their lives to opioid overdoses in 2021, and unfortunately, experts expect those numbers to continue increasing through 2022.

A recent decision by the FDA may play an important role in saving lives by allowing Naloxone, also known as Narcan, to be purchased without a prescription.

Dr. Randy Gelow, Medical Director at Arizona IOP, believes this change should have taken place much sooner. “I think people will now recognize that opioids are more common than many would like to admit because the reversal agent is now available over the counter to help prevent deaths,” said Dr. Gelow. Many people across the Valley share similar views.

The doctor also noted that while easier access to Naloxone offers benefits, possible risks remain. He hopes over-the-counter Narcan does not encourage people to take greater risks or seek stronger highs because they feel protected from overdose.

Take back your life from opioid addiction at Arizona IOP

What is Narcan?

Narcan, the brand name for Naloxone, is a life-saving opioid antagonist medication designed to rapidly reverse the effects of an opioid overdose.

When administered, Narcan can begin working within minutes to counter overdose symptoms and help restore normal breathing, especially in situations where a person is struggling to breathe or has stopped breathing altogether.

How is OTC Narcan administered?

Naloxone can be administered in different forms, including as a nasal spray or through injection into the muscle, under the skin, or directly into the veins. The FDA has approved both delivery methods across several available brands.

The over-the-counter (OTC) version comes as a prefilled, needle-free device that requires no assembly. It is designed to be sprayed into one nostril while the individual is lying on their back.

The FDA also recently approved Zimhi, a single-dose prefilled syringe that can be injected into the muscle or beneath the skin. However, this option is currently not available for purchase without a prescription.

Discover more about fentanyl addiction treatment options and recovery support available through Arizona IOP.

How much does Naloxone Cost?

The cost of this life-saving medication can vary based on several factors, including where it is purchased, the method of purchase, and the specific type of product selected.

Individuals with insurance should contact their provider to determine whether the medication is covered under their current plan and to understand any potential out-of-pocket costs.

For those without insurance coverage, checking with a local pharmacy is recommended to compare pricing and availability.

According to GoodRX.com, the medication may be available for under $50 at several national pharmacy chains, helping make access more affordable for many people.

What are some signs of an opioid overdose?

Opioid overdose symptoms can appear rapidly and become life-threatening if treatment is not provided immediately. In some cases, drugs may be unknowingly laced with fentanyl, a highly potent opioid, increasing the risk of a fentanyl overdose even when a person is unaware they have taken it. Common opioid overdose symptoms include:

  • Unconsciousness
  • Very small pupils
  • Slow or shallow breathing
  • Vomiting
  • Inability to speak
  • Faint heartbeat
  • Limp arms and legs
  • Pale skin
  • Purple lips and fingernails

Administering a single dose of Naloxone (Narcan) can quickly reverse the effects of an opioid overdose, restore breathing, and potentially save a life within seconds.

Take the first step toward healing and begin your recovery journey today at Arizona IOP