Drug Overdose
Conditions
Keywords
Antidotes, naloxone, administration, intravenous, administration, intranasal, pharmacology
Brief summary
The overall is aim of this pilot study is to give a preliminary estimation of key parameters of the pharmacokinetics of a proper formulation of intranasal naloxone. These data will be used to design a well justified protocol for the final estimation of these parameters: * Preliminary estimation of bioavailability of this intranasal naloxone in human, healthy volunteers * Preliminary estimation of the maximum serum concentration (Cmax) of this formulation * Preliminary estimation of the time to maximum serum concentration (Tmax) of this formulation * Safety of the formulation
Interventions
If bioavailability is 20% or 50 %, the dose will be equivalent to the clinical range 0.4 - 1.0 mg given parenterally
The parenteral dose reflects clinically used doses for overdoses (0.4 - 1.0 mg). A washout period of at least 3 days between each intervention. IV naloxone (Naloxone B. Braun 0.4mg/ml) administered slowly over 1-2 min in the recumbent position
Sponsors
Study design
Eligibility
Inclusion criteria
* healthy (adequate organ function is determined by electrocardiogram (ECG), liver and kidney clinical chemistry, and a standard clinical examination/interview. For safety reasons we may ask for urine sample for analysis of opioids) * informed consent
Exclusion criteria
* history of liver disease * taking any medications including herbal medicines the last week history of drug abuse * any local nasal disease or nasal surgery or recent cold for the last week * any history of drug allergies
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| preliminary bioavailability of nasal naloxone | 2 weeks | measured as ratio of area under the time concentration curve for nasal over intravenous naloxone x 100. Plasma concentration data will be analyzed by non-compartmental techniques. |
Secondary
| Measure | Time frame |
|---|---|
| time to maximum concentrations | 2 weeks |
| maximum concentration | 2 weeks |
Countries
Norway