Acute Porphyria Drug Database

Monograph

V03AB15 - Naloxone
Propably not porphyrinogenic
PNP

Rationale
Naloxone is most probably not an inhibitor or an inducer of any major CYP enzymes. Several references consider it as safe. Risk for gastrointestinal adverse events in the form of nausea and vomiting motivates vigilance against insufficient intake of food, especially of carbohydrate.
Chemical description
Naloxone is an opioid antagonist.
Therapeutic characteristics
Naloxone may be used for the complete or partial reversal of opioid depression, including mild to severe respiratory depression induced by natural and synthetic opioids. Very common side effects that can be potentially porphyrinogenic through reduction in carbohydrate intake and that also can be confused with an acute porphyria attack is nausea. A common side effect is vomiting.
Metabolism and pharmacokinetics
Naloxone hydrochloride is rapidly metabolised in the liver, mainly by conjugation with glucuronic acid, and excreted in urine. The half-life elimination is 1-1.5 hours. No drug-drug interactions with naloxone as a perpetrator regarding CYP enzymes are observed (Interaksjoner and Interaktionsdatabasen), which indicate that naloxone is not an inhibitor or inducer of CYP enzymes.
Published experience
Naloxone is listed as safe/likely safe (Hunter 1999).
Similar drugs
Explore alternative drugs in similar therapeutic classes V03A / V03AB or go back.

References

# Citation details PMID
*Scientific articles
1. Anesthetic considerations in hepatic porphyrias.
Hunter GH. CRNA. 1999 Feb;10(1):6-14.
10504904
*Drug interaction databases
2. Interaksjoner. Naloxone
3. Interaktionsdatabasen. Naloxone
*Summary of Product Characteristics
4. Norwegian medicines agency. Summary of Product Characteristics (SPC). Naloxone.

Tradenames
This list comprises raw data collected from different countries. In some cases, a more comprehensive list of available drug packages is included. Consequently, very similar terms may therefore appear multiple times. Bold names are the searchable terms, while the gray names that follow are all mapped to the bolded term.
Note: The cleaning is done automatically by a proprietary algorithm, and it may produce errors. We strive to improve it continuously.


Naloxon · Nyxoid · Ventizolve Naloxon · Naloxone · Nyxoid · Ventizolve Fomed · Naloxona · Nyxoid Forvel · Nexodal Naloxone · Narcan · Narcan Neonatal · Nyxoid · Prenoxad Forvel · Naloxon · Naloxone · Nyxoid · Prenoxad · Ventizolve Nalokson · Naloxon · Naloxone · Nyxoid · Ventizolve Naloxone · Naloxonum · Nyxoid Naloxon · Nyxoid Naloxon · Nyxoid Nalofarm · Naloxon · Naloxone · Nexodal · Nyxoid · Ventizolve Forvel · Nyxoid
 
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