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ZIMHI (naloxone HCl)
- opioid overdose
- decrease in rate & depth of breathing due to opioid drug
5 mg/0.5 mL injection syringe
- Inject 0.5 milliliter (5 mg) by intramuscular route once may repeat in 2 to 3 minutes if desired response is not obtained
Default screening record
- Inject 0.5 milliliter (5 mg) by intramuscular route once may repeat in 2 to 3 minutes if desired response is not obtained
- Inject 0.5 milliliter (5 mg) by subcutaneous route once may repeat in2 to 3 minutes if desired response is not obtained
- None
Contraindicated
- None
Severe
Moderate
- None
- None
Contraindicated
- Opioid dependence
- Opioid withdrawal symptoms
Severe
Moderate
- Cardiac arrhythmia
- Disease of liver
ZIMHI (naloxone HCl)
- opioid overdose
- decrease in rate & depth of breathing due to opioid drug
- None
- Dizziness
- Injection site sequelae
More Frequent
Severe
Less Severe
- Hyperbilirubinemia
- Hypertension
- Hypotension
- Tachycardia
- Excitement
- Hyperhidrosis
- Irritability
- Nausea
- Nervousness
- Tremor
- Vomiting
Less Frequent
Severe
Less Severe
Rare / Very Rare
Severe
- Cardiac arrest
- Dyspnea
- Hypoxia
- Pulmonary edema
- Seizure disorder
- Ventricular fibrillation
- Ventricular tachycardia
Less Severe
- Agitation
- Flushing
- Hallucinations
- Opioid withdrawal symptoms
Contraindicated
None
Severe Precaution
Naloxone
Risk of seizures; not recommended for newborn resuscitation in delivery room.
- 1 Day – 2 Days
- Risk of seizures; not recommended for newborn resuscitation in delivery room.
Management or Monitoring Precaution
None
Naloxone
- Severity Level:
2
- Additional Notes: Monitor for fetal withdrawal/distress with parenteral admin in opioid dependence
Contraindicated
None
General | Excretion Potential | Effect on Infant | Notes |
None |
Precaution Exists
Naloxone
Insufficient data available; poor oral absorption
General | Excretion Potential | Effect on Infant | Notes |
Evaluate use carefully | Unknown | Not known; no or inclusive data | Insufficient data available; poor oral absorption |
No Known Risk
None
General | Excretion Potential | Effect on Infant | Notes |
None |
Contraindicated
None
Precaution Exists
None
No Known Risk
None
- None
Opioid overdose | |
T40.0x1A | Poisoning by opium, accidental (unintentional), initial encounter |
T40.0x2A | Poisoning by opium, intentional self-harm, initial encounter |
T40.0x3A | Poisoning by opium, assault, initial encounter |
T40.0x4A | Poisoning by opium, undetermined, initial encounter |
T40.1x1A | Poisoning by heroin, accidental (unintentional), initial encounter |
T40.1x2A | Poisoning by heroin, intentional self-harm, initial encounter |
T40.1x3A | Poisoning by heroin, assault, initial encounter |
T40.1x4A | Poisoning by heroin, undetermined, initial encounter |
T40.2x1A | Poisoning by other opioids, accidental (unintentional), initial encounter |
T40.2x2A | Poisoning by other opioids, intentional self-harm, initial encounter |
T40.2x3A | Poisoning by other opioids, assault, initial encounter |
T40.2x4A | Poisoning by other opioids, undetermined, initial encounter |
T40.3x1A | Poisoning by methadone, accidental (unintentional), initial encounter |
T40.3x2A | Poisoning by methadone, intentional self-harm, initial encounter |
T40.3x3A | Poisoning by methadone, assault, initial encounter |
T40.3x4A | Poisoning by methadone, undetermined, initial encounter |
T40.411A | Poisoning by fentanyl or fentanyl analogs, accidental (unintentional), initial encounter |
T40.412A | Poisoning by fentanyl or fentanyl analogs, intentional self-harm, initial encounter |
T40.413A | Poisoning by fentanyl or fentanyl analogs, assault, initial encounter |
T40.414A | Poisoning by fentanyl or fentanyl analogs, undetermined, initial encounter |
T40.421A | Poisoning by tramadol, accidental (unintentional), initial encounter |
T40.422A | Poisoning by tramadol, intentional self-harm, initial encounter |
T40.423A | Poisoning by tramadol, assault, initial encounter |
T40.424A | Poisoning by tramadol, undetermined, initial encounter |
T40.491A | Poisoning by other synthetic narcotics, accidental (unintentional), initial encounter |
T40.492A | Poisoning by other synthetic narcotics, intentional self-harm, initial encounter |
T40.493A | Poisoning by other synthetic narcotics, assault, initial encounter |
T40.494A | Poisoning by other synthetic narcotics, undetermined, initial encounter |
T40.601A | Poisoning by unspecified narcotics, accidental (unintentional), initial encounter |
T40.602A | Poisoning by unspecified narcotics, intentional self-harm, initial encounter |
T40.603A | Poisoning by unspecified narcotics, assault, initial encounter |
T40.604A | Poisoning by unspecified narcotics, undetermined, initial encounter |
T40.691A | Poisoning by other narcotics, accidental (unintentional), initial encounter |
T40.692A | Poisoning by other narcotics, intentional self-harm, initial encounter |
T40.693A | Poisoning by other narcotics, assault, initial encounter |
T40.694A | Poisoning by other narcotics, undetermined, initial encounter |
T50.7x1A | Poisoning by analeptics and opioid receptor antagonists, accidental (unintentional), initial encounter |
T50.7x2A | Poisoning by analeptics and opioid receptor antagonists, intentional self-harm, initial encounter |
T50.7x3A | Poisoning by analeptics and opioid receptor antagonists, assault, initial encounter |
T50.7x4A | Poisoning by analeptics and opioid receptor antagonists, undetermined, initial encounter |
Opioid-induced respiratory depression | |
T40.0x1A | Poisoning by opium, accidental (unintentional), initial encounter |
T40.0x2A | Poisoning by opium, intentional self-harm, initial encounter |
T40.0x3A | Poisoning by opium, assault, initial encounter |
T40.0x4A | Poisoning by opium, undetermined, initial encounter |
T40.1x1A | Poisoning by heroin, accidental (unintentional), initial encounter |
T40.1x2A | Poisoning by heroin, intentional self-harm, initial encounter |
T40.1x3A | Poisoning by heroin, assault, initial encounter |
T40.1x4A | Poisoning by heroin, undetermined, initial encounter |
T40.2x1A | Poisoning by other opioids, accidental (unintentional), initial encounter |
T40.2x2A | Poisoning by other opioids, intentional self-harm, initial encounter |
T40.2x3A | Poisoning by other opioids, assault, initial encounter |
T40.2x4A | Poisoning by other opioids, undetermined, initial encounter |
T40.3x1A | Poisoning by methadone, accidental (unintentional), initial encounter |
T40.3x2A | Poisoning by methadone, intentional self-harm, initial encounter |
T40.3x3A | Poisoning by methadone, assault, initial encounter |
T40.3x4A | Poisoning by methadone, undetermined, initial encounter |
T40.411A | Poisoning by fentanyl or fentanyl analogs, accidental (unintentional), initial encounter |
T40.412A | Poisoning by fentanyl or fentanyl analogs, intentional self-harm, initial encounter |
T40.413A | Poisoning by fentanyl or fentanyl analogs, assault, initial encounter |
T40.414A | Poisoning by fentanyl or fentanyl analogs, undetermined, initial encounter |
T40.421A | Poisoning by tramadol, accidental (unintentional), initial encounter |
T40.422A | Poisoning by tramadol, intentional self-harm, initial encounter |
T40.423A | Poisoning by tramadol, assault, initial encounter |
T40.424A | Poisoning by tramadol, undetermined, initial encounter |
T40.491A | Poisoning by other synthetic narcotics, accidental (unintentional), initial encounter |
T40.492A | Poisoning by other synthetic narcotics, intentional self-harm, initial encounter |
T40.493A | Poisoning by other synthetic narcotics, assault, initial encounter |
T40.494A | Poisoning by other synthetic narcotics, undetermined, initial encounter |
T40.5x1A | Poisoning by cocaine, accidental (unintentional), initial encounter |
T40.5x2A | Poisoning by cocaine, intentional self-harm, initial encounter |
T40.5x3A | Poisoning by cocaine, assault, initial encounter |
T40.5x4A | Poisoning by cocaine, undetermined, initial encounter |
T40.601A | Poisoning by unspecified narcotics, accidental (unintentional), initial encounter |
T40.602A | Poisoning by unspecified narcotics, intentional self-harm, initial encounter |
T40.603A | Poisoning by unspecified narcotics, assault, initial encounter |
T40.604A | Poisoning by unspecified narcotics, undetermined, initial encounter |
T40.691A | Poisoning by other narcotics, accidental (unintentional), initial encounter |
T40.692A | Poisoning by other narcotics, intentional self-harm, initial encounter |
T40.693A | Poisoning by other narcotics, assault, initial encounter |
T40.694A | Poisoning by other narcotics, undetermined, initial encounter |
Risk mitigation for opioid overdose | |
T40.0x1A | Poisoning by opium, accidental (unintentional), initial encounter |
T40.0x2A | Poisoning by opium, intentional self-harm, initial encounter |
T40.0x3A | Poisoning by opium, assault, initial encounter |
T40.0x4A | Poisoning by opium, undetermined, initial encounter |
T40.1x1A | Poisoning by heroin, accidental (unintentional), initial encounter |
T40.1x2A | Poisoning by heroin, intentional self-harm, initial encounter |
T40.1x3A | Poisoning by heroin, assault, initial encounter |
T40.1x4A | Poisoning by heroin, undetermined, initial encounter |
T40.2x1A | Poisoning by other opioids, accidental (unintentional), initial encounter |
T40.2x2A | Poisoning by other opioids, intentional self-harm, initial encounter |
T40.2x3A | Poisoning by other opioids, assault, initial encounter |
T40.2x4A | Poisoning by other opioids, undetermined, initial encounter |
T40.3x1A | Poisoning by methadone, accidental (unintentional), initial encounter |
T40.3x2A | Poisoning by methadone, intentional self-harm, initial encounter |
T40.3x3A | Poisoning by methadone, assault, initial encounter |
T40.3x4A | Poisoning by methadone, undetermined, initial encounter |
T40.411A | Poisoning by fentanyl or fentanyl analogs, accidental (unintentional), initial encounter |
T40.412A | Poisoning by fentanyl or fentanyl analogs, intentional self-harm, initial encounter |
T40.413A | Poisoning by fentanyl or fentanyl analogs, assault, initial encounter |
T40.414A | Poisoning by fentanyl or fentanyl analogs, undetermined, initial encounter |
T40.421A | Poisoning by tramadol, accidental (unintentional), initial encounter |
T40.422A | Poisoning by tramadol, intentional self-harm, initial encounter |
T40.423A | Poisoning by tramadol, assault, initial encounter |
T40.424A | Poisoning by tramadol, undetermined, initial encounter |
T40.491A | Poisoning by other synthetic narcotics, accidental (unintentional), initial encounter |
T40.492A | Poisoning by other synthetic narcotics, intentional self-harm, initial encounter |
T40.493A | Poisoning by other synthetic narcotics, assault, initial encounter |
T40.494A | Poisoning by other synthetic narcotics, undetermined, initial encounter |
T40.601A | Poisoning by unspecified narcotics, accidental (unintentional), initial encounter |
T40.602A | Poisoning by unspecified narcotics, intentional self-harm, initial encounter |
T40.603A | Poisoning by unspecified narcotics, assault, initial encounter |
T40.604A | Poisoning by unspecified narcotics, undetermined, initial encounter |
T40.691A | Poisoning by other narcotics, accidental (unintentional), initial encounter |
T40.692A | Poisoning by other narcotics, intentional self-harm, initial encounter |
T40.693A | Poisoning by other narcotics, assault, initial encounter |
T40.694A | Poisoning by other narcotics, undetermined, initial encounter |
T50.7x1A | Poisoning by analeptics and opioid receptor antagonists, accidental (unintentional), initial encounter |
T50.7x2A | Poisoning by analeptics and opioid receptor antagonists, intentional self-harm, initial encounter |
T50.7x3A | Poisoning by analeptics and opioid receptor antagonists, assault, initial encounter |
T50.7x4A | Poisoning by analeptics and opioid receptor antagonists, undetermined, initial encounter |
0-9 | A-Z |
---|---|
T40.0x1A | Poisoning by opium, accidental (unintentional), initial encounter |
T40.0x1A | Poisoning by opium, accidental (unintentional), initial encounter |
T40.0x1A | Poisoning by opium, accidental (unintentional), initial encounter |
T40.0x2A | Poisoning by opium, intentional self-harm, initial encounter |
T40.0x2A | Poisoning by opium, intentional self-harm, initial encounter |
T40.0x2A | Poisoning by opium, intentional self-harm, initial encounter |
T40.0x3A | Poisoning by opium, assault, initial encounter |
T40.0x3A | Poisoning by opium, assault, initial encounter |
T40.0x3A | Poisoning by opium, assault, initial encounter |
T40.0x4A | Poisoning by opium, undetermined, initial encounter |
T40.0x4A | Poisoning by opium, undetermined, initial encounter |
T40.0x4A | Poisoning by opium, undetermined, initial encounter |
T40.1x1A | Poisoning by heroin, accidental (unintentional), initial encounter |
T40.1x1A | Poisoning by heroin, accidental (unintentional), initial encounter |
T40.1x1A | Poisoning by heroin, accidental (unintentional), initial encounter |
T40.1x2A | Poisoning by heroin, intentional self-harm, initial encounter |
T40.1x2A | Poisoning by heroin, intentional self-harm, initial encounter |
T40.1x2A | Poisoning by heroin, intentional self-harm, initial encounter |
T40.1x3A | Poisoning by heroin, assault, initial encounter |
T40.1x3A | Poisoning by heroin, assault, initial encounter |
T40.1x3A | Poisoning by heroin, assault, initial encounter |
T40.1x4A | Poisoning by heroin, undetermined, initial encounter |
T40.1x4A | Poisoning by heroin, undetermined, initial encounter |
T40.1x4A | Poisoning by heroin, undetermined, initial encounter |
T40.2x1A | Poisoning by other opioids, accidental (unintentional), initial encounter |
T40.2x1A | Poisoning by other opioids, accidental (unintentional), initial encounter |
T40.2x1A | Poisoning by other opioids, accidental (unintentional), initial encounter |
T40.2x2A | Poisoning by other opioids, intentional self-harm, initial encounter |
T40.2x2A | Poisoning by other opioids, intentional self-harm, initial encounter |
T40.2x2A | Poisoning by other opioids, intentional self-harm, initial encounter |
T40.2x3A | Poisoning by other opioids, assault, initial encounter |
T40.2x3A | Poisoning by other opioids, assault, initial encounter |
T40.2x3A | Poisoning by other opioids, assault, initial encounter |
T40.2x4A | Poisoning by other opioids, undetermined, initial encounter |
T40.2x4A | Poisoning by other opioids, undetermined, initial encounter |
T40.2x4A | Poisoning by other opioids, undetermined, initial encounter |
T40.3x1A | Poisoning by methadone, accidental (unintentional), initial encounter |
T40.3x1A | Poisoning by methadone, accidental (unintentional), initial encounter |
T40.3x1A | Poisoning by methadone, accidental (unintentional), initial encounter |
T40.3x2A | Poisoning by methadone, intentional self-harm, initial encounter |
T40.3x2A | Poisoning by methadone, intentional self-harm, initial encounter |
T40.3x2A | Poisoning by methadone, intentional self-harm, initial encounter |
T40.3x3A | Poisoning by methadone, assault, initial encounter |
T40.3x3A | Poisoning by methadone, assault, initial encounter |
T40.3x3A | Poisoning by methadone, assault, initial encounter |
T40.3x4A | Poisoning by methadone, undetermined, initial encounter |
T40.3x4A | Poisoning by methadone, undetermined, initial encounter |
T40.3x4A | Poisoning by methadone, undetermined, initial encounter |
T40.411A | Poisoning by fentanyl or fentanyl analogs, accidental (unintentional), initial encounter |
T40.411A | Poisoning by fentanyl or fentanyl analogs, accidental (unintentional), initial encounter |
T40.411A | Poisoning by fentanyl or fentanyl analogs, accidental (unintentional), initial encounter |
T40.412A | Poisoning by fentanyl or fentanyl analogs, intentional self-harm, initial encounter |
T40.412A | Poisoning by fentanyl or fentanyl analogs, intentional self-harm, initial encounter |
T40.412A | Poisoning by fentanyl or fentanyl analogs, intentional self-harm, initial encounter |
T40.413A | Poisoning by fentanyl or fentanyl analogs, assault, initial encounter |
T40.413A | Poisoning by fentanyl or fentanyl analogs, assault, initial encounter |
T40.413A | Poisoning by fentanyl or fentanyl analogs, assault, initial encounter |
T40.414A | Poisoning by fentanyl or fentanyl analogs, undetermined, initial encounter |
T40.414A | Poisoning by fentanyl or fentanyl analogs, undetermined, initial encounter |
T40.414A | Poisoning by fentanyl or fentanyl analogs, undetermined, initial encounter |
T40.421A | Poisoning by tramadol, accidental (unintentional), initial encounter |
T40.421A | Poisoning by tramadol, accidental (unintentional), initial encounter |
T40.421A | Poisoning by tramadol, accidental (unintentional), initial encounter |
T40.422A | Poisoning by tramadol, intentional self-harm, initial encounter |
T40.422A | Poisoning by tramadol, intentional self-harm, initial encounter |
T40.422A | Poisoning by tramadol, intentional self-harm, initial encounter |
T40.423A | Poisoning by tramadol, assault, initial encounter |
T40.423A | Poisoning by tramadol, assault, initial encounter |
T40.423A | Poisoning by tramadol, assault, initial encounter |
T40.424A | Poisoning by tramadol, undetermined, initial encounter |
T40.424A | Poisoning by tramadol, undetermined, initial encounter |
T40.424A | Poisoning by tramadol, undetermined, initial encounter |
T40.491A | Poisoning by other synthetic narcotics, accidental (unintentional), initial encounter |
T40.491A | Poisoning by other synthetic narcotics, accidental (unintentional), initial encounter |
T40.491A | Poisoning by other synthetic narcotics, accidental (unintentional), initial encounter |
T40.492A | Poisoning by other synthetic narcotics, intentional self-harm, initial encounter |
T40.492A | Poisoning by other synthetic narcotics, intentional self-harm, initial encounter |
T40.492A | Poisoning by other synthetic narcotics, intentional self-harm, initial encounter |
T40.493A | Poisoning by other synthetic narcotics, assault, initial encounter |
T40.493A | Poisoning by other synthetic narcotics, assault, initial encounter |
T40.493A | Poisoning by other synthetic narcotics, assault, initial encounter |
T40.494A | Poisoning by other synthetic narcotics, undetermined, initial encounter |
T40.494A | Poisoning by other synthetic narcotics, undetermined, initial encounter |
T40.494A | Poisoning by other synthetic narcotics, undetermined, initial encounter |
T40.5x1A | Poisoning by cocaine, accidental (unintentional), initial encounter |
T40.5x2A | Poisoning by cocaine, intentional self-harm, initial encounter |
T40.5x3A | Poisoning by cocaine, assault, initial encounter |
T40.5x4A | Poisoning by cocaine, undetermined, initial encounter |
T40.601A | Poisoning by unspecified narcotics, accidental (unintentional), initial encounter |
T40.601A | Poisoning by unspecified narcotics, accidental (unintentional), initial encounter |
T40.601A | Poisoning by unspecified narcotics, accidental (unintentional), initial encounter |
T40.602A | Poisoning by unspecified narcotics, intentional self-harm, initial encounter |
T40.602A | Poisoning by unspecified narcotics, intentional self-harm, initial encounter |
T40.602A | Poisoning by unspecified narcotics, intentional self-harm, initial encounter |
T40.603A | Poisoning by unspecified narcotics, assault, initial encounter |
T40.603A | Poisoning by unspecified narcotics, assault, initial encounter |
T40.603A | Poisoning by unspecified narcotics, assault, initial encounter |
T40.604A | Poisoning by unspecified narcotics, undetermined, initial encounter |
T40.604A | Poisoning by unspecified narcotics, undetermined, initial encounter |
T40.604A | Poisoning by unspecified narcotics, undetermined, initial encounter |
T40.691A | Poisoning by other narcotics, accidental (unintentional), initial encounter |
T40.691A | Poisoning by other narcotics, accidental (unintentional), initial encounter |
T40.691A | Poisoning by other narcotics, accidental (unintentional), initial encounter |
T40.692A | Poisoning by other narcotics, intentional self-harm, initial encounter |
T40.692A | Poisoning by other narcotics, intentional self-harm, initial encounter |
T40.692A | Poisoning by other narcotics, intentional self-harm, initial encounter |
T40.693A | Poisoning by other narcotics, assault, initial encounter |
T40.693A | Poisoning by other narcotics, assault, initial encounter |
T40.693A | Poisoning by other narcotics, assault, initial encounter |
T40.694A | Poisoning by other narcotics, undetermined, initial encounter |
T40.694A | Poisoning by other narcotics, undetermined, initial encounter |
T40.694A | Poisoning by other narcotics, undetermined, initial encounter |
T50.7x1A | Poisoning by analeptics and opioid receptor antagonists, accidental (unintentional), initial encounter |
T50.7x1A | Poisoning by analeptics and opioid receptor antagonists, accidental (unintentional), initial encounter |
T50.7x2A | Poisoning by analeptics and opioid receptor antagonists, intentional self-harm, initial encounter |
T50.7x2A | Poisoning by analeptics and opioid receptor antagonists, intentional self-harm, initial encounter |
T50.7x3A | Poisoning by analeptics and opioid receptor antagonists, assault, initial encounter |
T50.7x3A | Poisoning by analeptics and opioid receptor antagonists, assault, initial encounter |
T50.7x4A | Poisoning by analeptics and opioid receptor antagonists, undetermined, initial encounter |
T50.7x4A | Poisoning by analeptics and opioid receptor antagonists, undetermined, initial encounter |
Formulary Reference Tool