Emergency naloxone for heroin overdose: Naloxone is not the only opioid antagonist

doi:10.1136/bmj.333.7571.754-b

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Colin Brewer, research director (cbrewer@doctors.net.uk)

Stapleford Centre, London SW1W 9NP

EDITOR—Strang et al say that naloxone is an extraordinarily effective drug, presumably meaning that at adequate doses it always reverses opioid effects.1 (Incidentally, why does one 400 µg ampoule cost the NHS about £5 when it sells for a small fraction of that in other European countries?) Whether naloxone saves lives in opioid overdose when publicly distributed is, …