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Emergent BioSolutions receives FDA OK for OTC Narcan Nasal Spray

Narcan Naloxone HCl Nasal Spray 4 mg is the first and only spray to receive over-the-counter status in the United States.
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The Food and Drug Administration has given Emergent BioSolutions the green light for Narcan Naloxone HCl Nasal Spray 4 mg as an over-the-counter emergency treatment for opioid overdose. This decision comes at a time when approximately every eight minutes, a person dies from an opioid overdose. Research shows the epidemic is escalating in the United States with the rise in synthetic opioids. By offering Narcan Nasal Spray as an OTC treatment, anyone can access it without a prescription, which is an important step in the fight to reduce the number of opioid overdose deaths occurring each day, the company said.  

“Our lives changed forever when our 16-year-old son, Sammy, passed away in his bedroom after taking a medication laced with fentanyl that he purchased through a social media site,” said Laura Berman, Ph.D, psychotherapist, author, radio, TV and podcast host. “Since Sammy’s passing, we’ve learned that if we had a form of naloxone in our home, we may have been able to save him. With today’s over-the-counter approval of Narcan Nasal Spray, more families can be prepared, so they don’t experience the same heartache.” 

Narcan Nasal Spray was developed for use in the community setting, and more than 44 million doses have been distributed since its launch in 2016. This prescription-to-OTC approval is supported by Human Factors study data, an updated Drug Facts label, pharmacovigilance data collected from various public sources, and seven years of post-marketing safety data. The new OTC product will have the same formulation, device design and original prescription strength (4 mg), which are important features and benefits to help counteract the effects of opioids, including fentanyl, in the community setting.

[Read more: Teva debuts generic Narcan]

“Today’s landmark FDA OTC approval for Narcan Nasal Spray marks a historic milestone as we have delivered on our commitment to make this important emergency treatment widely accessible, given the alarming rates of opioid overdoses occurring across the country,” said Robert Kramer, president and CEO of Emergent BioSolutions. “We are dedicated to improving public health and assisting those working hard to end the opioid crisisso now with leaders across government, retail and advocacy groups, we must work together to continue increasing access and availability, as well as educate the public on the risks of opioid overdoses and the value of being prepared with Narcan Nasal Spray to help save a life.”

The Consumer Healthcare Products Association applauded FDA's OTC approval. "CHPA applauds FDA for taking a critical step forward today in public health by making Narcan available over-the-counterpreviously only available with a prescriptionwhich will remove many of the barriers and stigmas attached to this life-saving emergency therapy for opioid overdoses,” said CHPA president and CEO Scott Melville. “Since naloxone is used in emergency situations where every second counts, OTC access will now give individuals, families, friends and other responders quicker access to this medication. It will also increase the likelihood that individuals will obtain and carry Narcan, which will potentially save more lives. Today’s decision will positively impact millions of Americans and provide benefits that Rx-to-OTC-switch products have always delivered: increased access to safe, effective, and affordable medicines for better health care.”

Emergent anticipates Narcan Nasal Spray will be available on U.S. shelves and at online retailers by the late summer to account for manufacturing changes that will be implemented to support nonprescription packaging, as well as supply chain modifications. In the meantime, the prescription product will remain in readily available supply through current access channels, including pharmacies through standing order or co-prescription laws and community distribution. For more information, visit here

[Read more: Hikma intros Kloxxado]

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