Evidence map›Paper›PMID 40520837›Full record

ArticleCureus2025

Opioid Overdose Reversal With Nalmefene Nasal Spray: A Case Report.

Michel Sucher, Lisa Emmans

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Michel SucherSubstance Use and Addiction, Honor Health Addiction Medicine, Phoenix, USA.
Lisa EmmansEmergency Department, Yavapai Regional Medical Center, Prescott Valley, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the recent FDA approval of intranasal (IN) nalmefene, there is a lack of published evidence regarding its utilization, namely regarding concerns about its potential for precipitate withdrawal. In this case report, two physician investigators independently reviewed Oakland County (Michigan) Sheriff's Office (OCSO) bodycam footage, OSCO dispatch report, and the Alliance of Coalitions for Healthy Communities interview data conducted 72 hours post-overdose of a patient who received IN nalmefene following an opioid overdose, to describe clinical signs and symptoms before, during, and after administration. An increase in oxygen saturation up to 98% occurred within approximately 2.5 minutes after the initial dose. The patient also showed a marked improvement in mental status. The patient exhibited no evidence of precipitated withdrawal. This case study provides data to support that IN nalmefene can produce a rapid and effective reversal of opioid overdose. Additional studies will be important in establishing the role of IN nalmefene in the treatment of opioid overdose by first responders as well as its impact on clinical outcomes once patients arrive at the accepting medical facility.

Indexed as

emergency respondersnalmefeneopioid overdosepolicesubstance use disorder

Identifiers

PMID40520837
PMCPMC12164525

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.