Prescribing & Filling
Prescribe the Highest Level of Opioid Overdose Treatment
When you prescribe opioids, help ensure your patients have the highest dose emergency response option available: REZENOPY™ Nasal Spray, delivering 10 mg naloxone, the highest FDA-approved dose per nasal spray.1*
*The clinical significance of a higher dose is currently unknown.
A New Concentration for Evolving Challenges
As the opioid landscape shifts, so does the need for comprehensive emergency response options. Since 2013, synthetic opioids like fentanyl have become the primary driver of opioid overdose deaths, with fentanyl-related deaths increasing 23-fold between 2013 and 2023.2 Fentanyl is 50 to 100 times more potent than morphine,3 creating unprecedented challenges for overdose reversal.

Why a Higher Dose Matters
Research consistently demonstrates that fentanyl overdoses present unique pharmacological challenges:
- Rapid Receptor Occupancy – Fentanyl’s rapid onset requires naloxone to out-compete high numbers of occupied opioid receptors in the CNS.7
- Multiple Doses Often Needed – Emergency departments are reporting increasing use of multiple naloxone administrations for opioid overdoses, a trend occurring alongside the rise of fentanyl and other synthetic opioids.5
- Higher Doses Recommended – Research indicates higher naloxone doses may be needed for potent synthetic opioid overdoses6
The scale of opioid misuse in the U.S. underscores the need for widely available, high-concentration reversal agents at every point of care

High-dose REZENOPY enables rapid reversal of potent opioid overdoses and may reduce the need for repeat administration.
The clinical significance of a higher dose is currently unknown.
Indications & Usage
REZENOPY™ (naloxone HCl) 10 mg nasal spray is indicated for opioid antagonist for the emergency treatment of known or suspected opioid overdose, as manifested by respiratory and/or central nervous system depression in adult and pediatric patients. It is intended for patients who often require multiple doses of lower-strength naloxone for stabilization in emergency situations. It is not a substitute for emergency medical care.1 Please see Important Safety Information below.

Actor portrayal, not actual patient
Leadership Perspectives
Helpful Information for Prescribers & Pharmacists
References
- REZENOPY™ (naloxone HCl) nasal spray 10 mg [prescribing information]. Commack, NY; Scienture, LLC 2025.
- Are fentanyl overdose deaths rising in the US?, USAFacts website. Available at: https://usafacts.org/articles/are-fentanyl-overdose-deaths-rising-in-the-us. Accessed March 2026.
- Fentanyl (2025) National Institute on Drug Abuse website. Available at: https://nida.nih.gov/research-topics/fentanyl. Accessed: March 2026.
- Huang H, Chen Y, Chen X, et al. Drug-induced heart failure: a real-world pharmacovigilance study using the FDA Adverse Event Reporting System (FAERS) database. Frontiers in Pharmacology. 2024. Available at: https://www.frontiersin.org/articles/10.3389/fphar.2024.1523136. Accessed March 2026.
- Rzasa Lynn R, Galinkin JL, McClain M, Alfieri T. Use of multiple naloxone administrations in the emergency department: A retrospective claims-based analysis. Journal of Emergency Medicine. 2025;79:111–122. Available at: https://jem-journal.com/retrieve/pii/S0736467925001696. Accessed March, 2026.
- Moss RB, Carlo DJ. Higher doses of naloxone are needed in the synthetic opioid era. Substance Abuse Treatment, Prevention, and Policy. 2019;14:6. Available at: https://doi.org/10.1186/s13011-019-0195-4. Accessed March 2026
- Strauss DG, Li Z, Chaturbedi A, Chakravartula S, Samieegohar M, Mann J, Nallani SC, Prentice K, Shah A, Burkhart K, Boston J, Fu YA, Dahan A, Zineh I, Florian JA. Intranasal Naloxone Repeat Dosing Strategies and Fentanyl Overdose: A Simulation-Based Randomized Clinical Trial. JAMA Netw Open. 2024 Jan 2;7(1):e2351839. doi: 10.1001/jamanetworkopen.2023.51839. PMID: 38261323; PMCID: PMC10807299.
