Naloxone vs. Naltrexone
Written by Marijke Vroomen Durning, RN
Medically Reviewed by
Smitha Bhandari, MD on April 29, 2022
Naloxone (
Narcan,
Evzio) and
naltrexone (
ReVia,
Depade) are two drugs used to help people with
opioid addictions. They’re both in a class of drugs called opioid antagonists, but they do different things.
What Are Naloxone and Naltrexone?
Naloxone is a drug that can temporarily reverse the effects of an opioid
overdose. Anyone can give this very fast-acting
medication, as a shot or nasal spray. It can save lives if it’s given quickly enough.
Naltrexone is not an emergency drug. It’s prescribed as part of a treatment plan to help you stop using a drug or consuming
alcohol if you have a substance use disorder.
How Do Opioid Antagonists Work?
When you take an opioid, it binds to opioid receptors in
your brain. Opioid receptors help your body control pain and addictive behavior. Opioid antagonists block the opioids from binding to those receptors, keeping the drug from causing the euphoria, or “high.”