NALOXONE HYDROCHLORIDE INJECTION USP 0.4 MG
NALOXONE HYDROCHLORIDE (NALOXONE HYDROCHLORIDE DIHYDRATE) : 0.4 MG · DIN 02382482 · HIKMA CANADA LIMITED
Health Canada status: MARKETED
What is NALOXONE HYDROCHLORIDE INJECTION USP?
NALOXONE HYDROCHLORIDE INJECTION USP 0.4 MG contains NALOXONE HYDROCHLORIDE (NALOXONE HYDROCHLORIDE DIHYDRATE) : 0.4 MG. It is listed in the Health Canada Drug Product Database under DIN 02382482, held by HIKMA CANADA LIMITED, supplied as SOLUTION for SUBCUTANEOUS ; INTRAVENOUS ; INTRAMUSCULAR administration. Health Canada currently lists it as marketed, status dated 29-Apr-2024. Nexara Health is a licensed Canadian wholesale distributor (DEL 3-002896-A) and can source this product for hospitals, pharmacies and clinics. Availability and lead time are confirmed per order.
What is NALOXONE HYDROCHLORIDE INJECTION USP used for?
Complete or partial reversal of opioid depression (including respiratory depression) induced by natural/synthetic opioids and agonist-antagonists. Diagnosis of suspected acute opioid overdosage.
Authorized indication as written in the Health Canada product monograph. For healthcare professionals and licensed purchasers; this is not medical advice.
Product details and regulatory record
| DIN | 02382482 |
|---|---|
| Brand name | NALOXONE HYDROCHLORIDE INJECTION USP |
| Generic / active ingredient | NALOXONE HYDROCHLORIDE (NALOXONE HYDROCHLORIDE DIHYDRATE) : 0.4 MG |
| Manufacturer | HIKMA CANADA LIMITED |
| Strength | 0.4 MG |
| Dosage form | SOLUTION |
| Route of administration | SUBCUTANEOUS ; INTRAVENOUS ; INTRAMUSCULAR |
| Schedule | Prescription |
| ATC code | V03AB15 NALOXONE |
| AHFS class | 28:16.04.20 |
| Biosimilar | No |
| Health Canada status | MARKETED |
| Status date | 29-Apr-2024 |
How is it administered?
Adults: 0.4-2 mg IV for overdose; 0.1-0.2 mg IV for postoperative depression. May repeat every 2-3 mins. Can be given IM or SC if IV route unavailable. Titrate to patient response.
Included because it drives pack selection and wastage. Consult the monograph.
How is it stored and handled?
Store at 25°C (excursions 15°C - 30°C). Protect from light. Keep ampoule in carton until use. Diluted solutions stable for 24 hours.
How is it supplied?
1 mL ampoules, boxes of 10.
Contraindications
Known hypersensitivity to naloxone hydrochloride.
Warnings and precautions
Administer cautiously to opioid-dependent patients (including newborns) as it may precipitate acute withdrawal. Monitor for recurrence of respiratory depression. Caution in cardiac disease.
Is NALOXONE in shortage in Canada?
A Canadian shortage report is on file for this molecule: Anticipated — reported by OMEGA LABORATORIES LIMITED, last seen 04 Sep 2026. A shortage on one presentation does not always affect every DIN of the molecule — the alternatives below list what else is marketed in Canada. Nexara can confirm current availability and identify substitutions or import options where permitted.
What can be used instead?
Other Canadian products sharing ATC code V03AB15 NALOXONE. 12 of 26 DINs in this group are currently marketed — marketed products are listed first, because that is what can actually be bought. These tables describe supply, not clinical equivalence: substitution rests with the prescriber or pharmacist, and interchangeability is determined provincially.
| Product | Strength | Form | Manufacturer | Health Canada status | DIN |
|---|---|---|---|---|---|
| INJECTABLE NALOXONE HYDROCHLORIDE | 0.4 MG | SOLUTION | OMEGA LABORATORIES LIMITED | MARKETED | DIN 02455935 |
| NALOXONE HCL INJECTION - 0.4MG/ML USP | 0.4 MG | LIQUID | SANDOZ CANADA INCORPORATED | MARKETED | DIN 02148706 |
| NALOXONE HCL INJECTION - 1MG/ML USP | 1 MG | LIQUID | SANDOZ CANADA INCORPORATED | MARKETED | DIN 02148714 |
| NALOXONE HYDROCHLORIDE INJECTION | 0.4 MG | SOLUTION | OMEGA LABORATORIES LIMITED | MARKETED | DIN 02393034 |
| NALOXONE HYDROCHLORIDE INJECTION | 1 MG | SOLUTION | OMEGA LABORATORIES LIMITED | MARKETED | DIN 02393042 |
| NALOXONE HYDROCHLORIDE INJECTION USP | 0.4 MG | SOLUTION | STERINOVA INC. | MARKETED | DIN 02548194 |
| NALOXONE HYDROCHLORIDE INJECTION, USP | 4 MG / 10 ML | SOLUTION | EUGIA PHARMA INC. | MARKETED | DIN 02534975 |
| NALOXONE INJECTABLE | 0.4 MG | SOLUTION | HIKMA CANADA LIMITED | MARKETED | DIN 02458578 |
| NARCAN NASAL SPRAY | 4 MG / 0.1 ML | SPRAY, METERED DOSE | EMERGENT OPERATIONS IRELAND LIMITED | MARKETED | DIN 02458187 |
| S.O.S. NALOXONE HYDROCHLORIDE INJECTION | 0.4 MG | SOLUTION | SANDOZ CANADA INCORPORATED | MARKETED | DIN 02453258 |
Who else supplies NALOXONE worldwide?
Nexara tracks national medicine registries and published price lists across multiple markets. NALOXONE appears in 47 registered pack listings across 9 markets, published on 9 different national price bases. Where a Canadian route is closed, that is where an alternative route of supply starts — subject to the import rules in both countries.
Registered listings are not stock. Ask us to confirm what can actually be sourced for your order.
How can I get it?
Nexara Health supplies this product to licensed Canadian buyers — pharmacies, hospitals, clinics, licensed distributors, and clinical trial sponsors or their CROs. We confirm stock, pack size, expiry and pricing at the time of quotation. If the product is on backorder or in shortage, we identify equivalent alternatives and import options where permitted.
Ordering questions
Who can buy this from Nexara?
Licensed entities only. Nexara holds Health Canada establishment licence DEL 3-002896-A and ships only to a licensed address.
Is there a minimum order?
Yes, set per product line and per pack multiple rather than on the order total, so you are never asked to buy a part-pack. The minimum for this line is confirmed with your quote.
What is the lead time?
Confirmed per order at quotation, and it depends on current stock position and whether the product is in shortage.
Can Nexara supply this for a clinical trial?
Yes — comparator and background-therapy supply, including sourcing from other markets where a Canadian pack will not satisfy the protocol. Clinical trial supply.