Label: NALOXONE HYDROCHLORIDE spray

  • NDC Code(s): 69238-2104-1, 69238-2104-7
  • Packager: Amneal Pharmaceuticals NY LLC
  • Category: HUMAN OTC DRUG LABEL
  • DEA Schedule: None
  • Marketing Status: Abbreviated New Drug Application

Drug Label Information

Updated December 9, 2025

If you are a consumer or patient please visit this version.

  • Active ingredient (in each spray)

    Naloxone hydrochloride 4 mg

  • Purpose

    Emergency treatment of opioid overdose

  • Use(s)

    • to “revive” someone during an overdose from many prescription pain medications or street drugs such as heroin
    • this medicine can save a life
  • Warnings

    When using this product

    some people may experience symptoms when they wake up, such as shaking, sweating, nausea, or feeling angry. This is to be expected.

  • Directions

    1 check

    Step 1: CHECK if you suspect an overdose

    • CHECK for a suspected overdose: the person will not wake up or is very sleepy or not breathing well
    • yell “Wake up!”
    • shake the person gently
    • if the person is not awake, go to Step 2
    2 give

    Step 2: GIVE 1st dose in the nose

    • HOLD the nasal spray device with your thumb on the bottom of the plunger
    • INSERT the nozzle into either NOSTRIL
    • PRESS the plunger firmly to give the 1st dose
    • 1 nasal spray device contains 1 dose
    3 call

    Step 3: CALL 911

    • CALL 911 immediately after giving the 1st dose
    step 4

    Step 4: WATCH & GIVE

    • WAIT 2 to 3 minutes after the 1st dose to give the medicine time to work
    • if the person wakes up: Go to Step 5
    • if the person does not wake up:
    • CONTINUE TO GIVE doses every 2 to 3 minutes until the person wakes up
    • it is safe to keep giving doses
    5 stay

    Step 5: STAY

    • STAY until ambulance arrives: even if the person wakes up
    • GIVE another dose if the person becomes very sleepy again
    • You may need to give all the doses in the pack
  • Other information

    • store at room temperature or refrigerated, between 2°C to 25°C (36°F to 77°F)
    • do not freeze
    • avoid excessive heat above 40°C (104°F)
    • protect from light
    • this product is packaged in individually-sealed blisters. Do not use if the blister is open or torn, or if the device appears damaged.
  • KEEP OUT OF REACH OF CHILDREN

  • Inactive ingredients

    benzalkonium chloride, disodium ethylenediaminetetraacetate, hydrochloric acid, purified water, and sodium chloride

  • Questions or comments?

    1-877-835-5472 (Mon-Fri, 9AM-5PM EST)

  • DIRECTIONS

    Naloxone Hydrochloride Nasal Spray, 4 mg

     

    Emergency Treatment of Opioid Overdose

    Important:

    • For use in the nose only
    • Do not test nasal spray device before use
    • 1 nasal spray device contains 1 dose of medicine
    • Each device sprays 1 time only
    hand

    Drug Facts

    Active ingredient (in each spray) Purpose

    Naloxone hydrochloride 4 mg .............................................................................................................................. Emergency treatment

    of opioid overdose

    Uses

    • to “revive” someone during an overdose from many prescription pain medications or street drugs such as heroin
    • this medicine can save a life
    1 check

    Step 1: CHECK if you suspect an overdose

    • CHECK for a suspected overdose: the person will not wake up or is very sleepy or not breathing well
    • yell “Wake up!”
    • shake the person gently
    • if the person is not awake, go to Step 2
    2 give

    Step 2: GIVE 1st dose in the nose

    • HOLD the nasal spray device with your thumb on the bottom of the plunger
    • INSERT the nozzle into either NOSTRIL
    • PRESS the plunger firmly to give the 1st dose
    • 1 nasal spray device contains 1 dose
    3 call

    Step 3: CALL 911

    • CALL 911 immediately after giving the 1st dose
    step 4

    Step 4: WATCH & GIVE

    • WAIT 2 to 3 minutes after the 1st dose to give the medicine time to work
    • if the person wakes up: Go to Step 5
    • if the person does not wake up:
    • CONTINUE TO GIVE doses every 2 to 3 minutes until the person wakes up
    • it is safe to keep giving doses
    5 stay

    Step 5: STAY

    • STAY until ambulance arrives: even if the person wakes up
    • GIVE another dose if the person becomes very sleepy again
    • You may need to give all the doses in the pack

     

     

    Warnings

    When using this product some people may experience symptoms when they wake up, such as shaking, sweating, nausea, or feeling angry. This is to be expected.

    Other information

    • store at room temperature or refrigerated, between 2°C to 25°C (36°F to 77°F)
    • do not freeze
    • avoid excessive heat above 40°C (104°F)
    • protect from light
    • this product is packaged in individually-sealed blisters.

    Do not use if the blister is open or torn, or if the device appears damaged.

    Inactive ingredients

    benzalkonium chloride, disodium ethylenediaminetetraacetate, hydrochloric acid, purified water, and sodium chloride

    Questions or comments?

    1-877-835-5472 (Mon-Fri, 9AM-5PM EST)

    For opioid emergencies, call 911.For questions or more information about Naloxone Hydrochloride Nasal Spray, contact Amneal Pharmaceuticals at 1-877-835-5472.

    Rev. 11-2025-05


  • Principal Display Panel

    ifc
  • INGREDIENTS AND APPEARANCE
    NALOXONE HYDROCHLORIDE 
    naloxone hydrochloride spray
    Product Information
    Product TypeHUMAN OTC DRUGItem Code (Source)NDC:69238-2104
    Route of AdministrationNASAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    NALOXONE HYDROCHLORIDE (UNII: F850569PQR) (NALOXONE - UNII:36B82AMQ7N) NALOXONE HYDROCHLORIDE4 mg  in 0.1 mL
    Inactive Ingredients
    Ingredient NameStrength
    BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7)  
    EDETATE DISODIUM (UNII: 7FLD91C86K)  
    SODIUM CHLORIDE (UNII: 451W47IQ8X)  
    WATER (UNII: 059QF0KO0R)  
    HYDROCHLORIC ACID (UNII: QTT17582CB)  
    Product Characteristics
    Colorwhite (clear, colorless to faintly yellow) Score    
    ShapeSize
    FlavorImprint Code
    Contains    
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC:69238-2104-72 in 1 CARTON04/24/2024
    1NDC:69238-2104-10.1 mL in 1 VIAL, SINGLE-DOSE; Type 2: Prefilled Drug Delivery Device/System (syringe, patch, etc.)
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    ANDAANDA21799204/24/2024
    Labeler - Amneal Pharmaceuticals NY LLC (123797875)
    Establishment
    NameAddressID/FEIBusiness Operations
    Amneal Pharmaceuticals, LLC079823130analysis(69238-2104) , label(69238-2104) , manufacture(69238-2104) , pack(69238-2104)