PT - JOURNAL ARTICLE ED - , TI - Naloxone (narcan) AID - 10.1136/dtb.13.19.75 DP - 1975 Sep 12 TA - Drug and Therapeutics Bulletin PG - 75--76 VI - 13 IP - 19 4099 - http://dtb.bmj.com/content/13/19/75.short 4100 - http://dtb.bmj.com/content/13/19/75.full SO - Drug Ther Bull1975 Sep 12; 13 AB - Naloxone (Narcan - Winthrop), the N-allyl derivative of oxymorphone, is a narcotic antagonist whose most important clinical property is reversal of narcotic-induced respiratory depression. Like nalorphine (Lethidrone - Wellcome) and levallorphan (Lorfan - Roche), it also antagonises the sedative, analgesic and miotic effects of narcotic analgesics.1 There is, however, an important difference. When not preceded by the administration of a narcotic or when given in excess, nalorphine and levallorphan themselves have narcotic effects; by contrast, naloxone has none.2 It is, for all practical purposes, a pure antagonist, whereas nalorphine and levallorphan are partial agonists, with agonist as well as antagonist effects.3