TheraRadar
Data updated: Mar 29, 2026

ZURNAI (AUTOINJECTOR)

NALMEFENE HYDROCHLORIDE
Neurology Approved 2024-08-07

Zurnai (nalmefene hydrochloride) is an opioid antagonist indicated for the emergency treatment of known or suspected opioid overdose, manifested by respiratory and/or central nervous system depression. It is used for the complete or partial reversal of effects induced by natural or synthetic opioids in adult and pediatric patients.

Source: FDA Label โ€ข PURDUE PHARMA LP

How ZURNAI (AUTOINJECTOR) Works

Nalmefene hydrochloride functions as a long-acting opioid antagonist. It competitively binds to mu ($\mu$), kappa ($\kappa$), and delta ($\delta$) opioid receptors in the central nervous system, with the highest affinity for mu receptors. By displacing opioid agonists from these sites, it reverses their pharmacological effects, including respiratory depression, sedation, and hypotension. Unlike naloxone, nalmefene has a significantly longer half-life, providing a more prolonged duration of antagonism.

1
Indication
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Phase 3 Trials
1
Priority Reviews
1
Years on Market

Details

Status
Prescription
First Approved
2024-08-07
Routes
INTRAMUSCULAR, SUBCUTANEOUS
Dosage Forms
SOLUTION

Companies

Active Ingredient: NALMEFENE HYDROCHLORIDE

ZURNAI (AUTOINJECTOR) Approval History

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What ZURNAI (AUTOINJECTOR) Treats

2 indications

ZURNAI (AUTOINJECTOR) is approved for 2 conditions since its original approval in 2024. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Opioid Overdose
  • Respiratory Depression
Source: FDA Label
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

ZURNAI (AUTOINJECTOR) FDA Label Details

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Indications & Usage

FDA Label (PDF)

Nalmefene Hydrochloride Injection is indicated for the complete or partial reversal of opioid drug effects, including respiratory depression, induced by either natural or synthetic opioids. Nalmefene Hydrochloride Injection is indicated in the management of known or suspected opioid overdose.

ZURNAI (AUTOINJECTOR) Patents & Exclusivity

Latest Patent: Nov 2039
Exclusivity: Aug 2027

Patents (2 active)

US11865112 Expires Nov 5, 2039
US11857547 Expires Nov 5, 2039

Exclusivity

NP Until Aug 2027
Source: FDA Orange Book

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.