"Around the world, there is no evidence of the need or benefit of higher dose products, particularly from people to whom they would be administered (Saari et al., 2024). People who used opioids, in one qualitative study, preferred lower dose IN products (Neale et al., 2022). In 2024, the Michigan Drug User Health Alliance surveyed 108 people who use drugs about their reversal product preferences. Respondents overwhelmingly preferred standard-dose products to high dose or long-acting products (Michigan Drug User Health Alliance, 2024). Medical personnel also prefer to titrate naloxone dose based on the medical presentation of their patient (Tylleskar et al., 2020)."
Russell E, Hawk M, Neale J, et al. A call for compassionate opioid overdose response. Int J Drug Policy. Published online September 17, 2024. doi:10.1016/j.drugpo.2024.104587