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Nalmefene is an opioid receptor antagonist used primarily for the treatment of opioid overdose and alcohol dependence. It acts as an antagonist at mu-opioid and delta-opioid receptors and as a partial agonist at the kappa-opioid receptor. By blocking these receptors in the brain's reward system, nalmefene reduces the rewarding effects of opioids and alcohol. This mechanism helps reverse life-threatening symptoms of opioid overdose (such as respiratory depression) and decreases alcohol consumption in individuals with alcohol dependence. Nalmefene has a longer duration of action than naloxone and does not induce tolerance or physical dependence[1][2][5][8]. It can be administered orally, intranasally, or by injection.
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