ZIMHI (naloxone HCl injection) logo
PHARMACISTS / WHY ZIMHI?
ZIMHI: FAST NALOXONE
ABSORPTION WHEN IT
MATTERS MOST

One 5-mg intramuscular dose provides a higher plasma concentration and
exposure compared with a 2-mg intramuscular dose1

ZIMHI: FAST NALOXONE ABSORPTION WHEN IT MATTERS MOST
One 5-mg intramuscular dose provides a higher plasma concentration and exposure compared with a 2-mg intramuscular dose1
ZIMHI device

Mean plasma concentration of naloxone over 30 minutes

line graph displaying that ZIMHI may be FASTER: Reaches the Cmax for 2-mg intramuscular naloxone in only ≈4 minutes; GREATER: Achieves a 4.8x higher Cmax than 2-mg intramuscular naloxone; and LASTING: Maintains a more than 2.5x greater concentration than 2-mg intramuscular naloxone at 1 hour
Note: The clinical relevance of these pharmacokinetic data is unknown. These data do not account for interpatient variability.
Cmax=maximum concentration; IM=intramuscular.

Mean plasma concentration of
naloxone over 30 minutes

line graph displaying that ZIMHI may be FASTER: Reaches the Cmax for 2-mg intramuscular naloxone in only ≈4 minutes; GREATER: Achieves a 4.8x higher Cmax than 2-mg intramuscular naloxone; and LASTING: Maintains a more than 2.5x greater concentration than 2-mg intramuscular naloxone at 1 hour

Note: The clinical relevance of these pharmacokinetic data is unknown. These data do not account for interpatient variability.
Cmax=maximum concentration; IM=intramuscular.

IN A HYPOXIC STATE, EVERY MOMENT MATTERS

infographic of opioid overdose response timing. 1-2 minutes: brain damage may begin. 5 minutes: death of brain cells and severe brain damage. 7 minutes: arrival of first responder (average). 10 minutes: death is likely

IN A HYPOXIC STATE, EVERY MOMENT MATTERS

CDC GUIDELINES RECOMMEND CO-PRESCRIBING
naloxone when factors may increase the risk of an overdose, such as higher opioid dosages (≥50 morphine milligram equivalents per day).6 Learn more here.
CDC GUIDELINES RECOMMEND CO-PRESCRIBING
naloxone when factors may increase the risk of an overdose, such as higher opioid dosages (≥50 morphine milligram equivalents per day).6 Learn more here.

When pulling them out of an opioid overdose

EVERY MOMENT MATTERS

Actor portrayal

HELPFUL TIPS FOR TALKING TO
PATIENTS ABOUT ZIMHI

REVIEW THE 4 SIMPLE STEPS FOR USE

HELP PATIENTS SAVE

When pulling them out
of an opioid overdose

EVERY
MOMENT
MATTERS

Actor portrayal

HELPFUL TIPS FOR TALKING TO
PATIENTS ABOUT ZIMHI

REVIEW THE 4 SIMPLE STEPS FOR USE

HELP PATIENTS SAVE

When pulling them out
of an opioid overdose

EVERY
MOMENT
MATTERS

Actor portrayal

HELPFUL TIPS FOR TALKING TO
PATIENTS ABOUT ZIMHI

REVIEW THE 4 SIMPLE STEPS
FOR USE

HELP PATIENTS SAVE

In an opioid overdose emergency,

ZIMHI MAY MAKE ALL
THE DIFFERENCE

HELP PATIENTS SAVE

In an opioid overdose emergency,

ZIMHI MAY
MAKE ALL THE
DIFFERENCE

HELP PATIENTS SAVE

In an opioid overdose emergency,

ZIMHI MAY
MAKE ALL THE
DIFFERENCE

HELP PATIENTS SAVE

References: 1. ZIMHI. Prescribing information. Adamis Pharmaceuticals Corporation; 2021. 2. Spinal Cord. How long can the brain go without oxygen? What happens? Accessed October 28, 2020. https://www.spinalcord.com/blog/what-happens-to-the-brain-after-a-lack-of-oxygen 3. Family Caregiver Alliance. Hypoxic-anoxic brain injury. Updated 2004. Accessed October 28, 2020. https://www.caregiver.org/hypoxic-anoxic-brain-injury 4. Medline Plus. CPR—adult and child after onset of puberty. Updated October 8, 2020. Accessed October 28, 2020. https://medlineplus.gov/ency/article/000013.htm 5. Mell HK, Mumma SN, Hiestand B, Carr BG, Holland T, Stopyra J. Emergency medical services response times in rural, suburban, and urban areas. JAMA Surg. 2017;152(10):983. doi:10.1001/jamasurg.2017.2230 6. Centers for Disease Control and Prevention. Calculating total daily dose of opioids for safer dosage. Accessed October 28, 2020. https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf

INDICATION

ZIMHI is an opioid antagonist indicated for the emergency treatment of known or suspected opioid overdose, as manifested by respiratory and/or central nervous system depression in adult and pediatric patients. ZIMHI is intended for immediate administration as emergency therapy in settings where opioids may be present. ZIMHI is not a substitute for emergency medical care.

IMPORTANT SAFETY INFORMATION

As the duration of action of naloxone hydrochloride is shorter than many opioids, keep the patient under continued surveillance and administer repeated doses of naloxone using a new ZIMHI device, as necessary, while awaiting emergency medical assistance.

Reversal of respiratory depression caused by partial agonists or mixed agonists/antagonists, such as buprenorphine and pentazocine may be incomplete. Repeat doses of ZIMHI may be required.

Use in patients who are opioid dependent may precipitate opioid withdrawal. In neonates, opioid withdrawal may be life-threatening if not recognized and properly treated. Monitor for the development of signs and symptoms of opioid withdrawal.

Abrupt postoperative reversal of opioid depression may result in adverse cardiovascular (CV) effects. These events have primarily occurred in patients who had pre-existing CV disorders or received other drugs that may have similar adverse CV effects. Monitor these patients closely in an appropriate healthcare setting after use of naloxone hydrochloride.

After use, the ZIMHI needle is exposed until the safety guard is deployed. A needlestick injury could occur during use in emergency situations. In the event of accidental needlestick injury, medical attention should be sought.

The following adverse reactions were most commonly observed in ZIMHI clinical studies: dizziness, lightheadedness, and elevated bilirubin.

To report SUSPECTED ADVERSE REACTIONS, contact Adamis Pharmaceuticals Corporation at 1-800-230-3935 or FDA at
1-800-FDA-1088 or www.fda.gov/medwatch

IMPORTANT SAFETY INFORMATION and INDICATION for ZIMHI™

As the duration of action of naloxone hydrochloride is shorter than many opioids, keep the patient under continued surveillance and administer repeated doses of naloxone using a new ZIMHI device, as necessary, while awaiting emergency medical assistance.

Reversal of respiratory depression caused by partial agonists or mixed agonists/antagonists, such as buprenorphine and pentazocine may be incomplete. Repeat doses of ZIMHI may be required.

More
+

IMPORTANT SAFETY INFORMATION and INDICATION for ZIMHI™

As the duration of action of naloxone hydrochloride is shorter than many opioids, keep the patient under continued surveillance and administer repeated doses of naloxone using a new ZIMHI device, as necessary, while awaiting emergency medical assistance.

More
+
Review Naloxone Laws