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American Focus > Blog > Health and Wellness > Inside the rise and fall of Opvee, Indivior’s nasal overdose antidote
Health and Wellness

Inside the rise and fall of Opvee, Indivior’s nasal overdose antidote

Last updated: January 29, 2026 4:20 am
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Inside the rise and fall of Opvee, Indivior’s nasal overdose antidote
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Opvee: The Rise and Fall of a Controversial Overdose Antidote

Indivior’s Opvee was hailed as a groundbreaking medication, specifically designed to combat the increasing prevalence of fentanyl-related overdoses. With its superior efficacy compared to Narcan, the nasal spray that was the standard overdose antidote, Opvee promised to save lives and prevent irreversible brain damage in thousands of opioid overdose cases. As public health programs received billions in opioid settlement funds, Indivior anticipated annual profits of up to $250 million from Opvee sales.

However, despite these lofty projections, Opvee faced a major obstacle – its intended recipients did not want it. Just two years after its launch, Indivior made the decision to largely abandon the medication. The nasal spray had become a point of contention among harm reduction organizations, who viewed it as unnecessary and potentially harmful to drug users due to its ability to induce severe withdrawal symptoms. Demand for Opvee was low from the start, and when New York’s attorney general initiated an investigation into Indivior’s sales practices, the company ceased marketing the medication altogether in September.

The failure of Opvee serves as a cautionary tale about the complexities of developing and introducing new medications in the midst of a public health crisis. Despite the best intentions and extensive research behind its creation, Opvee ultimately fell short of expectations due to a lack of acceptance and trust from the very population it was meant to serve.

As the opioid epidemic continues to ravage communities across the country, the case of Opvee underscores the importance of understanding the needs and perspectives of those directly impacted by these crises. Moving forward, it is essential for pharmaceutical companies and public health officials to engage with affected communities, listen to their concerns, and incorporate their feedback into the development and distribution of lifesaving medications. Only through collaboration and mutual respect can we hope to effectively combat the devastating effects of opioid addiction and overdose.

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