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Record W4412648931 · doi:10.1111/add.70144

Naloxone dosing: An evolving unregulated drug landscape, care setting considerations, and the need for research

2025· article· en· W4412648931 on OpenAlexafffund
James S.H. Wong, Anthony Lau, Pouya Azar

Bibliographic record

VenueAddiction · 2025
Typearticle
Languageen
FieldMedicine
TopicOpioid Use Disorder Treatment
Canadian institutionsVancouver General HospitalUniversity of British Columbia
FundersVGH and UBC Hospital Foundation
KeywordsDosing(+)-NaloxoneDrugMedicinePharmacologyIntensive care medicineOpioidInternal medicine

Abstract

fetched live from OpenAlex

than naloxone, it could reduce the risk of re-narcotization, particularly in rural and remote areas with delayed access to medical care.However, the potential for prolonged withdrawal symptoms, limited clinical data and lack of global availability warrant further investigation before broader adoption [6].Challenges in naloxone dosing parallel those seen in opioid agonist therapy in the HPSO era [7][8][9].Both domains are marked by limited evidence, an unpredictable drug supply and the need for individualized approaches.Addressing these gaps requires well-designed clinical trials and translational research.In the absence of definitive data, collaboration among clinicians, researchers, policymakers and people with lived or living experience is essential to developing pragmatic, equitable and evidence-informed naloxone strategies.A coordinated and adaptive response is needed to address the urgency of this evolving public health crisis.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.029
metaresearch head score (Gemma)0.065
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: none
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.029
Threshold uncertainty score0.155

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0290.065
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0030.002
Bibliometrics0.0020.003
Science and technology studies0.0020.007
Scholarly communication0.0090.019
Open science0.0050.004
Research integrity0.0110.017
Insufficient payload (model declined to judge)0.0090.002

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.021
GPT teacher head0.340
Teacher spread0.318 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designTheoretical or conceptual
Domainnot available
GenreCommentary

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes2
Has abstractyes

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