ATNAA

ATNAA
Combination of
Pralidoxime chloride	Antidote
Clinical data
Trade names	Atnaa, Duodote
AHFS/Drugs.com	Professional Drug Facts
License data	US DailyMed: Atropine and pralidoxime;
Routes of; administration	Intramuscular
ATC code	V03AB54 (WHO) ;
Legal status
Legal status	US: ℞-only;
Identifiers
KEGG	D12759;

An ATNAA (Antidote Treatment Nerve Agent Autoinjector) is any of a variety of autoinjectors in use with the US Armed Forces. An autoinjector is a medical device designed to deliver a single dose of a particular (typically life-saving) drug.

Most autoinjectors are spring-loaded syringes. By design, autoinjectors are easy to use and are intended for self-administration by patients. The site of injection depends on the drug loaded, but it typically is administered into the thigh or the buttocks. The injectors were initially designed to overcome the hesitation associated with self-administration of the needle-based drug delivery device. It is the newer delivery vehicle to be used in lieu of the Mark I NAAK.

Purpose

The ATNAA provides

pralidoxime chloride in a single delivery system, although the two drugs are separate within the device.^[1]^[2] The use of the device is only to be administered in the extreme case of organophosphate poisoning. The delivery system is designed for use by military personnel only, and is only issued to DOD personnel that are considered to be in immediate danger of a chemical attack or work in a position (such as ordnance disposal) where there is a high likelihood of nerve agent exposure.^[3]

FDA approval

During initial trials and submission to the FDA for approval, the United States Department of Defense requested that the Food and Drug Administration (FDA) waive the requirement for the phrase 'Rx only' being included on the labeling for the ATNAA device; the rationale being that it would be confusing to troops. The waiver request was denied. The DoD opted to include the phrase at the end of the package insert instead, and this modification was found acceptable.^[4]

Training

As a condition of approval, the FDA lists on the device label the precise instructions that are to be given to military personnel on dosage and administration.

Self Aid Buddy Care Training (SABC). SABC encompasses basic life support and limb-saving techniques to help wounded or injured personnel survive in medical emergencies until medical help is available.^[5]

References

^ ^a ^b ^c "Atnaa atropine and pralidoxime chloride auto-injector- atropine and pralidoxime chloride kit". DailyMed. 22 March 2017. Retrieved 27 May 2020.
^ ^a ^b ^c "Duodote- atropine and pralidoxime chloride kit". DailyMed. 22 October 2018. Retrieved 27 May 2020.
^ "Drug Approval Package: ATNAA Injection in an (Atropine/Pralidoxime) Autoinjector NDA #21-175". U.S. Food and Drug Administration (FDA). 18 January 2006. Retrieved 26 December 2023.
^ "Clinical Pharmacology and Biopharmaceutical Review" (PDF). Center for Drug Evaluation and Research. U.S. Food and Drug Administration. p. 59. Archived from the original (PDF) on 22 October 2008. Retrieved 13 May 2009.
^ "Training Objectives AFI 36-2238, SABC Training" (PDF). Archived from the original (PDF) on 15 February 2010.

Purpose

FDA approval

Training

References

Further reading