Naloxone
Published on Nov 09, 2016
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MORE DECKS TO EXPLORE
PRESENTATION OUTLINE
Naloxone does not destroy opioids
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ICU & Emerg Drug
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Buys time for a paramedic to arrive
Photo credit: Ben Ripley for the Ontario Paramedic Association
"Unprecedented" Approvals
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First: Injectable Naloxone
HEALTH CANADA JANUARY 2016
"After taking the unprecedented step of initiating a review of the drug’s prescription status, Health Canada put forward an amendment to the prescription drug list to allow non-prescription use of naloxone specifically for emergency use for opioid overdose outside hospital."
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ONTARIO COLLEGE OF PHARMACISTS JUNE 2016
"Naloxone, when indicated for emergency use for opioid overdose outside hospital, is available as a Schedule II drug. Any patient or patient’s agent are now permitted to obtain Schedule II naloxone directly from any community pharmacist without a prescription."
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ONTARIO MINISTRY OF HEALTH JUNE 2016
All pharmacies are eligible to provide naloxone emergency kits AT NO COST to 1) a person who is either currently using opioids or is a past opioid user who is at risk of returning to opioid use, or 2) a family, friends or other persons in a position to assist a person at risk of overdose from opioids.
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NAPRA DECEMBER 2016
"A meeting of the National Drug Scheduling Advisory Committee (NDSAC) was held on December 5, 2016 with the following Interim Recommendation(s) made:
naloxone hydrochloride nasal spray, when indicated for emergency use for opioid overdose outside hospital settings, be granted Schedule II status."
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Untitled Slide
Link to Video: https://www.youtube.com/watch?v=0Z-y7CoeDMc
Link to Video: https://www.youtube.com/watch?v=aR3qA63TrAI&t=20s
What You Need
- 2 naloxone amps and 2 safety syringes OR
- 1 carton of naloxone nasal spray (2 doses)
- Other: Alcohol wipes, training card, amp snapper etc
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Pharmacists are more willing to dispense naloxone when they are confident in their ability to identify risk factors for opioid overdose.
Freeman PR, Goodin A, Troske S, Strahl A, Fallin A, Green TC. Pharmacists’ role in opioid overdose: Kentucky pharmacists’ willingness to participate in naloxone dispensing. J Am Pharm Assoc 2017; 57(2): S28–S33.
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Who Can/Should Get a Kit
- 100mg of morphine or equivalent
- Hx of overdose, illicit/recreational use
- Methadone patients
- Opioids & lung disease, EtOH, sedatives
- On release from rehab or prison
- Parents of teens if concerned
- Opioid use with kids in the house
- Opioids in rural and remote communities
Freeman PR, Goodin A, Troske S, Strahl A, Fallin A, Green TC. Pharmacists’ role in opioid overdose: Kentucky pharmacists’ willingness to participate in naloxone dispensing. J Am Pharm Assoc 2017; 57(2): S28–S33.
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FAQ: Will I get any training with the kit?
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FAQ: Do I need a health card to get naloxone?
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FAQ: Can I get naloxone WITHOUT a health card?
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FAQ: How do I know when to give it?
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FAQ: How do I know when to give it AGAIN?
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