How Easy is Fyentanal to Get in Portland Oregon

Administering Naloxone During COVID-19

Surgeon General'south Advisory on Naloxone and Opioid Overdose

Naloxone Can Save a Life

FAQs  Pharmacies Distributing Naloxone  Toolkit for Pharmacists

Naloxone, also called Narcan, can very quickly restore normal breathing for a person whose animate has slowed downwards or stopped considering of an overdose of prescription opioids or illicit opioids, which includes illicitly manufactured fentanyl and heroin.

Naloxone simply works for opioid drugs, including heroin, morphine, oxycodone (e.grand. OxyContin, Percocet), oxymorphone (due east.thou. Opana), methadone, hydrocodone (eastward.g. Vicodin), codeine and fentanyl.

An overdose is e'er a medical emergency. Call 911 immediately afterward administering naloxone to someone, and be aware that it may take multiple doses to reverse an overdose. Oregon's Good Samaritan constabulary protects the caller and the person who has overdosed from being arrested or prosecuted for drug-related charges or parole/probation violations based on data provided to emergency providers.

Oregon law allows lay people to acquit and use naloxone on others

You can exist prepared to save the life of someone in need. Ask your healthcare provider or a pharmacist about naloxone if y'all believe you lot or someone you know may be at risk of an overdose. Naloxone is rubber, easy to go, and like shooting fish in a barrel to utilize. Conveying naloxone is no different than conveying an EpiPen for someone with allergies. It only provides an extra layer of protection for those at a college take a chance for overdose.

 If you are taking prescription opioids, y'all can ask your healthcare provider or pharmacist for a naloxone prescription. Health insurance mightcover the cost of naloxone. If you want to take naloxone on paw for someone else, you tin ask your pharmacist for a prescription. Health insurance usually will not cover this.

 If you are actively using opioids, y'all can become naloxone and other harm reduction materials such equally fentanyl examination strips at no price through syringe service programs. Syringe services are bachelor to anybody that uses drugs, regardless as to whether you inject them. Here is OHA's listing of syringe and needle exchange services available in Oregon.

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Opposite Overdose Oregon campaign

The Oregon Health Potency has a campaign to assist employers reverse opioid overdoses. Opposite Overdose Oregon marks the latest in Oregon's ongoing efforts to accost the opioid epidemic through direct, comprehensive interventions.

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Oft Asked Questions

Read our FAQs to learn about naloxone training, how to get naloxone and more.

If your question is not answered hither, please contact Erin Porter at:Erin.Porter@dpsst.oregon.gov

Individuals

1. What is naloxone?
Naloxone is an like shooting fish in a barrel-to-employ, life-saving drug that can opposite the effects of an opioid overdose when administered in time. Information technology's besides known as Narcan.™

2. What does naloxone expect like?
Naloxone comes in two FDA-approved forms: injectable and prepackaged nasal spray.

3. What does naloxone do?
Opioids (such as heroin, fentanyl, and some types of painkillers) tin can slow your animate. If y'all take as well much, your breathing could stop, and you lot could die. If given before long enough, naloxone can counter the overdose furnishings, usually within minutes.

4. How practise I get naloxone?

1. If you lot are taking prescription opioids, ask your health intendance provider or pharmacist for a naloxone prescription. Your health insurance might cover the price of naloxone.
2. If y'all are in treatment for substance use, ask your counselor for assistance getting naloxone. You might get naloxone at no cost from a local program
3. If you want to take naloxone on hand for someone else, ask your pharmacist for a prescription, wellness insurance commonly will not cover this.
4. If you lot are actively using opioids and involved with a syringe exchange or other harm reduction services, you can become naloxone at no cost.

v. Will insurance cover naloxone?
Many insurance plans will embrace naloxone prescriptions written by health care providers or pharmacists for use on the person with health insurance. Cheque with your insurance provider for coverage data.

6. How much does naloxone cost?
The price of naloxone varies and might alter over time. Phone call your chemist's shop to get a electric current price. You might exist able to detect coupons for naloxone online.

7. What training practice I demand to use naloxone?
Naloxone training is not required in Oregon; notwithstanding, information technology is strongly recommended that you apply the following online training tools to ensure the safety and constructive utilise of naloxone.

1. Sentinel the OHA online training videos or read the OHA training protocol
2. Contact your local syringe commutation programs, social service agencies, and public health departments that distribute naloxone to ask virtually trainings near y'all.
   

8. What are my risks if I employ naloxone on someone?
Oregon has a Adept Samaritan law that protects individuals from civil prosecution if they give someone naloxone in a adept faith attempt to opposite opioid overdose. Information technology is important to learn how to utilise naloxone safely through the online training resources described above.

9. How many doses of naloxone do I give a person?

1. People cannot overdose on naloxone, but with more than naloxone comes more withdrawal symptoms (from the drug causing the overdose).
2. Many opioids concluding longer than naloxone then a person tin go back into an overdose afterward receiving naloxone.
3. If someone has used fentanyl or there is fentanyl in the drugs, they may demand more naloxone than yous accept on hand.
4. Because naloxone may not bring someone out of overdose completely, it is very of import to call 911 right away and not look to run across if the naloxone works.
5. Review the OHA training protocol for the steps you should accept when someone is overdosing such every bit rescue breathing and breast compressions.

10. Tin can naloxone exist given to someone younger than 18?
Ever follow the dosage instructions labeled on medications. The Oregon Board of Chemist's shop Laws and Rules exercise not specify permitted or prohibited age groups or listing historic period exclusions for naloxone distribution or prescribing.  More information on Oregon laws/rules:

ORS 689.681 Opiate overdose; treatments; administration of naloxone; rules

ORS 689.682 Prescription of naloxone

ORS 689.684 Assistants of naloxone by certain persons; rules

OAR 855-019-0460 Naloxone - Delivery of Intendance and Prescribing

11. Can people accept an allergic reaction to naloxone?
Allergic reactions to naloxone are very rare. Telephone call 911 if someone experiences an allergic reaction to naloxone, such as hives or swelling in the face, lips, or throat. They should not drive or perform other potentially unsafe tasks.

12. How practice I store naloxone?
Follow the manufacturer's instructions for storing naloxone.  If instructions are not available, the Centers for Disease Control & Prevention (CDC) recommends keeping naloxone in the original box or storage container, protected from light, and stored at room temperature (59-77°F or 15-25°C) until ready for apply.

13. How do I dispose of expired naloxone?
Outset, confirm that your naloxone is truly expired. If you have Adapt NARCAN (naloxone hydrochloride) nasal spray, the US Food and Drug Administration has canonical an extension of its shelf life from 24 months to 36 months. For all other forms of naloxone, follow the manufacture's expiration date.

There are a couple of options for what to do with expired Naloxone:

1. You can continue your expired kits and apply them for training purposes. If you use your expired kits for training, delight make sure to mark the kits conspicuously as "expired and not for use."
2. Y'all can discard your expired kits safely at whatever medication disposal location.  Go to Take Meds Seriously Oregon to find disposal locations almost you.  You can also phone call your local pharmacies and public health section for information on local disposal options. ​
   

Pharmacists

​ane. What do pharmacists need to do to prescribe naloxone to patients?

Pharmacists tin prescribe naloxone for anyone requesting it. Visit the Board of Chemist's shop for detailed information on prescribing naloxone including naloxone FAQs.

Delight consider using materials from the Naloxone Toolkit for Oregon Pharmacists. This toolkit includes posters, fact sheet, and bag stuffers (scroll downwardly to "Resources" department).

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Organizations and Police Enforcement Agencies

ane. What do nosotros have to do to have naloxone on-site for staff to use (but non distribute)?
If your organization has a Dr., Practise, NP or PA on staff, these clinicians may order naloxone for you lot to accept onsite or to carry on outreach activities.  If you do not have a staff fellow member with prescribing capabilities, a pharmacist may prescribe naloxone to a person or an organization. A map of pharmacies confirmed to distribute naloxone can be found here.

If you do not take an MD, Exercise, NP, or PA on staff and are located in Multnomah, Clackamas, or Washington Canton, you may accept a staff fellow member attend the Naloxone Train-the-Trainer grade sponsored by Multnomah County. Organizations who accept a representative nourish the training are able to purchase naloxone through the Multnomah County Pharmacy. Contact Kelsi Junge (kelsi.junge@multco.united states of america) for more information

Under Oregon constabulary, organizations' staff and volunteers may have naloxone on-site or carry naloxone with them in the event of an opioid overdose.  Whatsoever staff or volunteer of a social service agency may administer naloxone, fifty-fifty if this naloxone was not distributed to that person, to reverse an opioid overdose (ORS 689.684).  Additionally, those staff are protected against civil liability as long as in that location is reasonable crusade to believe the person is experiencing an opioid overdose (ORS 689.681).

2. What training do our staff need to use naloxone?
Naloxone preparation is not required in Oregon; however, it is strongly recommended that you use the following online preparation tools to ensure the safety and constructive use of naloxone.

1. Watch the online naloxone training videos.
2. Read the Oregon Wellness Potency's (OHA) naloxone grooming protocol. You may print the protocols and sign to acknowledge you've read them.
3. Contact your local syringe exchange programs, social service agencies and public wellness departments who distribute naloxone, to ask if nearly grooming nigh you lot.

iii. Do staff need to be certified in CPR to administrate naloxone or to train others to administrate naloxone?
While CPR training may be beneficial to your staff and organization, it is not required for staff or trainers to be CPR certified.

four. How can our system get naloxone?
There are a few ways to get naloxone for your organization.

1. Check Relieve Lives Oregon to see whether or arrangement is eligible to order naloxone and other damage reduction supplies at no cost.
2. Call local pharmacies and enquire if you lot tin buy naloxone from them.
3. Telephone call your local wellness section to see whether there are other naloxone sources in your area.
4. Conduct an online search for companies that sell naloxone (this would be for bulk purchases). The Oregon Health Authority cannot recommend individual companies.

5. Are at that place any purchasing programs specifically for public rubber or law enforcement?
Law enforcement, burn departments, and EMS may qualify for reduced price naloxone.  For more data feel free to achieve out to Oregon HIDTA's Public Health Analyst, Erin Porter, erin.porter@dpsst.oregon.gov. Public safety may also be able to purchase naloxone through Salve Lives Oregon.  Although at that place are no additional training requirements for public safety, the Multnomah Canton Sheriff's Office created a naloxone training video for law enforcement.

vi. Is starting a naloxone distribution program right for my system?

If your bureau or system works with clients at risk for opioid overdose, starting a distribution programme might be right for you lot. A naloxone distribution program includes distributing accept-habitation naloxone kits to clients.  To distribute naloxone, an system much first legally obtain naloxone (OAR 855-019-0460), which can be done by working with a prescriber within your organization, a local pharmacy, or contacting your local public wellness bureau to see if they offer resources.

 Hither are some questions to consider when starting a program:

1. Have you lot identified a legal pathway to obtaining naloxone?
2. What data will you collect from participants (i.e., demographics, substance use history, overdose experiences)?
3. Will you lot offering preparation to your clients and staff on how to recognize and opposite an opioid overdose?
4. How (and when) volition you have your naloxone supplies available?
5. Do you know how to society supplies for naloxone kits?
6. Where volition yous shop the naloxone kits? ​
   

 Download all FAQs for printing (pdf) - updated September 1, 2021

 Naloxone Training Protocol

 Opioid Overdose Toolkit from SAMHSA

Phone call 911 for drug overdose

It's very important that you call 911 whatever time someone has a drug overdose.

If y'all use naloxone, the effects are temporary and the person still needs medical attending. After the medication wears off, the person could fall back into a blackout.

If you lot call police or 911 to get assist for someone having a drug overdose, Oregon police force protects you from beingness arrested or prosecuted for drug-related charges or parole/probation violations based on information provided to emergency responders.

 Read the Good Samaritan Police (pdf)

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Source: https://www.oregon.gov/oha/ph/preventionwellness/substanceuse/opioids/pages/naloxone.aspx

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