Naloxone
The need for increased availability
and accessibility in England
“In October 2015, legislation is expected to
be enacted that will allow wider access to
naloxone. But this should not dela...
Who are NAG?
The Naloxone Action Group is
made up of a number of agencies
and individuals who have come
together to promot...
What is naloxone
Naloxone is a medication
that reverses opiate
overdoses (eg heroin,
methadone or prescription
pain medica...
Why we need naloxone
There has been a 32% rise in UK heroin and
morphine related deaths
765 deaths in 2013
Monthly ambulance call outs in London responding
to heroin overdoses
0
5
10
15
20
25
30
35
40
45
50
Jul2009
Sep2009
Nov200...
“New figures show the East Midlands Ambulance
Service's use of Naloxone has increased by 73 per
cent in the last four year...
Does take-home naloxone reduce
non-fatal overdose?
53%
15%
32%
Prevalence of overdose
in injecting drug users
Not overdose...
Naloxone is just part of a response
Naloxone is an addition
to a greater set of
overdose interventions,
you should still:
...
Why do it?
Potential 100s of lives
can be saved
Prevents brain damage
in non-lethal OD
Reduces stigma
Keeps OD a priority
...
“People likely to witness an opioid overdose
should have access to naloxone and be
instructed in its administration to ena...
1. Prescribe or issue naloxone via PGD(Patient
Group Direction) or Patient Specific Direction
(PSD) for everyone who uses ...
What can can’t do (sort of)
Issue to non-health care workers: hostel staff,
rehabs, outreach workers, police stations,
fam...
Naloxone e-module
Already available
Free to access
Comprehensive training
resource
Takes about an hour
Assessment + certif...
Key messages
Go out and do it!
Prioritise supply to people who use drugs
(including those not in treatment)
Ensure people ...
“I didn’t know that he was using until I got
the call from the hospital. He had
accidentally overdosed on heroin and valiu...
Thank you
Visit NAG England:
nagengland.wordpress.com
Save some naloxone
of 17

Naloxone Action Group

The need for increased availability and accessibility for naloxone in England
Published on: Mar 3, 2016
Source: www.slideshare.net


Transcripts - Naloxone Action Group

  • 1. Naloxone The need for increased availability and accessibility in England
  • 2. “In October 2015, legislation is expected to be enacted that will allow wider access to naloxone. But this should not delay the provision of take-home naloxone to at risk individuals now, using existing provision for prescriptions and PGDs…” Take-home naloxone for opioid overdose in people who use drugs Public Health England
  • 3. Who are NAG? The Naloxone Action Group is made up of a number of agencies and individuals who have come together to promote the wider availability of naloxone in England. Scan this to visit For more details: nagengland.wordpress.com
  • 4. What is naloxone Naloxone is a medication that reverses opiate overdoses (eg heroin, methadone or prescription pain medications) – Prescription only – Safe to use – Injected or intra-nasal use
  • 5. Why we need naloxone There has been a 32% rise in UK heroin and morphine related deaths 765 deaths in 2013
  • 6. Monthly ambulance call outs in London responding to heroin overdoses 0 5 10 15 20 25 30 35 40 45 50 Jul2009 Sep2009 Nov2009 Jan2010 Mar2010 May2010 Jul2010 Sep2010 Nov2010 Jan2011 Mar2011 May2011 Jul2011 Sep2011 Nov2011 Jan2012 Mar2012 May2012 Jul2012 Sep2012 Nov2012 Jan2013 Mar2013 May2013 Jul2013 Sep2013 Nov2013 Jan2014 Mar2014 May2014 Jul2014 Sep2014 Nov2014 Heroin Overdoses Linear (Heroin Overdoses) Source: http://data.london.gov.uk/dataset/monthly-ambulance-service-incidents-borough/resource/d1fdc814-fa13-4bda-b4f7-f258afd2b3b3
  • 7. “New figures show the East Midlands Ambulance Service's use of Naloxone has increased by 73 per cent in the last four years, with bosses saying the drug is now saving hundreds of lives. Paramedics used the life-saving drug on around 1,340 patients in the last financial year – a significant rise from an estimated 978 four years ago.” ‘Miracle drug’ is a growing lifesaver Nottingham Post, 10 May 2014
  • 8. Does take-home naloxone reduce non-fatal overdose? 53% 15% 32% Prevalence of overdose in injecting drug users Not overdosed Overdosed in the last year Overdosed but not in the last year N= 661 • Of those who had overdosed in the past year, 85 disclosed how many times: once (44), two times (26), three (seven), four (two), five (two), six (one), seven (one), eight (one), and 12 times (one): a total of 168 survived overdoses. • For the 308 most recently survived opiate overdoses, naloxone was given by paramedics (58), by non-paramedics (49), or by both (6)—ie, in 113 out of 308 overdoses. • 284 of 308 respondents disclosed whether they were alone at the time of their most recent overdose: 245 were with someone else. Does take-home naloxone reduce non-fatal overdose? Bennett, Trevor et al. The Lancet , Volume 383 , Issue 9912 , 124 - 125
  • 9. Naloxone is just part of a response Naloxone is an addition to a greater set of overdose interventions, you should still: – Check ABC – Dial 999 – Stay with them
  • 10. Why do it? Potential 100s of lives can be saved Prevents brain damage in non-lethal OD Reduces stigma Keeps OD a priority Engages at risk groups
  • 11. “People likely to witness an opioid overdose should have access to naloxone and be instructed in its administration to enable them to use it for the emergency management of suspected opioid overdose.” Community management of opioid overdose World Health Organization
  • 12. 1. Prescribe or issue naloxone via PGD(Patient Group Direction) or Patient Specific Direction (PSD) for everyone who uses opioids or is at risk of relapse to use of opioids 2. Hence issue to all starting OST or visiting NSP – Everyone visiting GP or A+E if using opioids 3. Can use FP10, PSD or PGD 4. Make OD management training available to all people who might be present at OD, GP, drug services, police, hostels, community services, family members, carers, prison, probation service 5. Improve understanding commissioners on it’s importance What you can do now!
  • 13. What can can’t do (sort of) Issue to non-health care workers: hostel staff, rehabs, outreach workers, police stations, family members This is what the October 2015 regulations will change Although… People carrying naloxone can use ‘public service decision’ to use hence will be protected One of the formulations currently available (Prenoxad) can be supplied to a patient’s representative as long as we have the written permission from the patient
  • 14. Naloxone e-module Already available Free to access Comprehensive training resource Takes about an hour Assessment + certificate Scan this to visit smmgp-elearning.org.uk
  • 15. Key messages Go out and do it! Prioritise supply to people who use drugs (including those not in treatment) Ensure people on OST have it Normalise it in services Dispel myths Make training brief, and to everyone Involve peer trainers Save hundreds of lives
  • 16. “I didn’t know that he was using until I got the call from the hospital. He had accidentally overdosed on heroin and valium and was technically dead. Three shots of Naloxone saved his life. I’d never heard of Naloxone before. It doesn’t bear thinking about what life would be like if it hadn’t been available that night.”
  • 17. Thank you Visit NAG England: nagengland.wordpress.com Save some naloxone

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