Surgeon General Releases Advisory on Naloxone, an Opioid Overdose-Reversing Drug

Urges more individuals to carry life-saving medication

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Today, U.S. Surgeon General Jerome M. Adams, M.D., M.P.H., urged more Americans to carry a lifesaving medication that can reverse the effects of an opioid overdose.

The medication, naloxone, is already carried by many first responders, such as EMTs and police officers. The Surgeon General is now recommending that more individuals, including family, friends and those who are personally at risk for an opioid overdose, also keep the drug on hand.

An estimated 2.1 million people in the U.S. struggle with an opioid use disorder. Rates of opioid overdose deaths are rapidly increasing. Since 2010, the number of opioid overdose deaths has doubled from more than 21,000 to more than 42,000 in 2016, with the sharpest increase occurring among deaths related to illicitly made fentanyl and fentanyl analogs (synthetic opioids).

Opioids are a class of drugs that include medications, such as oxycodone, hydrocodone, and methadone, which are commonly prescribed to treat pain. Pharmaceutical fentanyl is a synthetic opioid which is 50 times more potent than heroin and 100 times more potent than morphine. It is approved for treating severe pain, typically post-surgical or advanced cancer pain. However, most recent cases of fentanyl-related harms are a result of illicitly made fentanyl.

“Each day we lose 115 Americans to an opioid overdose – that’s one person every 12.5 minutes,” said Surgeon General Adams. “It is time to make sure more people have access to this lifesaving medication because 77 percent of opioid overdose deaths occur outside of a medical setting and more than half occur at home.”

“Indiana residents received 83.9 opioid prescriptions for every 100 patients compared to the national average of 66.5 opioid prescriptions for every 100, making Indiana the 13th highest prescribing opioid state in 2016,” according to Randy Hitchens, pharmacist and Executive Vice President of the Indiana Pharmacist association. “Pharmacists in Indiana are in full support of the Surgeon General’s naloxone efforts.”

Naloxone, an FDA-approved medication that can be delivered via nasal mist or injection, is not a long-term solution, but it can temporarily suspend the effects of the overdose until emergency responders arrive.

“To manage opioid addiction and prevent future overdoses, increased naloxone availability must occur in conjunction with expanded access to evidence-based treatment for opioid use disorder,” the Surgeon General said.

All states have passed laws to increase access to naloxone and, in most states, you can walk into a pharmacy and request naloxone even if you don’t already have a prescription. In addition, most states have laws designed to protect health care professionals for prescribing and dispensing naloxone from civil and criminal liabilities as well as Good Samaritan laws to protect people who administer naloxone or call for help during an opioid overdose emergency.

Indiana pharmacists are collaborating with other health care providers, and the Indiana State Department of Health to proactively address the overuse of opioids in our communities.  The Indiana Pharmacists association has developed and supported progressive Indiana policy to address the crisis. Community pharmacies are stocking, and dispensing naloxone and pharmacists are educating caretakers on the proper use of the medication. “Pharmacists are medication experts and committed to public health. We are a primary resource to counsel patients about their medications, maintain prescription drug monitoring programs and are expanding our drug take-back program for patients to return left-over medications,” said Hitchens.

Naloxone is covered by most insurance plans and, for those without coverage, may be available at low or no cost through local public health programs or through retailer and manufacturer discounts. It is easy to use, safe to administer and widely available.

Today’s Surgeon General advisory on naloxone is part of the administration’s ongoing effort to respond to the sharp increase in drug overdose deaths.  Just last month, the Centers for Disease Control and Prevention released new data showing a rise in emergency department visits for opioid overdoses. From July 2016 through September 2017, opioid overdoses increased 30 percent in all parts of the U.S.

Expanding the use of the overdose-reversing drug naloxone is a key part of the public health response to the opioid crisis, along with effective prevention, treatment and recovery programs for opioid use disorder. Research shows a combination of medication, counseling and behavioral therapy, also known as Medication Assisted Treatment, or MAT, can help people achieve long-term recovery.

For more information on how to get help, call SAMHSA’s National Helpline at 1-800-662-HELP (4357) or go to https://www.findtreatment.samhsa.gov to find a treatment center.

To learn more about how individuals can recognize and respond to an opioid overdose, visit www.surgeongeneral.gov to read more.

About The Indiana Pharmacists Association (IPA):
The Indiana Pharmacists Association (IPA) is the voice and advocate for the profession of pharmacy in Indiana. We lead the advancement of Indiana pharmacy by promoting legislation, collaboration and innovation that optimize patient care, safety and the health of our communities. 

IPA was founded in 1882 by a group of pioneering pharmacists, including Colonel Eli Lilly and G.D. Searle. Today, we represent over 6,500 Indiana licensed pharmacists, 5,000 pharmacy technicians and 1,000 student pharmacists. Our pharmacy professionals provide pharmacy services across the continuum of healthcare, including community, health system, managed care and senior care pharmacies and the pharmaceutical industry. We are dedicated to helping the state’s pharmacists and pharmacy technicians provide the best possible healthcare for their patients.

IPA representatives work in Indianapolis and Washington, D.C., to safeguard the health and well-being of today’s generation of Hoosiers- as well as tomorrow’s.

Contact:
Randy Hitchens, 317-634-4968
[email protected]
IndianaPharmacists.org

Source: Indiana Pharmacists Association

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Tags: Attorney General, Indiana, Naloxone, Opioid crisis, Pharmacists


About The Indiana Pharmacists Association

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Indiana state pharmacy association, founded in 1882, and representing over 6500 licensed pharmacists in Indiana.

William Hitchens
William Hitchens
Executive Vice President, The Indiana Pharmacists Association
The Indiana Pharmacists Association
9449 Priority Way West Drive (Suite 230)
Indianapolis, IN 46240
United States