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Naloxone

Take Home Naloxone in the UK

Naloxone is a medication used to reverse opioid overdose. Since 2015, this medication has been more widely available in the UK as a ‘take home’ emergency medication.

NALOXONE.ORG.UK

This website aims to be a hub for information, guidance, news and research on Take Home Naloxone (THN). The main focus is on THN in the UK, although we have included select pieces of information on the supply of naloxone internationally.

PHE Guidance

Updated 18 February 2019
Public Health England have released updated guidance on take home naloxone in the UK, entiled ‘Widening the Availability of Naloxone’. This can be found on the PHE website.
  • Drug services can supply naloxone without a prescription
  • Products that drug services can supply
  • Responsibility for deciding who can supply naloxone
  • People who can be supplied naloxone by a drug service
  • Using naloxone to save a person’s life without their permission
  • Clinical governance in drug treatment services
  • Guidance for hostels, homeless shelters and housing associations
  • Side effects associated with naloxone
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The United States continues to face a public health emergency of opioid-related harm, the effects of which could be dramatically reduced through increased access to the opioid antagonist naloxone. Unfortunately, naloxone is too often unavailable when and where it is most needed, partly due to its continued status as a prescription medication. Although states and the federal Food and Drug Administration (FDA) have acted to increase access to naloxone, these changes are insufficient to address this unprecedented crisis. In this Commentary, we argue that FDA can and should immediately reclassify naloxone from prescription-only to over-the-counter status, a change that could save hundreds if not thousands of lives in the United States every year.

Learn Now How To

Respond To An Overdose

Learning how to respond to an overdose ahead of time is crucial, as every second counts in an emergency. Knowing the signs of an overdose and being prepared to act quickly can make the difference between life and death. Understanding how to administer naloxone, whether through a nasal spray or injection, empowers individuals to confidently and effectively intervene. By familiarising yourself with the steps involved in using different naloxone products, you can ensure that you are ready to save a life when it matters most.

News/Updates

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A life-saving spray which reverses the effect of opioid drug overdoses has been used by North Yorkshire Police “a lot more” than expected, the force said. Since introducing it in April 2024, 337 police officers and police community support officers have been trained to use and carry naloxone in the county. It has been used 37 times, officers said, with 17 incidents recorded where a drug-user’s life was saved or their health improved, according to force harm reduction officer Danny Stannard.

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Distribution through drug services has been prevalent since 2015, following a change in the legislation to allow the supply without prescription to people at risk of opioid overdose or those who may witness one without a prescription However, distribution through hospitals, either on a prescription at discharge or under the amended legislation, has been limited. Nevertheless, we know that many people who use drugs (PWUDs) use hospitals for both planned and unplanned admissions. This is a missed opportunity, particularly for PWUDs who may not be engaged with structured drug treatment.

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A door supervisor has said a life-saving drug should be carried as standard by security staff, after he helped a man during an overdose. Charlie Smith used a syringe filled with naloxone to reverse the effects of a drug overdose while working in Sheffield earlier this year. The 24-year-old said he was “terrified” when the man collapsed in a doorway on Division Street – but he was able to administer the drug thanks to training.

The Scottish Drugs Forum  #StopTheDeaths campaign highlights the role we all have in recognising and intervening when a person overdoses.

Overdose is not a rare occurrence and the difference between an overdose and a fatal overdose depends upon the immediate actions of people present at the time. You could save a life by recognising an overdose.  

#StopTheDeaths images © SDF 2021