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Frontline police officers barred from carrying life-saving drug naloxone
Frontline police officers barred from carrying life-saving drug naloxone

Sydney Morning Herald

time29-04-2025

  • Health
  • Sydney Morning Herald

Frontline police officers barred from carrying life-saving drug naloxone

Victoria's frontline police officers have been told they are not allowed to carry a free, life-saving overdose-reversal drug over fears they could be open to civil and criminal prosecution if they administer it on the job. That is despite average Australians being able to administer the same drug to others without a prescription under a federal government initiative seeking to encourage peer-to-peer use to prevent opioid-related deaths. Opioids are the most common drug detected in unintentional fatal overdoses in Australia, and kill an average of two Australians every day, according to figures from the Penington Institute. In Victoria alone, 547 people died from an opioid-related overdose in 2023, the latest available coronial data shows. The over-the-counter drug, naloxone, reverses the effects of an opioid overdose in minutes by blocking the opioid receptors in the brain so that they can no longer interact with the substance that's causing the overdose. Described as a 'silver bullet' by experts, naloxone has minimal side effects and does not cause any harm if it is administered to someone who hasn't taken opioids. Loading It can come in nasal spray, pre-filled syringe or ampoule form, and it can be obtained from most pharmacies free of charge without a prescription under the federal government's $19.6 million Take Home Naloxone program. The medication has been safely used by health workers for decades. However, despite often being first at the scene of an overdose and being trained to deliver life-saving first aid such as chest compressions, Victorian police officers aren't allowed to independently administer naloxone to people experiencing an opioid overdose. Instead, they are expected to wait for ambulance staff, potentially delaying the administration of the drug. Victoria Police is concerned its officers would not be covered by insurance if something went wrong while administering naloxone – such as if the person overdosing had an adverse reaction to the drug – leaving them open to court action. Members of the public who administer the drug are legally protected under the good Samaritan legislation. Opioids such as heroin cause a person to overdose slowly over a period of about 25 minutes, giving first responders time to intervene. However, novel, highly potent synthetic opioids, such as nitazenes and fentanyl, are absorbed by the brain much faster, drastically reducing the window to administer a reversal drug to just a few minutes.

Frontline police officers barred from carrying life-saving drug naloxone
Frontline police officers barred from carrying life-saving drug naloxone

The Age

time29-04-2025

  • Health
  • The Age

Frontline police officers barred from carrying life-saving drug naloxone

Victoria's frontline police officers have been told they are not allowed to carry a free, life-saving overdose-reversal drug over fears they could be open to civil and criminal prosecution if they administer it on the job. That is despite average Australians being able to administer the same drug to others without a prescription under a federal government initiative seeking to encourage peer-to-peer use to prevent opioid-related deaths. Opioids are the most common drug detected in unintentional fatal overdoses in Australia, and kill an average of two Australians every day, according to figures from the Penington Institute. In Victoria alone, 547 people died from an opioid-related overdose in 2023, the latest available coronial data shows. The over-the-counter drug, naloxone, reverses the effects of an opioid overdose in minutes by blocking the opioid receptors in the brain so that they can no longer interact with the substance that's causing the overdose. Described as a 'silver bullet' by experts, naloxone has minimal side effects and does not cause any harm if it is administered to someone who hasn't taken opioids. Loading It can come in nasal spray, pre-filled syringe or ampoule form, and it can be obtained from most pharmacies free of charge without a prescription under the federal government's $19.6 million Take Home Naloxone program. The medication has been safely used by health workers for decades. However, despite often being first at the scene of an overdose and being trained to deliver life-saving first aid such as chest compressions, Victorian police officers aren't allowed to independently administer naloxone to people experiencing an opioid overdose. Instead, they are expected to wait for ambulance staff, potentially delaying the administration of the drug. Victoria Police is concerned its officers would not be covered by insurance if something went wrong while administering naloxone – such as if the person overdosing had an adverse reaction to the drug – leaving them open to court action. Members of the public who administer the drug are legally protected under the good Samaritan legislation. Opioids such as heroin cause a person to overdose slowly over a period of about 25 minutes, giving first responders time to intervene. However, novel, highly potent synthetic opioids, such as nitazenes and fentanyl, are absorbed by the brain much faster, drastically reducing the window to administer a reversal drug to just a few minutes.

Free naloxone nasal spray needed to deal with Sask. overdose spike, say front-line groups
Free naloxone nasal spray needed to deal with Sask. overdose spike, say front-line groups

CBC

time27-03-2025

  • Health
  • CBC

Free naloxone nasal spray needed to deal with Sask. overdose spike, say front-line groups

Sask. government says it's considering whether to publicly fund nasal spray Caption: Sarah Kozusko, store operator and pharmacist at Queen City Wellness Pharmacy in Regina, Sask., holds a box of nalaxone nasal spray in one hand and a publicly-funded naloxone injection kit in her other hand on March 26, 2025. (Germain Wilson/CBC News) An alarming spike in overdoses in Saskatoon has some front-line workers calling on the Saskatchewan government to expand its Take Home Naloxone program to include the more user-friendly nasal spray, not just injection kits. Free naloxone nasal spray is offered in Ontario, Quebec, the Yukon and Northwest Territories. Unlike the more invasive injectable version, the overdose-reversing medication is sprayed directly into the nose. "Some people just are not going to feel comfortable using the needles and if that is something that stops somebody from using naloxone, or carrying naloxone, then that's a barrier that we should get rid of," Sarah Kozusko, pharmacy manager at Queen City Wellness in Regina, said. Her pharmacy is one of the nearly 300 locations in the province — including health clinics, certain pharmacies and community based organizations — where people can pick up free injectable naloxone. Kozusko said she believes the lack of publicly-funded nasal spray is preventing more people from carrying the life-saving medication. A take-home nasal kit with two nasal sprays costs around $72, whereas the injection kit with two needles that's covered by the province retails around $50. 'We haven't made a decision' On Wednesday afternoon, the province's minister of mental health and addictions said the province is considering the request. "We're looking at the nasal naloxone. We haven't made a decision as to whether that's something we're going to distribute, but it is something we're looking at," Lori Carr told reporters at the legislature. "It should be everywhere," Kozusko said. The pharmacist is often called upon to administer multiple doses of naloxone to people experiencing drug poisoning in the vicinity of her store. She usually starts with a quick shot of nasal spray, calls 911, then moves on to injections. In her personal time, she prefers to carry the smaller, more convenient nasal spray. "It's like these little tiny things that I can just so easily throw into like a purse or fanny pack," she said. "It is not stronger, but it is easier to use." She also appreciates that she doesn't have to worry about disposing of a needle. Calls for nasal spray in Saskatoon The Saskatoon Fire Department has responded to more than 700 overdoses this year, with an average of 24 a day for most of March. The Saskatchewan Public Safety Agency said it's providing more supplies of naloxone in Saskatoon, and on Tuesday health officials indicated that would include a shipment of nasal naloxone spray. Kayla DeMong from Prairie Harm Reduction (PHR) in Saskatoon has made a public plea for donations to buy nasal spray. "Just make it available. Make sure it is distributed, because it is the easiest way to teach people how to respond and to have that confidence to respond," DeMong said. 'It can be scary' PHR has sought donations from the Federation of Sovereign Indigenous Nations and Saskatoon Tribal Council to raise thousands of dollars to buy the kits. Rob Kraushaar is the clinical program director of the Regina Street Team, a group that offers services to vulnerable people. He has no complaints about the supply chain for free injection kits. He said he fills out an order form, then picks up cases of take-home kits from the Ministry of Mental Health and Addictions. But his team is always searching for nasal spray. He said they rely on gifts from Indigenous supporters who receive the spray for free under federal health benefits. People on the front lines say most overdoses require multiple doses of naloxone to revive the person, regardless of whether it's injectable or nasal spray. "If people are reporting that four or five doses of the stuff is not bringing somebody back in Saskatoon, if you're looking at you have to pay for that as an organization, like, that's crazy," Kraushaar said. He's convinced that more people would be willing to carry naloxone as a nasal spray than needles. "It can be scary. Like, the first 30, 40, 50 overdoses that I responded to on the street and had to use the injectables, your hands are shaking, you're trying to fit [the syringe] into this little vial… all while, in your head, you're thinking every second is life or death for this person," Kraushaar said.

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