Yale University

Expanded access to naloxone: options for critical response to the epidemic of opioid overdose mortality.

TitleExpanded access to naloxone: options for critical response to the epidemic of opioid overdose mortality.
Publication TypeJournal Article
Year of Publication2009
AuthorsKim, Daniel, Kevin S. Irwin, and Kaveh Khoshnood
JournalAmerican journal of public health
Volume99
Issue3
Pagination402-7
Date Published2009 Mar
ISSN1541-0048
KeywordsAnalgesics, Opioid, Disease Outbreaks, Drug Toxicity, Emergency Treatment, Family, Health Services Accessibility, Humans, Naloxone, Narcotic Antagonists, Overdose, Peer Group, Prescription Drugs, United States
AbstractThe United States is in the midst of a prolonged and growing epidemic of accidental and preventable deaths associated with overdoses of licit and illicit opioids. For more than 3 decades, naloxone has been used by emergency medical personnel to pharmacologically reverse overdoses. The peers or family members of overdose victims, however, are most often the actual first responders and are best positioned to intervene within an hour of the onset of overdose symptoms. Data from recent pilot programs demonstrate that lay persons are consistently successful in safely administering naloxone and reversing opioid overdose. Current evidence supports the extensive scaleup of access to naloxone. We present advantages and limitations associated with a range of possible policy and program responses.
Alternate JournalAm J Public Health

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