The only real hoop you have to jump through is to go through the online training course which takes about 30 minutes and is all about administration of the drug
I received my package today and feel it’s important to have around with the current rise in opioid overdoses.
Their kit does not include CPR masks so I recommend purchasing some to keep with your doses. (Won’t share a link due to Amazon boycott)
I would’ve bought some ages ago if I lived in a bigger city.
You should also know that one dose often isn’t enough, and they may re-overdose when it wears off, so at the very least stay with them until emergency services show up. Also, there is a moderate chance they will be violent when you resuscitate them, so be weary. Do not get on your knees for example, keep at least one foot planted so that you can rapidly extricate yourself if they come up angry.
I recommend watching Juno’s entire playlist on naloxone harm reduction. they’re a harm reduction educator and substance user and they have more intimate knowledge than the sterile pamphlets that medical institutions put out.
people often get agitated because you’re forcing them into precipitated withdrawal by administering too much naloxone. the nasal type that most civilians have access to contains 4 mg vs the 0.4 mg intramuscular that EMS workers administer. source:
Rather, the relative bioavailability of Naloxone Hydrochloride Nasal Spray compared to IM is approximately 50% which means that twice the amount of Naloxone Hydrochloride Nasal Spray is required to achieve the same plasma concentrations as naloxone IM. Therefore, based on the pivotal PK study, the approximate dose equivalency would be 2 mg and 4 mg of Naloxone Hydrochloride Nasal Spray provides similar plasma concentrations as 1 mg and 2 mg of IM naloxone, respectively. Hence, a single 4 mg/0.1 mL dose of Naloxone Hydrochloride Nasal Spray delivers almost a five times higher dose of naloxone compared to a single 0.4 mg/mL dose of IM naloxone. The added value of the higher dose delivered by Naloxone Hydrochloride Nasal Spray is uncertain.
I can’t say there’s an easy alternative but anyone who’s able should contact harm reduction orgs to get trained in administering intramuscular naloxone. nasal works too, but be mindful that the person you’re “helping” is gonna have probably the worst day of their life.
people should also be aware there’s a lot of seemingly helpful information out there influenced by copaganda warning civilians that substance users are dangerous/violent and to stay away/call the cops. this is a fucked up way to do harm reduction and really dehumanizing to substance users.
In Oakland, some bars have it and give it away. If you’re in a city that has a large unhoused population, it’s prudent to notice whether establishments in your area may do the same.
Apparently you can get Narcan from weed shops too. My father told me he scored some for free when he went a few days ago. I don’t know why he got it, because he doesn’t use opioids, but I guess it’s good to have on hand in case someone else needs it.
If you’re Canadian, you can walk into most pharmacies and they will give you a kit for free and provide brief training on the spot.
I can’t remember which website it was but you can also get it for free, delivered by mail in Ontario.
Avoid storing it in extreme heat or cold since it degrades the naloxone. But degraded “carcan” is better than none.
Another hail Canada moment. Hoping y’all don’t let the bully win this week. Someone has to stand up to him.
Sometimes local festivals will have tents giving out OD kits too, worth keeping an eye out. That’s how I’ve kept my house stocked haha