October 2015
IN THIS ISSUE

 

What's New at  

Guardian Nurses?

 

Stopping an Accidental Overdose 

It's Flu Shot Time Again!
 
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What's New at
 Guardian Nurses

 And The LifeSavers Paddle Again!

Thanks to Hurricane Joaquin's impact on the east coast, the Philadelphia International Dragon Boat Festival was rained out on Saturday, October 4th.  BUT....it was rescheduled to the joy of hundreds of participants!!

Last year's Silver Medal Winners! 

On Saturday, November 7th, Guardian Nurses' two Dragon Boat teams will be on the Schuylkill River competing for the gold medal in their divisions.

If you're in the neighborhood, walking along Kelly Drive that day, we invite you to stop by our Tents (15--16--17) and say hello! 
Having known families who have lost sons and daughters to accidental drug overdoses, I can only imagine how helpless they must have felt.  

Across the U.S., overdose deaths from opioid use is surging.  Many states have taken action to expand access to naloxone (also known as Narcan), a nonaddictive, nontoxic and easy to administer drug.

Last month, CVS, one of the nation's largest retail pharmacies, announced that in 14 states, friends and family members of people suffering from opiate addiction will now be able to get the overdose reversal drug naloxone without a prescription.  The states include Massachusetts, Rhode Island, Arkansas, California, Minnesota, Mississippi, Montana, New Jersey, North Dakota, Pennsylvania, South Carolina, Tennessee, Utah and Wisconsin. 

Drug addiction is a complex issue, but we hope that the information in this issue of The Flame will help shed some light on the use of Narcan and encourage you to research more about it.

    Happy and Safe Halloween! 
Betty

Betty Long, RN, MHA
 
 President/CEO  
         Guardian Nurses Healthcare Advocates
 
Stopping An Accidental Overdose


The medication Naloxone (Narcan) is a safe, highly effective 'rescue' medicine for opioid overdose, a leading cause of death worldwide.  According to a June report from the Centers for Disease Control and Prevention (CDC), in 2013 alone, nearly 40,000 laypersons with 93 organizations reported 8,032 overdose reversals.

Some critics have claimed that wide access to naloxone could encourage risky drug use by giving users a way to "fix" an overdose. But while naloxone has been found to be highly effective--capable of reducing overdose deaths in a community by as much as 50%--when paired with proper training and distribution -- it doesn't come without a price. Administering it to an overdose victim can send them into a rapid and excruciating withdrawal, which supporters say makes it unlikely to enable abuse.  But regardless of which side of the argument you are on, we want to answer some frequently asked questions about Narcan. 
 
How does naloxone work?
Naloxone is a safe and effective medication that can reverse the effects of opioid overdose. It is most often injected into a person experiencing an overdose. The drug attaches to the same parts of the brain that receive heroin and other opioids, and it blocks the opioids for 30-90 minutes to reverse the respiratory depression that would otherwise lead to death from overdose. 

Does naloxone only work for overdose cases caused by opioids?
Yes. Naloxone only reverses the effects of opioids such as heroin, methadone, morphine, opium, codeine, or hydrocodone (dilaudid). It does not counter the effect of other types of drugs, such as benzodiazepines (drugs including Valium, Xanax, Ativan), antihistamines, alcohol, or other sedatives (drugs such as phenobarbital) or stimulants such as cocaine and amphetamines.  But if the person is not breathing it will not hurt to administer naloxone. If there is an opioid involved they will likely start breathing again-though they will still be sedated fromthe other drugs.

Will naloxone hurt someone?
Serious side effects of naloxone are very rare. The most common side effect is opioid withdrawal, since naloxone ejects the opioids from their receptors in the brain. The risk of withdrawal increases with larger doses of naloxone as well as the strength of a person's drug dependency. Common opioid withdrawal symptoms include aches, irritability, sweating, runny nose, diarrhea, nausea, and vomiting.

Will naloxone make you high?
No. The only effect of naloxone is to reverse the effect of opioids. It cannot make you high: if you are not using opioids, an injection of naloxone would feel the same as an injection of water. Naloxone has no potential for abuse or dependency.

Can naloxone cause overdose?
No. It is not possible to overdose on naloxone. If a large dose is given to a person with opioids in their system, they may experience symptoms of withdrawal.

Will naloxone work even if someone has previously used it?
Yes. You cannot develop tolerance to naloxone, so it can be used in every opioid overdose situation no matter how many times a person has overdosed in the past.

How much should naloxone cost?
Most harm reduction programs offer naloxone to drug users for free. How much
naloxone costs, however, varies depending on what company manufactures it. Naloxone is a generic medication, so while its price is not affected by drug patents, market issues such as supply and demand may influence cost. The injectable form of naloxone, however, is typically less than $2 per dose.

For more information, there are two websites to visit:  the website Naloxoneinfo.org and the Harm Reduction Coalition. 


Guardian Nurses Healthcare Advocates

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