Surgeon general issues rare advisory: more people should carry opioid overdose antidote (Vox)

The surgeon general issued the office’s first advisory in 13 years — calling on more people to carry the opioid overdose antidote naloxone.

Surgeon General Jerome Adams’s advisory emphasizes “the importance of the overdose-reversing drug naloxone. For patients currently taking high doses of opioids as prescribed for pain, individuals misusing prescription opioids, individuals using illicit opioids such as heroin or fentanyl, health care practitioners, family and friends of people who have an opioid use disorder, and community members who come into contact with people at risk for opioid overdose, knowing how to use naloxone and keeping it within reach can save a life.”

Dr. Leana Wen, the health commissioner of Baltimore, has seen some of this firsthand. In the past, naloxone has typically required a prescription. But in 2015, her office issued a standing order that effectively acted as a blanket prescription for the entire city of Baltimore.

That helped, but major hurdles remain — particularly, naloxone’s cost. “Unfortunately, we are having to ration naloxone because we simply don’t have the resources to purchase this life-saving antidote,” Wen said in a statement. “Every week, we count the doses we have left and make hard decisions about who will receive the medication and who will have to go without.”

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