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Posted: 1/15/2023 3:35:30 PM EDT
cheap. Apparently some places you can get it for free. I would like to get some for my trauma bag. While I have never encountered an OD, I have given CPR and administered basic FA in a few horrific accidents. My hope is to never use it. What direction can some of you EMS people recommend? THANKS
@medicmandan, I think I got this right. |
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TX, USA
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Posted: 1/15/2023 3:38:01 PM EDT
[#1]
Maybe just let the druggy OD
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Posted: 1/15/2023 3:40:20 PM EDT
[#2]
In Utah, I think all public libraries have it available for free. No questions asked.
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Posted: 1/15/2023 3:44:13 PM EDT
[#3]
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Posted: 1/15/2023 4:09:22 PM EDT
[#4]
Quote HistoryOriginally Posted By medicmandan: https://mcrsp.org/get-help/where-to-get-narcannaloxone.html Thank you, I put in a request and showed my credentials that are online. Thanks for the link. |
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Posted: 1/15/2023 4:10:28 PM EDT
[#5]
Quote HistoryOriginally Posted By dustymathes: Maybe just let the druggy OD That's a general discussion response. I personally know 3 parents who lost their kids to this. I cannot do that. |
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Posted: 1/15/2023 4:17:07 PM EDT
[Last Edit: michigan66]
[#6]
Thing is if they OD on xylazine/tranq it doesn't seem to work.
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Posted: 1/15/2023 4:41:00 PM EDT
[#7]
Quote HistoryOriginally Posted By michigan66: Thing is if they OD on xylazine/tranq it doesn't seem to work. Naloxone only works on opiate overdoses. |
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NC, USA
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Posted: 1/15/2023 4:56:44 PM EDT
[#8]
Quote HistoryOriginally Posted By dustymathes: Maybe just let the druggy OD Sometimes it’s an older person or someone who didn’t fully understand the prescription and how much of a prescribed opiate such as OxyContin to take. It’s expensive but if you go to your local EMS post and explain what you want and why they may have some they can give you. |
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Posted: 1/15/2023 5:32:43 PM EDT
[#9]
When they filled my wife's Oxy/Apap 5/325 scrip they gave us a dose of narcan to go with it, free of charge.
Depends on what and where, I guess. |
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Posted: 1/15/2023 8:08:53 PM EDT
[#10]
Maybe it’s someone who accidentally was dosed with fentanyl there, my man. Real tough talk
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Posted: 1/16/2023 2:23:20 AM EDT
[#11]
Quote HistoryOriginally Posted By michigan66: Thing is if they OD on xylazine/tranq it doesn't seem to work. It is an opiate antagonist. Will not work on anything else. |
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Posted: 1/16/2023 2:24:12 AM EDT
[Last Edit: medicmandan]
[#12]
Quote HistoryOriginally Posted By Kskvetski: Maybe it’s someone who accidentally was dosed with fentanyl there, my man. Real tough talk Been a few stories recently of cops overdosing during arrests and needing narcan. ETA: https://www.kktv.com/2022/12/15/graphic-police-help-save-officer-fentanyl-overdose-during-traffic-stop/ |
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Posted: 1/16/2023 2:26:38 AM EDT
[#13]
The kits I get from the hospital are injectable. I would prefer intranasal but that's what they give us. I keep two in the office emergency bag with our AED and tourniquets.
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Posted: 1/16/2023 2:51:10 AM EDT
[Last Edit: D_J]
[#14]
Originally Posted By yodude: cheap. Apparently some places you can get it for free. I would like to get some for my trauma bag. While I have never encountered an OD, I have given CPR and administered basic FA in a few horrific accidents. My hope is to never use it. What direction can some of you EMS people recommend? THANKS @medicmandan, I think I got this right. Ga DPH has a standing letter of authorization for EMS. I just show my ID & insurance card (for pricing) and get it for $15 at any pharmacy. Originally Posted By medicmandan: The kits I get from the hospital are injectable. I would prefer intranasal but that's what they give us. I keep two in the office emergency bag with our AED and tourniquets. Intranasal here. |
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Posted: 1/16/2023 2:53:31 AM EDT
[Last Edit: D_J]
[#15]
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Posted: 1/16/2023 2:56:04 AM EDT
[#16]
Quote HistoryOriginally Posted By Z09SS: When they filled my wife's Oxy/Apap 5/325 scrip they gave us a dose of narcan to go with it, free of charge. Depends on what and where, I guess. interesting. you’d die from the tylenol well before you got enough opiates in you with that dosage. that shit will shut down your liver, quick. |
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Posted: 1/16/2023 3:04:41 AM EDT
[#17]
Quote HistoryOriginally Posted By ElliotAbrahms: interesting. you’d die from the tylenol well before you got enough opiates in you with that dosage. that shit will shut down your liver, quick. Quote HistoryOriginally Posted By ElliotAbrahms: Originally Posted By Z09SS: When they filled my wife's Oxy/Apap 5/325 scrip they gave us a dose of narcan to go with it, free of charge. Depends on what and where, I guess. interesting. you’d die from the tylenol well before you got enough opiates in you with that dosage. that shit will shut down your liver, quick. She figured that liver damage would hit her long before she'd need narcan. She's about recovered from the shoulder replacement now, and we still have that dose of narcan. |
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Posted: 1/16/2023 9:14:51 AM EDT
[#18]
Quote HistoryYup. Naloxone ain’t chicken soup. It definitely has its place in the treatment of opioid overdose or diagnostically for unconsciousness of unknown etiology but there needs to be either a viable index of suspicion or clinical signs before we just start squirting repeated doses in noses. |
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UT, USA
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Posted: 7/15/2023 9:11:06 PM EDT
[Last Edit: redman797]
[#19]
Depends on state, UT here, but you can very often find MFG websites or programs that will send you a free 2-pack of 4mg nasal sprays. I received a Narcan brand 2-pack free, and like was mentioned above, if you live in UT, you can go to any public library and they give you a vial and syringe no questions asked, 1 per person, per day.
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Posted: 7/15/2023 9:17:47 PM EDT
[#20]
Quote HistoryOriginally Posted By dustymathes: Maybe just let the druggy OD Find your way back to GD, troll. |
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AZ, USA
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Posted: 9/12/2023 4:01:12 AM EDT
[#21]
Quote HistoryOriginally Posted By medicmandan: Been a few stories recently of cops overdosing during arrests and needing narcan. ETA: https://www.kktv.com/2022/12/15/graphic-police-help-save-officer-fentanyl-overdose-during-traffic-stop/ Quote HistoryOriginally Posted By medicmandan: Originally Posted By Kskvetski: Maybe it’s someone who accidentally was dosed with fentanyl there, my man. Real tough talk Been a few stories recently of cops overdosing during arrests and needing narcan. ETA: https://www.kktv.com/2022/12/15/graphic-police-help-save-officer-fentanyl-overdose-during-traffic-stop/ These are generally just anxiety attacks and/or a form a conversion disorder. The media reports you hear of law enforcement OD on fentanyl generally describe symptoms that are opposite of opioid overdoses. Also, I've yet to here of any these cases being confirmed with a UDS or serum studies. |
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Posted: 10/24/2023 3:43:30 PM EDT
[#22]
Quote HistoryOriginally Posted By Nate19: Find your way back to GD, troll. Quote HistoryOriginally Posted By Nate19: Originally Posted By dustymathes: Maybe just let the druggy OD Find your way back to GD, troll. It's a sentiment that won't be aired publicly but you'll hear from time to time in the break room at the ER or bullshitting with full time medics. We spend a lot of time taking care of people who dgaf about their own lives and it gets old. Yes it's valuable to have for the 3yo who gets into grandma's "stickers" (fentanyl patches), but when you get sprayed with HIV+ blood as the druggie rips out his ivs and starts swinging on everyone he sees after being narcan'ed for the 3rd time in 2 days you can understand the frustration that leads some to begin to question the easy access we provide. Not saying it's right, but I get how they get there and dismissing it as trolling is perhaps valid, but also perhaps not fully appreciating reality. |
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USA
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Posted: 10/24/2023 3:50:00 PM EDT
[#23]
Quote HistoryOriginally Posted By StillGonnaSendIt: Sometimes it’s an older person or someone who didn’t fully understand the prescription and how much of a prescribed opiate such as OxyContin to take. It’s expensive but if you go to your local EMS post and explain what you want and why they may have some they can give you. Sounds as common as the Democrats saying gramma is down to eating cat food. |
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OR, USA
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Posted: 6/18/2024 11:57:37 AM EDT
[#24]
In some states it’s free. In UT you can walk into any public library and get a narcan kit. 1 per day which includes a vial and syringes. They used to do the 4mg nasal sprays but it was to expensive. Most insurance will also cover narcan nasal spray for free so check at the pharmacy since most pharmacists can dispense it at their discretion without a prescription.
Rmsearch “Utah free naloxone” in google and reach out to the site. Even if in another state the program might just send it to you |
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Posted: 6/18/2024 12:42:27 PM EDT
[#25]
Quote HistoryOriginally Posted By dustymathes: Maybe just let the druggy OD I had that opinion, but my stepdaughter's boyfriend is a Paramedic. He pointed out he doesn't know why his patient is unconscious - might be drugs, could be another medical condition that may respond to Narcan. He's there to save lives, not pass judgement. Frustrating, but modern medical technology often outstrips ethics. |
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Posted: 6/18/2024 4:11:16 PM EDT
[Last Edit: Justice23]
[#26]
Here in Heroinville they give it out everywhere.
I keep a couple of 4mg intranasals in my truck first aid kit. |
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Posted: 6/18/2024 4:21:11 PM EDT
[#27]
Quote HistoryOriginally Posted By backbencher: I had that opinion, but my stepdaughter's boyfriend is a Paramedic. He pointed out he doesn't know why his patient is unconscious - might be drugs, could be another medical condition that may respond to Narcan. He's there to save lives, not pass judgement. Frustrating, but modern medical technology often outstrips ethics. |
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Posted: 6/19/2024 11:58:00 PM EDT
[#28]
Quote HistoryOriginally Posted By backbencher: I had that opinion, but my stepdaughter's boyfriend is a Paramedic. He pointed out he doesn't know why his patient is unconscious - might be drugs, could be another medical condition that may respond to Narcan. He's there to save lives, not pass judgement. Frustrating, but modern medical technology often outstrips ethics. Narcan is only an opiate antagonist. It has no other uses. |
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Posted: 6/20/2024 11:42:27 AM EDT
[#29]
Quote HistoryOriginally Posted By medicmandan: Narcan is only an opiate antagonist. It has no other uses. Quote HistoryOriginally Posted By medicmandan: Originally Posted By backbencher: I had that opinion, but my stepdaughter's boyfriend is a Paramedic. He pointed out he doesn't know why his patient is unconscious - might be drugs, could be another medical condition that may respond to Narcan. He's there to save lives, not pass judgement. Frustrating, but modern medical technology often outstrips ethics. Narcan is only an opiate antagonist. It has no other uses. Interesting. In what other situations might you find a non-druggie w/ which Narcan would work? Opiate attempted suicide? |
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Posted: 6/20/2024 11:56:41 AM EDT
[#30]
Quote HistoryOriginally Posted By backbencher: Interesting. In what other situations might you find a non-druggie w/ which Narcan would work? Opiate attempted suicide? Over medicated or sedated in a clinical setting. Overdose is not always illicit. |
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Posted: 6/20/2024 12:22:08 PM EDT
[#31]
Quote HistoryOriginally Posted By medicmandan: Over medicated or sedated in a clinical setting. Overdose is not always illicit. Quote HistoryOriginally Posted By medicmandan: Originally Posted By backbencher: Interesting. In what other situations might you find a non-druggie w/ which Narcan would work? Opiate attempted suicide? Over medicated or sedated in a clinical setting. Overdose is not always illicit. Over medicated in a clinical setting, or just over medicated? Ie, Momma's passed out & I can't wake her up? |
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Posted: 6/20/2024 12:28:09 PM EDT
[#32]
Are you looking for "Narcan" or "naloxone" One is the brand name , the other is the generic. .
An "Epipen" is something like 300 bucks, an "epinephrine auto injector pen" is like 15. SAME THING. |
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Posted: 6/20/2024 12:31:24 PM EDT
[#33]
Quote HistoryOriginally Posted By backbencher: Over medicated in a clinical setting, or just over medicated? Ie, Momma's passed out & I can't wake her up? Quote HistoryOriginally Posted By backbencher: Originally Posted By medicmandan: Originally Posted By backbencher: Interesting. In what other situations might you find a non-druggie w/ which Narcan would work? Opiate attempted suicide? Over medicated or sedated in a clinical setting. Overdose is not always illicit. Over medicated in a clinical setting, or just over medicated? Ie, Momma's passed out & I can't wake her up? Old people double/triple their pills sometimes, kid eats mom’s pain pills, etc. |
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Posted: 6/20/2024 12:41:59 PM EDT
[#34]
Quote HistoryOriginally Posted By King_Mud: Old people double/triple their pills sometimes, kid eats mom’s pain pills, etc. Quote HistoryOriginally Posted By King_Mud: Originally Posted By backbencher: Originally Posted By medicmandan: Originally Posted By backbencher: Interesting. In what other situations might you find a non-druggie w/ which Narcan would work? Opiate attempted suicide? Over medicated or sedated in a clinical setting. Overdose is not always illicit. Over medicated in a clinical setting, or just over medicated? Ie, Momma's passed out & I can't wake her up? Old people double/triple their pills sometimes, kid eats mom’s pain pills, etc. Ok, so we can't ethically pull Narcan from the ambulance service. |
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Posted: 6/20/2024 1:03:08 PM EDT
[#35]
Quote HistoryOriginally Posted By backbencher: Ok, so we can't ethically pull Narcan from the ambulance service. Uh, why would we want to do that? |
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Posted: 6/20/2024 1:13:53 PM EDT
[#36]
In my state of CT it is over the counter at WallMart
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USA
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Posted: 6/20/2024 1:44:11 PM EDT
[#37]
We get it free from county health department.
I carry it in my daily carry (backpack) along with IFAK. For me, it's not really about addicts ODing so much as innocent people being exposed. Just like a few other things, I carry it around with the hope I never need to use it. |
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Posted: 6/20/2024 2:03:56 PM EDT
[#38]
Quote HistoryOriginally Posted By medicmandan: Uh, why would we want to do that? Quote HistoryOriginally Posted By medicmandan: Originally Posted By backbencher: Ok, so we can't ethically pull Narcan from the ambulance service. Uh, why would we want to do that? To reduce the number of overdoses. |
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PA, USA
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Posted: 6/20/2024 2:18:30 PM EDT
[#39]
They hand it out for free here in PA
Last handout was May at public park that I know of they advertise it on the radio stations. I don't borher with the fred handouts for the simple reason we don't know anyone that uses drugs. I will say that scranton/dunmore get a bad batch of fent laced drugs about once a month that you can hear on the scanner the cops,tossing OD victims into the backs of patrol cars to the ER due to running out of ambulances. If it' that bad in tiny dem run little shithole scranton I can only guess it's exponetionally worse in bigger dem run cities. |
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Posted: 6/20/2024 2:23:16 PM EDT
[#40]
Quote HistoryOriginally Posted By backbencher: To reduce the number of overdoses. That does not reduce the number of overdoses, that increases the number of deaths. |
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UT, USA
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Posted: 6/20/2024 2:28:11 PM EDT
[#41]
WA had it available for "free." Online request form and 2-3 weeks later a box was delivered. 2 doses.
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Posted: 6/20/2024 4:10:20 PM EDT
[#42]
Quote HistoryOriginally Posted By medicmandan: That does not reduce the number of overdoses, that increases the number of deaths. Quote HistoryOriginally Posted By medicmandan: Originally Posted By backbencher: To reduce the number of overdoses. That does not reduce the number of overdoses, that increases the number of deaths. A junkie that's dead can't OD again.  But given other lives are at risk, unethical to limit the use of Narcan, despite the savings to the taxpayer. |
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Posted: 6/21/2024 1:27:11 AM EDT
[#43]
The sad thing is that too many of the people saved by Narcan are just delaying the inevitable.
The frequent fliers harden the hearts. |
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