Discover and read the best of Twitter Threads about #naloxone
Most recents (24)
Let's uncover something with #SubstanceSaturdays
1/ #Xylazine is a sedative and analgesic drug that is commonly used in veterinary medicine to sedate and immobilize animals. It is also used as an anesthetic in laboratory animals and as a tranquilizer in horse racing.
1/ #Xylazine is a sedative and analgesic drug that is commonly used in veterinary medicine to sedate and immobilize animals. It is also used as an anesthetic in laboratory animals and as a tranquilizer in horse racing.
2/ Xylazine is a Schedule III controlled substance under the United Nations Convention on Psychotropic Substances, meaning that it has a potential for abuse and dependence, and it should be used under strict medical supervision. One of its nicknames is "#tranq".
3/ Unfortunately, Xylazine is being used to contaminate the drug supply, and it is being sold as a street drug. This is a dangerous practice as Xylazine can cause serious side effects, including respiratory and cardiovascular depression, and even death in high doses.
šØ Something huge happened today. šØ
@US_FDA @DrCaliff_FDA listened to harm reduction programs and made it infinitely easier to purchase #naloxone in bulk. With 100,000+ overdose deaths each year, we need BIG solutions.
w/@RemedyAlliance @ejwheeler9 @coreysdavis
š§µ 1/26
@US_FDA @DrCaliff_FDA listened to harm reduction programs and made it infinitely easier to purchase #naloxone in bulk. With 100,000+ overdose deaths each year, we need BIG solutions.
w/@RemedyAlliance @ejwheeler9 @coreysdavis
š§µ 1/26
@US_FDA @DrCaliff_FDA @RemedyAlliance @ejwheeler9 @coreysdavis The FDA Guidance provides clear federal support for bulk purchase and distribution of naloxone to meet one of the biggest public health challenges of our times.
Full text via link below, but let's break it down.
2/26
Full text via link below, but let's break it down.
2/26
@US_FDA @DrCaliff_FDA @RemedyAlliance @ejwheeler9 @coreysdavis This is a watershed moment. Along with low-cost naloxone available through @RemedyAlliance and state standing orders, this Guidance establishes a trifecta of innovations that will help rapidly scale up naloxone distribution.
3/26
3/26
1. I've never met anyone "against" #naloxone or #SafeConsumptionRooms. No one is "against" saving lives, bit of a shit defense to folk raising questions tbh. I for one feel we need them as gateways into proper treatment - as neither can be called or is an alternative to that
2. Coming out defensively seems to be the fall back for anyone in that field who is asked a question on it or who in some way feels challenged
What I am against is the circus it has become, & the gravy train.
What I am against is the circus it has become, & the gravy train.
3. Since the pilot that was run in Glasgow for a short while it has all become about the Ā£. To be clear, the folk you see out there arent offering to do this all out the goodness of their hearts, Ā£ spent already, & projected to be, is in the millions.
A THREAD REMINISCING AND REFOCUSING.
One thing Iāve had the opportunity to do while sitting in this room for the past 2 months is reflect on my past advocacy efforts and refocus on the direction we are going in the future based on my neck injury and hospitalization.
One thing Iāve had the opportunity to do while sitting in this room for the past 2 months is reflect on my past advocacy efforts and refocus on the direction we are going in the future based on my neck injury and hospitalization.
One thing I miss is working in the field as a harm reductionist. Spending time in the encampments, providing #naloxone, sterile syringes, basic wound care etc. was a highlight of my life.
Testing drugs for my friendsā¦(fake pressed Xanax bars in photo).
"Won't giving people #naloxone increase their drug use?" I get this question almost every time I deliver training to healthcare professionals. Superstar student @WaiChungTse1 led this systematic review to examine this common concern 1/ (FREE to download)
authors.elsevier.com/c/1e5JG_LkIBSlā¦
authors.elsevier.com/c/1e5JG_LkIBSlā¦
2/ So what did we do? We looked for studies where substance use and overdose was measured before and after naloxone provision. We found no evidence that take-home naloxone leads to increased substance use or overdose. 1 study found reduced ED attendances following naloxone supply
3/ So if you are providing naloxone, or thinking about it, this might be reassuring. If you train pharmacists, doctors, first responders etc and they have concern.. please feel free to share this work with them! @PSA_National @RACGP @ijdrugpolicy
authors.elsevier.com/c/1e5JG_LkIBSlā¦
authors.elsevier.com/c/1e5JG_LkIBSlā¦
Last afternoon of #APSAD40! It is a joy to chair this session on #overdose - lots of key learnings and great work in the prevention space. Here are a couple of highlights from the session 1/
2/ Louisa Durrant (NUM at Melaleuca, @qldhealthnews) spoke about lessons learned supplying take-home naloxone in the opioid treatment program in QLD. Despite many having experienced an overdose, few had access to naloxone before the pilot, and consumers valued being offered THN.
What's new in take-home #naloxone in Australia? 1/ Ange Matheson from @NSWHealth explains the NSW model which allows a whole range of workers and non-medical services across the NSW (e.g. those working NGOs without pharmacists or doctors on staff) to supply naloxone #APSAD40
2/ Tegan Nuckey from Queensland (QuIHN) talks about their #naloxone program, adapted from the WA model.. now funded until 2023 (but no recurrent funding). Hopefully a national program will be funded by then! No cost, script, no ID - addressing key barriers.
3/ Robin Greaves (Tasmania) presented on the Tasmanian gov program where poisons regulations were changed to allow supply by NPS workers as part of their pilot. With limited funding, the pilot focused on people who use heroin, now ongoing funding provides FREE naloxone from NSPs
Big last day of #APSAD40 today for #opioid research. I'll be presenting in a symposium of #naloxone today, and then super excited to chair two sessions on #overdose and prescription #opioid treatment ... a couple of highlights include ... 1/
2/ New research on the implementation of prescription monitoring in Victoria with @LouisaPicco @PPrathivadi and @Sarah_Haines_ (all superstar PhD researchers in the @MonashAddiction crew)
3/ @DrTinaLam_AU (also from @MonashAddiction) presenting on prescription opioid overdose using emergency department data and @JMoullin from @CurtinUni talking about pharmacists and naloxone supply in Western Australia
1/5 #COVID19 key concerns in šØš¦: National data released this week on opioid and stimulant-related harms is a tragic reminder of the broader impacts of the #COVID19 pandemic, including the worsening of the ongoing overdose crisis.
canada.ca/en/public-healā¦
canada.ca/en/public-healā¦
2/5 Addressing this worsening crisis must start with our recognition that #SubstanceUse is a health and social issue. We must treat people who use drugs with dignity, compassion and respect, and help them get the supports they need:
canada.ca/en/health-canaā¦
canada.ca/en/health-canaā¦
3/5 Including working collectively on efforts to promote accessibility of life saving #HarmReduction & treatment services, such as access to medications as safer, pharmaceutical grade alternatives to the toxic illegal drug supply.
August 31 is International #Overdose Awareness Day. Every year I reflect on all the people weāve lost, but especially Arielle. Here we are at 18 - careless, happy assholes. She was brilliant, snarky, a talented musician, and she died at age 26 from a poisoned drug supply.
In the last 2 years of her life, Arielle went to jail, went to rehab, and āgot clean.ā
Jail didnāt save her.
Rehab didnāt save her.
Abstinence didnāt save her.
#SCS couldāve saved her. #safesupply couldāve saved her.
#MOUD couldāve saved her.
#Naloxone couldāve saved her.
Jail didnāt save her.
Rehab didnāt save her.
Abstinence didnāt save her.
#SCS couldāve saved her. #safesupply couldāve saved her.
#MOUD couldāve saved her.
#Naloxone couldāve saved her.
There is no excuse for her death or for any of the 71,000 overdose deaths in 2019, not when evidence-based treatments for #OUD exist. Not one damn more person should die alone from a treatable condition in the year #2020.
1/4 Tragically, the #COVID19 pandemic may be compounding the deadly and ongoing #publichealth crisis of drug-related #overdose and death in Canada with increases in drug-related harms reported in some jurisdictions.
www2.gov.bc.ca/assets/gov/birā¦
www2.gov.bc.ca/assets/gov/birā¦
2/4 The combined effect of disruptions to supply chains as well as supports and services place loved ones and members of our communities who use drugs at high risk of substance-related harms; we must maintain lifesaving supports. #HarmReduction
canada.ca/en/health-canaā¦
canada.ca/en/health-canaā¦
3/4 Access to treatment and #HarmReduction services are essential to stop fatal overdoses from claiming more lives across the country. #StopOverdoses #Naloxone #EndStigma
1/5 #COVID19 key concerns in šØš¦: In parallel with the COVID-19 pandemic, communities across Canada continue to struggle with historic rates of drug #overdose deaths & substance use-related harms. #ToxicDrugSupply #DontUseAlone #Naloxone
2/5 Changes in the illegal drug supply in the wake of #COVID19 may ā risk of #overdose for persons who use drugs. Using drugs alone is a major risk factor for fatal overdose and stigma can stop people from reaching out for help. #Naloxone
3/5 #EndStigma; be compassionate when it comes to addiction and drug use ā you never know who is in need of an ally. Let your loved ones know you are there to support. #StopOverdose #Naloxone #GoodSamaritanLaw
canada.ca/en/health-canaā¦
canada.ca/en/health-canaā¦
1/6 ā in drug #overdose deaths reported by BC and other areas of šØš¦ are deeply concerning. BC Coroners Service reports that the number of illicit drug toxicity deaths in May 2020 is the highest ever recorded in a month in BC. www2.gov.bc.ca/assets/gov/birā¦
2/6 The #GOC remains committed to working with partners across šØš¦ to provide resources, supports and services for people who use drugs during #COVID19 and beyond.
3/6 Income, housing and access to care are key determinants of health for all Canadians, and are particularly important during #COVID19. Inequities prevent populations from achieving their full health potential. canada.ca/en/public-healā¦
Thanks @UTMBFamilyMed for inviting me to present Grand Rounds today! I'm going to share a few pearls for other interested folks in #FamilyMedicine, #TwitteRx, & beyond.
A long but extremely visualš§µš§µš§µ
A long but extremely visualš§µš§µš§µ
To understand the "opioid crisis", you have to accept that the first wave was driven by excessive prescribing. BUT you also have to accept that reactionary supply reduction interventions drove a totally preventable second wave of deaths due to heroin.
In order to help the people who are actually dying today, you must recognize that deaths to Rx opioids accounted for fewer than ā
of all opioid overdose deaths, and that proportion is shrinking every year.
.@GovHolcomb's #coronavirus briefing about to begin. Due to the holiday weekend, this is his first briefing in five days.
.@StateHealthIN Kris Box cautions against reading too much into low numbers of new cases and deaths. It's still partly the aftereffect of lower reporting during holiday weekend, and Box says regardless, the state can't let its guard down.
Box: Many testing sites still have room for more patients than they're getting.
Second phase of Fairbanks scientifically sampled testing begins next week.
Second phase of Fairbanks scientifically sampled testing begins next week.
Advice from the DHHS about maintaining continuity for pharmacotherapy treatment is here. Key principals include writing prescriptions for longer (with regular phone check-ins with patients) and increased TA doses where clinically appropriate (1/3)
bit.ly/3e4EpSu
bit.ly/3e4EpSu
Guidance to support assessing appropriateness for additional takeaways are here. Where clinically appropriate, increasing takeaways means that people can stay safe at home and travel pharmacies. #Naloxone is recommended with takeaways bit.ly/2UQgmiy (2/3)
Documents to support dose delivery are here bit.ly/2RilpGe (3/3) Much credit to the dedicated staff at @VicGovDHHS @VAADAENEWS and the broader sector in developing these resources for those providing #methadone and #buprenorphine @psa_vic @HRV_Aust @RACGP @DrGrinzi
Thank you 2 all hard-working MATOD/ORT prescribers.
As MATOD/ ORT prescribers we are in a position to help reduce community spread by the way we work. An informal group of committed people put together some unofficial (at this stage) guidelines.
Here are our suggestions:
1/6
As MATOD/ ORT prescribers we are in a position to help reduce community spread by the way we work. An informal group of committed people put together some unofficial (at this stage) guidelines.
Here are our suggestions:
1/6
SCRIPT DURATION - give *up to* 6m duration scripts (in the event you become unwell to give time for a replacement to be found).
BUDDY / DELEGATE - particularly important for solo practitioners to have a colleague who can cover them in the event that they become unwell. 2/6
BUDDY / DELEGATE - particularly important for solo practitioners to have a colleague who can cover them in the event that they become unwell. 2/6
TAKE AWAYS - increase take aways for stable patients: *up to* 1 month for #Suboxone, *up to* 1-2 weeks for #Methadone
Ongoing risk assessment is essential.
NALOXONE - give all patients scripts for Nyxiod or Prenoxad. #Naloxone education found here: bit.ly/COPEnaloxone 3/6
Ongoing risk assessment is essential.
NALOXONE - give all patients scripts for Nyxiod or Prenoxad. #Naloxone education found here: bit.ly/COPEnaloxone 3/6
Hear ye, hear ye!
Ye old #Alberta government has released its FLAWED, and GASLIT #SCS review report.
Associate Minister @jasonluan88 promised an unbiased perspective.
The only ones who look stupid here, are those of us who believed him.
#AbLeg
open.alberta.ca/publications/9ā¦
Ye old #Alberta government has released its FLAWED, and GASLIT #SCS review report.
Associate Minister @jasonluan88 promised an unbiased perspective.
The only ones who look stupid here, are those of us who believed him.
#AbLeg
open.alberta.ca/publications/9ā¦
Before we dive into the report, letās talk about the Associate Minister and his esteemed panel for a moment.
Not a single member who has worked at or accessed an SCS; surely criminologists and retired cops will present an unbiased approach. š
alberta.ca/supervised-conā¦
Not a single member who has worked at or accessed an SCS; surely criminologists and retired cops will present an unbiased approach. š
alberta.ca/supervised-conā¦
Next, letās see what the Ass. Minister has had to say about SCS and #harmreduction.
Surely his beliefs about Big Pharma funding research for harm reduction, and that #naloxone is an enabler couldnāt have impacted the committees viewpoints?
Surely his beliefs about Big Pharma funding research for harm reduction, and that #naloxone is an enabler couldnāt have impacted the committees viewpoints?
Starting my day off by discussing some of my priorities with @ASTHO. Learn more here: hhs.gov/surgeongeneralā¦
@ASTHO I highlighted some of the recent advisories and reports from my office - covering everything from #naloxone to how #marijuana impacts the developing brain. Learn more at SurgeonGeneral.gov
Thanks @ASTHO for letting me kick off day 2 of your #WashingtonWeek20! Loved the opportunity to see some familiar and new faces - and I hope to see you all again as I continue my travels on the road in the coming months!
Excited to be at @WhiteHouse's #OpportunityNow Summit. Hearing about economic development and opportunity - both of which have a critical intersection with health. That's why I'm working with the business community to ā¬ļø health & opportunity for all.
@WhiteHouse Getting ready to take the stage at #OpportunityNow. Want to know how YOU can help combat the #OpioidEpidemic? Read & share my digital postcard detailing 5ā£ things everyone can do to prevent opioid misuse. #FridayWisdom
@WhiteHouse Talking about @HHSGov's 5ā£-point strategy to combat the #OpioidCrisis at #OpportunityNow. We are leveraging data to better respond to this crisis and getting the word out about the importance of #naloxone.
Thank you @DrPhilRoe for inviting me to Johnson City, TN to visit @etsu's School of #PublicHealth!
LOVED hearing that all resident halls have #naloxone in their AED response boxes. ETSU has trained ~9k students in naloxone administration & ~30k have taken online courses.
LOVED hearing that all resident halls have #naloxone in their AED response boxes. ETSU has trained ~9k students in naloxone administration & ~30k have taken online courses.
@DrPhilRoe @etsu I encourage everyone to carry #naloxone and to know how to use it. Doing so might just mean the difference between life and death. #ThursdayMotivation hhs.gov/surgeongeneralā¦
@DrPhilRoe @etsu Tennessee has distributed 98,000 units of narcan and they have > 10,000 documented lives saved! This overdose-reversing drug gives us all a tremendous opportunity to help get people into treatment and prevent a future overdose. #ThursdayThoughts
Speaking at @LutheranSvcsā #CEOSummit2020 today, I shared our hard work at @HHSGov to prevent addition before it even starts! We must continue to destigmatize addiction and put #Naloxone in the hands of first responders and community members. #GetNaloxone
Much of the audience had seen my digital postcard, have you? Everyone has a role to play in preventing opioid misuse! #MondayMotivation
We also discussed how healthcare canāt solve all health problems because 80-90% of health happens outside of the clinic. Your health is shaped by 5 domains:
1. Social and economic factors
2. Physical and social environments
3. Individual behaviors
4. Public policies
5. Healthcare
1. Social and economic factors
2. Physical and social environments
3. Individual behaviors
4. Public policies
5. Healthcare
Good morning from @CityCharleston, where Iām starting my day at @MUSC_COM talking about my career path and my priorities as āthe Nationās Doctor.ā Thank you @Rndubois for the warm welcome! Learn more: hhs.gov/surgeongeneralā¦
Great to hear from such a diverse group of @MUSC_COM students this morning - many of whom are first generation med students! Keep up the great work youāre doing and remember - we are here because of our experiences, not in spite of them. #ThursdayMotivation
Thanks to the King Street Business Group for bringing together a fantastic group of health and business leaders this afternoon. Health is critical in everything we do! Learn more about my Community Health and Economic Prosperity initiative: hhs.gov/surgeongeneralā¦
Excited to be with the National Judicial Opioid Task Force Co-Chairs @incourts Chief Justice Loretta Rush & Deborah Taylor Tate, Director, Administrative Office of the @TNCourts, for the launch of their report on the #OpioidCrisis
#DYK the criminal justice system is the single largest referral source to substance use disorder treatment? It serves as a critical touchpoint for treatment
The #OpioidEpidemic is not just a health issue. Like the rest of society, this crisis impacts the entire court system. Read the findings of the new NJOTF report here: ncsc.org/~/media/Files/ā¦
