13h ago

YSK: You can get Naloxone (Narcan) shipped to you for only the cost of shipping

endoverdose.net Opioid Certification | END OVERDOSE

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.

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https://en.m.wikipedia.org/wiki/Naloxone

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.

Is it handy to have some even if you're not a user and aren't regularly around users? What else does the course cover? I took a brief look on the website and couldn't find an FAQ or something like that.
- Yes. At least keep some in your home where you know where it is. You never know when grandma might forget that she's already taken her pain meds, or a kid drinks too much of the wrong cough syrup, or (and I mean this in the least judgemental way possible) a friend hides their habit from you. Or literally any of those things (or a million other possibilities) happens to your next door neighbor.
  
  What you said.
  No one in my house uses opiates, but you never know what may happen.
  Free supplies make the "Should I just in case" a no-brainer

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 acute opioid 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. this comes out to a 5 times higher dose than strictly necessary. source:
  Based on a relative bioavailability of 50%, an initial 2 mg Naloxone Hydrochloride Nasal Spray dose would be considered equivalent to 1 mg IM dose and a 4 mg Naloxone Hydrochloride Nasal Spray dose would be equivalent to 2 mg IM dose, which corresponds with the maximum recommended initial dose in adult clinical guidelines.
  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.
  edit: replaced precipitated withdrawal with acute opioid withdrawal.

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.
- Damn, I feel sorry for calling you guys our hat all the time! (Thats awesome)
- Another hail Canada moment. Hoping y’all don’t let the bully win this week. Someone has to stand up to him.

Word.
Even though I stopped taking opiates for pain management, I still keep a supply of naloxone. It's just too easy to keep around when it's so easy for people to OD.

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.
- Straight from the west, Oakland is the best -- Too $hort

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

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