How often is everyone co-prescribing naloxone with chronic opioid therapy? Any particular criteria used?
co-prescribing naloxone
- Thread starter metadr
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In my practice:
1. Anyone on 90MED or above
2. I use the cheapest: www.amphastar.com/assets/naloxone.pdf
but this one has twice the dose: http://www.narcannasalspray.com/nns-4-mg-dose/how-to-use-nns/
3. Train a loved one in the household and give this handout: http://www.prescribetoprevent.org/wp-content/uploads/2012/11/naloxone-one-pager-in-nov-2012.pdf
4. The shelf-life of naloxone is about 1 yr. So you need a tickler
in your chart to issue a new vial every 12mo.
1. Anyone on 90MED or above
2. I use the cheapest: www.amphastar.com/assets/naloxone.pdf
but this one has twice the dose: http://www.narcannasalspray.com/nns-4-mg-dose/how-to-use-nns/
3. Train a loved one in the household and give this handout: http://www.prescribetoprevent.org/wp-content/uploads/2012/11/naloxone-one-pager-in-nov-2012.pdf
4. The shelf-life of naloxone is about 1 yr. So you need a tickler
in your chart to issue a new vial every 12mo.
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It is more likely the efficacy of the naloxone remains unchanged through time, in other words, it doesn't expire.
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Will be otc within a few months
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It is "OTC" in New York. Go to your neighborhood CVS or, better yet, Wegmans and ask the pharmacist.
FYI Wegmans just voted best grocery store, topping Trader Joes.
Just saying.
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Good news. Need it nationally right now.
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This is good. But, I'd still put in my note that I recommend it and
have them bring it and a loved one in the household in to train.
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I have special handouts on how to take tylenol, zyrtec, and nexium otc. I bring in the whole family and we make smores and discuss how to best tie your shoes as well.
But if its otc, you can template your notes recommending naloxone pen.
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Poking fun at you for making sure to train family on otc products. I am not responsible for the failure of others. If i rx to the wrong patients at the wrong time i may have a price to pay. But if its otc or not my doing, it isnt my problem or responsibility.
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I've said it before.
If you think you need to prescribe naloxone to a patient, then you have to really question two things.
1-should this patient even be prescribed opioids? It's not oxygen, it's not protected by the constitution. Not everyone deserves or can be trusted with these drugs.
2-why are you prescribing opioid doses that make you worry the patient will need narcan?
If you think you need to prescribe naloxone to a patient, then you have to really question two things.
1-should this patient even be prescribed opioids? It's not oxygen, it's not protected by the constitution. Not everyone deserves or can be trusted with these drugs.
2-why are you prescribing opioid doses that make you worry the patient will need narcan?
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I do, we do, and we give them the 1 page summary form from the above website.
Easy peasy...
Bedrock, even patients on butrans gets this info. And most times, I am handbag out this info on new consults I will never see again, cause they are not interested in life without opioids.
Ironically, I guess, I'm recommending a drug that allows them to continue a life - maybe with opioids if they survive...
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