CVS to sell Naloxone OTC...

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How can any reasonable pharmacist support this? The people who need it are prescribed it by their physicians for family use when they suspect an overdose.
 
http://www.huffingtonpost.com/entry/cvs-naloxone-overdose-reversal_5602dba2e4b0fde8b0d0d189

Talking about they trying to save lives....hahaha..siigghhhhhh!

If it aint making them money, they are never interested in saving lives! Why don't they start saving lives by giving free diabetes and cholesterol meds?

smh

Stopping cigarette sales cost them millions (billions?). Because you don't stay in business by giving stuff away. Like it or not healthcare in this country is a business.
 
Stopping cigarette sales cost them millions (billions?). Because you don't stay in business by giving stuff away. Like it or not healthcare in this country is a business.
Exactly...I was being sarcastic. They should stop sugar-coating it. We are not stupid! How about '' We see an increased demand for naloxone as opioid abuse has skyrocketed and this presents a lucrative business opportunity for us to cash in on more profits and expand our ever increasing endeavor to takeover the healthcare industry" .

There I fixed it. 😀
 
I wonder if cigarette sales didn't bring the income to justify the stocking space. If these companies cared about patient wellness you would think they'd staff the pharmacies adequately and allow for more pharmacist-patient interactions.
 
"Naloxone, or Narcan, is nonaddictive, nontoxic and easy to administer through intravenous application."

Ya the average Joe on the street knows how to through an IV line in a patient
 
Is it true that CVS cut about 30 hours from the store to cover the loss from cigarette sales?
 
Naloxone OTC only applicable to certain states... Not mine, at least.
 
This is not new. We've been doing it for 8 months. It's not IV either. Either IM or intranasal.
 
I though the OTC/rx at pharmacy ones are auto-injectors like epi-pen.
 
Am I the only person who, whenever I hear about someone dying from a heroin overdose, thinks that this person's friends and family were spared a lot of heartache in the long run?

Heroin addiction is a disease from which essentially nobody recovers. 🙁
 
Am I the only person who, whenever I hear about someone dying from a heroin overdose, thinks that this person's friends and family were spared a lot of heartache in the long run?

Heroin addiction is a disease from which essentially nobody recovers. 🙁

That's a terrible way to think. There are many, MANY people who have overcome heroin addiction and went on to live happy, healthy lives. Yes, many people never recover, but to think its easier on a family to lose a loved one is so untrue.

How can any reasonable pharmacist support this? The people who need it are prescribed it by their physicians for family use when they suspect an overdose.

I strongly support naloxone being available OTC, it has been proven to save lives. What is wrong with CVS or any other pharmacy selling it? I suppose you think drug addiction counselors and psychologists should also work for free. If a doctor prescribes, the person is still going to buy it from a pharmacy, why not have it OTC and made more accessible to everyone?

I don't see any difference between having naloxone widely available, and having defibrillators widely available.....neither are a substitute for immediate medical care, but both can keep the person alive long enough to get that medical care.
 
I wonder if cigarette sales didn't bring the income to justify the stocking space. If these companies cared about patient wellness you would think they'd staff the pharmacies adequately and allow for more pharmacist-patient interactions.
I've heard from store managers who said their "poor performance" in the tobacco category was a major topic of meetings roughly 6mo. before the announcement. Supposedly they were getting killed by Wags and couldn't figure out why, so it seems they saw the opportunity to turn the loss into positive momentum towards becoming a "healthcare company". Disclaimer: this is all hearsay from what some store manager told me.
 
I've heard from store managers who said their "poor performance" in the tobacco category was a major topic of meetings roughly 6mo. before the announcement. Supposedly they were getting killed by Wags and couldn't figure out why, so it seems they saw the opportunity to turn the loss into positive momentum towards becoming a "healthcare company". Disclaimer: this is all hearsay from what some store manager told me.

I think you should stop listening to rumors......
 
the more scripts available OTC, the merrier. cvs pharmacies are severely short staff and need to push for more OTC.
 
I strongly support naloxone being available OTC, it has been proven to save lives. What is wrong with CVS or any other pharmacy selling it? I suppose you think drug addiction counselors and psychologists should also work for free. If a doctor prescribes, the person is still going to buy it from a pharmacy, why not have it OTC and made more accessible to everyone?

I don't see any difference between having naloxone widely available, and having defibrillators widely available.....neither are a substitute for immediate medical care, but both can keep the person alive long enough to get that medical care.

Because it's a political issue that benefits no one. Why aren't glucagon shots OTC? Here is the issue with naloxone that people are willingly ignoring: drug users do not benefit from it. There is this garbage line that people use drugs responsibly and that letting drug users have access to this will allow them to safely abuse drugs while not killing themselves. By the time you need it, you won't be able to use it. Your motor skills will be shot and you might not even be able to move. Hard to reach for that naloxone when you can't breathe.

Since it doesn't benefit the intended demographic it should not be supported.
 
Because it's a political issue that benefits no one. Why aren't glucagon shots OTC? Here is the issue with naloxone that people are willingly ignoring: drug users do not benefit from it. There is this garbage line that people use drugs responsibly and that letting drug users have access to this will allow them to safely abuse drugs while not killing themselves. By the time you need it, you won't be able to use it. Your motor skills will be shot and you might not even be able to move. Hard to reach for that naloxone when you can't breathe.

Since it doesn't benefit the intended demographic it should not be supported.
It is not that they will be able to use it on themselves, but that they will have a friend who can use it on them. I am torn on the issue. Narcan isn't going to hurt anyone if you give it to them incorrectly (other than that fun feeling of instant withdrawal and killing of your buzz). I have personally seen a lot of people die from ODing. Some could have been saved if their friends had narcan. Does that mean they wouldn't have OD'd in the future again? potentially. Will some of them never become productive members of society? yes Will some of them conquer their addiction to become productive members of society? yes - I have a couple of very close friends that have. Was this a young guy who let his friends talk him into using heroin for the first time and then he killed himself and could have been saved? possibly, I had a high school friend who died from a first time use in college. A bright young kid who had great potential, made one bad, very bad mistake.

Be careful who you judge, we could easily end up on the other side of a bad decision ourselves.
 
I still don't understand how this will work.. how can CVS legally sell a federal legend drug without an RX? regardless of what the state law says.
 
I still don't understand how this will work.. how can CVS legally sell a federal legend drug without an RX? regardless of what the state law says.

More than likely they will have collaborative agreements in place with a standing order.
 
I think the title is somewhat misleading. Naloxone isn't going to be OTC in the sense it'll be out on the shelves for anyone to purchase. It'll be able to be dispensed by a pharmacist (with consultation) per physician protocol in states that have approved this measure, similar to the upcoming CA protocol that allows pharmacists to dispense birth control refills without a new Rx.
 
Am I the only person who, whenever I hear about someone dying from a heroin overdose, thinks that this person's friends and family were spared a lot of heartache in the long run?

Heroin addiction is a disease from which essentially nobody recovers. 🙁
Not everyone that uses heroin is an addict, and not everyone that dies from it is a problem user. Many first-time users have been dying lately, as the purity of the drug has increased and they have no idea what they are doing. The same has happened to a lot of casual users- people that only use it once in a blue moon at a party or whatever, as the purity has increased so much compared to what they have used before, that they use the dose that worked last time and up and die. A lot of people in my community that you wouldn't expect have died of heroin overdoses. One of my girlfriend's friends died of an overdose last week- he was going through a difficult divorce and child custody situation, decided to try heroin for the first time, and used too much. There's been three deaths in my town in the last month alone, all of them new users from my understanding.

Opiates aren't everyone's thing, it's not like you just inject heroin in someone and they're hooked for life, as is often portrayed in fiction. Just as with prescription opiates, only a portion of users will become addicts (in the case of prescription drugs, that's about 23%, but in the case of recreational users, it's probably higher, perhaps double that). To say all of the dead are sparing their families is neglecting the fact that many of these people weren't problem users. Many were trying it for the first time, were casual users, or were addicts that were so functional that no one even realized they were using. Yeah, there's a good number that are your straight-out-of-the-movies sell their mother's jewelry for a fix junkies, but most are pretty ordinary people. Every time I see a new name I know, I'm shocked, because you'd never think they were on heroin, let alone that you'd see them die from it.

Just as you've got a spectrum of alcoholics, from the ones that binge drink occasionally to the ones that are physically abusive and drive drunk constantly, so too is there a spectrum of users of most illegal substances. Don't paint them all with the same brush. And don't pass them off as being hopeless either. I've known several nurses and pharmacists that were former heroin users that have made full recoveries and are living healthy, happy lives, with families that love them and fulfilling careers. Finding comfort in the death of drug users because of your false perception of who they are and how hopeless you perceive them to be is a callous and ignorant way to approach the situation.

Personally I'm sick of all the people in my community dying, and the idea of someone writing these people off as better off in the ground pisses me off to no end. You should tell their kids that. I know of four little ones right now that would love for you to tell them how much better off they are now that their dads are dead and they were hopeless lost causes anyways.
 
Is it true that CVS cut about 30 hours from the store to cover the loss from cigarette sales?

Probably. Its stock price has skyrocketed. As the front end revenue continues to drop due to the loss from cigarette sales, CVS needs to justify its high stock price by cutting hours and closing their pharmacies an hour early and therefore, increasing its profit. This is also a way to push out older pharmacists and replace them with younger, cheaper pharmacists.

I also hear CVS is cutting benefits for part time pharmacists. These part time pharmacists tend to be older and tend to be young females with a family. They need health benefits. As a result, they are also being pushed out and replaced with new graduates.

The problem is that CVS is the industry leader. Whatever they do, other chains will copy if they are successful. Their middle and upper management is also migrating to other chains, even some hospitals. As they do this, they will also bring their CVS mentality and culture with them.
 
Heroin is horrible, even first time users are problem users...it's a sad mess
How is a first time user that tries it and doesn't like it a problem user? I mean, it's essentially just illegal morphine with slightly higher lipid solubility. I've had morphine medically before and wasn't hooked, nor was my mind blown by the opiates I was given post-surgery in the past- they just made me not care about my pain, but were otherwise uninteresting and provided no rush or fulfillment within me. Using opiates isn't a guarantee you'll become a problem user in the future, because for many it just isn't the right drug to hit you in that special place that makes you feel right. Some people it's alcohol, others it's cocaine, while for still others it's meth. But if you've got a healthy emotional outlook, you'll probably never become a problem user, as drugs fill a void. Without a void, drugs generally don't have power over you, something we've proven both anecdotally and experimentally. Addiction is a symptom of greater emotional or mental illness, generally, not the root cause (though there are some exceptions to this rule).
 
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yup alcohol is -

don't give me this BS that weed is a "gateway drug" Alcohol is the biggest gateway drug (a drug that I do enjoy drinking every now and then)

For addicts of any kind, close to 100% of them will admit that the first drug they tried was tobacco, and like alcohol to addicts, most of the time, it was indeed illegal because they were underage.

Heroin is legal in England, and over there is called diamorphine. I had a friend on another website (the site has since been taken down) who was given that and nitrous oxide while she (hang onto your seat) WAS IN LABOR.
 
Heroin is legal in England, and over there is called diamorphine. I had a friend on another website (the site has since been taken down) who was given that and nitrous oxide while she (hang onto your seat) WAS IN LABOR.

Not so surprising, nitrous oxide was commonly used for pain control in labor before epidurals, and today oxymorphone or morphine are used. Since England has a high percentage of CNM births, and a lot of home births, it makes sense they are using non-epidural forms of pain relief. But I think your point is the mothers & their babies aren't becoming instant addicts...which is true. Single use of heroin does not make someone a "problem" user.
 
This was a VBAC, so it wouldn't have been at home, and probably not supervised by a CNM either.

People who are not addiction-prone rarely become addicted to pain medication. Dependent? Sure, if they need it long term. But not addicted, because they have no desire to increase their usage and no desire to stay on it if the pain goes away.
 
I work in a city where Heroin use is rampant. There are no nice stories of recovered Heroin addicts. They are better off dead. Regulated naloxone is just a feel good political solution. You save the heroin addict today so they can keep doing heroin tomorrow.
 
How is a first time user that tries it and doesn't like it a problem user? I mean, it's essentially just illegal morphine with slightly higher lipid solubility. I've had morphine medically before and wasn't hooked, nor was my mind blown by the opiates I was given post-surgery in the past- they just made me not care about my pain, but were otherwise uninteresting and provided no rush or fulfillment within me. Using opiates isn't a guarantee you'll become a problem user in the future, because for many it just isn't the right drug to hit you in that special place that makes you feel right. Some people it's alcohol, others it's cocaine, while for still others it's meth. But if you've got a healthy emotional outlook, you'll probably never become a problem user, as drugs fill a void. Without a void, drugs generally don't have power over you, something we've proven both anecdotally and experimentally. Addiction is a symptom of greater emotional or mental illness, generally, not the root cause (though there are some exceptions to this rule).
If you have enough problems that you think trying heroin makes sense, you are a problem from the first time. It's like Russian roulette, you don't have to partake regularly for it to indicate serious issues
 
If you have enough problems that you think trying heroin makes sense, you are a problem from the first time. It's like Russian roulette, you don't have to partake regularly for it to indicate serious issues
A person with problems =/= a problem user. That is a specific term with a specific meaning.
 
Google isn't cooperating....can you cite your definition
This key indicator collects data on the prevalence and incidence of high-risk drug use (HRDU) at national and local level. It was formerly called problem drug use (PDU). The indicator, which has recently been revised mainly due to the changing drug situation, focuses on ‘recurrent drug use that is causing actual harms (negative consequences) to the person (including dependence, but also other health, psychological or social problems), or is placing the person at a high probability/risk of suffering such harms’.

In addiction literature, this is how it is generally used. Many of our current heroin users are not the injectors of past, as heroin is so pure now that you can just snort it like cocaine or smoke it, which is how many try it their first time, as jumping to the needle isn't exactly something most people are willing to or are comfortable doing. Repeat injection drug users fall under this definition due to the high risk route of administration, but casual users of opiates that smoke/snort/ingest them or first-time users would not fall under its definition, generally.
 
This key indicator collects data on the prevalence and incidence of high-risk drug use (HRDU) at national and local level. It was formerly called problem drug use (PDU). The indicator, which has recently been revised mainly due to the changing drug situation, focuses on ‘recurrent drug use that is causing actual harms (negative consequences) to the person (including dependence, but also other health, psychological or social problems), or is placing the person at a high probability/risk of suffering such harms’.

In addiction literature, this is how it is generally used. Many of our current heroin users are not the injectors of past, as heroin is so pure now that you can just snort it like cocaine or smoke it, which is how many try it their first time, as jumping to the needle isn't exactly something most people are willing to or are comfortable doing. Repeat injection drug users fall under this definition due to the high risk route of administration, but casual users of opiates that smoke/snort/ingest them or first-time users would not fall under its definition, generally.
With it being an actual specific term and not just a phrase, I'm going to admit you are right (might want to bookmark that 😉 )

Thanks for the link
 
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