Critics of naloxone access laws fear that they could encourage substance abuse by reducing the perceived likelihood of harm. Health Res Policy Syst. 4 However, the scope of these laws differs, and not all of them ensure that naloxone can get into the hands of people most likely to experience or witness an opioid overdose. Some states have taken more innovative approaches to increase access to naloxone beyond the pharmacy: for example, by permitting naloxone distribution in … Epub 2020 Jun 27. Please review the NIH Comments Policy. For instance, the researchers found that states that allow pharmacists to dispense naloxone without a prescription also saw an increase in the number of patients treated at emergency departments for nonfatal overdoses. National Institute on Drug Abuse/NIH. Epub 2018 Aug 30. Moreover, while there exist fewer Good Samaritan overdose protection laws which provide criminal immunity from arrest and … Appointed the 16th Director of NIH by President Barack Obama and confirmed by the Senate. Am J Drug Alcohol Abuse. U.S. Department of Health and Human Services. Integration of all possible interventions is exactly the goal of the HEALing Communities Study mentioned above. | Standing order provisions led on average to an increase of approximately 33 naloxone prescriptions per state-quarter, which is equivalent to 74% of the average number of naloxone prescriptions per state-quarter. Copyright © 2018 Elsevier B.V. All rights reserved. Acad Emerg Med. 2019 May 6. Davis CS, Southwell JK, Niehaus VR, Walley AY, Dailey MW. The aim of this paper is to determine whether implementation of different provisions of naloxone access laws led to increased naloxone dispensing financed by Medicaid. Sorry, your blog cannot share posts by email. 21 Even given this expanded access, naloxone remains underutilized in overdose situations. 9,11-12 • Expanding who can distribute naloxone . 2015 Dec 1;157:112-20. doi: 10.1016/j.drugalcdep.2015.10.013. Pharmacy (Basel). We found that the presence of any naloxone law was significantly associated with increases in outpatient naloxone reimbursed through Medicaid.  Opioid Overdose Crisis. Some states have taken more innovative approaches to increase access to naloxone beyond the pharmacy: for example, by … Updated January 2019. Opioid overdoses lead to respiratory arrest. Katzman JG, Takeda MY, Greenberg N, Moya Balasch M, Alchbli A, Katzman WG, Salvador JG, Bhatt SR. JAMA Netw Open. Epub 2020 Jul 8. National Institute on Drug Abuse/NIH, HEAL (Helping to End Addiction Long-Term) Initiative, Reasons for Gratitude Amid the COVID-19 Pandemic, Mini-Lungs in a Lab Dish Mimic Early COVID-19 Infection, Discussing COVID-19 at the Washington National Cathedral. Posted on May 14th, 2019 by Dr. Francis Collins. Conclusions: 2018 Oct 1;191:361-364. doi: 10.1016/j.drugalcdep.2018.07.017. You are encouraged to share your thoughts and ideas. Between 2013 and 2016, nine states instituted laws that give pharmacists direct authority to dispense naloxone to anyone without a prescription. Information on state naloxone access laws (NALs) was obtained from the Prescription Drug Abuse Policy Surveillance System as well as academic 16 and legal sources. 2020 Nov-Dec;60(6):853-860. doi: 10.1016/j.japh.2020.05.016. Laws Concerning Naloxone Access As of July 2017, laws have been passed in all 50 states and the District of Columbia to increase public access to naloxone. 2014 Oct;21(10):1173-7. doi: 10.1111/acem.12485. COVID-19 is an emerging, rapidly evolving situation. Longer-term data are needed, and, as in all observational studies of this sort, one must be careful not to equate correlation with causation. “However, the scope of these laws differs, and not all of them ensure that naloxone can get into the hands of people most likely to experience or witness an opioid overdose. J Am Pharm Assoc (2003). 2016 Mar;42(2):117-28. doi: 10.3109/00952990.2015.1109648. Naloxone Access Laws (NALs) are policies passed by states to curb the opioid overdose epidemic. In contrast, states granting pharmacists’ only indirect authority to dispense naloxone have experienced little change. In the new analysis, published in JAMA Internal Medicine, a team that included Rahi Abouk, William Paterson University, Wayne, NJ, and Rosalie Liccardo Pacula and David Powell, RAND Corp., Arlington, VA, asked: Do state laws to improve naloxone access lead to reductions in fatal overdoses involving opioids? Naloxone, which can be delivered via nasal spray or injection, works by binding opioid receptors to reverse or block the effect of opioids. New research at #NIH-funded @StanfordMed found that data from fitness trackers could be used for pre-symptomatic de… https://t.co/O8RCDCkUlL 2 days ago, This song is dedicated to #NIH staff -- from the Spring to the Fall, you’ve been heroes one and all, you’ve answere… https://t.co/k6y8iGslDx 3 days ago, Researchers at #NIH's @theNCI analyzed #cancer patients they’re calling “exceptional responders,” finding that geno… https://t.co/rplbxmXJzg 4 days ago. | Get the latest public health information from CDC: https://www.coronavirus.gov. To ease access to naloxone and provide more availability, states have started to implement different variations of naloxone access laws. Naloxone is a prescription medication that can quickly and effectively reverse opioid overdose. 2020 Aug 6;18(1):87. doi: 10.1186/s12961-020-00596-8. Pharmacy Access Notes: Law allows prescribers and pharmacists to prescribe and dispense to anyone at risk, in a position to assist (including in course of official duties), or in the opinion of the pharmacist has a valid reason to possess. Epub 2016 Jan 25. 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