Feature

Surgeon General wants naloxone widely on hand. Is that feasible?


 

Many public health advocates applaud the surgeon general’s position

Naloxone, which is a drug that can keep drug users alive by reversing opioid overdoses, is viewed by many as the cornerstone of the harm-reduction approach to the epidemic. Experts say people with addiction problems should carry it, and so should their family, friends and acquaintances.

“We want to put it more in reach,” said Traci Green, PhD, an associate professor of emergency medicine and community health sciences at Boston University, who has extensively researched the opioid abuse crisis. “It could not have been a better endorsement.”

Others, including Diane Goodman, who penned a recent Medscape commentary reflecting on the advisory, wonder whether this is a “rational” response to the scourge, since opioid addiction is one of many health problems people might encounter in everyday life and for which treatment options are still limited.

“I’m not sure it makes much more sense than any of us carrying a bottle of nitroglycerin to treat patients with end-stage angina,” wrote Ms. Goodman, an acute-care nurse practitioner.

“What, exactly, are we offering to addicts once their condition has been reversed?” she asked, noting that, without treatment and therapy programs that help wean people from addiction, “the odds of survival for any length of time remain low, no matter how much reversal medication is kept nearby.”

Pages

Recommended Reading

Pot legalization tied to drop in opioid prescribing rates
MDedge Family Medicine
FDA recalls kratom products for salmonella contamination
MDedge Family Medicine
MDedge Daily News: Does more marijuana mean fewer opioids?
MDedge Family Medicine
Abstract: Collaborative Care for Opioid and Alcohol Use Disorders in Primary Care: The SUMMIT Randomized Clinical Trial
MDedge Family Medicine
MDedge Daily News: Skin disorders defeat weekend warriors
MDedge Family Medicine
Epilepsy upped risk of unnatural death
MDedge Family Medicine
EAGLES: Smoking cessation therapy did not up cardiovascular risk
MDedge Family Medicine
Life and health are not even across the U.S.
MDedge Family Medicine
MDedge Daily News: Shingles boosts stroke risk
MDedge Family Medicine
Adding CBT to substance use treatment may increase success
MDedge Family Medicine