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

Fentanyl: A Major Culprit in Opioid Overdoses
Federal Practitioner
HCV screening, care inadequate for young adults who use opioids nonmedically
Federal Practitioner
A Veteran With Alcohol Use Disorder and Acute Pancreatitis
Federal Practitioner
Medical Marijuana Redux
Federal Practitioner
Gabapentin Use in Acute Alcohol Withdrawal Management
Federal Practitioner
Depression and Bipolar Disorders in Patients With Alcohol Use Disorders (FULL)
Federal Practitioner
More Children Than Estimated Have Fetal Alcohol Problems
Federal Practitioner
VA is First Hospital System to Release Opioid-Prescribing Rates
Federal Practitioner
Complementary and Integrative Health Therapies for Opioid Overuse
Federal Practitioner
Genes, Cigarettes, and Blood Pressure: a Revealing Relationship
Federal Practitioner