Post-Overdose Care in the
Naloxone – Provider Facing
Naloxone is an opioid antagonist reversing the respiratory depression that occurs during an opioid overdose. Naloxone is safe, effective, and has no potential for abuse. In Michigan, it can be dispensed by a Pharmacy without a prescription.
The nonmedical use, abuse, and intoxication from prescription and illicit opioids are a frequent problem encountered in the emergency department. Recent studies have shown decreased mortality in communities with take home naloxone programs. As such, the emergency department provides a promising opportunity for opioid harm reduction measures through overdose education, substance abuse treatment referral, and take home naloxone (THN).
- Download this sample Take Home Naloxone (THN) protocol for high-risk patients and edit it for use in your emergency department.
- This is a sample clinical protocol developed by a stakeholder committee and the University of Michigan Injury Prevention Center. Sites will need to evaluate whether this is appropriate for their ED and obtain proper committee approval before use.
- See the MidMichigan Health protocol as an example of how adapt the sample protocol to work for your health system.
- Michigan OPEN/MEDIC: Step by step guide for how to implement a Take Home Naloxone program in your ED
Overview of Take Home Naloxone for Opioid Overdose: A Harm Reduction Strategy
- Learn about the life-saving science behind naloxone – how naloxone works, where it can be purchased, barriers and facilitators to prescribing naloxone and much more.
How to Prescribe Naloxone for Your Patients
- This website has the information prescribers need to start prescribing and dispensing naloxone, including patient education information for discharge.
- Includes specific information for primary care clinic, emergency department, and substance use disorder providers.
- This manual outlines how to develop and manage an overdose prevention and education program, with or without a take-home naloxone component.
Understanding Naloxone Administration in the Field
How to Talk to Your Patients About Prescribing Naloxone
Locate Pharmacies Approved to Dispense Naloxone in Michigan
Naloxone Access & Overdose Good Samaritan Laws
- Access a detailed overview of characteristics of state naloxone access laws and state overdose Good Samaritan laws in the U.S.
Naloxone Distribution in the Emergency Department
- This systematic review supports the emergency department as a potential setting for naloxone distribution and overdose prevention.
Article: Samuels EA, Baird J, Yang ES, Mello MJ. Adoption and Utilization of an Emergency Department Naloxone Distribution and Peer Recovery Coach Consultation Program. Academic Emergency Medicine. 2019; 26: 160– 173.
- This article provides evidence that emergency department naloxone distribution is feasible and maintainable.
- View this presentation for a comprehensive look at the research on ED-based naloxone distribution.