Medical providers may have the opportunity to maximize patient quality of life by providing prescription opioids, yet those same medicines have contributed to the fact that drug overdose has overtaken motor vehicle crashes to be the #1 cause of injury death in the United States. Providers can consider taking the stance of “risky medicines”, instead of “risky patients” and engage in proactive dialogue with patients to minimize poisoning, over sedation, and overdose risk with patients who need opioid medications to improve function. Discussing an emergency overdose/poisoning/oversedation plan and naloxone prescribing is an essential component of that dialogue. We provide some sample documents that may facilitate the process. Those desiring in-depth technical assistance can contact us for rates and availability at PrescribeToPrevent@gmail.com.
Overdose Risk and Patient History
- Review medications
- Take a substance use history
- Check the prescription monitoring program
- Take an overdose history – Ask your patient whether they have:
- Overdosed or had a bad reaction to taking opioid medications?
- Witnessed an overdose?
- Received training to prevent, recognize, or respond to an overdose or medication-related oversedation?
Prescribing Various Naloxone Products
This chart describes product comparison, prescribing variation and ordering information:
Here are examples of clinician materials to support and encourage naloxone rescue kit prescribing. These examples reflect variance in prescribing guidelines and inclusion criteria. We recommend that you adapt these examples to the needs of your clinical practice.