NARCAN (Naloxone): Save a Life from Heroin Overdose

Narcan Naloxone hydrochloride police trainingNARCAN contains the active ingredient Naloxone hydrochloride and is an opioid antidote. Opioids include heroin and prescription pain medicine such as morphine, methadone, codeine, oxycodone, Percocet and Vicodin. When someone overdoses on an opioid, their breathing can slow down, or even stop.  It is extremely difficult to awaken someone once they have slipped into such a state. NARCAN (Naloxone) works to block the effects of the opioid and reverse the effects of the overdose. This cannot be used to achieve a high, and if this is given to someone that did not overdose on opioids, it will have no impact on them, either positive or negative.

How does NARCAN (Naloxone) work?

NARCAN (Naloxone) works by removing the opioid from the opiate receptors in the brain. Even if the opiod(s) are taken along with other drugs or alcohol, NARCAN (Naloxone) can still help with preventing an overdose. If this is administered to someone using opioids, but is not experiencing an overdose, NARCAN (Naloxone) will put them into immediate withdrawal. It is not life threatening for them, but this will cause extreme discomfort.

Important Note: NARCAN (Naloxone) is NOT designed for ongoing long term treatment of heroin or opiate addiction and is not classified as one of the several medicine assisted treatment (MAT) options such Methadone, Suboxone and Naltrexone (Vivitrol and ReVia).  NARCAN (Naloxone) is ONLY to be used as a heroin and/or opiate overdose “antidote”.

After one dose of NARCAN (Naloxone), the person this is given to should be able to start breathing normally and it will be easier for them to wake up. However, it is imperative that this is administered as soon as the overdose occurs, because brain damage can occur a mere few minutes after an overdose has taken place. This is due to the lack of oxygen to the brain.

Naloxone / NarcanAdministering NARCAN (Naloxone) will give the concerned party(s) a small window of time to be able to call 911 and carry out CPR until EMT’s are able to arrive and take over administering CPR. It is also imperative to continue administering CPR until the EMT is there and is ready to take over.

In the event that you are reading this article as a concerned caregiver, it would be a good idea to become CPR and First Aid certified just in case you are in a position of needing to administer CPR. You can do this by contacting the American Red Cross for training classes.

How is NARCAN (Naloxone) Administered?

NARCAN (Naloxone) is administered in one of two ways. The most common way is intramuscularly via an injection into the thigh, arm, or buttocks. There is also a nasal spray that is inserted directly into the nose. The nasal spray is less common, but this is available in larger cities across the United States. Once this is administered, it usually works within five minutes. Repeated doses may be needed if signs of an overdose are still being shown after the first dose is given.  The effects of a heroin or opiod overdose typically wear off within 30 minutes and the person can start breathing normally again.  In this time frame, the effects of the opioid overdose are mostly gone to the point that the person can start breathing normally again.

Who Carries NARCAN (Naloxone) and How Can I Get It?

ProbuphineMost law enforcement officials and first responders carry NARCAN (Naloxone). You can also get this as a prescription from a physician, who will then train you on how to administer this. A NARCAN (Naloxone) locater can be found online to find places in your area that you can obtain this.

Once trained by a physician, this person can than go on to train another, using the “train the trainer” model. With basic training, a family member, friend, caregiver, etc., can be trained on NARCAN (Naloxone) as well as how to spot signs of an overdose.

There are two states, Massachussets and Rhode Island, that you do not need a prescription to obtain NARCAN (Naloxone). However, CVS has recently unveiled that they will be selling Narcan without a prescription in 12 additional states. These include Pennsylvania, California, Minnesota, Mississippi, Arkansas, Montana, North Dakota, New Jersey, South Carolina, Utah, Wisconsin, and Tennessee.

Final thoughts and precautions

Narcan (Naloxone)While NARCAN (Naloxone) can save a life, it is imperative to keep a number of things in mind. First of all, while this can save someone from death, it is not a guarantee that it will. There have been cases that this did not save the person from dying from heroin overdose. It is not an end all, be all solution, and it should never be provided as a treatment option for ongoing drug use. Obtaining NARCAN (Naloxone) should not be used as an excuse to then use heroin or opioids again thinking that NARCAN (Naloxone) can be a “quick fix” or “get out of jail free” card.

After obtaining the NARCAN (Naloxone) injection due to heroin or opiod overdose, he/she should be taken to the hospital and stay for an appropriate amount of monitoring as recommended by the treating physician. It is also important to discuss openly with the physician about long term treatment options for addiction.

Some hospitals have been putting together NARCAN (Naloxone) response teams, whose purpose is to educate and connect people to resources to start their journey to recovery. Ultimately, it is important to remember that any successful recovery starts with the willingness to do so, and to access the supports that are available to you.  You are not alone.

Published By,

William – Publisher and Founder of Kill the Heroin Epidemic Nationwide™
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9 thoughts on “NARCAN (Naloxone): Save a Life from Heroin Overdose

  1. My son died of a heroin overdose 7/17/2015 so I think that qualifies me to respond. I am cynical when it comes to this, especially that it’s being sold over the counter. My son died alone, and his housemates discovered him 4 days later because of the smell of decomp. He was identified by dental records. I know, for a fact, if this drug existed, he would have been in a group with one person as the “designated driver”. Yes, it may save lives and I am thrilled who see revival as their bottom and seek treatment. I just the the police, the first responders,etc as reviving the same people. Suboxine was the first drug-it lined the pockets of the pharmaceutical company, the prescribing doctors, and had a street value as addicts learned how to abuse it. There is an injectible capsule..I have heard of addicts cutting it out of themselves. Education, specific heroin treatment centers, prevention, treatment and not jail. These are not bad people trying to get good, they are sick people trying to get better. The best beginning has been to take the stigma away. They are no longer bums under bridges, they are our sons, our daughters, our friends and loved ones. They don’t deserve punishment for something they cannot help, and certainly not the label of “felon”, which will follow them when they have to check that box on every form.

    • Linda, thank you for providing your thoughts and comments. Anything and everything can be abused. I know that some feel that making Narcan (Naloxone) publicly available as an “over the counter” medication that it may encourage ongoing risky behavior and heroin use. After all, it’s supposed to be a “quick fix” revival antidote so wouldn’t it possibly advocate more heroin use and more overdoses? That said, I think people are going to engage in risky behavior and do heroin whether or not Narcan (Naloxone) can be purchased with a prescription. Most people don’t want to overdose, they want just enough to get that “high” that helps them escape reality and enter a world of euphoric feeling. But this simply does not last long and re-creating that high one experiences the first time and maybe even week or two of use becomes virtually impossible leading people to use more and more heroin. I personally doubt that if Narcan (Naloxone) was more readily available that it would promote more heroin use. The fear of withdrawal and chasing the “high” is doing that enough on its own. So in my opinion, Narcan (Naloxone) becoming easily available without a prescription would most likely save more lives than it would end.

      William – Publisher

  2. How does this affect pregnant females say females because some are minors and not quit women yet :'(. Can this be used during a pregnancy to stop the effects on an unborn ? Wouldn’t that be great! Spray and marchmen act to a drug free living facility for duration of pregnancy?? I know long shit but hope always hope..

    • Kimberley,

      I haven’t seen much about the use of NARCAN (Naloxone) in pregnant women but a quick search revealed that there are some additional risks. Whether or not to use Nalaxone seems to be whether or not the benefits outweigh the risks. To learn more, visit https://www.drugs.com/pregnancy/naloxone.html.

      Best wishes,

      William – Publisher

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