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Middlesex-London Health Unit

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The Naloxone Program

The Middlesex-London Health Unit, Regional HIV/AIDS Connection, London Area Network of Substance Users and the London InterCommunity Health Centre launched The Naloxone Program in June of 2014. This collaborative effort is supported by the Ontario Ministry of Health and Long-Term Care. The intention of this multi-agency partnership is to prevent opioid overdose and save lives.

International Overdose Awareness Day

International Overdose Awareness Day (IOAD) is a global event held on August 31st each year and aims to raise awareness of overdose and reduce the stigma of a drug-related death. It also acknowledges the grief felt by families and friends remembering those who have met with death or permanent injury as a result of drug overdose.

 

What is an overdose?

Overdoses usually occur accidentally when someone takes more of an opioid dose than their body can handle. This can happen if someone has just started using an opioid drug; resumes taking an opioid drug after a period of not taking one for a while; switches from one opioid drug to another; takes more than their usual opioid dose; takes more than one drug at the same time; or develops an illness when taking opioid drugs. When an overdose occurs, breathing becomes slower and shallower, and in more serious overdoses, stops completely. This may result in loss of consciousness, brain damage and death.

 

Naloxone Kit

Naloxone Kit
 

What is naloxone?

Naloxone is a medication which is used to temporarily reverse the effects of an overdose of opioid drugs. There is no other use for naloxone.

Naloxone temporarily blocks opioids from binding to the receptors in the brain and body, thereby restoring breathing and preventing brain damage and death. In Middlesex-London, naloxone will be given by means of an injection into the arm or thigh muscle. A second dose of naloxone may be necessary within three to five minutes if the overdose is not reversed within that time frame. During an overdose, other life-saving measures are also very important, such as performing basic life support and calling 911. Emergency medical care is critical as the effects of the naloxone wear off in about 30 to 90 minutes and overdose symptoms may return.

How will naloxone get to the people who need it?

Through The Naloxone Program, people who are at risk of opioid overdose will be trained to administer naloxone. Our hope is that people who use substances in peer group situations will have a trained naloxone administrator in the group who can administer the medication should it be required.

Similar overdose prevention programs in place in Ontario, and around the world, provide training in basic lifesaving skills and naloxone administration within peer groups. Once trained, individuals are given a pocket-sized overdose prevention kit which includes two doses of naloxone.

Where to get naloxone kits?

Check the list of pharmacies, community organizations and provincial correctional facilities where you can get kits and training on how to use them.

Overdose Treatment Myths

  • DO NOT put the person in a bath BECAUSE they could drown
  • DO NOT induce vomiting BECAUSE they could choke
  • DO NOT inject them with anything (saltwater, cocaine, milk) other than naloxone BECAUSE this will not help and it may cause more harm

How do I get trained?

If you are an individual at risk of opioid overdose, or currently using opioids, and are interested in being trained to save a life, please call the Regional HIV/AIDS Connection at 519-434-1601 and ask to speak to someone about The Naloxone Program.

Training Schedule:

  • Middlesex-London Health Unit
    355 Wellington St., London (inside Citi Plaza)
    Monday to Friday, 8:30AM to 4:30PM
  • Carepoint
    446 York St., London
    Monday to Sunday, 8:30AM to 9:00PM

Additional Information

 
Date of creation: June 18, 2014
Last modified on: May 1, 2023

Resources

 
 

References

1Community-Based Opioid Overdose Prevention Programs Providing Naloxone — United States, 2010. Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report, February 17, 2012 / 61(06); 101-105.
2Evaluation of the Take Home Naloxone Demonstration Project. Professor Trevor Bennett and Dr Katy Holloway/ Centre for Criminology, University of Glamorgan. Welsh Assembly Government Social Research, 2011
3Stopping Overdose: Peer-Based Distribution of Naloxone. Roxanne Saucier, Open Society Foundations Public Health Program. March 2011