Saskatchewan Federation of Police Officers 83 In response to Canada’s opioid crisis, provinces and territories have put in place a number of strategies to ensure naloxone is available to first responders, health care workers, high-risk users and the public. NALOXONE ✓1 ✓ X ✓1 ✓ ✓1 X ✓ ✓ ✓ ✓3 ✓ ı ✓ ✓ ✓ X ✓ X X ✓ ✓ ✓ ı ı ı ✓ X ı ✓2 ✓ X X X ı X ı ✓ ı ✓ ✓ ✓ ✓2 ✓ X X ✓2 ı ✓ ı ✓ ı ✓ ✓ ✓ ✓2 ✓ X X ✓2 ✓ ✓ ✓ ✓ ✓ ✓ X ı X ✓ X X ✓2 ı ı ı ı ı ✓ X ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ı X X X X X X X X X X X X X Saskatchewan In November 2016, the Saskatchewan College of Pharmacy Professionals announced that pharmacists may provide a Naloxone hydrochloride injection when indicated for emergency use for opioid overdose outside hospital settings as a Schedule II drug in community pharmacies without prescription after considering appropriateness and ensuring that users are trained and educated on its proper administration. Publicly-fundedTake-Home Naloxone (THN) Program Publicly-funded THN kits are available at one site in each of six Saskatchewan cities: Saskatoon, Regina, North Battleford, Kamsack,Yorkton, and Prince Albert. Purchasing Naloxone in Pharmacy Pharmacies are able to sell naloxone kits to interested individuals. Pharmacies may order preassembled standardized naloxone kits directly through The Control Group or McKesson Canada. Cost to Patients The price of naloxone varies by pharmacy.One media source has indicated that the injectable form may cost patients $50– $70 for a two-dose kit. Patient Assessment and Education Pharmacists may provide a Schedule II drug after consultation with the patient as per the NAPRA Standards of Practice for Non-Prescription Drugs. Pharmacists must ensure that naloxone users are trained and educated on its proper administration, including proper technique, appropriate dose, use of appropriate supplies and how to avoid and manage needle-stick injury, which are not well covered in the labelling. www.pharmacists.ca Take-home Naloxone Kit Supplies List Each take-home naloxone kit should be assembled in a durable, sealable case or container and must contain the following elements: Each intra-nasal naloxone spray kit must include: (1) - Hard case (2) - Doses of Narcan® Nasal Spray (4 mg/0.1ml) (1) - Rescue breathing barrier (1) - Pair of non-latex gloves (1) - Card that identifies the person who is trained to give the naloxone (1) - Updated instructional insert (English) OR (1) - Updated instructional insert (French) In addition, OPA recommends: (1) - Belt clip Each injectable naloxone kit must include: Each injectable naloxone kit must include: (1) - Hard case (2) - 1 ml ampoules or vials of naloxone hydrochloride 0.4 mg/ml injection (2) - Safety engineered syringes with 25g, 1″ needles attached (2) - safe ampoule-opening devices (also known as breakers, snappers, or openers), (1) - Rescue breathing barrier (1) - Pair of non-latex gloves (1) - Card that identifies the person who is trained to give the naloxone (1) - Updated instructional insert (English) OR (1) - Updated instructional insert (French) In addition, OPA recommends: (1) - Belt clip www.opatoday.com Community pharmacies Correctional facilities Shelters Treatment centres/ Addiction services Health care centres/ walk-in clinics Other community agencies Community pharmacies Other community organizations Publicly-funded THN kits Naloxone for purchase BC AB SK MB ON QC NB NS PE NL NWT YT NU AVAILABILITY OF NALOXONE KITS ACROSS CANADA ✓Available ı Insufficient information available XNot available in the province of territory 1. Current program contains eligibility restrictions and limited number of sites. 2. Number of pharmacies/sites limited. 3. Currently limited to intranasal naloxone as the territory transitions to Take-Home Injection Naloxone Kits.
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