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Naloxone Kit

Naloxone Kit

Naloxone (pronounced na-LOX-own) is a fast-acting drug used to temporarily reverse the effects
of opioid overdoses.

How Naloxone works

Naloxone can restore breathing within 2 to 5 minutes. When you take an opioid, it affects certain
receptors in your brain. Naloxone works by kicking opioids off the receptors in your brain and
binding to those receptors instead. This reverses or blocks the effects of opioids on your body.
Naloxone only works if you have opioids in your system, such as:

  • fentanyl
  •  heroin
  • morphine
  • codeine

Naloxone is a drug that can temporarily reverse an opioid overdose. The Ontario Naloxone Program distributes injectable and nasal spray naloxone kits through participating community-based organizations to: individuals at risk of opioid overdose.
It is free of charge and available without a prescription, or health card, at a number of participating pharmacies and community partners.
Pharmacy professionals are responsible for ensuring they possess sufficient knowledge, skills and abilities to competently provide naloxone in a safe and effective manner.

The Ontario Ministry of Health established the Ontario Naloxone Program for Pharmacies
(ONPP) to increase public access to this life-saving medication at no charge through community pharmacies. It is critical that the pharmacist is properly trained to effectively educate and prepare the patient or their agent for dealing with an opioid overdose, prior to providing naloxone

In addition to understanding naloxone therapy and being taught how to administer it they should
also be educated on such topics as:

  • Harm reduction strategies when using opioids
  • How to identify and respond to an opioid overdose
  • Importance of immediately calling 9-1-1 and staying with the person until emergency
    first responders arrive
  • When and how and why to administer naloxone
  • Importance of performing rescue breathing
  • Any other information the pharmacist deems relevant

 

Ontario Take-Home Naloxone Programs

Naloxone is a drug that can temporarily reverse an opioid overdose.

The Ontario Naloxone Program distributes injectable and nasal spray naloxone kits through participating community-based organizations to:

  • individuals at risk of opioid overdose
  • the individual’s friends and family

Through participating pharmacies, the Ontario Naloxone Program for Pharmacies distributes injectable and nasal spray naloxone kits to:

  • individuals at risk of opioid overdose
  • the individual’s family and friends
  • people in a position to care for at risk individuals
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Program eligibility

The following organizations, centres and programs are eligible to participate in the Ontario Naloxone Program:

  • Needle Syringe Programs
  • Hepatitis C programs
  • public health units
  • Aboriginal Health Access Centres
  • AIDS service organizations
  • Community Health Centres
  • outreach programs
  • withdrawal management programs
  • shelters
  • hospital emergency departments, urgent care centres and inpatient units
  • police, fire services and St. John Ambulances Branches are eligible to receive naloxone for use when responding to opioid overdoses
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What’s in a naloxone kit

Each nasal spray naloxone kit includes:

  • 1 hard case (for example, a zippered hard black case with red “naloxone” cross)
  • 2 doses of naloxone hydrochloride intra-nasal spray (4 mg/0.1 ml))
  • 1 rescue breathing barrier
  • 1 pair of non-latex gloves
  • 1 card that identifies the person trained to give the naloxone
  • 1 insert with instructions (English and French)
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Each injectable naloxone kit includes:

  • 1 hard case (for example, a zippered hard black case with red “naloxone” cross)
  • 2 (0.4 mg/1 ml) vials or ampoules (a small glass container) of naloxone
  • 2 safety-engineered syringes with 25g, 1” needles attached
  • 2 alcohol swabs
  • 2 devices (known as “breakers,” “snappers,” or “openers” for opening ampoules safely)
  • 1 rescue breathing barrier
  • 1 pair of non-latex gloves
  • 1 card that identifies the person who is trained to give the naloxone
  • 1 insert with instructions (English and French)
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Requirement to show Ontario health card at a participating pharmacy to receive a naloxone kit

  • An Ontario health card is no longer requiredto receive free naloxone kits from a participating pharmacy. More specifically, pharmacists may provide naloxone kits to Ontarians who meet the eligibility criteria and who do not have an Ontario health card or to those who do not wish to provide identification.
  • The intent is for pharmacists to ask for a health card when distributing naloxone kits. Should the individual not have a health card or does not wish to present it, pharmacists can still provide a naloxone kit based on their professional judgement.
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