People administering an overdose-reversing medication should have a choice of both versions of take-home naloxone kits across Canada — a nasal spray and an injectable that goes into a muscle — says a panel of experts that includes people who use drugs.

The new guidance applies to take-home naloxone kits that are distributed at various sites, including pharmacies, community groups and emergency departments, to anyone who could respond to an overdose.

Those who have used naloxone to save lives say having the nasal spray at hand could ensure a faster response because some people may be uncomfortable with needles. But that formulations is many times more expensive than the intramuscular version.

Authors of the guidance, published recently in the Canadian Medical Association Journal, strongly recommend federal, provincial and territorial programs be adapted so people have a choice of methods when a fast response is needed after someone has overdosed on an illicit substance.

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Global News
September 8, 2023