Author: Justin Mckibben
Naloxone expansion is something we consistently see as a topic of discussion. Naloxone, or the name-brand Narcan, is an opioid overdose antidote that is in high demand as one of the primary tools in the fight against the ongoing overdose outbreak. Law makers and law enforcement agencies have joined with community organizations and pharmacy companies in trying to provide this medication to more and more people.
New legislation across the U.S. has made access to Naloxone more common than ever. Now, the drive for Naloxone expansion is leading us to another avenue. This is beyond supplying the families of addicts, the addicts themselves and first responders.
Some may remember, back in September, the Food and Drug Administration launched a competition to app developers in the name of improving resources for naloxone expansion. The contest was seeking a mobile app for connecting people experiencing a drug overdose with someone nearby who can administer naloxone. With technology being used to expedite just about everything in our world, it only made sense to use it to help save lives if possible.
The winner of the Naloxone App Competition has been announced this month, and the $40,000 cash prize has been claimed. Their mission: to make it possible for more people to be first responders for opiate overdoses.
The OD Help App
The winning app is the OD Help App, creared by Team PwrdBy, a small start-up in Venice, California. The start-up’s CEO Jared Sheehan says this innovation stems from the idea of making naloxone assistance as available as ride-sharing services like Uber and Lyft. With Uber and Lyft drivers being so spread out, the idea is the app could cover a lot more ground and reach more people in the event of opioid overdose.
Sheehan says there’s still a lot of work to be done before the app is made available to the public. To implement this kind of program with Uber or Lyft, it would require reaching out and coordinating with ride-sharing companies. Sheehan stated:
“Is there a way if every Uber driver had a naloxone kit in the back of their car, that you could call someone and they’d be able to come over and administer naloxone?”
So in essence, the idea of the OD Help app would be to be able to alert naloxone carriers of an overdose (OD) and give them the option of being dispatched to help revive someone experiencing the overdose.
Expanding Team PwrdBy Naloxone Plan
According to Sheehan, ride-sharing apps are just one avenue that Team PwrdBy is setting its sights on. The company is also exploring more traditional distribution systems.
One such method Team PwrdBy wants to look to for inspiration for the OD Help app is the AED network, the automated external defibrillators network across schools. The goal is to better comprehend how these programs are funded and distributed. Modeling after an already successful style of expanded access for other emergency medical supplies may be vital to changing the way we expand naloxone access.
All of this is to save as many lives as possible.
How OD Help Works
The OD Help app connects opioid users with a crowd-sourced network of naloxone carriers. Using GPS, it specifically connects someone who may experience an overdose with someone nearby who has access to naloxone. The app is also able to be personalize to the user’s specifications. One feature lets you set it up so in the event of an overdose the app would only alert people in your selected support network. And naloxone carriers can disable alerts if they are not able to respond.
Another feature available with the OD Help app is a breathing monitor. This can be helpful for people who use opioids alone. It gives the app a way to communicate with others when the user can’t. The wearable monitor is able to detect if the individual’s breathing rate is dangerously low, a sign of overdose. In this case the OD Help app automatically alerts a naloxone carrier nearby.
The app also features information on:
- How to correctly identify an overdose
- How to administer naloxone
Another hope is that the app will also inform younger generations about the dangers of opioid abuse, and about overdose prevention. The hope is the app could reach a younger population and make them aware of how to get access to naloxone and how to administer it. Many young people don’t think of pharmacies as a place to get the drug that could save their lives.
Put to Good Use
The truth is, not all people will be able to have access to a consistent supply of naloxone. The drug also doesn’t last forever. For those who would need to have an overdose antidote resource, the OD Help app could be a safe-guard against being completely unprepared for an overdose.
Some people may be embarrassed or have some reservations about personally obtaining naloxone. With the OD Help app they could reach out to someone if they truly needed the help.
If you or someone you loved were overdosing, would it be useful to be able to look on an app and find someone close by with the tools to help? Some people would say you should just call an ambulance, but what if it could get there sooner? Or what if someone is afraid of reporting it? Too many people die for these very reasons, but they shouldn’t have to. Sure, some people may ask if they would let a random citizen administering the antidote. However, some might say any help is worth having.
Then on the other side, would people be willing to come to the rescue if they had the resources? If your phone rang and the OD Help app said someone needed help around the corner, would you? Would you be happy you could?
Something tells me plenty of people would be willing to put this tool to good use.
This writer has said this before; the preservation of all lives should be a responsibility of all who have the ability to help; not just for public health officials, but everyone. As part of that, Palm Partners is dedicated to contributing to the rehabilitation and revolutionary growth possible with holistic treatment for drug and alcohol abuse. If you or anyone you know is struggling with substance abuse or addiction, please call now.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
It should be obvious by now that expanded Naloxone access is a necessity. With the opioid epidemic spreading more and more and the overdose outbreak claiming so many lives everywhere, we must take advantage of every available asset to save lives. Because of price hikes that coincide with the increasing rates of overdose and death Big Pharma companies that produce the overdose antidote have come under fire many times in the past year. Now, one such company has reached an agreement with the state of Ohio to help ease the financial burden of protecting the people.
Authorities and city officials in Ohio battling the overdose outbreak will soon receive some financial relief. The state has struck a deal with the makers of Naloxone, Adapt Pharma, to provide the life-saving nasal spray at a discount.
The Ohio Overdose Outbreak
Being from the Buckeye State myself, it is disturbing to know Ohio has been hit so hard by the heroin epidemic. This is in large due to the recent introduction of Carfentanil. This incredibly poisonous substance is currently mixing into the drug supply through Chinese vendors, according to an Associated Press investigation. The investigation found several businesses based in China that export dangerous drugs with relative ease to the United States, including:
Carfentanil is so potently perilous that it even poses a risk to law enforcement that may come in contact with it during drug seizures.
The terrible truth is that Ohio has been an epicenter of the overdose outbreak. In 2014, Ohio was #2 of states with the most overdose deaths. Since then several stories of horrific overdose upsurges and deaths due to opiates have highlighted the devastation in the state.
Just this year Cincinnati, Ohio statistics show the city sees at least four overdoses per day on average. The dangerous drug Carfentanil has been seized at least 343 times in Ohio. In July, Akron paramedics responded to 236 overdoses, including 14 fatalities linked to carfentanil, in a period of just 21 days! July also saw Ohio Governor John Kasich push for Naloxone expansion, and the battle has been uphill to equip all those in need.
Ohio Public Interest Price Deal
The Public Interest Price deal was announced by Attorney General Mike DeWine this past Friday. The discount agreement with Adapt Pharma states that Ohio officials will be able to purchase naloxone nasal spray for $75 per dose. Now this still seems a bit high, but this price is a 40% discount from the wholesale cost of $125. DeWine explained the need for such action in order to make any progress on saving those in Ohio who are suffering.
“The cost to purchase naloxone has prevented some agencies from carrying this life saving drug. I hope that Adapt Pharma’s new price freeze for Ohio will allow more agencies to consider keeping naloxone on hand. I continue to urge law enforcement agencies to carry this drug, because it can mean the difference between life and death for those suffering from addiction.”
The Attorney General’s comments echo an issue that is present in many places across the country. Law enforcement agencies and First Responders are aware of the need for Naloxone. However, because the makers have spiked the price so high in the last few years the demand has been met with financial hurdles.
Continued Overdose Antidote Expansion
This isn’t the only deal Ohio is involved in to make the communities safer. The agreement Ohio has with Amphastar Pharmaceuticals, Inc. stands to to provide $6 rebates for every Naloxone syringe. This deal applies to all Naloxone purchased through March 2017. This deal has been active for a year now. In that time 82 local agencies have been reimbursed over $209,000 to offset the cost of Naloxone purchases.
The new Public Interest Price deal is set to last a year. In that time it could mean the difference between life and death for many people. Having the resources is now especially vital. One can only hope that more allowances are made where needed.
Naloxone and Narcan, both opioid overdose antidotes, should be made as available as possible. The fact that price has become such a problem is not just unfortunate; it is unsettling with all things considered. It is some consolation that companies are willing to acknowledge the need and offer some semblance of compromise to help.
The preservation of all lives should be a responsibility of all who have the ability to help; not just for public health officials, but everyone. As part of that, Palm Partners is dedicated to contributing to the rehabilitation and revolutionary growth possible with holistic treatment for drug and alcohol abuse. If you or anyone you know is struggling with substance abuse or addiction, please call now.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
According to some statistics, opioids killed nearly 30,000 Americans in 2014. This includes illicit narcotics and prescription painkillers. In the last two years there have been reports from all over the country of surges in overdoses and deaths, leading one to believe that number has been magnified with the growing epidemic. Drug overdose is the leading cause of accidental death in our country.
1 in 4 families are directly impacted by drug overdose. Whether that is you or not, you can see the impact it has on our communities. Now Palm Beach County is continuing to advocate for more resources to help the people most at risk fight back.
There will be Narcan Training events for local communities of Palm Beach County starting this month. The first seminar will be in Boca Raton, Florida at the St. Jude Reception Hall. This is about saving lives, and with so many lives be lost and others suffering, the time is now to learn how you may save a life.
The Problem in Palm Beach County
In 2014 there were an estimated 2,062 deaths due to prescription drugs. Many of these were opioid-related deaths, and heroin accounts for thousands more. In Florida, the total drug-related death toll increased by 14% in the first half of 2015 compared to 2014.
Palm Beach County saw an overdose rate increase of 425% so far in 2016 compared to 2015. There were 13 overdoses alone in Delray Beach last weekend. Hundreds more overdoses happened throughout Palm Beach County last month. The opiate epidemic has not spared any corner of the county, and many government officials and community organizations are pulling their resources in an effort to create strategies to prevent drug overdoses and save lives.
More about Narcan
Narcan, or the generic form Naloxone, is a life-saving opiate antidote. Some examples of opioids include:
An opioid overdose can cause breathing to slow down or stop completely, putting someone’s life in immediate danger. Narcan works by blocking the effects of opioids and can actually reverse an overdose in order to get medical attention to someone who is in need.
One major plus is that Narcan has no euphoric effects and cannot get someone “high” so abuse is not an issue. The overdose antidote is essentially harmless if there are no opiods present in someone’s system. If given to a person who has not taken opioids, there will be no effect. Narcan can still be effective when alcohol or other drugs are present with opiates.
Administration to opioid-dependent individuals may cause symptoms of opioid withdrawal, including:
- Fast heart rate
There are other measures that can be taken to help ease these symptoms as well.
Narcan and Naloxone expansion programs have become a huge part of states everywhere trying to solve the overdose death outbreak. Many communities have equipped their first responders with Narcan kits and given training on how to administer the antidote. Some police departments in Palm Beach County now carry Narcan or Naloxone kits. Now these programs are trying to empower more people in Palm Beach County.
The first free seminar on Narcan Training is October 24th at 6 o’clock PM. The training takes place in the St. Jude Reception Hall in Boca Raton, Florida. For more information and events, visit the website here.
The seminar is open to the public and will be teaching participants more about the dangers of drug overdose, as well as about Narcan.
Palm Beach County has seen what an opioid overdose can do. It has also seen how effective Narcan and Naloxone can be to helping prevent an overdose from turning into a death. Not only are there expansion programs out there making the medication more available, but the community in Palm Beach County is actively working to help the people understand how to utilize their resources. Putting this life saving medication in reach and teaching people how to use it can help us from having to helplessly watch our friends, family members or neighbors die.
Palm Beach County also has a strong recovery community, and many people got there through effective and innovative holistic drug and alcohol treatment. It is incredibly important to preserve life, and beyond that to improve the lives that are saved. Drug and alcohol treatment can be the first step to a new life. If you or someone you love is struggling with substance abuse or addiction, please call now.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
Back in 1971 the brand name Narcan, generic- Naloxone, was introduced to the world. The opiate overdose antidote has become a popular topic of discussion in our world today. With heroin, fentanyl and other dangerous opioid drugs feeding the opiate epidemic and overdose outbreak, these medications are sought after as the life-line pulling addicts back from deaths door.
With the rise in opiate abuse came the rise in demand, and with the rise in demand we were shown a side of Big Pharma that has many in an uproar. Since 1971 the price for Narcan has grown 4,000 percent! Yes, 4 with 3 zeros after it!
I’ve written before about this trend; something I consider to be a disheartening injustice and abuse of power. Today I want to re-emphasize the point by looking into some specifics about the lengths many have to go to in order to provide this life-saving medicine to their citizens. Let’s talk about America VS Big Pharma and the fight for Naloxone funding.
Baltimore’s Battle for Naloxone
In 2014 Baltimore, Maryland was referred to as “Heroin Capital of America” with an estimated 60,000 heroin addicts out of a population of 645,000. While Baltimore may no longer be one of the top states in overdose deaths, the state’s budget shows:
- $33,540 on Naloxone in 2014
- $118,236 on Naloxone for the fiscal year of 2016
So in two years, Baltimore has more than tripled the amount of money spent on Naloxone. Baltimore’s Health Commissioner Leana Wen continues to work at sounding the alarm across the country for Naloxone price gouging since stepping into the position in 2015. In March she called on Congress to enact price controls on the drug in the interest of public safety. In her plea Wen stated,
“The cost of naloxone skyrocketing means that we can only save a fraction of the lives we were able to before… Manufacturers have claimed that this price increase is related to increased demand. However, it is unclear why the cost of a generic medication that is available for much lower costs in other countries will be suddenly so expensive.”
Pennsylvania in Pain
In Pennsylvania drug overdoses tied to opioids rose nearly a quarter last year, yet these communities are still dependent on the goodwill of charitable organizations and health insurance companies. These resources are meaningful, but don’t go far enough!
- Pittsburgh-based Highmark Foundation donated $50,000 in the first quarter of last year to purchase Naloxone to local law enforcement agencies. But it didn’t renew the grant this year.
- Health insurers contributed a total of $500,000 in Pennsylvania alone to fund naloxone distribution.
- Cigna Foundation donated $50,000 this year to fund Naloxone access
- Independence Blue Cross joined the Pennsylvania District Attorneys Association in a providing $50,000 to provide Naloxone to first responders
But most patrol officers still don’t have it! As of 2016 Naloxone kits have only been distributed to about 15% of Philadelphia police officers!
Delaware County has taken extra measures. Officials made it so money seized during drug investigations under asset forfeiture laws could be used to support its Naloxone program.
In case you didn’t know, Pittsburgh doesn’t play either. In July one judge ordered two convicted drug dealers to throw in almost $4,000 for Naloxone funding. Now that is a new brand of justice.
Rhode Island’s Settlement Savings
This was a desperate move indeed, as Rhode Island reached into the $230 million settlement with Google for $40 million to help keep its program alive. This settlement is from when Google facilitated the illegal online exchange of prescription drugs from Canada.
5 Government Interventions
Big Pharma Letters
In June Senate Special Committee on Aging addressed a letter to five leading naloxone manufactures requesting an explanation for increasing drug costs. These companies are:
- Amphaster Pharmaceuticals
Amphaster Pharma’s price went from $12 in 2012 to $41 a dose as of 2015.
- Adapt Pharmaceuticals
Adapt’s Narcan nasal spray costs $63 each dose. Although it does cut price in half for government agencies, community organizations, and patients without insurance
Price went from $375 in November 2015 to $1,875 in February 2016. Now, only 7 months later, it’s up to $2,250 for a single-dose injector!
Most of these companies claimed the price hikes are due to additional burdens they face to meet the exponential demands. Yet, this excuse isn’t flying with many healthcare advocates. The executive director of the Chicago Recovery Alliance, Dan Bigg, has said in response,
“We’re not talking about a limited commodity. Naloxone is a medicine that is almost as cheap as sterile sodium chloride—salt water,”
As far as more help from the powers that be, many state and local governments are reaching into emergency funding to provide Naloxone to first responders. Other government programs have been put in a position to help, but is that help enough?
Rural Opioid Overdose Reversal Grant Program
The Rural Opioid Overdose Reversal Grant Program distributes $1.5 million from government funding, but it had to be split between 15 communities. This has helped some, but left many officials scavenging for financing to be prepared for 2017. Many are calling on the government to assume even more costs.
Substance Abuse and Mental Health Block Grants
States do have authorization to draw on these funds to subsidize Naloxone purchases. However, in the words or Peter Luongo, executive director of the Institute for Research, Education & Training in the Addictions, “That’s not new money.”
What this means is that officials must now move the money out of other programs for addiction prevention and treatment. So instead of getting more help, they are having to pick-and-choose which help is more necessary.
Comprehensive Addiction and Recovery Act (CARA)
This summer President Obama signed for this initiative. It means to call for expanding first-responder access to Naloxone. However, the fact remains that CARA funding has not yet been established by Congress.
Department of Health and Human Services
Supposedly starting this month this office will be providing up to $11 million to fund Naloxone distribution. However even this great contribution will only apply to a dozen states.
The Overdose Oligopoly
The reality is this is a fight we need to talk more about. Despite all these government interventions, why is it we still cannot keep up with Big Pharma pricing?
So far nothing seems to justify the monopolizing and exploitation of the opiate epidemic by Big Pharma. These companies are actively increasing the price of a life-saving medication by over 1,000% in many cases during a period in which tens of thousands of people all over the country are dying!
Whether you know all that much about economics, Big Pharma is making millions upon millions of dollars off of these medications. They claim to be trying to keep up with costs, yet continue to show increasing profit. Call it what it is- extortion via oligopoly.
Naloxone and Narcan may not be the miracle cure for opiate addiction, but for many it is the only reason they are alive. So, how many can say the lack of access is the only reason their loved one is not? Surely, Naloxone access expansion is taking off in a new way. CVS stores, schools and all types of venues are providing kits, training and other resources. The only problem is, they are struggling to maintain those resources.
We, as a nation, should expect better than this.
A bigger part of getting better is beyond the medication used to preserve life. Real recovery begins with the process of working to change a life. Holistic addiction treatment allows people who were once hopeless build the foundation of hope again. If you or someone you love is struggling with substance abuse or addiction, please call Palm Partners. You are not alone.
CALL NOW 1-800-951-6135
(This content is for illustrative purposes only; any person depicted in the content is a model)
Author: Justin Mckibben
The number of overdose deaths in our country are already at a staggering rate, increasingly troubling by the minute. Some areas are hit much harder, but overall the tragic toll of the opioid addiction epidemic in America is obvious. Time after time we witness overwhelming reports of devastating deaths and high frequencies of serious complications from drug use.
Ohio is among the top states in the country to experience elevated rates of overdose per population, and Cincinnati has seen a viscous proportion of these. In a single weekend 30 heroin overdoses across Cincinnati were reported.
During just a 48-hour time frame from Tuesday to Wednesday there were 78 more overdoses and at least three deaths.
Finally, after a six-day period of emergency-room visits, the number of overdoses had reached to a number health officials are calling “unprecedented”: 174!
Cincinnati VS Carfentanil
According to one local news source, Cincinnati has four overdose reports per day on average, and usually no more than 20 or 25 in a given week.
The bigger problem; pure heroin is what’s responsible for that average, but that’s not what’s on the streets now.
The sinister element suspected to be responsible in this latest upsurge of overdoses is heroin cut with the latest opioid hitting the streets- Carfentanil. For those of you who don’t know yet, this is an elephant tranquilizer. Carfentanil supposedly has 10,000 times the potency as morphine!
At this point law enforcement officials are unable to identify the source of the toxic cocktail. Newtown Police Chief Tom Synan states that State, local and federal authorities have mobilized across Hamilton County to investigate where this incredibly powerful poison is coming from. So far they believe this record number of overdoses could be caused by a single heroin batch laced with Carfentanil.
Carfentanil, relatively similar to the opioid Fentanyl that has caused enough damage it its own right, is the strongest commercially used opioid. So just like with Fentanyl, drug dealers cut their heroin with Carfentanil to make it last longer and to deliver stronger, more addictive highs.
Tri-State Area Turmoil
New reports state that additional heroin overdoses in the tri-state area, plus New Jersey, tally up to more than 225 for this timeframe.
- In the same time period of the Cincinnati overdoses:
- Jennings County, Indiana reported 13 overdoses last Tuesday
- Montgomery County, Kentucky reported 12 overdoses on Wednesday
- Camden, New Jersey reported 29 overdoses between Tuesday and Thursday
All this news comes in after 27 people overdosed during a five-hour period in one West Virginia town in mid-August.
Still, these shocking and frightening rates springing up in Cincinnati have captured the most national attention.
Officials on a Mission
Newtown Police Chief Tom Synan also heads the law enforcement task force for the Hamilton County Heroin Coalition. This effort is a collaboration of public health and law enforcement officials from Ohio, Indiana and Kentucky working as a collective to combat the heroin epidemic afflicting the tri-state area. Many of these officials are very clear about their concerns, and about their mission. Hamilton County Commissioner Dennis Deters says this is a public health emergency like they have never seen before. Tim Ingram, the county’s health commissioner, said:
“This is unprecedented to see as many alerts as we’ve seen in the last six days,”
Officials are now pleading with the public. They have come out in the news to ask people to avoid the drug. The fact that the source of this potent batch is unknown and still out there makes them disparate to end this uptick in overdoses. Synan states,
“We’re urging you, please don’t do heroin right now. If for no other reason, because we don’t know what’s in the stuff on the street.”
He went on to point out the blatant disregard of dealers, saying:
“These people are intentionally putting in drugs they know can kill someone. The benefit for them is if the user survives, it is such a powerful high for them, they tend to come back. … If one or two people die, they could care less. They know the supply is so big right now that if you lose some customers, in their eyes, there’s always more in line.”
Harder to Fight
Further complicating matters is that Narcan– the drug that reverses the side effects of an overdose- is not working anymore, or at least not as reliably in cases such as these. When it comes to heroin overdoses, one or two doses of Narcan will stabilize a patient. So Narcan, and the generic Naloxone, expansion programs have taken great bounds forward in providing a line of defense.
However, these recent overdoses required two or three times that dosage. These more potent mixes have proven not only to be more deadly, but far more resilient to any medication-based efforts to save lives. Cincinnati is definitely not the only state in the nation dealing with this issue. The problem is growing, and with it so it the death-toll.
Now even more efforts must absolutely be put into raising awareness and providing education to the public. With such powerful new elements being introduced into the fight, the world should know what it’s up against. Real solutions should be made available, and real recovery begins with effective treatment.
CALL NOW 1-800-951-6135