As of June 24, 2016, the National Association of Pharmacy Regulatory Authorities (NAPRA) has scheduled naloxone hydrochloride for injection, when indicated for emergency use for opioid overdose outside hospital settings, as a Schedule II drug (i.e. it no longer requires a prescription to be dispensed).
Also effective June 24, 2016, all Ontario pharmacies are eligible to dispense naloxone emergency kits free-of-charge to eligible patients and can submit claims through the Health Network System (HNS) subject to their compliance with the ministry's policy. To access the Notice from the Executive Officer regarding Ontario Naloxone Program for Pharmacies, please click here.
As is required when delivering any service, it is the pharmacist’s professional responsibility to ensure that he or she has undergone the appropriate training and has the required skills and resources to ensure that the service is provided in a safe and effective manner. On this page, OPA members will find tools and resources including an online module, which is developed to provide pharmacists with education on naloxone in the treatment of opioid overdose and to assist pharmacists with educating patients and/or patient representatives on this life-saving drug.
Resources and tools:
- Take-home Naloxone in Community Pharmacies online module
- POINT 5 Steps to Save a Life – Toronto Public Health (this sample is a two-sided card that can be folded accordion-style to fit into the kits)
- Sample Acknowledgement Card
- Naloxone Facts and Administration videos – University of Waterloo (UW) Faculty of Science School of Pharmacy
Please note – this webpage has been developed by UW Faculty of Science School of Pharmacy. While UW’s infographic and videos recommend chest compressions as standard protocol, Toronto Public Health recommends chest compressions or full CPR and/or rescue breathing as trained.
- Naloxone Saves Lives video - BC Centre for Disease Control
Please note - while this video recommends rescue breathing as standard protocol, Toronto Public Health recommends chest compressions or full CPR and/or rescue breathing as trained.
- Take-home Naloxone FAQs - Ontario implementation (July 2016)
- Naloxone FAQs – adapted from the College of Pharmacists of British Columbia*
Naloxone Can Help Reverse an Overdose - no crop marks
Naloxone Can Help Reverse an Overdose - with printers crop marks
Naloxone Available Here - no crop marks
Naloxone Available Here - with printers crop marks
Pharmacies that did not receive take-home naloxone kits through the ministry, or that have depleted their supply of ministry-issued kits, will need to assemble kits for distribution to eligible patients.
The Ontario Pharmacists Association has assembled a list of the required kit components as well as some suppliers for these items, in the event that pharmacists are unable to procure some or all of the elements through their usual suppliers. This is not a comprehensive list; the list will be updated on an ongoing basis.
*All material used or adapted from the College of Pharmacists of British Columbia is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License and is available under the Creative Commons Attribution-ShareAlike License to use and remix as needed to help provide patients and pharmacy professionals with important information on the use of this life saving drug.
Please click on the following links to access complimentary Opioid Addiction and Substitution Therapy professional development offerings: