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Opioid Overdose Education and Naloxone Distribution (OEND)

October 10, 2016

Pharmacists and Providers,

Opioid overdose continues to be a public health concern in Oklahoma. Naloxone is used to reverse the effects of opioid overdose, and is a recommended means to save lives and reduce the overall impact of addiction. The Oklahoma Health Care Authority (OHCA) has partnered with the Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS) to increase access to naloxone. Funds have been received from the Health Services Initiative – Children’s Health Insurance Program (CHIP) to provide this life saving drug to at-risk youth. This Opioid Overdose and Naloxone Distribution (OEND) Program makes naloxone available, at no charge, to any individual 19 years or younger or to anyone who knows a youth who is at risk of overdose. 

ODMHSAS identified 13 high-need counties across the state in which naloxone distribution may be of benefit to the community. Select Opioid Treatment Programs (OTPs) and Comprehensive Community Recovery Centers (CCARCs) will serve as distribution hubs for naloxone. These distribution hubs have pre-established clinical structure to provide naloxone at no charge in these targeted areas.
OEND services are available at no charge to anyone 19 years of age or younger or those who know of youth at risk of overdose. As a pharmacist or health care provider, you play an important role by making this life-saving drug easily available and accessible, as well as communicating the importance of proper administration of this medication. Please direct individuals who need assistance and meet the OEND program criteria to programs listed here. For your convenience, below are selected resources for more information and a map to help locate the CCARC or OTP nearest to you.

Overdose Education and Naloxone Distribution (OEND) Sites --

October 2016—Tulsa

12&12
6333 E Skelly Dr.
Tulsa, OK 74135

Center for Therapeutic Interventions (CTI)
7477 E 46th Pl
Tulsa, OK 74145

Human Skills & Resources
2140 South Harvard
Tulsa, OK. 74114

Rightway Medical
3445 S Sheridan Rd
Tulsa, OK 74145

For other locations statewide, please contact WCWI Leadership Team.


Where to Purchase Naloxone in the Washington County, Oklahoma Area: 


What Is Naloxone?

Naloxone is the antidote that reverses an opioid overdose. It works by neutralizing injested opioids and helping you breathe again. Naloxone only works if a person has opioids in their system and it is safe for nearly everyone.

Since 2015, over 70 Oklahomans are still alive because they received Naloxone.

Why We Need Naloxone:

Washington County Unintentional Poisoning Facts

  • From 2007-2015, there were 71 unintentional poisoning deaths in Washington County.
  • Washington County had the 41st highest unintentional poisoning death rate and 45th highest unintentional prescription drug overdose death rate in the state.
  • Seven out of ten unintentional poisoning deaths involved a prescription drug.
  • Six out of ten deaths involved a prescription painkiller.
  • Males were more likely to die of an unintentional poisoning than females.
  • Adults age 35-54 had the highest rate of unintentional poisoning death.
  • Nearly half of people who died of an unintentional poisoning had a history of mental health problems.
  • More than half of people who died had a history of substance abuse.
  • Two out of three deaths occurred at a home or apartment, while three in ten occurred at a hospital.
  • The most common cities of residence were Bartlesville (79%) and Dewey (13%).

Source: Injury Prevention Services: Washington County Rx 2015 Datasheet - (405) 271-3430

What is a Poisoning?

A poisoning is the ingestion, inhalation, absorption, or contact with a substance resulting in a toxic effect or bodily harm. An unintentional poisoning occurs when a person does not intend to hurt themselves or someone else. The person may intentionally be exposed to a substance (e.g., a person ingests a medication at higher than prescribed levels) but does not intend to harm themselves.

  • In the late 1990s the most common cause of overdose deaths became prescription drugs.
  • Nearly four out of five unintentional poisoning deaths in Oklahoma involve at least one prescription drug.


Oklahoma State Facts:

  • From 2007-2015, more than 6,000 Oklahomans died of an unintentional poisoning (UP).
  • More Oklahoma adults age 25-64 die of UP than motor vehicle crashes or suicide.
  • Prescription painkillers (opioids) are the most common drugs involved in UP deaths.
  • In 2015, Oklahoma had the 19th highest poisoning death rate in the U.S.


Number of Unintentional Poisoning Deaths in Washington County by type of substance, 2007-2015

  • All unintentional poisoning - 71 deaths
  • Prescription Drugs - 50 deaths
  • Prescription Painkillers (Opioids) - 41 deaths
  • Illicit Drugs - 17 deaths
  • Alcohol - 9 deaths

Most common substances in Washington County unintentional poisoning deaths:

Hydrocodone
Methamphetamine 
Methadone 
Alcohol
Alprazolam
Morphine
Oxycodone
Diphenhydramine
Amitriptyline
Fentanyl

Prevention

  • Take medications as prescribed, and never more than the recommended dosage
  • Never share or sell prescription drugs
  • Properly dispose of unused, unneeded, or expired drugs
  • Keep all medication in a safe place to avoid theft
  • Call 211 for help finding treatment referrals

Signs/Symptoms of an Overdose

  • Won’t awaken when aroused
  • Bluish purple skin tones for lighter skinned people and grayish or ashen tones for darker skinned people
  • Slow, shallow, erratic, or absent breathing
  • Snore-like gurgling or choking sounds
  • Elevated body temperature
  • Vomiting
  • Irrational behavior or confusion

Emergency: Call 911 immediately if you suspect someone is overdosing

Common Generic:Brand Name Prescription Drugs

  • Alprazolam:Xanax
  • Carisoprodol:Soma
  • Cyclobenzaprine:Flexeril, Fexmid
  • Diazepam:Valium
  • Fentanyl:Duragesic Patch
  • Hydrocodone:Lortab, Norco, Vicodin
  • Methadone:Diskets, Methadose
  • Morphine:MS Contin, Kadian, Avinza
  • Oxycodone:OxyContin, Percocet, Endocet
  • Tramadol:Ultram, Rybix, Ryzolt
  • Zolpidem:Ambien, Intermezzo