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noloxone is also much more common, it could be multifactorial
Sort of. Its very expensive if someone else doesnt pay for it. CVS quoted me 350$ for a single dose inhaler.
It is true that its not hard to get if you go to places that offer help, but if I'm hiding an addiction from my family, I'm not stopping by the local methadone clinic for a box of naloxone.
As for marijuana legalization, its made a huge difference. Its one of the best comfort medications for handling minor opiate withdrawal, as it takes the place of maybe 5 or so other comfort medications that are often prescribed together.
It can't be abused the same way opiates can be, it has a ceiling affect and is not dangerous to the user immediately. On top of that, before it was legal, methadone clinics would either restrict their patients who used, or kick them out. Now, they see the drug test show marijuana and just don't care.
Thats mainly from the perspective of a drug addict. A drug naive person maybe is more likely to go to a dispensary and be happy with that rather than chase street highs.
Not sure what's with the situation at your CVS, or when you tried to get it (there have been some big changes to the regulations and policies around narcan over the last year or two that might have made a big difference if you tried to get it before then) but FYI, you can get a 2 pack of name-brand narcan on Amazon for like $45, no prescription, prime eligible, shipped to your door or an Amazon locker. Looks like they also have generic for slightly cheaper, and through Amazon pharmacy with a prescription you can allegedly get it down to $11 with insurance.
Not that I particularly want to support Amazon, but it's pretty hard to beat that convenience, especially if other ways of getting your hands on it are proving difficult.
You probably don't need to hear this, but for anyone else reading it, a little PSA: I'm a 911 dispatcher, narcan/naloxone is a wonder drug. It has no significant side effects worth mentioning, so in the event you come across someone you think there's even a snowballs chance in hell might be overdosing, go ahead and squirt some narcan up their nose. You're not going to hurt them, barring some really rare allergic reactions and medication interactions, it's not going to have any meaningful effects on someone who's not on opioids, maybe their nose gets irritated and they have some nausea and dizziness, and if they are in fact overdosing you might just save their life. I get a lot of callers who are nervous to use narcan when they have it available, but it really is that safe and easy to use (there's some generics out there that have kind of a fiddly syringe-looking device that you have to put together, they're becoming pretty rare I think most have switched over to the narcan-style pre-assembled spray)
And the effect is pretty dramatic. In the space of just a couple minutes someone can go from being, for all practical purposes, dead- unconscious, not breathing/agonal breathing, CPR being performed, etc. to up and talking (but feeling like grim death since they're often going to go into full-blown withdrawal immediately.)
There's stories of patients getting up being really agitated and aggressive. I've been on the phone with a lot of narcan cases, but I can't say I've heard that exactly, usually they're just very angry but not aggressive, more often they just try to leave before the cops or ambulance get there (which is a bad idea, because depending on how much they used, the narcan might clear their system before the drugs do, and when that happens they could fall right back into an overdose, and then there's no one around with narcan to bring them back again) still, you probably don't necessarily want to be crowding around someone you just narcan'd if you can avoid it.
I agree with all of this even from the other perspective, which is of the person receiving the naloxone. The only bad thing is that its needed in the first place.
You were right as well, I was quoted that price 3-4 years ago. I keep one in my car now and one at home, not for myself but you never know like you said.
I would feel awful if I didnt have it in my car when someone needed it.
Edit: sorry one small caveat, people are afraid to narcan drug users because they can become incredibly sick and violent depending on the person. Personally, I almost killed myself trying to get high again after as well and not by overdosing, I almost crashed my car on the way to my dealer. Its a fucked situation either way.