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Meds, Medical Conditions, and Treatment >> Meds, Medical Conditions, and Treatment

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gottadoit
Enthusiast


Reged: 10/21/03
Posts: 269
Naloxone (Narcan)
      #110238 - 10/25/03 09:20 PM

I have NEVER seen this advestised for sale online. This is a part of the medicaton suboxone (which is popular right now for opiate detox). If not taken properly, it will throw a person right into wds. If you go to google and do a search you will find a great deal of info on the med, but I did not find any links to how to purchase it. Sorry I couldn't be of more help.

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drewsmerdel
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Reged: 12/14/01
Posts: 1137
Loc: Nap Town
Re: Naloxone (Narcan) [Re: gottadoit]
      #110243 - 10/25/03 09:36 PM

An opioid antagonist, similar to naltrexone. It works by blocking the opioid receptors in the brain and therefore blocking the effects of heroin and other opioids.

I have seen Naltrexon for sale on several sites, but personal use for detox with this drug would be a VERY poor decsion IMO.

Drew

--------------------
Are you hungry?
Are you sick?
Are you begging for a break?
Are you sweet?
Are you fresh?
Are you strung up by the wrists?


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candykitty
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Reged: 09/26/03
Posts: 7
Loc: el lay
Re: Naloxone (Narcan) [Re: drewsmerdel]
      #110250 - 10/25/03 10:25 PM

Isn't that the stuff they give people who od'd on heroin and it quickly reverses the opiate's effects? heard that'll bring on a major painful episode of w/d if take it while you're in a "dependent" stage--also it's like antabuse for alcoholics, heard about an aquaintance that went to rehab 16 years ago and when he came out he had to take naltrexone every morning so even if he "slipped" there would be no high. Unfortunately & sadly he spat it out one morning, (no one's really sure, didn't get the finer points of the story)...and borrowed a friend's car...and went downtown... that was the last of him. Anyways if you really want this stuff go to an addiction specialist, don't mess with it on your own.

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yawkaw3
Pooh-Bah


Reged: 03/22/03
Posts: 1193
Re: Naloxone (Narcan) [Re: candykitty]
      #110274 - 10/26/03 01:16 AM

My guess is that he wants this on hand in case he or someone he knows is OD'ing, in which case it's a smart idea. You never know whose life you may save.

I don't think you will find it online, unfortunately.

I have a feeling you know this vapor, but for the board's benefit:

Naloxone is meant to be injected, whereas naltrexone is an orally active drug. Naltrexone is an opiate antagonist too, and like the above poster mentioned, it is used to prevent opiate addicts and alcoholics from getting high (alcohol has a not-yet-fully-understood effect on opiate receptors). Naltrexone lasts a long time, naloxone lasts a very short time. It is much easier to get a prescription for naltrexone (unless you can find a compassionate clinician, ER doc, or addiction medicine psychiatrist) who will give you some in the interest of safety), but naloxone is a far better choice for OD.

Naloxone and OD Safety:

-Always get professional help. Tell them about the breathing and that you see clear evidence of an OD. You will not get in legal trouble for this, there is a reason we have emergency medical personnel that treat OD's.
-Perform CPR for the patient until the naloxone starts working, it can take a few minutes. When you breathe for them, you keep them alive, but it is difficult to keep this up. You need to breathe enough so they get enough oxygen in their blood, so shallow breathing is not good enough.
-Just because they have a pulse does not mean everything is ok- be concerned about their breathing, the pulse is not an indication they are getting enough oxygen in the blood.
-Make sure if the patient vomits, their head is positioned so it won't block their airway.
- IF THE PATIENT'S MOUTH TURNS BLUE, GIVE NALOXONE IMMEDIATELY!!!
-Use Narcan IV (if you can get to a vein quickly and know what you are doing) for the quickest and most precise effect (and most people need multiple doses, keep giving it until they wake up).
-If you cannot find a vein, try the sublingual veins (bloody but effective). If you can't do that, do it IM.It can be given subcutaneously, but try your best to do it IV or IM.
-Stay with the patient, they may need another dose in an hour or so.
-Even if the patient wakes up in violent withdrawal, do not let them take more opiates! Stay with them and watch them for at least 2 hours after an effective dose of naloxone.
-Are you certain they didn't take any other drugs that would complicate things? Is there a benzo or alcohol in their system? Get medical attention either way.

If you are or you are around people who use strong opiates regularly, especially people who inject and/or use heroin/morphine/methadone/dilaudid/fentanyl/etc., this is required knowledge, and you would do yourself and your friends a big favor to attend a harm reduction class.

Here's a link from harmreduction.org: http://www.harmreduction.org/news/fall99/userstools.html

They suggest you go immediately for IM, but I was taught to do it IV first. If you have the skills to give an IV injection, then do it- if you find yourself unsure of what you are doing, IM is very simple in comparison.

-yawkaw


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toe
Pooh-Bah


Reged: 10/09/02
Posts: 1422
Loc: MidWest USA
Re: Naloxone (Narcan) [Re: yawkaw3]
      #110747 - 10/27/03 03:11 PM

Oh, sure yawkaw. All that stuff you learn in medical school is vapor. Seriously, I have actually been wondering about the differences between naloxone and naltrexone recently and appreciate the review and link.

Thanks.

--------------------
"It's the end of the World as We Know it. . ."
-REM "and I'm seeking asylum in Canada"-toe


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