[6] “DEA Issues Carfentanil Warning to Police and Public,” accessed April 14, 2017, https://www.dea.gov/divisions/hq/2016/hq092216.shtml. [4] “State Health Commissioner Comments on Opioid Addiction Declaration – Virginia Department of Health.”. "�����t(��_�T�,Fʉ��>� �% h��Xmo�8�+��}H������]��ah{��~�_k\������HYRd�I���0�l�")�|ĘiI(aZ�5aR�h��%�r� H* ÀHN�S�6�f. h�b```f``�d`a`�dd�c@ >�rL`�k8����������S8@"���@��yA����:d2p��'�Us00ԟ�L@��4�A����@z�H � `�� designated by this standing order in accordance with Virginia Board of Pharmacy Guidance Document 110-44. endstream endobj 150 0 obj <>/Metadata 10 0 R/PageLayout/OneColumn/Pages 147 0 R/StructTreeRoot 30 0 R/Type/Catalog>> endobj 151 0 obj <>/Font<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 152 0 obj <>stream In essence, the standing order serves as a prescription written for the general public, rather than specifically for an individual. Naloxone is available under the State Health Commissioner's standing order.. h�bbd``b`Z$[AD���$�ۀK*� "@�! According to a local pharmacist in Charlottesville, VA, it’s possible to walk into a pharmacy today with about $80 and walk out with a dose of Narcan without a prescription. endstream endobj startxref 3) Standing Order: In addition to dispensing naloxone pursuant to an oral or written order, a pharmacist may dispense naloxone pursuant to a standing order. How to Report Naloxone without a DEA Number; Oral Health Resources; Preceptor Resources; Prescription Drug Safety; Recommended Links; Residency Programs. The University does not direct, supervise or control the organization and is not responsible for the organization’s contracts, acts or omissions. This standing order comes amidst a new, potent opioid–carfentanil–that has been increasingly seen throughout the United States[6,7]. This opioid crisis is especially severe in southwestern Virginia, where there is a “growing prevalence of hepatitis C and HIV resulting from injection drug use”[5]. It is a separate and independent organization, which is responsible for and manages its own activities and affairs. [3] National Institute on Drug Abuse, “Opioids,” May 27, 2016, https://www.drugabuse.gov/drugs-abuse/opioids. Authorized Dispensers: The following individuals may dispense naloxone pursuant to this standing order to a per son to administer to another This order supersedes the order issued by the State Health Commissioner on April 13, 2018. 179 0 obj <>stream Talk to your pharmacist. [2] National Institute on Drug Abuse, “Naloxone,” September 26, 2016, https://www.drugabuse.gov/related-topics/naloxone. Dr. Marissa Levine, The Virginia State Health Commissioner, has issued a standing order for Naloxone, the drug used to treat emergency opioid overdoses[1]. As a result, Dr. Levine declared a Virginia Public Health Emergency for the opioid epidemic. 0 The DEA estimates this drug to be 500,000 times more powerful than heroin[8]. [7]“CARFENTANIL: A NEW CHALLENGE IN THE OPIOID EPIDEMIC,” GROUNDS, accessed April 14, 2017, http://www.vabioethics.com/content/2016/10/20/carfentanil-a-new-challenge-in-the-opioid-epidemic. [1] “State Health Commissioner Comments on Opioid Addiction Declaration – Virginia Department of Health,” accessed April 14, 2017, http://www.vdh.virginia.gov/blog/2017/04/03/state-health-commissioner-comments-on-opioid-addiction-declaration/. Several pharmacies throughout Virginia, including CVS, Walgreens, and Kroger, have begun to offer naloxone without a prescription[9]. A standing order shall be valid for no more than two years from the date of issuance and shall contain the following information at a minimum: a) Naloxone, often administered as a nasal spray (Narcan), is an opioid antagonist that quickly and effectively counteracts the effects of drugs like heroin, fentanyl, oxycodone, Vicodin, and carfentanil[2,3]. Naloxone Standing Order. In a statement delivered on November 21, 2016, Dr. Levine, noted that each day, over 24 Virginians are treated and 3 die from drug overdoses[4]. Commissioner's Standing order. 163 0 obj <>/Filter/FlateDecode/ID[]/Index[149 31]/Info 148 0 R/Length 76/Prev 27099/Root 150 0 R/Size 180/Type/XRef/W[1 2 1]>>stream %PDF-1.5 %���� Dr. Marissa Levine, The Virginia State Health Commissioner, has issued a standing order for Naloxone, the drug used to treat emergency opioid overdoses[1]. [9] Associated Press, “Virginia Krogers to Offer Naloxone without Prescription,” WAVY-TV, January 31, 2017, http://wavy.com/2017/01/31/virginia-krogers-to-offer-naloxone-without-prescription/. 149 0 obj <> endobj Although this organization has members who are University of Virginia students and may have, University employees associated or engaged in its activities and affairs, the organization is not a part of or an agency. This new order allows patients or family members to purchase Naloxone without a prescription, where previously one was required. Rather worryingly however, carfentanil may be too potent for Naloxone to have an effect. %%EOF “ Naloxone, ” accessed April 14, 2017, https: //www.drugabuse.gov/drugs-abuse/opioids https., ” accessed April 14, 2017, https: //www.drugabuse.gov/drugs-abuse/opioids to be 500,000 times more than... Dea Issues carfentanil Warning to Police and Public, rather than specifically for an individual Commissioner April... 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