Narcan Education by Opiate Detox West Palm Doctor

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Opiate Doctor West Palm Beach announces quartrly Narcan and CPR Trainings. In an effort to combat negitive stigma that is being reinforced by the media. Headlines below are in newspapers, magazines, and reported on the daily news now on a horrifyingly regular basis. Many of these articles have perpetuated that Narcan entices addicts to continue to use. This article “Narcan Education by Opiate Detox West Palm Doctor” provides much needed information on this life saving drug.

Typically, in the context of somebody who was found unresponsive and unable to be resuscitated from opiate overdose.  The sad and scary reality is that novel opioids, not FDA approved drugs and often not even labeled for human consumption, are constantly being synthesized and sold by drug dealers across the globe.

Basically, clandestine scientists work in the laboratory to move some atoms around, making synthetic opioids such as acryl fentanyl or tetrahydrofuran fentanyl from known parent drugs like fentanyl (which is the most potent FDA-approved opiate used in human medicine at about 50 to 100 times more potent than morphine and 30 to 50 times more potent than heroin).  The drug dealer’s goal is to make a cheaper, stronger, easier to transport product to get addicts “higher” and make more money.  The unfortunate side-effect is that these new synthetic opiates are so strong, in fact, that people are dying from the minutest amount laced into what they think is heroin.

HEADLINES ON NARCAN AND NALOXONE

opiate detox west palm“New Naloxone-Resistant Drug Acrylfentanyl Is a Public Health Emergency” (Cision PR Newswire); “Narcan-resistant Drug Appears in Indiana” (EMSWORLD); “Narcan resistant synthetic opioids found in Kentucky” (New Objectives/Blog); “Fentanyl Found in Georgia Resists Life-Saving Naloxone Antidote” (Newsweek)

Logic would dictate that people would never intentionally put something that could very easily kill them into their bodies.  But, logic and addiction are often mutually exclusive, and so goes the unrelenting strength, power, and counterintuitive destructiveness of the disease.  As a matter of fact, my patients tell me that when they hear somebody has overdosed they will intentionally seek out that person’s supplier because it is “good stuff”.  Very scary situation and one which has cost countless lives as this opioid epidemic rages on. This is not because they say “Narcan will bring me back, so it’s OK to continue using.”

Narcan Education by Opiate Detox West Palm Doctor

There is another problem with these new synthetic opioids- the so-called “Narcan-resistant” concept of these powerful drugs.  The most common cause of mortality in opiate overdose is fulminant respiratory depression (i.e. the patient simply stops breathing).  If the patient stops breathing there is no oxygen inhaled to reach vital organs such as the heart and brain.  Prolonged respiratory arrest leads to death or permanent organ damage.

opiate detox west palm education dr ligottiBrain damage from cerebral anoxia can occur in as little as six minutes.  Narcan is the one pharmacologic “antidote” we have to combat acute opioid overdose and death, but it can be far less effective when new synthetic opioids are in the patients’ body, making overdose, organ damage, and death all the more probable even when Narcan is given promptly.

Narcan Education by Opiate Detox West Palm Doctor Needed

To be completely accurate, the term “Narcan-resistant” is a bit of a hyperbolic misnomer.  Narcan will still work in patients overdosing on these new synthetic opiates- that pharmacology doesn’t change, but much, much more is needed to reverse respiratory depression and stave off death.  This is because synthetic opiates bind so strongly to the body’s opiate receptors where Narcan is trying to attach to reverse the opiates’ effect.

opiate detox west palm naltoxone training dr ligottiThis relative resistance is one reason that Evzio, a Narcan auto-injector (think Narcan epi-pen), recently increased their dose from 0.4mg to 2mg.  The 2mg dose is certainly more effective, but there are even still cases where it is not potent enough!  What this comes down to is that we need some other method to be able to keep patients alive, keep oxygen-rich blood circulating to vital organs, until EMS can arrive, stabilize, and transport the patient to the emergency department. To help save lives, we are providing a FREE naloxone and CPR training, on August 12, 2017. This training is limited to the first 100 registrants. You can register by CLICKING HERE.

Narcan Education by Opiate Detox West Palm Doctor Needed

This other method is as widespread a proficiency and training in overdose prevention as possible, particularly treatment center and sober home employees and patients’ family members, who are in contact with those suffering with addiction. Overdose prevention means the proper administration of Narcan, the ability to activate emergency response and initiate CPR, and the utilization of Automated External Defibrillators (AEDs).  These are all necessary skills if we are to do everything we can to save a patient who has overdosed on opiates.

Please consider learning these life-saving skills by signing up for the FREE up-coming “overdose prevention” event sponsored by Whole Health!  Whole Health is a private medical practice in Delray Beach dedicated to saving and improving the lives of patients suffering from the disease of addiction; this is our mission and this is our passion!

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