NSW Health delivers a Take Home Naloxone Program to reduce mortality and morbidity amongst people across NSW who use opioid drugs or medicines. Through this program, a range of health workers can play a role in ensuring naloxone is available for supply to people in the NSW community who are likely to need it.
The program was developed, piloted, and evaluated by clinical and subject matter experts, in consultation with consumers. The program is being delivered by NSW public health needle and syringe programs and alcohol and other drugs services and at participating non-government organisations and private services across NSW. New agencies are regularly joining the program.
Trained and credentialed health and welfare workers at NSW public health needle and syringe programs and alcohol and other drugs services and at participating non-government organisations and private services can supply take home naloxone at no cost to consumers, carers, or family members, and provide a brief intervention about how to use the medicine.
Community members can visit Your Room for more information about naloxone and visit NUAA for ways to stay safe when using opioid drugs.
Find naloxone near you
Naloxone is a Schedule 3 short-acting opioid antagonist medicine registered in Australia for the reversal of opioid overdose. Two formulations of naloxone are provided in the NSW Program – a pre-filled syringe for injection and an intranasal spray.
Opioid overdose is a major cause of harm and death in Australia. In 2020, 1,814 people died from drug-induced deaths, with opioids present in 1091 of those deaths (60%)[1]. In NSW, opioids were the drug class with the highest rate of drug-induced deaths, with more than 300 opioid drug deaths among NSW residents in 2020[2] .
The National Drug Strategy 2017-2026[3] and the World Health Organisation[4] have identified increasing access to naloxone as an evidence-based strategy for preventing and responding to opioid overdoses.
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First aid trained workers are authorised under this legal authority to administer Nyxoid® or Prenoxad® to a person who is experiencing an opioid overdose. This document applies to workers who hold a current statement of attainment in Apply First Aid and CPR granted by a registered training organisation. First aiders must familiarise themselves with the signs of overdose and how to administer naloxone.
First aid trained workers can obtain a supply of naloxone for this purpose from a registered pharmacist in a registered pharmacy.
In services delivering the NSW Take Home Naloxone Program, credentialed workers can simply access the Take Home Naloxone Program medication stock if they need to administer naloxone in response to a suspected opioid overdose.
Members of the public do not need to have first aid certification to legally administer naloxone. Anyone may administer naloxone in the community.
The Australian Government take home naloxone program subsidises the cost of naloxone medicines supplied in participating community pharmacies across Australia. This program follows on from a successful pilot in NSW, South Australia and Western Australia.
The program subsidises the full cost of naloxone, including dispensing fee, to participating community pharmacies that supply the medicine to people at risk of witnessing or experiencing an opioid overdose. This includes people on prescribed opioid medicines. A PBS prescription is not required.
Participating public health and non-government health and welfare services in NSW can also supply PBS-subsidised naloxone where NSW Health policy and training requirements are complied with.
NSW Users and AIDS Association (NUAA) has been piloting a postal supply model since late 2021, delivering an online brief intervention and then supplying naloxone to the client by post. This pilot, which is supported by NSW Health, aims to increase access to take home naloxone for vulnerable populations.
Naloxone continues to be available on the PBS with a prescription or as a Schedule 3 medicine.
Community pharmacists should contact the take home naloxone program administrator for information on how to register, report evaluation data and be reimbursed.
Phone: 1800 951 285 (9am to 8pm AEST Monday to Friday)Email: support@ppaonline.com.auOnline: Pharmacy Program Administrator