From: Orienting patients to greater opioid safety: models of community pharmacy-based naloxone
â–ª Voluntarily request |
â–ª Recipient of emergency medical care for acute opioid poisoning |
â–ª Suspected illicit or nonmedical opioid user |
â–ª High dose opioid prescription (>100 morphine mg equivalents daily) |
▪ Methadone prescription to opioid naïve patient |
â–ª Dispensed an opioid prescription and: |
 ▪ History of smoking |
 ▪ COPD |
 ▪ Respiratory illness or obstruction |
 ▪ Renal dysfunction or hepatic disease |
 ▪ Known or suspected concurrent alcohol abuse |
 ▪ Concurrent benzodiazepine prescription |
 ▪ Concurrent SSRI or TCA anti-depressant prescription |
â–ª Recently released prisoners from a correctional facility |
â–ª Released from opioid detoxification or mandatory abstinence program |
â–ª Patients entering a methadone maintenance treatment program |
â–ª Patients that may have difficulty accessing emergency medical services |