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Take-home naloxone for administration by a bystander is recommended for patients at risk for overdose and their contacts, and is somewhat effective at preventing death; it is also likely to be cost-effective (NEJM JW Gen Med Feb 15 2013 and Ann Intern Med 2013; 158:1). In a single-center Canadian study of a take-home naloxone program, investigators determined the proportion of at-risk patients who accepted take-home naloxone when it was offered.
Eligible patients were those aged 16 and older with self-reported illicit opioid use in the past 6 months and an emergency department (ED) presentation consistent with opioid use. Of 201 participants offered take-home naloxone, 68% accepted it. In multivariable analysis, factors associated with accep…