Free naloxone nasal spray needed to deal with Sask. overdose spike, say front-line groups

An alarming spike in overdoses in Saskatoon has some front-line workers calling on the Saskatchewan government to expand its Take Home Naloxone program to include the more user-friendly nasal spray, not just injection kits.

Free naloxone nasal spray is offered in Ontario, Quebec, the Yukon and Northwest Territories. Unlike the more invasive injectable version, the overdose-reversing medication is sprayed directly into the nose.

"Some people just are not going to feel comfortable using the needles and if that is something that stops somebody from using naloxone, or carrying naloxone, then that's a barrier that we should get rid of," Sarah Kozusko, pharmacy manager at Queen City Wellness in Regina, said.

Her pharmacy is one of the nearly 300 locations in the province — including health clinics, certain pharmacies and community based organizations — where people can pick up free injectable naloxone. Kozusko said she believes the lack of publicly-funded nasal spray is preventing more people from carrying the life-saving medication.

A take-home nasal kit with two nasal sprays costs around $72, whereas the injection kit with two needles that's covered by the province retails around $50.

On Wednesday afternoon, the province's minister of mental health and addictions said the province is considering the request.

"We're looking at the nasal naloxone. We haven't made a decision as to whether that's something we're going to distribute, but it is something we're looking at," Lori Carr told reporters at the legislature.

"It should be everywhere," Kozusko said.

The pharmacist is often called upon to administer multiple doses of naloxone to people experiencing drug poisoning in the vicinity of her store. She usually starts with a quick shot of nasal spray, calls 911, then moves on to injections. In her personal time, she prefers to carry the smaller, more convenient nasal spray.

"It's like these little tiny things that I can just so easily throw into like a purse or fanny pack," she said. "It is not stronger, but it is easier to use."

She also appreciates that she doesn't have to worry about disposing of a needle.

The Saskatoon Fire Department has responded to more than 700 overdoses this year, with an average of 24 a day for most of March. The Saskatchewan Public Safety Agency said it's providing more supplies of naloxone in Saskatoon, and on Tuesday health officials indicated that would include a shipment of nasal naloxone spray.

Kayla DeMong from Prairie Harm Reduction (PHR) in Saskatoon has made a public plea for donations to buy nasal spray.

"Just make it available. Make sure it is distributed, because it is the easiest way to teach people how to respond and to have that confidence to respond," DeMong said.