Opinion column (op-ed) by Don R. Read, MD, president of the Texas
Medical Association (TMA), on improving distribution of naloxone in Texas to
potentially save the lives of people who overdose on drugs.
It is now one year since Texas doctors have been able to get the
lifesaving drug naloxone to people who can use it to help themselves and others
avoid the effects of a drug overdose. Giving people access to a drug that can
save someone else’s life is a huge opportunity to prevent overdoses. However,
are we doing enough to get this drug to the people who need it?
Naloxone prevents a drug overdose by blocking another drug’s bad
effects. The 2015 Texas Legislature permitted doctors to write standing orders,
or prescriptions, for naloxone. The law allows any pharmacy that has a standing
order to dispense naloxone to anyone who asks for it, to keep on hand as a
This can help people in danger of overdosing — and people who
could save others from overdosing, like people who work with the public, or
those with friends or family members who use potentially dangerous drugs.
Drug addiction and overdose are serious problems in Texas, and a
top cause of accidental injury and death among adults. Overdoses from
prescription opioids (painkillers) such as fentanyl, hydrocodone, and
oxycodone, or illegal opiates such as heroin, affect Texans of every class,
ethnicity, sex, and age.
Not everyone who overdoses is addicted to drugs. Sometimes people
who take prescription pain medication accidentally take too much. Naloxone
could help anyone in an emergency. Naloxone can prevent death if the victim
takes it in time to stop the imminent threat, and then receive more extensive,
necessary emergency care.
Nevertheless, true drug addiction is a complex disease, and our
response for our patients should be as well. Here is what we need in Texas to
- We must get naloxone to more people who need it
— in their own community.
- We must raise public awareness about overdosing
— especially from prescription drugs. We need community training to handle
overdoses so emergency responders and others can recognize overdose symptoms
and give the victim naloxone.
- We must get more people into effective
treatment. Recovery from drug addiction takes a long time, and a person may
need more than one approach to succeed.
physicians must be fully informed about prescribing opioids and naloxone.
Doctors who prescribe painkillers must talk to patients about drug risks, learn
the best ways to treat pain safely, and prescribe naloxone.
- We must keep better track of prescriptions for
opioids. Physicians and others can make better use of our state’s prescription
database of controlled drugs like opioids to make sure patients aren’t “doctor
shopping” for them.
- We must improve information-gathering. Not all
prescription drug deaths are counted because Texas does not have a standard way
to report them. Better reporting would help us understand what is happening in
Physicians applaud and support everyone working to solve our
state’s opioid overdose problem, like groups that raise awareness about opioids
and drug addiction, and lawmakers and regulators seeking to shut down unethical
pain clinics, or “pill mills.”
We also urge others to be leaders in this effort. We need a
statewide dialogue on working together to find solutions. We need community
partners willing to make sure naloxone is available to treatment programs and
emergency medical services. Texas must fund treatment based on scientific
evidence. State leaders, and state and local health departments can be
important partners in saving lives.
Texas is not alone in passing laws to make naloxone more
available to people; all but three states have such laws. We can follow other
states’ methods for cutting overdoses and getting naloxone to those who need
it: pilot programs to distribute the drug; local or statewide opioid prevention
plans; Good Samaritan protections for anyone who witnesses an overdose and
calls 911; and public awareness campaigns.
The health — and lives — of many Texans is at stake.
Don R. Read, MD
President, Texas Medical Association
401 W. 15th Street, Austin, TX 78701
TMA is the largest state
medical society in the nation, representing more than 49,000 physician and
medical student members. It is located in Austin and has 110 component county
medical societies around the state. TMA’s key objective since 1853 is to
improve the health of all Texans.
Contact: Brent Annear (512) 370-1381; cell: (512) 656-7320;
Marcus Cooper (512) 370-1382; cell:
(512) 650-5336; email: marcus.cooper[at]texmed[dot]org
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