We wanted to make sure that EMS personnel are aware of the information below. This was sent out by Montgomery County Coroner’s Office and Public
Health – Dayton & Montgomery County a few days ago. Now, some EMS agencies are seeing an increased frequency of opiate OD runs, with some patients requiring higher than typical amounts of naloxone.
Despite the statement below, naloxone can be effective against carfentanil, though it likely requires higher doses than are contained in the DAWN
kits bystanders may have. EMS should continue to follow GMVEMSC Standing Orders.
We were concerned about this press release because it says “Narcan is not effective against Carfentanil. This means first responders and bystanders may not be able to revive a person that encounters Carfentanil.”
It is my understanding from reading the literature that this is not true. It often requires multiple doses of naloxone to reverse an overdose caused by carfentanil. Please see the following references.
“In additional to fentanyl, more potent analogues such as carfentanil and lofentanil may require even higher doses of naloxone”
https://substanceabusepolicy.biomedcentral.com/articles/10.1186/s13011-019-0195-4
“Immediately administering naloxone can reverse an overdose of carfentanil, fentanyl, or other opioids, although multiple doses of naloxone may be required”
From: Smith, Casey [mailto:CSmith@phdmc.org]
Sent: Friday, November 01, 2019 1:43 PM
To: COAT Branch Leads
Subject: Carfentanil Found in Fentanyl
Good Afternoon COAT Operations Branch Co-Leads,
Please see below release from Coroner Harshbarger's Office. Earlier this week, local task forces seized a large amount of fentanyl. The substances were tested and carfentanil
was found mixed in with the fentanyl. I have also attached the Dayton Daily News article that just went out today.
Casey
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