When I walk into my local pharmacy to pick up a naloxone kit, I don’t need to present a prescription. I don’t even need to state my reason for needing naloxone (I’m an opioid-dependent pain patient and I frequently interview people who use illicit opioids). The pharmacist asks whether I prefer the nasal spray or the injectable version, then takes me through a five-minute orientation, explaining how to use it to save someone else’s life. Then I leave with my kit. I live in Toronto. But in the United States, where the crisis of opioid-involved overdose deaths is raging (as it is in Canada) beyond anything we’ve seen before, naloxone access is limited—not just by stigma and outdated, restrictive laws, but also by its rising cost.

Pharmacologically, naloxone sounds perfect – easy, safe and incredibly effective in reversing an overdose; however, there are several public misconceptions and myths around naloxone that may hinder its positive effect. This piece therefore covers a variety of common myths relating to naloxone and debunks them. We also speak with a volunteer working with Peter Krykant’s mobile safe consumption site in Glasgow, Scotland to assess how naloxone can be given empathically in order to reduce harms for the person overdosing.

Librarians and bin workers could be given training in how to use potentially life-saving drug overdose antidote in a Scots city. Councillors in Aberdeen have approved the project to give more council workers training in using naloxone amid surging drug deaths across the country.

A NaloxBox is a hard acrylic box mounted to an exterior wall with 24/7 access to naloxone. Kimberly Buck is a Narcan distributor for Overdose Lifeline, an Indiana nonprofit dedicated to helping individuals, families and communities affected by substance use disorder. She has been with the nonprofit since 2014 and was tasked with deciding where Jackson County’s two boxes would go and installing them as she receives them.

The campaign launched this week with billboard pictures of people who have chosen to share their personal experiences about overdose and naloxone, and uses direct quotes from them with the hope of encouraging and engaging the broader public on this important subject. The billboards are located across London and Manchester, with further locations set to feature the campaign in the coming weeks.