{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T13:19:35Z","timestamp":1783948775647,"version":"3.55.0"},"reference-count":5,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,8,14]]},"abstract":"<jats:p>Opiate overdose is the primary cause of death among injection-drug users, representing a major public health concern worldwide. Opiate overdose can be reversed through timely administration of naloxone, and users have expressed willingness to carry the antidote for emergency use (take-home naloxone). In November 2014, new WHO guidelines identified that naloxone should be made available to anyone at risk of witnessing an overdose. We present the case of a 46-year-old man in opioid-maintenance treatment who used take-home naloxone to rescue an overdose victim. This is the first- ever account of a patient using dose titration of naloxone to restore respiratory function while minimising the risk of adverse effects. To improve the safety of take-home naloxone, the authors call for clinicians involved in the treatment of opiate users to: prescribe take-home naloxone to all patients; forewarn patients of potential side effects; and instruct patients in naloxone dose titration.<\/jats:p>","DOI":"10.1136\/bcr-2015-210391","type":"journal-article","created":{"date-parts":[[2015,9,14]],"date-time":"2015-09-14T07:18:49Z","timestamp":1442215129000},"page":"bcr2015210391","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Heroin overdose resuscitation with naloxone: patient uses own prescribed supply to save the life of a peer"],"prefix":"10.1136","volume":"2015","author":[{"given":"Ian","family":"Winston","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"McDonald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Basak","family":"Tas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Strang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2015,9,14]]},"reference":[{"key":"2025042707072457000_2015.sep13_1.bcr2015210391.1","unstructured":"EMCDDA. European Drug Report 2014: trends and developments . Luxembourg: Publications Office of the European Union, 2014."},{"key":"2025042707072457000_2015.sep13_1.bcr2015210391.2","unstructured":"ONS. Statistical bulletin: Deaths Related to Drug Poisoning in England and Wales, 2013 2014 [11 November 2014]. http:\/\/www.ons.gov.uk\/ons\/rel\/subnational-health3\/deaths-related-to-drug-poisoning\/england-and-wales---2013\/stb---deaths-related-to-drug-poisoning-in-england-and-wales--2013.html"},{"key":"2025042707072457000_2015.sep13_1.bcr2015210391.3","unstructured":"WHO. Community management of opioid overdose 2014 [11 November 2014]. http:\/\/apps.who.int\/iris\/bitstream\/10665\/137462\/1\/9789241548816_eng.pdf?ua=1&ua=1"},{"key":"2025042707072457000_2015.sep13_1.bcr2015210391.4","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.114.148031"},{"key":"2025042707072457000_2015.sep13_1.bcr2015210391.5","unstructured":"Department of Health (England) and the devolved administrations. Drug misuse and dependence: UK guidelines on clinical management. London: Department of Health (England), the Scottish Government, Welsh Assembly Government and Northern Ireland Executive, 2007."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-210391","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T14:07:34Z","timestamp":1745762854000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-210391"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,9,14]]},"references-count":5,"alternative-id":["10.1136\/bcr-2015-210391"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-210391","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,9,14]]}}}