Table 2.

Eligibility criteria for patient participation in the Rhode Island collaborative practice agreement for naloxone (CPAN)

▪ Voluntarily request

▪ Recipient of emergency medical care for acute opioid poisoning

▪ Suspected illicit or nonmedical opioid user

▪ High dose opioid prescription (>100 morphine mg equivalents daily)

▪ Methadone prescription to opioid naïve patient

▪ Dispensed an opioid prescription and:

▪ History of smoking

▪ COPD

▪ Respiratory illness or obstruction

▪ Renal dysfunction or hepatic disease

▪ Known or suspected concurrent alcohol abuse

▪ Concurrent benzodiazepine prescription

▪ Concurrent SSRI or TCA anti-depressant prescription

▪ Recently released prisoners from a correctional facility

▪ Released from opioid detoxification or mandatory abstinence program

▪ Patients entering a methadone maintenance treatment program

▪ Patients that may have difficulty accessing emergency medical services

SOURCE: Rhode Island Board of Pharmacy, 2011