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would consider doing it”.
            When asked what he thought needed to
            happen to get his mates and other Victo-
            rians who use opiates to do the training,
            Dave said:
            1.“I guess it would be good if, say,
            people who were on pharmacotherapy had
            the ability to find out about it [the
            training] when they went to their
            doctors to get their scripts. A lot of people
            wouldn’t even know that it was around, so
            it would be great if doctors talked about it”.
            Editor’s Note: It also makes sense that pharmacotherapy
            doctors at least offer a naloxone script as a general rule,
            alongside a person’s methadone script.

            2.“Reimbursement is always something
            that gets people involved. If you pay users
            to come to the training, it covers our
            transport costs and you’re getting to hear
            from us what’s going on, so it’s a good
            thing for everyone”.

            3.“I think probably easy access to the med-
            ication – you know how she [Jane] got
            the doctor to come along to the training
            and write the scripts and then we got it
            straight away”.
            Editor’s Note: The training was done at Access Health so
            the on-site doctor writes the scripts, which are filled and
            given to the participants before the training is finished.

            4.“Perhaps not requiring a script and
            making it affordable would be a better way
            to get the naloxone out there – $140-150
            over the counter (without a prescription is
            just not affordable*.
            Hard core drug users are more likely to go
            spend that kind of money on ice
            rather than naloxone to try and wake them
            up.  That kind of amount isn’t an option
            for people”.

            5.“Everybody should be able to access the   and a visit to the local chemist, health care card
            training - nobody should be marginalised   holders will pay about $6.20 for 5 mini-jets or
            just because they don’t have money or live   ampules; without a health care card the same
            elsewhere in Victoria [and can’t get to the   will cost about $38.00. Without a prescrip-
            training]”.                         tion, over the counter naloxone costs a min-
                                                imum of $100 (with or without a health care
            6.It would be interesting to see what the   card).
            cost would be in relation to overdoses,   Since this article was written the situ-
            ambulance callouts and ambulance    ation has changed dramatically and minijets
            attendance, and all the bureaucracy   of naloxone are no longer available in Aus-
            involved, and then do a comparison on   tralia and no longer on the PBS for people
            how much it would be to fund HRVic to   with a healthcare card. HRVic is now distrib-
            simply go and deliver more training across   uting and  training workshop participants to
            the State”.                         use ampoules of naloxone until a better alter-
                                                native is developed.

                 *Editor’s Note: With a doctor’s script






          36  W H A C K P. I E D I T I O N : S P R I N G 2 0 16




     WHACK35_LYOT.indd   36                                                                                  11-Oct-16   4:25:24 PM
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