Our People to Live Stronger & Longer

Nitazene Alert – New Guidelines for Clinicians

We previously published an article regarding the emerging risks of the synthetic-opioid drug Nitazene in Australia – see here.  

Due to the devastating effects of the circulation of this drug, NSW Health has released a Consensus Guide for Clinicians to manage withdrawal and treatment initiation for nitazene dependence in patients. 

Importantly, an initial Clinical Opiate Withdrawal Scale (COWS) is required where confirmed or suspected nitazene withdrawal is present, with continued review as needed. 

Naloxone is an effective treatment for opioid overdoses, including Nitazene. However, as Nitazene can last longer in the body than other opioids, higher and repeated doses of naloxone are required prior to hospital treatment for opioid overdoses. 

Naloxone is available free of charge at participating ‘Take Home Naloxone’ pharmacies, needle and syringe program sites and some NGO’s and Private services. In addition Naloxone can be purchased over the counter without a prescription at other pharmacies. 

The NSW Government offers to supply ACCHOs with Naloxone to dispense to clients and their carers free of charge.  To find out more you can contact moh-naloxone@health.nsw.gov.au 

If you have any questions contact publichealth@ahmrc.org.au