Safety is the key consideration in responding to those who present for their opioid substitution dose while intoxicated with opioids, alcohol or other drugs. As a general rule, clients exhibiting signs of intoxication should not be given their dose or any takeaway doses until they have been assessed as free of symptoms.
This may involve our pharmacist either referring you to be seen at the specialist service or asking you to come back later in the day before giving the dose. We may, whe appropriate, administer a partial dose. It may be appropriate to administer a half dose with an instruction to the client to return later in the day for the other half, which might then be given if the client is not intoxicated at that time.
Clear guidance will be given to clients presenting for doses in an intoxicated state. We will notify keyworkers whenever a client presents in an intoxicated state at the pharmacy.