Intended for healthcare professionals

Rapid response to:


Emergency naloxone for heroin overdose

BMJ 2006; 333 doi: (Published 21 September 2006) Cite this as: BMJ 2006;333:614

Rapid Response:

Opiate Antagonist as punishment within drug culture

A current local drug alert for Naltrexone from the Police confirm
that one of two patients in Tayside ended up being hospitalised with
severe withdrawals and dehydration. This was following Naltrexone
circulating in the guise of MST.
Also in Perth prison Naltrexone tablets were used by prisoners (crushed
and administered covertly in liquids) as a type of punishment for other
This inappropriate use needs to come into the balance of any gain made by
making opiate antagonist more readily available

Competing interests:
None declared

Competing interests: No competing interests

30 September 2006
Malcolm Bruce
Consultant Psychiatrist in Addiction
Lothian NHS, Scotland EH3 9DU