Naloxone now available over-the-counter in Sweden to combat opioid overdoses

Naloxone, an effective antidote for opioid overdoses like heroin and fentanyl, has been available in Sweden since 2018 but previously could only be prescribed to individuals at risk of overdose. Starting mid-July, this life-saving medication can now be purchased over-the-counter.

“Anything that simplifies access to naloxone is beneficial. Now relatives can also purchase naloxone, which can save lives,” said a public health advocate. The previous requirement for a prescription was due to the need for patients to receive instructions on its use. However, after a recent assessment, health authorities concluded that pharmacy staff are qualified to provide the necessary guidance.

The change to over-the-counter availability means prices may vary, potentially making the non-prescription product more expensive than the prescribed version. “Individuals with ongoing opioid dependence often struggle financially, so it would be best to complement this change with some form of financial support,” the advocate added.

One pharmacy reported that naloxone is sold for 578 kronor without a prescription while the prescribed price is 452 kronor. Another pharmacy chain matches the price at 452 kronor regardless of prescription status. Initially, naloxone will be available only as a special order in physical stores since online pharmacies are required to provide direct consultation.

Pharmacists are expected to deliver information and advice through personal interactions, which is crucial since simply reading about the medication online is inadequate. Due to limited stock, naloxone will be treated as a special order item to prevent shortages caused by bulk purchases.

Naloxone, delivered as a nasal spray, reverses opioid effects for approximately 30 minutes, enabling breathing and eliminating the high. Previously, it was restricted to prescriptions for individuals at risk of overdose.