Pop, candy and now opioids in vending machines?

B.C. health official wants to put safe and common opioid in vending machines

Making a safe opioid available in vending machines may be the next harm reduction tool to fight the deadly overdose epidemic, says the executive medical director of the B.C. Centre for Disease Control.

Dr. Mark Tyndall said he envisions a regulated system where drug users would be assessed, registered and issued a card to use in vending machines to obtain hydromorphone, a painkiller commonly marketed under the brand name Dilaudid.

“I’m hoping that it’s kind of like supervised injection sites,” he said of the program that could begin as early as next March. “At first it sounded a bit off the wall and now it’s pretty well accepted.”

Funding to expand access to hydromorphone would first be used to distribute pills through supportive housing units that also dispense methadone and suboxone as well as through a nurse at supervised injection sites before they are sold through vending machines, Tyndall said.

“People could pick these drugs up at supervised injection sites but there’s no reason you couldn’t use vending machine technology to do that. So people would show up, have their card, click it in and get a couple of pills.”

Hydromorphone pills dissolve well in water and Tyndall said he expects most people will grind them up and inject them.

A small part of the funding will come from a three year, $1 million Health Canada grant that includes patients in Alberta, Tyndall said, adding the machines could also be placed in other areas where drug use is prevalent, as well as near health clinics in remote communities.

“We don’t have really anything to offer people who are dying around the province in smaller communities, where sometimes they don’t even have a doctor who can prescribe methadone and certainly will never have a supervised injection site,” Tyndall said.

“You’d have to ensure there’s some security system because we don’t want people kicking these things in and stealing all the pills, and we don’t want situations where people are taking out big quantities and selling them on the street.”

Tyndall said while theft is a major concern of any opioid distribution system, anyone buying stolen hydromorphone pills would at least be getting safe drugs instead of those that could be laced with the powerful opioid fentanyl, which has been linked to hundreds of deaths across Canada.

Safeguards would also include supplying two or three pills, up to three times a day, to prevent users from being targeted by criminals, Tyndall said.

“We’ve done some focus groups and most people feel they’d be quite happy with two Dilaudids, eight milligrams, three times a day,” he said.

However, people who are assessed as doing well could eventually obtain a two- or three-day supply of pills, much like take-home methadone, Tyndall added.

High-dose injectable hydromorphone is currently provided to chronic substance users at a Vancouver clinic called Crosstown, the only such facility that also dispenses diacetylmorphine, or medical-grade heroin to patients who have repeatedly failed to kick an addiction to illicit drugs after multiple drug substitution programs.

“This is not an addiction medicine response,” Tyndall said, adding new approaches need to have an impact on the overdose epidemic. “We need to make this is pubic health thing, much like vaccine programs.”

The B.C. Coroners Service has reported that 1,208 people fatally overdosed in British Columbia between January and October this year. It said fentanyl was detected in 999 of the confirmed and suspected deaths so far in 2017, an increase of 136 per cent from the same period last year.

Ontario’s Health Ministry said the province has about half a dozen remote locations where prescription drugs are available through dispensing machines. Patients consult in real time with an off-site pharmacist using two-way video monitor in the machine.

Allan Malek, chief pharmacy officer of the Ontario Pharmacists Association, said Tyndall has floated an innovative idea during a national overdose crisis but it would have to be adequately monitored.

“In terms of what’s happening in B.C. and other parts of the country, these are discussions that have to be had. People are dying. Something has to be done.”

Camille Bains, The Canadian Press

Like us on Facebook and follow us on Twitter.

Just Posted

Barriere Health Centre renos will require patients to enter from the emergency entrance

Patients are advised that access to the Barriere Health Centre from Nov. 23 to 30 will be through the emergency room doors at the rear of the building

RCMP resort to spike belts to stop vehicle on Highway 5 near Barriere

After numerous complaints were received regarding driver’s behaviour behind the wheel Barriere and Kamloops RCMP use spike belts to stop vehicle

UPDATE: Missing senior couple found

A senior couple from the Lower Mainland have been reported missing

Barriere Secondary School holds Remembrance Day ceremony

Remembrance Day Ceremonies took place at Barriere Secondary (BSS) on Friday, Nov.… Continue reading

Bill Kershaw elected vice-chair of Thompson Nicola Regional District

Barriere resident Bill Kershaw was re-elected in October as the Thompson Nicola… Continue reading

Six students arrested, charged in sex assault probe at Toronto all-boys school

The school’s principal, Greg Reeves, described the video of the alleged sexual assault as ‘horrific’

Jamie Koe, other curlers kicked out of bonspiel for being too drunk

‘You don’t kick around other players’ bags, it’s disrespectful and we expect better of our players’

Homicide victim found under B.C. bridge identified as Hells Angels member

Chad John Wilson was one of four men arrested in Spain in 2013 on allegations of smuggling cocaine.

B.C. Sikh temple vandalized with racist graffiti

Racist graffiti was found on the side of the building this morning

Shots fired near Chicago hospital, multiple victims: police

Police say at least one possible offender has been shot

B.C. to allow ride hailing services to operate in 2019

Fee will be applied to fund options for disabled people

Chocolate lab missing along Coquihalla

Brad Gibson is asking for help locating his missing dog.

B.C. connection to launch of new $10 bill

Great nephew of Viola Desmond says bill is a ‘step in the right direction’

Elections BC keeps eye on Canada Post dispute, but no change in Nov. 30 deadline

Vote No spokesman say an extension of one or two weeks would ensure all ballots are counted

Most Read