What must be done before prescribing an opioid antagonist?

Before prescribing an opioid antagonist, it is crucial to ensure that the recipient is either at risk of an opioid overdose or is in a supportive role, such as a family member, caregiver, or a bystander likely to be present during an overdose situation. This step is vital in ensuring the appropriate use of the medication and maximizing its benefit in preventing fatal overdose outcomes. Opioid antagonists, such as naloxone, are life-saving medications specifically intended for use in emergencies, particularly when the risk of overdose is present.

Identifying individuals who need access to an opioid antagonist can help in mitigating the risks associated with opioid use, particularly in populations that are vulnerable or have a history of substance misuse. Providing these medications to individuals in a supportive role can also ensure there is a ready effective response if an overdose situation arises.

While checking a patient’s prior prescriptions, documenting their medical history, and conducting a psychiatric evaluation may all play a role in comprehensive patient care and risk assessment, they do not directly address the immediate requirement of determining the appropriateness of prescribing an opioid antagonist specifically. Therefore, recognizing the role and risk factors of the recipient takes precedence in this context.