Background: Naloxone is an opioid antagonist used for overdose treatment and it has recently become available over-the-counter in Sweden. Pharmacies are now responsible for providing counseling at the point of sale. The implementation can bring challenges regarding staff training, stock management, and demand, making it important to examine the perspectives of different pharmacy operators.
Aim: The aim of this study is to explore how different pharmacy operators perceive the over-the- counter availability of naloxone, how the implementation is being carried out, and how training and routines are structures for naloxone in pharmacies.
Method: Semi-structured interviews were conducted with representatives from different pharmacy operators in Sweden. The interviews focused on the implementation process, staff training, and the routines for handling naloxone. The data were analyzed inductively to identify patterns.
Results: The results showed that the implementation has occurred over a short period with varying progress among different pharmacy operators. Low demand and stock management issues have impacted the process. Pharmacy staff training has begun, however the need for continuous training and support was identified as critical. Challenges also emerged regarding online sales, where ensuring proper counseling is essential.
Conclusion: Despite the time pressure, different pharmacy operators are positive about the over- the-counter availability of naloxone and its potential to save lives in opioid overdose situations. Nonetheless, challenges remain, particularly around stock management and ensuring proper counseling. However, there is strong potential to improve accessibility in the future.
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