While paramedics in the US have carried naloxone for decades, law enforcement officers in many states throughout the country carry naloxone to reverse the effects of heroin overdoses when reaching the location before paramedics. As of July 12, 2015, law enforcement departments in 28 US states are allowed to or required to carry naloxone to quickly respond to opioid overdoses. Programs training fire personnel in opioid overdose response using naloxone have also shown promise in the US, and efforts to integrate opioid fatality prevention into emergency response have grown due to the US overdose crisis.Following the use of the nasal spray device by police officers on Staten Island in New York, an additional 20,000 police officers will begin carrying naloxone in mid-2014. The states Office of the Attorney General will provide US$1.2 million to supply nearly 20,000 kits. Police Commissioner William Bratton said: "Naloxone gives individuals a second chance to get help". Emergency Medical Service Providers (EMS) routinely administer naloxone, except where basic Emergency Medical Technicians are prohibited by policy or by state law. In efforts to encourage citizens to seek help for possible opioid overdoses, many states have adopted Good Samaritan laws that provide immunity against certain criminal liabilities for anybody who, in good faith, seeks emergency medical care for either themselves or someone around them who may be experiencing an opioid overdose.States including Vermont and Virginia have developed programs that mandate the prescription of naloxone when a prescription has exceeded a certain level of morphine milliequivalents per day as preventative measures against overdose.
Narcans manufacturer also charges $150 for the nasal spray and aggressively sues competitors looking to market a cheaper unauthorized generic version of the drug. The public relations effort to raise awareness of naloxone and promote policies such as bulk purchases by police departments obviously increases sales. See also
Buprenorphine/naloxone
Oxycodone/naloxone
Naloxazone, the hydrazone analog

References
Further reading
Naloxone, Flumazenil and Dantrolene as Antidotes. IPCS/CEC Evaluation of Antidotes Series. Vol. 1. Cambridge University Press. 1993. ISBN 0-521-45459-X. EUR 14797 EN. External links
"Naloxone". Drug Information Portal. U.S. National Library of Medicine. "Naloxone hydrochloride". Drug Information Portal. U.S. National Library of Medicine. "Naloxone Nasal Spray". MedlinePlus. "Naloxone". Substance Abuse and Mental Health Services Administration (SAMHSA). "FDA recommends health care professionals discuss naloxone with all patients when prescribing opioid pain relievers or medicines to treat opioid use disorder". U.S. Food and Drug Administration (FDA). 23 July 2020.</ref>