Harm Reduction

image156

Needle Exchange

Dr. Holowaty participates in the Ontario Harm Reduction Distribution Program's needle exchange program to provide sterile, single use equipment to help prevent disease transmission and reduce the potential health risks associated with injection drug use. You do not need to be a patient here to access this program. Drop off your filled sharps containers from the program and access clean supplies and new sharps boxes.

Naloxone

Dr. Holowaty has been a strong advocate for take home naloxone for opiate users. She is thrilled that the Ontario government finally set up a free take home naloxone program. All pharmacies that have sufficient expertise to dispense opiates should be capable of dispensing and educating on the free naloxone kits for opiate overdose. 

Everyone should have one if you take prescribed opiates or non-prescribed medications, as fentanyl has been found in many other drugs.

Get your kit by asking your pharmacist today or come to our clinic and ask for your naloxone kit or naloxone refills. We offer them in both injection and intra-nasal forms. 

Safer (Smoking) Inhalation Materials

Through public health, we offer safe crack pipes and meth bowls. This is because hepatitis C and possibly other blood borne diseases can be passed through sharing bowls and pipes. Please always use your own inhalation equipment. 

Immunizations

People who inject drugs can have very weak immune systems, putting them at danger of life-threatening infections.  The Ontario government recognizes this risk and pays for the pneumonia vaccine, as well as hepatitis A and B vaccines for people who inject drugs. Through a partnership with Hastings and Prince Edward Public Health, we provide those immunizations here for anyone who self-identifies as an injection drug user. 

During the flu season, we also provide flu shots - remember the flu causes pneumonia, not a stomach bug!

PrEP and Preventing Sexually Transmitted Infections

PrEP stands for pre-exposure prophylaxis to prevent HIV infection in high risk people who are currently HIV negative. High risk people include people who share injection equipment, those who can't negotiate condom use, and/or have to trade sex for food, housing or transportation. Read more about PrEP here.  Prescriptions do require regular follow up and regular HIV testing. 

We have condoms on site for the taking - please help yourself!

Prevention of Pregnancy

Dr. Holowaty is trained and able to provide prescriptions for birth control (including the "pill", the "shot", and IUDs), as well as the "morning after pill". We carry a dose of the morning after pill on site at all times. Dr. Holowaty also provides medical abortions up to 9 weeks using mifegymiso by prescription. This is a prescription covered by OHIP for all Ontarians that have a valid OHIP card, no matter whether you have drug coverage or not. 

How to Give Naloxone for overdose

Please see this video on how to give injection naloxone to someone who has suffered an opiate overdose.