An Opioid Strategy for Pharmacy

Ontario is facing a serious public health and safety issue related to the abuse and misuse of opioids, including prescription narcotics and other controlled substances.


College’s Response to Opioid Crisis

The College is committed to supporting and complementing action undertaken by provincial and federal governments and other health system stakeholders to reduce the abuse and misuse of opioids and prevent overdose and addiction. Already, we have focused on ensuring pharmacy professionals have access to educational resources to help them provide the best possible care for their patients. These include:

  • creating an opioid practice tool as a hub for relevant resources,
  • educating pharmacy professionals of their obligations related to opioid and narcotic security (e.g. Patch for Patch program),
  • providing guidance on the dispensing of naloxone,
  • making pharmacy professionals aware of external resources on best opioid prescribing and dispensing practices, and
  • encouraging interprofessional collaboration between prescribers and dispensers.

To further this work and ensure we are doing all we can do to address this crisis, the College has announced the creation of an opioid strategy.


A Comprehensive Opioid Strategy

The strategy, which was developed by the Opioid Task Force, addresses relevant areas of practice, and considers the health and social factors that are related to opioid abuse and misuse. The full strategy was approved by College Council at their September 2017 meeting.

The College recognizes that no single initiative will “fix” Ontario’s opioid-related issues and is committed to aligning with national and provincial opioid-related goals. To ensure that a sustainable and effective approach is taken to addressing opioid-related issues, the multi-pronged strategy simultaneously addresses relevant areas of practice.

This strategy supports the College in meeting its mandate to serve and protect the public’s interest by:

  • advancing opioid-related education for pharmacy professionals,
  • improving harm reduction strategies and delivery of opioid dependence treatment,
  • preventing overdose and addiction by supporting evidence-based and appropriate dispensing practices, and
  • strengthening oversight of the provision of narcotic and controlled drugs to patients and the security of drug distribution.

These priorities are supported by five strategic areas of focus: sourcing, developing and communicating practice tools and resources; optimizing scope of practice for pharmacy professionals; applying best practices and guidelines supported by evidence; using data to inform activities; and building collaborative relationships with relevant healthcare partners.

Read the Ontario College of Pharmacists: Strategy to Address Opioid Misuse and Abuse in Ontario.


Next Steps

With the approval of the strategy, College staff will prioritize and implement the key initiatives identified, with the support of an external working group where required. Additional opioid-related initiatives will continue to be undertaken by the College. Each Council meeting, progress on opioid-related initiatives will be reported through the Registrar’s Report.


Pharmacy Stewardship for Patient Safety

Pharmacy professionals play an important role in the procurement and distribution of narcotic and controlled substances for use in patient care. Therefore, they have a professional responsibility to take action to decrease the burden of current opioid issues faced by society.

The Code of Ethics, Standard 2.1 notes that members shall “utilize their professional judgment to make every reasonable and conscientious effort to prevent harm to patients and society.” As medication experts, pharmacists are in a unique role to support the appropriate use and access to narcotic and controlled substances and collaborate with other health care professionals to enhance patient safety.