Misuse Prevention

Opioid misuse is a significant issue, but there are many ways you can help your family and friends stay safe. Learning the signs of an opioid overdose and knowing how to respond can save lives.

Signs of an Opioid Overdose:

• Deep snoring or gurgling sounds

• Turning blue or grey (lips, fingernails)

• Unresponsiveness

• No breathing or slow breathing (less than 1 breath every 5 seconds)

• Vomiting

• Limp body

• Pale skin

• Choking, gasping, or snoring noises

Responding to an Overdose:

1. Call 911: Always call 911 immediately. Say, “My friend/child is unconscious and I can’t wake them up” or “My friend/child isn’t breathing.” In Massachusetts, you cannot be charged with possession of a controlled substance when reporting an overdose.

2. Provide Location: Give the address or clearly describe your location and state if the person is not breathing.

3. Administer Naloxone (Narcan): If you have it, administer naloxone. Push the pump only after the tip is in the nose. If there is no response in 3 minutes, give another dose in the other nostril.

4. Wake the Person: Try to wake the person by yelling their name, pinching them, or rubbing the middle of their chest hard.

5. Rescue Breathing: If the person is not breathing, make sure there is nothing in their mouth, tilt their head back, lift their chin, pinch their nose, give a breath every 5 seconds, and watch for their chest to rise with each breath. Continue until they start breathing.

6. Stay with the Person: Stay with the person until help arrives. If you need to leave, put the person in the Recovery Position (on their side with the mouth downward) to prevent choking if they vomit and leave the door open for emergency responders.

Harm Reduction Tips:

• Don’t use opioids alone; take turns if using with others so one person can help if something goes wrong.

• Avoid mixing drugs like benzodiazepines, alcohol, and opioids.

• Educate those close to you on recognizing an overdose and how to respond.

• Always carry naloxone.

• Be aware of your tolerance, especially if you haven’t used in a while.

• Test a small amount first if using a new batch or if you haven’t used in a while.

• Access your local Syringe Access Program for additional support and resources.

Together, we can start to heal our community by being informed and prepared to act in case of an opioid overdose.

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