Take Actions:

Check to see if they can respond

  • Give them a light shake, yell their name.
  • If you cannot get a response, try a STERNUM RUB (rub your knuckles on their chest bone for about 5-10 seconds).

Call 911

  • You do not need to mention drugs on the call. Stick to basics.
  • Give address and location.
  • Say: “my friend is unconscious and I can’t wake him up” or “my friend isn’t breathing.”

Rescue Breathing

  • Make sure nothing is in their mouth.
  • Tilt head back, pinch nose.
  • Give a breath every 5 seconds.

Give Naloxone


  • If you have the nasal spray, spray half up one nostril, half up the other.
  • If you have the injectable Naloxone, inject 1 cc into the muscle of the upper arm, upper thigh, or upper/outer quarter of the butt.
  • Continue rescue breathing if they have not started on their own.
  • Give second dose of Naloxone if there is no response after 3 minutes.
  • Continue rescue breathing
  • Administer CPR if person becomes pulseless

After Naloxone

  • Remind person Naloxone can wear off in 30-45 minutes.
  • Lay them on their side.
  • Stay with them until they go to the hospital or until the Naloxone wears off to make sure the overdose does not come back.
  • Contact a family member to let them know their loved one has O.D.’d and EMS is taking them to E.R.

Naloxone, also known by the brand name Narcan, is a safe and effective medication that can reverse the effects of opioid overdose. It is most often injected into a person experiencing an overdose. It attaches to the same parts of the brain that receive heroin and other opioids, and it blocks the opioids for 30-90 minutes to reverse the respiratory depression that would otherwise lead to death from overdose. Overdose FAQ

Overdose Is Most Common When:

  • Your tolerance is down due to not using whether you took a break, were in treatment, in jail or had cut down on your use.
  • When you mix drugs, like downers, heroin, methadone, benzos/pills, and alcohol, or any combo of those.
  • When you get stronger drugs than you are used to, if the supply changes, you go to a new dealer, or you are new in town.
  • When you are alone, nobody is around to help if you go out.
  • When you’ve been sick, tired, run down or dehydrated, your body cannot handle the drugs as well if it is not healthy and nourished.

Preventing Overdose

  • Don’t mix drugs. Mixing drugs can cause your breathing and heart to stop.
  • Have an O.D. rescue plan with those around you.
  • Learn rescue breathing and get a Naloxone Kit.
  • Do not use alone.
  • Keep doors unlocked so help can reach you if you are in trouble.

How To Recognize An Overdose

  • Blue or grayish lips and fingernails.
  • Clammy, sweaty skin.
  • Shallow or raspy breathing, snoring or gurgling sounds.
  • Won’t wake up to yelling their name or to a sternum rub to the chest.
  • If your friend is just in a heavy nod, but is still conscious and breathing, make sure to stay with them, walk them around, keep them talking and moving.
  • Someone can slip into an overdose hours after they get high.
  • Have your Naloxone kit around because you never know when you will need to administer the medicine.


The first and only naloxone auto-injector

EVZIO is a take-home, hand-held, single-use naloxone auto-injector that may be used wherever an opioid overdose occurs. If you accidentally overdose on your opioid medication, a family member, friend, or other caregiver can administer EVZIO to temporarily reverse the effects of the overdose and help keep you breathing until emergency medical assistance is available.

EVZIO should be given right away and does not take the place of emergency medical care. Get emergency medical help right away after the first dose of EVZIO, even if the person wakes up.


If you have an opioid overdose, you are likely to be unconscious and unable to use EVZIO yourself. That’s why it’s so important to

have a caregiver, such as a family member or friend, who is always prepared to administer EVZIO for you, just in case.

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