How Do Drug Overdoses Happen?

An overdose happens when a person takes more of a drug, or a combination of drugs, than their body can handle. With opioids like heroin, fentanyl and prescription pain relievers, an overdose slows or stops a person’s breathing, which can cause brain damage or death.

What Raises the Risk

  • Taking drugs that may contain fentanyl, often without knowing it

  • Mixing drugs, such as opioids with alcohol, sedatives or stimulants

  • Using again after a break, when the body’s tolerance is lower

  • Using alone, with no one there to help

Signs of an Opioid Overdose

  • Small, constricted “pinpoint” pupils

  • Falling asleep or losing consciousness

  • Slow, shallow breathing

  • Choking or gurgling sounds

  • Limp body

  • Cold, clammy or discolored skin, especially lips and nails

What to Do

  1. Call 911 right away.

  2. Give naloxone (Narcan) if you have it. If the person is still unresponsive after 2–3 minutes, give a second dose.

  3. Try to keep the person awake and breathing, and lay them on their side to prevent choking.

  4. Stay with them until help arrives.

If you aren’t sure whether someone is overdosing, treat it like an overdose. You could save a life. Most states have laws that may protect a person who is overdosing, or the person who called for help, from criminal penalties.

In Maine, you can find free naloxone and training at GetMaineNaloxone.org. If you or someone you love needs support, call Maine 211 or contact PVHI at (207) 955-6844.

Information from the Centers for Disease Control and Prevention: cdc.gov/stop-overdose

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What Is Fentanyl?