Possible opioid overdose signs

  • The person cannot be awakened or does not respond.
  • Breathing is slow, shallow, irregular, or has stopped.
  • There are choking, gurgling, or snoring-like sounds.
  • Lips or fingernails appear discolored, or the skin feels cold or clammy.
  • Pupils may be very small.

Act immediately

  • Call 911.
  • Give naloxone if it is available and an opioid overdose is suspected.
  • Follow the naloxone instructions and give another dose if directed and the person does not respond.
  • Support breathing or perform CPR if you are trained.
  • Stay with the person until emergency help arrives.

When you are unsure

Naloxone will not harm someone if opioids are not the cause of the emergency. If overdose is possible, use it and call 911. Emergency professionals can evaluate other causes of unconsciousness or breathing problems.