Opioid overdose

Recognizing an opioid overdose

When a person overdoses, breathing will slow dangerously and may stop altogether, eventually leading to brain damage or death.

Look for these potential signs and symptoms.

Opioid overdose symptoms: Blue or purple fingernails and lips
Blue or purple fingernails and lips
Opioid overdose symptoms: Unresponsiveness to voice or touch
Unresponsive to voice or touch
Opioid overdose symptoms: Pinpoint-sized pupils
Pinpoint-sized pupils
Opioid overdose symptoms: Slow heartbeat or low blood pressure
Slow heartbeat or low blood pressure
Opioid overdose symptoms: Slow, irregular or stopped breathing
Slow, irregular or stopped breathing
Opioid overdose symptoms: Pale, clammy skin
Pale, clammy skin

If you suspect an opioid overdose, dial 911 and get emergency medical help immediately!

Emergency response for opioid overdose

With Narcan nasal spray

Emergency response for opioid overdose: Step 1: Identify opiate overdose
1. Identify opiate overdose
Try to wake the person up
  • Shake them and shout
  • If no response, grind your knuckles into their breastbone for 5 to 10 seconds
Emergency response for opioid overdose: Step 2: Call 911
2. Call 911
If you report an overdose, Minnesota state law protects you and the overdosed person from being charged with drug possession, even if drugs were shared.
Emergency response for opioid overdose: Step 3: Give Narcan
3. Give Narcan
  • Lay the person on their back
  • Hold applicator as shown
  • Tilt the person’s head back
  • Insert tip into one nostril and press plunger firmly.
  • After giving the dose, remove applicator from nostril.
Emergency response for opioid overdose: Step 4: Rescue breathing and recovery position
4. Rescue breathing and recovery position
If patient is breathing, roll person onto their side into recovery position. (see illustration 6) If patient is not breathing, give CPR if you’ve been trained, or do rescue breathing:
  • Tilt head back, open mouth and pinch nose
  • Start with 2 breaths into the mouth; then 1 breath every 5 seconds
Emergency response for opioid overdose: Step 5: Repeat Narcan if needed
5. Repeat Narcan if needed
If no response after 2 to 3 minutes, give another dose
  • Repeat Step 3 using a new Narcan Nasal Spray
Emergency response for opioid overdose: Step 6: Stay with person until help arrives
6. Stay with person until help arrives
  • Watch the person closely
  • Narcan can be given every 2 to 3 minutes if additional doses are available