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NC Harm Reduction Coalition

NC Harm Reduction Coalition

Treating every person with dignity and respect

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Naloxone 101

Naloxone (also known as Narcan®) is a prescription medicine that reverses an opioid overdose, which can be caused by prescription analgesics (e.g., Percocet, OxyContin) heroin, and fentanyl. Naloxone will only reverse an opioid overdose, it does not prevent deaths caused by other drugs such as benzodiazepines (e.g.Xanax®, Klonopin® and Valium®), bath salts, cocaine, methamphetamine, or alcohol. However, naloxone may also be effective for polysubstance overdoses such as combined opioid and alcohol overdose or a combination of an opioid and stimulant. It cannot be used to get high, is not addictive, and only has an effect on opioids. Naloxone is safe and effective; emergency medical professionals have used it for decades. For more detailed information, visit www.drugs.com/pro/naloxone.html


Can Naloxone Harm Someone?

No. If you suspect an opioid overdose, it is safe to give naloxone. People who are dependent on opioids may wake up with withdrawal symptoms. Acute withdrawal is an extremely unpleasant experience, but the overdose victim is alive and can seek further medical care. Always call 911 as an overdose victim may need other care.

How Does Naloxone Help?

Naloxone is an antidote to opioid drugs. Opioids can slow or stop a person’s breathing, which causes death.  An overdose death may happen hours after taking drugs. Naloxone restores the overdose victim’s breathing.  If a bystander notices that a person’s breathing has slowed or stopped, or an overdose is suspected, naloxone can act as a bridge between the call to 911 and when help arrives to keep the person breathing.

What is Naloxone’s Shelf Life?

Naloxone typically has a shelf life of 18 -24 months.


Durham SSP outreach van

Can Naloxone Wear Off Before the Drugs That Cause the Overdose?

Yes. Naloxone typically wears off in 30-90 minutes and the person can stop breathing again unless more naloxone is available. For this reason, it is safest to call 911 and have the person taken for medical care.

Is Naloxone Just A Safety Net for Drug Users?

Research studies have investigated this common concern and found that making naloxone available does NOT encourage people to use opioids more. The goal of distributing naloxone and educating people about how to prevent, recognize and intervene in overdoses is to prevent deaths. Other goals, such as decreasing drug use, can only be accomplished if the user is alive.

Is the Overdose Scene in “Pulp Fiction” Real?

No. Pulp Fiction is a movie! A person overdosing on heroin or pain medication may be very quiet or irregularly snoring or gasping. Gradually the breathing slows or stops as their skin turns dusky blue or gray.  In real life, bystanders who witness an overdose SHOULD NOT INJECT ANYTHING INTO THE HEART. Instead, they should squirt naloxone into the nose, or inject naloxone into the upper arm, thigh, or buttocks.

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NC Harm Reduction Coalition

4024 Barrett Dr.
Suite 101
Raleigh, NC 27609
Email: Executive.Director@nchrc.org

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