Increases in severe overdoses from cocaine found to contain opioids (including heroin)

Know the risks

• Opioids can cause unexpected, rapid and life-threatening overdose, even with the amounts contained in a single line of powder.
• You are at increased risk of overdose if you:
• Don’t use opioids regularly
• Use a high dose
• Use with other sedatives e.g. alcohol, benzodiazepines, ketamine, GHB, or other opioids
• Use drugs alone.

Effects to look out for

• Serious adverse effects may include loss of consciousness, slow/difficult breathing and skin turning blue.
• Be on the lookout for unexpected symptoms, such as drowsiness following use of a stimulant (e.g. cocaine).

Getting help

If you see the warning signs of overdose:

• Seek help immediately from your nearest emergency department or call Triple Zero (000).
• Start CPR if someone is not breathing.
• Use naloxone if you have it. Call '000' even if naloxone has been given.

Support and advice

For free and confidential advice

• Call Alcohol and Drug Information Service (ADIS) on 1800 250 015 at any time 24/7. Start a Web Chat with an ADIS counsellor Mon-Fri, 8.30am-5pm.
• Call NUAA on 1800 644 413 (Mon-Fri 9am-5pm) to speak to a peer or visit NUAA for a range of resources on opioids and naloxone.
• Call the NSW Poisons Information Centre on 13 11 26 for information on adverse effects from drugs.
• Visit Your Room for fact sheets and other resources.

Take home naloxone program

• As well as people who use opioids, people who use cocaine should also consider carrying naloxone. Naloxone is an important life-saving medication that reverses the effects of opioids. It is does not require a prescription and is free for anyone at risk of opioid overdose in NSW. It is available as a nasal spray or injection from some pharmacies and other health services.
• For participating locations and more information on take-home naloxone visit Your Room - Take Home Naloxone

Call '000' even if naloxone has been administered. Repeat doses may be required.