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Fentanyl

Visual explainer: How to use Narcan to treat a fentanyl overdose

Aug. 25, 2022, 6:30 a.m. ET

Last year, theΒ Centers for Disease Control and Prevention counted more than 100,000Β overdose deathsΒ across the United States – the most it hasΒ ever recorded.Β Nearly two-thirds of those are estimated to be fentanyl-related.

MORE:Β Record fentanyl deaths spark new debate over war onΒ drugs

What is fentanyl?

Fentanyl is a synthetic opioid that is extremely potent and can be used on its own or mixedΒ with other drugs,Β including heroin, methamphetamineΒ and cocaine.

Two milligramsΒ of fentanyl, which is about the size of a grain of sea salt,Β can be lethal depending on a person’s body size and tolerance.Β 

What is Narcan?

NarcanΒ is the brand name for naloxone, which is a non-narcotic medication used for immediately treating the symptoms of an opioid overdose. It's completely harmless to use and can be lifesaving.

It works by temporarily blockingΒ receptors in the brain from linking with opioids so that the patient can breathe.

You can obtain NarcanΒ for free in many places, including through harm reduction centers, public libraries and even by mail through public health department sites.

How to spot and treat anΒ opioid overdose

The signs and symptoms of an opioid overdose include:

  • Slow or absent breathing
  • Cold or clammy skin
  • Discoloration of lips and nails, usually blue
  • Slow heartbeat or low blood pressure
  • Unusual sleepiness
  • Inability to move or wake up

If you see someone experiencing these symptoms, the first step is to call 911.

Β Here are steps for working with Narcan.

1. Try to wake the person.

2. Provide neck support and tilt the person's head back.

3. Hold the NarcanΒ nozzle with your index and middle fingers, with your thumb on the plunger.

4. Insert the tip of the nozzle into the person's nostril and firmly press the plunger.

5. Wait for two minutes for a response. If the person doesn't respond, repeat the process with a second dose.

6. Once they respond, roll the person onΒ their side to reduce their choking risk.

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