Emergency

Overdose

Slow breathing, blue lips, pinpoint pupils, cannot be woken. Call 911. Give naloxone. Stay until help arrives.

Call 911 Crisis line 988

Is this an overdose?

Check anything you are seeing. One sign is enough to treat it as an emergency.

Breathing is slow, shallow, or has stopped
Lips or fingernails are blue or purple
Pupils look like pinpoints
Body is limp; they will not wake or cannot speak
Gurgling or deep snoring sounds
Skin is cold, clammy, or very pale

1Call 911. Say you think it is an opioid overdose.
2Give naloxone (Narcan) if you have it. Repeat if they do not respond.
3If they are not breathing, start rescue breathing or CPR if you are trained.
4If they are breathing, roll them onto their side.
5Stay until help arrives. Naloxone can wear off before morphine does.

Signs

Slow, shallow, or stopped breathing
Blue or purple lips or fingernails
Pinpoint pupils
Limp body; cannot be woken or cannot speak
Gurgling or deep snoring sounds
Cold, clammy, pale skin
Vomiting

What to do

Call 911 immediately
Give naloxone (Narcan and similar) if you have it — nasal spray or injection
If they are not breathing, start rescue breathing / CPR as trained
Roll them onto their side if they are breathing, to protect the airway
Stay until emergency services arrive — naloxone can wear off before the morphine does, so a second dose may be needed

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