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Emergency

Overdose

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

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