Official State of Rhode Island website

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Opioid Use Disorder and Overdose

Opioid overdose is the leading cause of accidental death in Rhode Island.

What you can do to prevent an overdose:

  • Find harm reduction resources;
  • Don't use alone – pair up;
  • Don't mix drugs like benzodiazepines, alcohol, and opioids;
  • Talk with friends and family about responding to an overdose and administering naloxone.
  • Carry naloxone (also referred to as Narcan ®) on you at all times. Friends and family should learn how to administer it.

What friends and family can do to prevent an overdose:

  • Call 911 if you think someone is overdosing. Stay with the person until the ambulance arrives.
  • Try to wake the person up by yelling their name and rubbing the middle of the chest hard;
  • Try rescue breathing;
  • Put the person on their side so they do not choke;
  • Stock and use naloxone to reverse an opioid overdose. Rhode Island Walgreens and CVS pharmacies sell this antidote without a doctor's prescription, and it is covered by most health insurers. Training on this drug will be provided when it is purchased;
  • Store all medication in a secure location;
  • Safely dispose of all unused or expired medications;
  • Help a loved one connect to treatment, recovery, and harm reduction resources.

Signs of an overdose

If a person has any of these signs and cannot respond to you, he/she may be experiencing a drug overdose.

  • Heavy nodding;
  • No response when you yell the person's name or rub the middle of the chest hard;
  • Blue lips or blue fingertips;
  • Slow breathing (less than 1 breath every 5 seconds) or no breathing;
  • Very limp body and very pale face;
  • Choking sounds or a gurgling, snoring noise.