An opioid overdose can look like deep sleep that you can't wake someone from. Watch for: not responding to a shout or a firm rub on the breastbone; slow, shallow, or stopped breathing; gurgling, choking, or snoring sounds; blue or gray lips, fingertips, or skin; very small, pinpoint pupils; a limp body.
The response, step by step
Six steps that follow public-health overdose-response guidance. Read them now so they're ready when seconds count.
Tell the dispatcher exactly where you are and that someone is unresponsive and may not be breathing. Put the phone on speaker so your hands are free, and stay on the line — they will guide you. Calling for help is the single most important step.
For nasal spray: peel back the package, hold it with your thumb on the plunger and two fingers on the nozzle. Tilt the person's head back and support the neck. Gently insert the nozzle into one nostril until your fingers touch the bottom of their nose, then press the plunger firmly to release the full dose. Each device is one dose — do not test or prime it first.
After giving naloxone, help them breathe. If they are not breathing and you are trained, give rescue breaths (one breath every 5 seconds). If they are breathing on their own, place them in the recovery position — on their side — so they don't choke.
If there is no response after 2 to 3 minutes, give a second dose of naloxone in the other nostril, if you have one. It is safe to give more than one dose while you wait for help.
Naloxone wears off in about 30 to 90 minutes — often sooner than the opioids in the body, so the overdose can return. Stay with the person, keep them on their side, and let the paramedics take over. They need emergency care even if they wake up and feel fine.