Overdose Prevention and Rescue
Prevención de la Sobredosis de Opioides
Unfortunately drug overdoses are increasing in our region, especially overdoses from fentanyl.
You can prepare yourself to rescue someone who overdoses, either intentionally or unintentionally, by having the life-saving opioid-reversing agent NALOXONE on-hand.
In case of overdose:
Call 911 and give naloxone
Do rescue breathing and chest compressions, and follow the 911 dispatcher's instructions
After Naloxone: Stay with the person for at least 3 hours, or until help arrives
Actúe si observa señales de sobredosis:
Llame al 911.
Administre aerosol nasal de naloxona (Narcan).
Provea asistencia respiratoria para la persona afectada
Signs of opioid overdose:
Señales de sobredosis de opioides
Not breathing or less than 1 breath every 5 seconds
Vomiting
Pale and clammy skin
Lips, fingers or toes look gray or blue in color
Heartbeat or pulse is slow or has stopped
Snoring, gurgling or choking sounds
Does not respond to shaking or rubbing your knuckles over the breast bone in the center of the chest
No respirar o menos de 1 respiración cada 5 segundos
Vómitos
Piel pálida y pegajosa
Labios, dedos de las manos o de los pies de color gris o azul
Los latidos del corazón o el pulso son lentos o se detuvieron
Ronquidos, gorgoteos o sonidos de asfixia
No responde a sacudidas o a frotarle los nudillos encima del esternón en el centro del pecho
Source: https://www.healthinfotranslations.org/pdfDocs/GivingNaloxone_SP.pdf
What is Naloxone?
¿Qué es la naloxona?
Naloxone is a medicine that rapidly reverses an opioid overdose. It is an opioid antagonist. This means that it attaches to opioid receptors and reverses and blocks the effects of other opioids. Naloxone can quickly restore normal breathing to a person if their breathing has slowed or stopped because of an opioid overdose. But, naloxone has no effect on someone who does not have opioids in their system, and it is not a treatment for opioid use disorder. Examples of opioids include heroin, fentanyl, oxycodone (OxyContin®), hydrocodone (Vicodin®), codeine, and morphine.
La naloxona es un medicamento que revierte rápidamente una sobredosis de opioides. Es un antagonista opioide, es decir, se adhiere a los receptores opioides y revierte y bloquea los efectos de otros opioides. La naloxona puede restablecer con rapidez la respiración normal de una persona que respira lentamente o ha dejado de respirar a causa de una sobredosis de opioides. Pero la naloxona no tiene ningún efecto en quien no tiene opioides en el organismo y no es tampoco un tratamiento para un trastorno por consumo de opioides. Entre las drogas opioides se encuentran la heroína, el fentanilo, la oxicodona (OxyContin®), la hidrocodona (Vicodin®), la codeína y la morfina. (https://www.drugabuse.gov/es/publicaciones/drugfacts/naloxona)
Where can I get Naloxone?
¿Dónde puedo obtener naloxona?
Many pharmacies carry naloxone. In California, you can get naloxone from a pharmacist even if your doctor did not write you a prescription for it. It is also possible to get naloxone from community-based distribution programs, local public health groups, or local health departments, free of charge.
Visit the Naloxone finder website to see resources in your area. Check with your local pharmacy.
Muchas farmacias venden naloxona y en algunos estados se puede comprar incluso sin tener una receta personal para el medicamento. También es posible obtener naloxona en forma gratuita en programas comunitarios de distribución, grupos públicos locales de salud y departamentos locales de salud.
Visite el sitio getnaloxonenow.org para ver qué recursos hay en su área. Consulte en su farmacia local. (https://www.drugabuse.gov/es/publicaciones/drugfacts/naloxona)
Where to Get Help
A dónde ir para obtener ayuda
You are not alone.
There are many resources to help if you are struggling with an addiction or if you have a loved one who is struggling with an addiction or who has overdosed.
no estas solo.
1-800-662-HELP (4357)
SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.
Español: 1-800-662-4357
National Hotline and Online Chat
The Partnership to End Addiction has trained professionals available via phone (1-855-378-4373), text message (TEXT 55753) or email to help parents who think their loved one is struggling with addiction.
Safety
It's important to decontaminate any area where fentanyl may be present. Inhalation or ingestion of even a small amount of fentanyl can cause someone to become ill or overdose. Fentanyl can look like pills, powder, black tar, or burnt onto foil. If you find anything that may contain fentanyl (or any other drugs), wear gloves and a mask and place the item(s) in a plastic bag. Call law enforcement and ask for guidance as these items may be evidence. Do not place the items in the trash. If you feel overwhelmed or concerned for your safety, please call a qualified cleaning company.
San Diego County HazMat: (858) 505-6880
Imperial County HazMat: (760) 352-0381
Drug Facts
Datos sobre las drogas
WARNING: A pill can look like a legitimate prescription, but it might be a counterfeit pill with something like fentanyl inside. Read more about fentanyl below.
Fentanyl
Fentanilo
What is Fentanyl?
¿Qué es el fentanilo?
Fentanyl is a synthetic opioid that is 80-100 times stronger than morphine. Pharmaceutical fentanyl was developed for pain management treatment of cancer patients, applied in a patch on the skin. Because of its powerful opioid properties, Fentanyl is also diverted for abuse. Fentanyl is added to heroin to increase its potency, or be disguised as highly potent heroin. Many users believe that they are purchasing heroin and actually don’t know that they are purchasing fentanyl – which often results in overdose deaths. Clandestinely-produced fentanyl is primarily manufactured in Mexico.
Street Names
Apace, China Girl, China Town, China White, Dance Fever, Goodfellas, Great Bear, He-Man, Poison and Tango & Cash
How is it used?
Clandestine fentanyl is typically injected, or inhaled like heroin.
How does it affect the body?
Intense, short-term high
Temporary feelings of euphoria
Slowed respiration and reduced blood pressure
Nausea
Fainting
Seizures
Death
WARNING: Ingestion of very small doses of fentanyl can be fatal. Fentanyl can be absorbed through the skin and accidental inhalation of airborne powder also may occur.
Fentanyl Pills are not produced in pharmaceutical labs. They may look the same as pharmaceutical pills on the outside, but they can have widely different amounts of fentanyl (or other drugs) in them, as demonstrated in this picture.
How are people using fentanyl?
Counterfeit pills, powder form, or with drugs that have been contaminated with fentanyl. (Click down for more info)
Illicitly-produced fentanyl is increasingly available in the form of counterfeit prescription pills. Fentanyl traffickers use fentanyl powder and pill presses to produce pills that resemble popular prescription drugs, such as oxycodone, hydrocodone, and Xanax®. The pills are sold in illicit U.S. drug markets, and users typically do not realize the pills contain fentanyl. The amount of fentanyl intended for each tablet is very small, and operators risk creating hot spots, or areas of higher concentrations of fentanyl in the pills. DEA’s analysis of 8 kilograms of fentanyl tablets indicated the average illicit fentanyl-laced tablet contained 1.1 milligrams of fentanyl, with a range of 0.03 to 1.9 milligram per tablet. Such a large amount of fentanyl in each pill is alarming considering that approximately 2 milligrams is a lethal dose for most non-opioid-dependent individuals.
The high profitability of counterfeit prescription pills made with fentanyl strongly incentivizes traffickers to continue producing them. These pills often retail for between $10 and $20 in illicit street markets, potentially netting traffickers millions of dollars in profit.
Illicit fentanyl, fentanyl-related substances, and other synthetic opioids can also resemble powdered drugs such as heroin or cocaine. Fentanyl, or other synthetic opioids, in pill or capsule form have been represented as OxyContin (oxycodone), Xanax (alprazolam), or other diverted pharmaceutical drugs. Fentanyl has also been found mixed with other illicit drugs, such as cocaine, or in black tar form that visually resembles black tar heroin.
Additional Resources & Other Drugs
Recursos adicionales y otros drogas
