Misuse Prevention

Opioid misuse is a significant issue, but there are many ways you can help your family and friends stay safe. Learning the signs of an opioid overdose and knowing how to respond can save lives.

Signs of an Opioid Overdose:

• Deep snoring or gurgling sounds

• Turning blue or grey (lips, fingernails)

• Unresponsiveness

• No breathing or slow breathing (less than 1 breath every 5 seconds)

• Vomiting

• Limp body

• Pale skin

• Choking, gasping, or snoring noises

Responding to an Overdose:

1. Call 911: Always call 911 immediately. Say, “My friend/child is unconscious and I can’t wake them up” or “My friend/child isn’t breathing.” In Massachusetts, you cannot be charged with possession of a controlled substance when reporting an overdose.

2. Provide Location: Give the address or clearly describe your location and state if the person is not breathing.

3. Administer Naloxone (Narcan): If you have it, administer naloxone. Push the pump only after the tip is in the nose. If there is no response in 3 minutes, give another dose in the other nostril.

4. Wake the Person: Try to wake the person by yelling their name, pinching them, or rubbing the middle of their chest hard.

5. Rescue Breathing: If the person is not breathing, make sure there is nothing in their mouth, tilt their head back, lift their chin, pinch their nose, give a breath every 5 seconds, and watch for their chest to rise with each breath. Continue until they start breathing.

6. Stay with the Person: Stay with the person until help arrives. If you need to leave, put the person in the Recovery Position (on their side with the mouth downward) to prevent choking if they vomit and leave the door open for emergency responders.

Harm Reduction Tips:

• Don’t use opioids alone; take turns if using with others so one person can help if something goes wrong.

• Avoid mixing drugs like benzodiazepines, alcohol, and opioids.

• Educate those close to you on recognizing an overdose and how to respond.

• Always carry naloxone.

• Be aware of your tolerance, especially if you haven’t used in a while.

• Test a small amount first if using a new batch or if you haven’t used in a while.

• Access your local Syringe Access Program for additional support and resources.

Together, we can start to heal our community by being informed and prepared to act in case of an opioid overdose.

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  • If you have a prescription for opioids or other drugs, make sure that you’re the only person who’s using them. You can:

    • Lock up all prescription drugs. Use a safe or a lockbox that’s bolted to something that cannot be moved. You need to be the only person who can get into it. -

    • Keep an eye on how many pills you have. Use a log or a calendar to track the number of pills you should have left.

    • Never share a prescription medication. Sharing medication isn’t safe, even if you’re just trying to help a loved one feel better. Want to know how most people start using opioids? 70% of the time, it’s because a friend or family member gave them a pill. If your loved one is in pain, send them to the doctor instead.

    Before you get a prescription for powerful painkillers from your doctor, remember that you have other options. Talk to your doctor about non-medication treatments that might help with pain.

  • If you’re done with a prescription and still have some pills left, don’t keep them around the house. One easy way to get rid of them is to bring them to a MedReturn Drug Collection Box. They’re at police stations in:

    • Amherst

    • Belchertown

    • Easthampton

    • Hadley

    • Huntington

    • Northampton

    • Southampton

    • South Hadley

    • Ware

    • Williamsburg

    If you can’t get to a drug collection box, you can still throw out old medications safely. Here’s how to do it:

    • Use a permanent marker to black out any personal information on the bottle.

    • Take out the pills and mix them with something you can’t eat — like cat litter or coffee — so pets and kids won’t accidentally get them.

    • Put the mix in a sealable bag or empty container. That way the mixture won’t leak out — and anyone who looks through your trash probably won’t notice them.

    • Throw the pill mix and empty bottle in the trash. Don’t flush pills — they’re not good for our water supply.

    Learn more from the National Family Partnership’s Lock Your Meds” campaign.

  • Make sure your kids know about risks of using substances like alcohol, illegal drugs, and medicine that is not prescribed to them.

    Abusing substances is especially harmful to children and teens, since their brains are still developing (and will keep developing until age 25). The earlier a young person starts using drugs or alcohol, the more likely they are to develop addiction as they get older.

    However, you can make a difference. Kids who learn about the risks of substances from their parents are less likely to use. Start talking and keep talking. You can also:

    • Set clear rules about substance use in your home. Work together to come up with fair consequences for breaking the rules — and stick to them.

    • Stay involved in your children’s lives. Go to their after-school activities. Eat dinner together. Meet their teachers at school. When your kids aren’t home, make sure you always know where they are and who they’re with.

    • Know the signs of substance use and mental health issues. If you suspect your child is struggling with substance use, anxiety, or depression, get help.

    Be a good role model.

    Young people who see their parents drunk, using drugs, or misusing medicine are at an increased risk for developing substance abuse problems themselves.

    So don’t use substances to manage your own stress.

    Show your kids healthier ways to cope. Try exercising, doing yoga or meditating, talking to a friend or therapist, or just doing something fun — like playing a game or watching a funny movie.

    Get more tips and information from the Parent Toolkit at the Partnership for Drug-Free Kids.

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