Drug Overdose Prevention

Opioids

Opioids are usually prescription pain killers with names like codeine, morphine, OxyContin and Percocet. Another street version of an opioid is heroin.

Fentanyl is a manmade opiate narcotic used mostly for cancer patients in severe pain. Fentanyl is roughly 50 to 100 times stronger than morphine.

In Canada, many deaths have been caused by other street drugs being cut with fentanyl. Fentanyl is very dangerous because you can't see it, smell it or taste it. If your drug of choice has been cut with Fentanyl, it can quickly kill you.

An opioid overdose may look and feel like:

• Severe sleepiness
• Slow heartbeat
• Trouble breathing
• Slow, shallow breathing
• Cold, clammy, bluish skin
• Trouble walking or talking
• Non-responsiveness to shouting or shaking

Naloxone kits

Naloxone is an emergency medication that reverses the effects of an overdose from opioids such as fentanyl, heroin, methadone and morphine. Naloxone is not an antidote to an overdose, but it can keep a person alive until emergency services arrive.

For residents

Naloxone kits are free in Ontario. If you're a person who uses opioids, or are a family member or loved one of someone at risk for an overdose, you can get a kit at a pick-up location.

For organizations

We can provide training and Naloxone to eligible organizations that work with people who use opioids.

• Order Naloxone kits for your agency
• Book a training session

More information

• COVID-19 guidance for Naloxone kit distribution

  COVID-19 and the ongoing drug toxicity crises requires everyone to adjust how we provide services to keep everyone as safe as possible during these challenging times.

  Naloxone distribution remains an essential lifesaving service. Review the advice from the Ontario Naloxone Program and Niagara Region Public Health, and visit COVID-19 in Niagara for more information.

  • Continue distributing naloxone kits and encourage their use in overdose emergencies. Public Health Ontario has confirmed that intranasal naloxone administration doesn't produce aerosols that can spread COVID-19.
  • Encourage clients to wear non-latex gloves every time they respond to an overdose. All naloxone kits contain gloves, which help prevent potential COVID-19 spread through droplet contact. If possible, clean hands before putting gloves on. After responding to an overdose, the gloves and used sprays should be placed in a trash can that is lined with a plastic bag. Wash or sanitize hands immediately.
  • Tell clients to provide chest compressions when responding to an overdose if they're trained and able. The Ontario Naloxone Program advises against full cardio-pulmonary resuscitation (CPR) during COVID-19. Administering naloxone and providing chest compressions can be an effective response in an opioid overdose situation.
  • Tell clients not to provide rescue breaths when responding to an overdose during the COVID-19 pandemic. Rescue breathing provides a direct route for infection. There's no evidence to suggest that the CPR face shields in naloxone kits or one-way valve masks provide adequate protection against COVID-19.
  • Tell clients to prioritize giving naloxone and calling 911 for every overdose. Work with clients to plan for the safest ways for them to interact with paramedics and police. It's good to familiarize yourself and clients with the Good Samaritan Act. There are limitations to the protections the Act provides.
  • Whenever possible, agencies that provide naloxone training and kits should provide virtual naloxone training to clients. Training videos are available at Canadian Pharmacy Association: How to give naloxone and Carry naloxone: get ready, get trained, save lives.
  • If resources and logistical pressures don't allow for virtual training, naloxone kits may be provided to clients without training during the COVID-19 pandemic
• StreetWorks Needle and Syringe Program

  Harm reduction materials are available through Positive Living Niagara at their office, satellite sites or mobile van.

• Treatment

  Local options for addiction treatment in Niagara include:

  • Mental Health and Addiction Access Line
  • Community Addiction Services of Niagara
  • Addiction Recovery Services at the Niagara Health System
• Bereavement support

  For those who have lost loved ones due to substances:

  • Grief Recovery After a Substance Passing (GRASP)
  • Niagara Area Moms Ending Stigma (NAMES)
  • Moms Stop the Harm / Moms Stop the Harm Facebook page
  • mumsDU

Public Health

Drugs

• Counselling / Detox
• Talking to Kids