Overdose Prevention and Management Knowledge about Substances, Addiction and contact with drug users Tell something about yourself, about Mainline (founded in 1980, searching for your mainline, the main artory)

Programme Introduction to overdosing Aquaintance. Get to know each other

Programme Introduction to overdosing What does an overdose look like? Drugs game – how well do you know your drugs, and their effects?

Programme Introduction to overdosing What does an overdose look like? Signs and symptoms of overdose A closer look / delve at some other substances

Programme Introduction to overdosing What does an overdose look like? Signs and symptoms of overdose Common issues leading to accidental overdose Set, setting and overdose

Programme Introduction to overdosing What does an overdose look like? Signs and symptoms of overdose Common issues leading to accidental overdose QUICK BREAK

Programma Introduction to overdosing What does an overdose look like? Signs and symptoms of overdose Common issues leading to accidental overdose QUICK BREAK Harm Reduction – Accidental overdose prevention A closer look on addiction

Programme Introduction to overdosing What does an overdose look like? Signs and symptoms of overdose Common issues leading to accidental overdose QUICK BREAK Harm Reduction – Accidental overdose prevention Overdose management Treatment

Programme Introduction to overdosing What does an overdose look like? Signs and symptoms of overdose Common issues leading to accidental overdose QUICK BREAK Harm Reduction – Accidental overdose prevention Overdose management The Naloxone debate Treatment

So, What is an Overdose? Knowledge about Substances, Addiction and contact with drug users Tell something about yourself, about Mainline (founded in 1980, searching for your mainline, the main artory) Due to the body being overloaded with a substance, the metabolism is no longer able to detoxify the substance in order to minimise its most harmful effects.

Most common substance associated with overdose? Knowledge about Substances, Addiction and contact with drug users Tell something about yourself, about Mainline (founded in 1980, searching for your mainline, the main artory)

Knowledge about Substances, Addiction and contact with drug users Tell something about yourself, about Mainline (founded in 1980, searching for your mainline, the main artory)

What does an overdose look like? TASK! Write a basic list of 3 or 4 symptoms you might look for when looking for signs of overdose Knowledge about Substances, Addiction and contact with drug users Tell something about yourself, about Mainline (founded in 1980, searching for your mainline, the main artory)

Knowledge about Substances, Addiction and contact with drug users Tell something about yourself, about Mainline (founded in 1980, searching for your mainline, the main artory)

What does an overdose look like? TASK! Write a basic list of 3 or 4 symptoms you might look for when looking for signs of overdose Knowledge about Substances, Addiction and contact with drug users Tell something about yourself, about Mainline (founded in 1980, searching for your mainline, the main artory)

Overdose symptoms differ depending on the type of substance…. Heroin Amphetamines Knowledge about Substances, Addiction and contact with drug users Tell something about yourself, about Mainline (founded in 1980, searching for your mainline, the main artory) Morphine Methamphetamines Codeine Cocaine Fentanyl Ritalin

Decreased heart rate, blood pressure, body temperature Feelings of euphoria Pain relief Knowledge about Substances, Addiction and contact with drug users Tell something about yourself, about Mainline (founded in 1980, searching for your mainline, the main artory) Drowsiness/Sedation

Increased heart rate, blood pressure, body temperature Dilation of pupils Increased heart rate, blood pressure, body temperature Loss of appetite Knowledge about Substances, Addiction and contact with drug users Tell something about yourself, about Mainline (founded in 1980, searching for your mainline, the main artory) Erratic behaviour Wakefulness

TASK! Categorise the symptoms of overdose into opioid or stimulant Knowledge about Substances, Addiction and contact with drug users Tell something about yourself, about Mainline (founded in 1980, searching for your mainline, the main artory)

Common issues leading to accidental overdose Mode of Administration Combining Substances Quality Tolerance Using Alone Knowledge about Substances, Addiction and contact with drug users Tell something about yourself, about Mainline (founded in 1980, searching for your mainline, the main artory) Mode of Administration

Harm Reduction Tips - Combining Substances Use one drug at a time, or use less of each drug Try to avoid mixing alcohol with heroin/benzos Do the heroin first to better gauge how high you are. Alcohol and benzos impair judgment. Knowledge about Substances, Addiction and contact with drug users Tell something about yourself, about Mainline (founded in 1980, searching for your mainline, the main artory) Have a friend with you who knows what drugs you’ve taken and can respond in case of an emergency

Harm Reduction Tips - Quality Test the strength of the drug before consuming all Try to buy from the same dealer so you have a better idea of what you’re getting Get recommendations from people who have used the same dealer Knowledge about Substances, Addiction and contact with drug users Tell something about yourself, about Mainline (founded in 1980, searching for your mainline, the main artory) Be sure of the substance you’re taking

Harm Reduction Tips – Tolerance Use less when you are sick or you haven’t used—even a few days of abstinence or decreased use can lower your tolerance If you are using after a period of abstinence, be careful and go slow Do a small, weak first tester shot Knowledge about Substances, Addiction and contact with drug users Tell something about yourself, about Mainline (founded in 1980, searching for your mainline, the main artory) Use different method, i.e. snort instead of inject Opioids are harder for your liver to break down. Be especially careful if you have liver damage

Harm Reduction Tips – Using Alone Fix with a friend – It’s more fun that way anyway! Leave the door unlocked or slightly ajar Call someone you trust and have them check on you Knowledge about Substances, Addiction and contact with drug users Tell something about yourself, about Mainline (founded in 1980, searching for your mainline, the main artory) Have some naloxone (syringe or nasal) ready???

Harm Reduction Tips – Mode of Administration Be mindful that injecting and smoking can mean increased risk – they deliver the drug more quickly to the brain Consider snorting, especially in cases when you’re using alone or may have decreased tolerance f you inject, try and remove tourniquet after inserting and before injecting –allows to better taste your shot and inject less if it feels too strong Knowledge about Substances, Addiction and contact with drug users Tell something about yourself, about Mainline (founded in 1980, searching for your mainline, the main artory) Be careful when changing modes of administration since you may not be able to handle the same amount

Overdose Management Give stimulation. SEEK IMMEDIATE MEDICAL ATTENTION (Rub sternum or upper lip) SEEK IMMEDIATE MEDICAL ATTENTION CALL 112 Administer Naloxone?? Keep the person awake and alert Knowledge about Substances, Addiction and contact with drug users Tell something about yourself, about Mainline (founded in 1980, searching for your mainline, the main artory) Perform rescue breathing

The Recovery Position Knowledge about Substances, Addiction and contact with drug users Tell something about yourself, about Mainline (founded in 1980, searching for your mainline, the main artory)

The Naloxone Debate Almost immediately counters the effects of opioid overdose, for example morphine and heroin overdose. Knowledge about Substances, Addiction and contact with drug users Tell something about yourself, about Mainline (founded in 1980, searching for your mainline, the main artory)

Take Home Naloxone? Knowledge about Substances, Addiction and contact with drug users Tell something about yourself, about Mainline (founded in 1980, searching for your mainline, the main artory)

Thanks for Listening www. .nl Knowledge about Substances, Addiction and contact with drug users Tell something about yourself, about Mainline (founded in 1980, searching for your mainline, the main artory)