1. Overdose Prevention and Management
Knowledge about Substances, Addiction and contact with drug users
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2. Programme Introduction to overdosing
Aquaintance. Get to know each other

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

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

5. 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

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

7. 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

8. 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

9. 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

10. So, What is an Overdose?
Knowledge about Substances, Addiction and contact with drug users
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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.

11. Most common substance associated with overdose?
Knowledge about Substances, Addiction and contact with drug users
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12. Knowledge about Substances, Addiction and contact with drug users
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13. 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
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14. Knowledge about Substances, Addiction and contact with drug users
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15. 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)

16. Overdose symptoms differ depending on the type of substance….
Heroin
Amphetamines
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Morphine
Methamphetamines
Codeine
Cocaine
Fentanyl
Ritalin

17. Decreased heart rate, blood pressure, body temperature
Feelings of euphoria
Pain relief
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Drowsiness/Sedation

18. Increased heart rate, blood pressure, body temperature
Dilation of pupils
Increased heart rate, blood pressure, body temperature
Loss of appetite
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Erratic behaviour
Wakefulness

19. TASK! Categorise the symptoms of overdose into opioid or stimulant
Knowledge about Substances, Addiction and contact with drug users
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20. Common issues leading to accidental overdose Mode of Administration
Combining Substances
Quality
Tolerance
Using Alone
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Mode of Administration

21. 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
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Have a friend with you who knows what drugs you’ve taken and can respond in case of an emergency

22. 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
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Be sure of the substance you’re taking

23. 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
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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

24. 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
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Have some naloxone (syringe or nasal) ready???

25. 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
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Be careful when changing modes of administration since you may not be able to handle the same amount

26. 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
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Perform rescue breathing

27. The Recovery Position
Knowledge about Substances, Addiction and contact with drug users
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28. 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
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29. Take Home Naloxone?
Knowledge about Substances, Addiction and contact with drug users
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30. 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)