This is the page to read before you ever need it. Overdoses are survivable when someone nearby knows what to do. That someone can be you.
Tap through: 30 seconds, plain language, no judgment. Stay with them while you do this.
You don't need a medical degree. Tap each sign you're seeing. If two or more light up red, treat it as an overdose and call 911.
0 of 4 checked
You don't need all four. Two signs is enough to act.
Call 911Tap each step to open it. Hit Done when you've done it and the next one opens.
Say "someone is unresponsive and not breathing normally" and give the address. You don't have to say what they took: describe symptoms. Stay on the line; dispatch will coach you.
Tilt head back, lift chin, pinch nose, breathe into mouth: one breath every 5 seconds. If you know CPR, do chest compressions hard and fast in the center of the chest. Don't know how? Dispatch talks you through it. Any breathing help beats none.
Nasal spray: peel the package, place tip in one nostril, press the plunger firmly. Injection (IM): pop the vial cap, draw up the full 1 mL, inject straight into the outer thigh at 90Β°. Through clothing is fine. No improvement in 2β3 minutes? Give a second dose. It wears off in 30β90 minutes, they can overdose again after it fades.
Roll them onto their side, top knee bent to keep them stable, head tilted slightly back. Keeps the airway open if they vomit.
Talk to them even if they're out, hearing is the last sense to go. You did the right thing by staying.
Nasal spray and the injection do the same job. Use whichever you have.
Open the package and take out the nasal spray device.
Free naloxone (nasal spray and injectable kits) plus test strips are available all over Minnesota: see our resources page. The spray is sold over the counter now, no prescription needed. Carry it.
Myths that waste time or hurt people:
Doesn't reverse overdose. Causes shock, wastes time.
They can't walk it off. Shaking doesn't fix breathing.
People die this way. Alone is the most dangerous place to overdose.
Choking risk, zero benefit.
Uppers don't cancel downers. This kills people.
Narcan can't hurt someone who's not overdosing. When in doubt, act.
Unsure? Our Symptom Detective walks you through telling them apart.
There is a newer family of synthetic opioids turning up in the U.S. drug supply called orphines. The one showing up most is cychlorphine. It is not fentanyl \u2014 different chemical family \u2014 but it acts like an opioid, meaning it can slow or stop breathing. Here is what researchers and health officials reported in October 2026, and what it changes for you.
Sources: JAMA Psychiatry, October 7, 2026 (VCU School of Medicine analysis of 14,261 biospecimens via the NPS Discovery early-warning program); White House Office of National Drug Control Policy drug threat notice (April 2026); Louisiana Department of Health alert (October 5, 2026).
Harm reduction reference based on established harm reduction resources and clinical literature. Guidance here does not replace emergency care \u2014 when in doubt, call 911.
Tap through: most people are more protected than they think (MN Statute 604A.05, sometimes called Steve's Law).
1. If I call 911 in good faith during an overdose, can I get limited immunity from certain drug possession charges?
2. Does it also protect the person who overdosed?
3. Does it protect dealing, warrants, or other crimes?
We're harm reduction volunteers, not lawyers, but the practical advice never changes: always call.
Stop reading. Call now, you can come back to this page later.