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Recently, reports of drug overdoses by celebrities and others have been seen on a regular basis in the news. Indeed, according to the Centers for Disease Control and Prevention, drug overdose has reached epidemic levels in the United States. Particularly when it comes to prescription painkillers and anti-anxiety/antidepressant drugs, addiction, overdose, and death rates have increased as much as five times in the last 15 years.
Because of the varying types of drugs, and the lack of knowledge around the symptoms of drug overdose, most people aren’t sure how to recognize or handle a drug overdose. Gaining a better understanding of how to spot an overdose can save valuable minutes and hours in getting the help needed to prevent serious physical injury or death after overdose.
In addition, learning about the stigma surrounding the people who become addicted and the legal consequences of being involved in or reporting a drug overdose can help overcome hesitations about getting help. Knowing about the laws around the country that have to do with drug overdose can clarify the actions that can be taken to help a person who is suspected to have overdosed. With prompt action, the person in need can get lifesaving help and addiction treatment.
Disclaimer: If experiencing or witnessing a suspected drug overdose, the first and most important thing to do is call 911 and report a life-threatening emergency.
Sometimes, it can be difficult to know whether someone is actually experiencing the symptoms of a drug overdose. Of course, one of the easiest ways to be sure is if the person was seen taking more of a drug than prescribed, or taking a dangerous recreational drug like heroine or methamphetamine. Knowing what to look for can help people catch the signs of overdose and get help before it is too late.
In many ways, the effects of a drug overdose depend on the type of drug that has been consumed. However, according to a description of drug overdose on the Healthline online medical reference library, there are some symptoms that are seen across most drug types. These include:
Not all of these symptoms may be present. However, if a person is suspected to be using a drug inappropriately, and some or all of these symptoms are occurring, it is possible the individual may have overdosed.
Different types of drugs act on the body in different ways, and sometimes that means that they will present wildly different symptoms. This depends on how the drug acts on the body. The basic drug types and their specific actions can give a clearer picture of the type of symptoms to look for.
These include painkillers, such as morphine, heroine, and other prescription and illicit opiate drugs. They also include benzodiazepines and similar antidepressant/anti-anxiety drugs like Xanax and Valium, and painkilling drugs like barbiturates. These drugs act on the body by suppressing aspects of the central nervous system to calm responses and relax the brain and body, slowing reflex response, breathing, and heart rate.
According to the International Overdose Awareness Day website, the overdose symptoms specific to depressants include:
These symptoms result because the nervous system is slowed so completely that it results in low circulation due to extremely low heart rate and blood pressure, lack of oxygen because of limited breathing, and lack of nervous system response. These symptoms can lead to death.
These drugs create the opposite reaction compared to depressants. They stimulate the nervous system to heighten responses and increase alertness and energy. According to the description of these drug types provided by the National Institute on Drug Abuse (NIDA), they do this by increasing heart rate, respiration, and blood pressure. These drug types include steroids like amphetamines, as well as cocaine.
Symptoms of overdose with these drugs, as exemplified by those that accompany methamphetamine overdose, include:
Overdose results in these symptoms because of an accelerated heart rate and nervous response, overtaxing these systems. Unconsciousness and coma can occur. Many of these symptoms can lead to death.
Alcohol is a well-known type of depressant, but sometimes exhibits a stimulant effect depending on the amount consumed. An article from Psychology Todayindicates that alcohol behaves like a stimulant during the process of drinking, or while the blood alcohol level (BAC) is ascending. However, after drinking is stopped, as BAC begins to descend, it behaves more like a depressant.
Some additional specific symptoms of alcohol overdose or alcohol poisoning include:
Anabolic steroids are particular types of stimulant that involve chemicals similar to the male hormone testosterone. They are often used to increase strength and muscle growth rather than energy and alertness.
In addition to the other symptoms of stimulant overdose, consuming too much of these drugs can result in:
This type of drug causes hallucinations or a dissociative effect – that is, making the person feel separated from reality. NIDA states that these drugs work on the brain in the areas of perception, mood, and cognition to induce dreamlike states. Hallucinogens include drugs like peyote, LSD, mescaline, and magic mushrooms.
Overdose of hallucinogenic drugs rarely results in death. However, depending on the drug and the degree of overdose, it can cause symptoms that include:
Sometimes overdose of hallucinogens can result in dangerous behavior based on the hallucinations being experienced. These behaviors can also be dangerous or deadly. People who are injured during this type of experience may not even be aware of their injury.
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When someone is experiencing an overdose, the most important thing to do is call 911 and get immediate medical intervention. However, some people might not be willing to call for help due to certain biases that people hold about drug overdose and fear of what can happen to them if they call for help.
These stigmas include feelings that people have about those who abuse drugs. A study from the Journal of Health and Social Behavior indicates that stigma against those who are mentally ill and who abuse drugs can affect the wellbeing and treatment of these individuals. Labeling individuals as “addicts” can also stigmatize them, making them feel that they are unworthy of or unable to obtain treatment and recovery. This can lead to them continuing to use drugs to the point that overdose becomes nearly inevitable, when it doesn’t have to be.
A different kind of stigma stems from the legal implications of drug abuse and overdose, especially when the abuse has led to illegal actions such as possessing drug paraphernalia, or being under the influence of or possessing illicit drugs. According to the National Conference of State Legislatures, many people avoid getting help for overdose victims or for self-overdose because of fear of police involvement.
Because of this fear, many states have enacted legal protections for those who report a suspected overdose. These “Good Samaritan” laws are designed to encourage people to report an overdose so the person can get emergency help in a timely manner.
The legal complications that can prevent people from seeking help for drug overdose may be overcome by knowing more about the Good Samaritan laws established in a number of states. These laws protect people who are experiencing a drug overdose, or those who may witness or be otherwise involved in a drug overdose. The laws providing legal protection for those who report a drug overdose vary by state.
In addition, there is a medication called naloxone hydrochloride (known as naloxone or Narcan) that can reverse the effect of opiates. This medicine is often used as a rescue method for people who have overdosed on opiate drugs. Naloxone is a prescription medication, which means it is technically not to be distributed by a layperson; as a result, there are laws in many states that regulate naloxone distribution by doctors and administration of the substance by someone who is not a doctor.
A summary by state of the laws regarding reporting overdose and prescribing or administering naloxone is found below.
Yes, protects individuals from prosecution
Yes, reasonable care is required in use by laypeople
Yes, protects individuals from prosecution for drug possession only; reporting can be a mitigating factor in sentencing
Yes, protects individuals from arrest, charge, and prosecution for drugs and paraphernalia only, not alcohol
Yes, reasonable care is required for both doctors and laypeople
Yes, criminal liability for possessing naloxone not removed
Yes, protects individuals from arrest, charge, prosecution, and parole violation
Yes, laypeople must participate in a naloxone administration program for prescription by standing order
Yes, protects individuals from charge and prosecution for drug possession; reporting can be a mitigating factor in sentencing
Yes, both doctors and laypeople must participate in a naloxone administration program
Yes, reporting can be a mitigating factor in sentencing
Yes, doctors cannot prescribe to a layperson; layperson can administer
Yes, protects individuals from charge and prosecution for drug possession
Yes, doctors cannot prescribe to a layperson; layperson cannot administer
Yes, protects individuals from prosecution; reporting can be a mitigating factor in sentencing
Yes, doctors cannot prescribe to a layperson; layperson cannot administer; criminal liability for possession removed
Yes, protects individuals from charge and prosecution for drug possession; protects from parole violation; reporting can be a mitigating factor in sentencing
Yes, protects individuals from arrest, charge, and prosecution for drugs and paraphernalia only, not alcohol; protects from parole violation
Yes, doctor must act with reasonable care; laypeople cannot administer
Yes, participation in a naloxone administration program required for third-party prescription and layperson administration
Yes, protects individuals from charge, prosecution; reporting can be a mitigating factor in sentencing
Yes, prescription by standing order not allowed
Yes, laypeople must participate in a naloxone administration program
Yes, protects individuals from charge and prosecution for drug possession and paraphernalia only; protects from parole violation
Yes, reasonable care and participation in naloxone administration program required for doctors and laypeople
Yes, protects individuals from arrest, charge, and prosecution for drugs and paraphernalia only, not alcohol; protects from parole violation; reporting can be a mitigating factor in sentencing
Yes, doctors cannot prescribe to a layperson; layperson can administer; reasonable care required by doctors and laypeople
Yes, doctor must act with reasonable care; laypeople can administer
Yes, protects individuals from arrest, charge, and prosecution for drugs and alcohol only, not paraphernalia; protects from parole violation; reporting can be a mitigating factor in sentencing
Yes, participation in a naloxone administration program required as condition of immunity from criminal liability
Yes, protects individuals from prosecution for drug possession and alcohol only; protects from parole violation; reporting can be a mitigating factor in sentencing
Yes, naloxone administration programs are required
Yes, protects from prosecution for drug possession and paraphernalia only
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The first thing to do is call 911. A drug overdose is an emergency that requires immediate medical intervention.While waiting for emergency response personnel, there are a few steps that can be taken if necessary:
Note whether or not there is gurgling or snoring for someone who has passed out, as this could mean that there’s something interfering with breathing. Be sure to keep the situation as safe as possible, and avoid arguing with the person who has taken the drugs. It’s important to get help, because some reactions to drugs and overdose can cause a person to become aggressive or violent.
As described above, Good Samaritan laws and naloxone access laws have been established to encourage people to report overdose. The laws vary by state, but they are designed help prevent severe overdose injury or death by providing people with protection from criminal and civil liability in exchange for reporting suspected overdose.
The programs that have been able to operate because of these laws have been able to reverse overdose in nearly one-fifth of opiate overdose cases where naloxone was distributed. Continued research into the effectiveness of these programs is in progress.
People who are at high risk for overdose include:
Signs of overdose vary depending on the drug that has been taken. However, there are some standard signs to watch for if an overdose is suspected:
Overdose from specific types of drugs are described above. Some drugs suppress the nervous system and can result in delayed reactions and slowed body processes such as heart rate and breathing. Others can do the opposite, heightening the nervous system response and increasing heart rate, breathing, blood pressure, and other physical reactions to stimulus.
If overdose is suspected, any of these signs could point to a need for medical attention – call 911 to get help.
If a person survives an overdose, it is possible to have permanent effects. Some of these permanent effects could include:
These and other changes can result from the lack of oxygen getting to the brain. Other permanent injuries may occur if the person has an accident of some kind while affected by the overdose, such as falling down stairs or losing control of a car.
In the case of drug abuse that leads to overdose, it is advisable to get help through a drug treatment center or rehab program. These programs can help the person detox from the drug, work through issues that may contribute to drug abuse or addiction for that person, and give the person medical and therapeutic treatment that can start the individual on the road to recovery.
It is important for family members and other loved ones to support a person through recovery from overdose and addiction. Participating in treatment as requested and required not only offers the person a visible support structure to motivate recovery, but also offers an opportunity for the person and loved ones to rebuild relationship patterns that may not have been helpful. Learning how to support a family member struggling with addiction is one of the more effective ways that the family can contribute to a long-term recovery.
Opioid drugs, including prescription painkillers and illicit drugs like heroin, result in the highest numbers of drug overdose deaths and emergencies by far. These highly addictive substances cause a physical tolerance. This means that higher doses of the drugs are needed to get the same physical and mental results that were achieved initially at a lower dose. This is magnified if a person tries to quit these drugs and then relapses, which can make a dose that was tolerated before withdrawal become highly toxic to the system because of reduced tolerance.
Benzos also have high incidences of overdose deaths. A high number of overdose emergencies also arise when benzos and/or alcohol are mixed with opiates, which can amplify the depressant effects of both drugs and result in respiratory failure and death.
Cocaine and heroin also lead to thousands of overdose deaths each year.
Overdose is fatal when the effects of the substance ingested are too much for the body to handle. This usually occurs because the drug interrupts the body’s natural chemical balance to a degree that suppresses the central nervous system, depressing and even stopping breathing. In the case of stimulants, death can happen if the drug affects the heart to the point of heart attack or stroke.
Some overdoses that might not otherwise be fatal can result in death if there is more than one drug involved. For example, mixing alcohol or benzos with an opiate drug can suppress the nervous system and breathing to a higher degree than taking any of those items alone. Unintentional overdose can occur simply because a person is unaware of these interactions.
Every year in the US, there are approximately 44,000 deaths caused by overdose. It is estimated that more than 22 million people have addictions that require treatment, which means that 0.2 percent of people who are addicted to drugs or alcohol die of overdose. This does not include those who survive.
While this is seems to be a low percentage, the rate of death due to overdose has steadily been increasing over the last 15 years. The rise in addictions to opiate drugs has led to this increase in rates of overdose. In addition, the chance for overdose is greater in those who have entered treatment but did not complete it or otherwise relapsed, due to the decrease in tolerance that occurs during detox.
The first way to prevent overdose when it comes to prescription drugs, like opiate painkillers and benzos, is to follow prescription instructions from the doctor exactly. This alone can make it less likely that addiction will develop in the first place.
For people who are already abusing or addicted to drugs, the best way prevent overdose is to get into and complete a rehab program to achieve recovery from addiction. The medical and therapeutic treatments that are involved in a research-based rehab program can help a person who is struggling with drug addiction to safely detox, learn how to manage the triggers that incite cravings and the desire to relapse, and achieve lasting recovery from addiction that can help avoid the danger of overdose.
The table above gives a summary of the laws surrounding Narcan – also known as naloxone – in various states. Where it is legal, it is important to see a doctor who is able to prescribe the medication. This is best done through an addiction treatment program that, along with the medication, provides therapy and other support tools that strengthen the person’s capability to deal with triggers and cravings.
Using naloxone to treat opiate overdose can result in severe withdrawal symptoms. The better way to manage the potential for overdose is to get treatment, which can include naloxone, that results in long-term recovery from addiction. Any medication does not constitute effective treatment in and of itself; comprehensive therapy is always needed.
“A LawAtlas Project: MonQcle.” (n.d). Policy Surveillance Portal. Accessed September 23, 2018.
“Anabolic Steroids.” (August 1, 2018). National Institute on Drug Abuse. Accessed September 23, 2018.
“Drug Overdose Immunity and Good Samaritan Laws.” (June 5, 2017). NCSL, National Conference of State Legislatures. Accessed September 23, 2018.
“Drug Overdose Now Leading Cause of Injury-Related Deaths.” (June 17, 2015). Medscape. Accessed September 23, 2018.
“Drug Use First Aid: MedlinePlus Medical Encyclopedia.” (April 4, 2018). MedlinePlus, U.S. National Library of Medicine. Accessed September 23, 2018.
Ellis, Mary Ellen, and Aleah Rodriguez. “Drug Overdose: Definition, Treatment, Prevention and More.” (December 5, 2015). Heathline, Heathline. Accessed September 23, 2018.
Gowin, Joshua. “Your Brain on Alcohol.” (June 18, 2010). Psychology Today, Sussex Publishers. Accessed September 23, 2018.
“Hallucinogens and Dissociative Drugs.” (February 1, 2015). National Institute on Drug Abuse. Accessed September 23, 2018.
Heller, Jacob L. “Methamphetamine Overdose: MedlinePlus Medical Encyclopedia.” (April 1, 2017). MedlinePlus, U.S. National Library of Medicine. Accessed September 23, 2018.
Link, B., Struening, E., Rahav, M., Phelan, J., & Nuttbrock, L. “On Stigma and Its Consequences: Evidence from a Longitudinal Study of Men with Dual Diagnoses of Mental Illness and Substance Abuse” (1977). Journal of Health and Social Behavior, 38(2). Accessed September 23, 2018.
“Misuse of Prescription Drugs.” (December 13, 2018). National Institute on Drug Abuse. Accessed September 23, 2018.
“Nationwide Trends” (June 25, 2015). National Institute on Drug Abuse. Accessed September 23, 2018.
“Opioid Overdose | Drug Overdose | CDC Injury Center.” (n.d). Centers for Disease Control and Prevention, Accessed September 23, 2018.
“Overdose Basics.” (n.d). International Overdose Awareness Day, Penington Institute. Accessed September 23, 2018.
“Overdose Death Rates.” (January 29, 2019). National Institute on Drug Abuse. Accessed September 23, 2018.
“Understanding the Epidemic | Drug Overdose | CDC Injury Center.” (n.d). Centers for Disease Control and Prevention. Accessed September 23, 2018.
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