When people overdose on heroin, their breathing often slows or stops. This can decrease the amount of oxygen that reaches the brain, a condition called hypoxia. Hypoxia can have short- and long-term mental effects and effects on the nervous system, including coma and permanent brain damage.
Seek medical help right away. Do NOT make the person throw up unless poison control or a health care provider tells you to do so.
In 2014, the U.S. Food and Drug Administration (FDA) approved the use of a medicine called naloxone (brand name Narcan) to reverse the effects of a heroin overdose. This type of medicine is called an antidote. Naloxone is injected under the skin or into a muscle, using an automatic injector. It can be used by emergency medical responders, police, family members, caregivers, and others. It can save lives until medical care is available.
Have this information ready if possible:
- The person’s age, weight, and condition
- How much heroin they took
- When they took it
If You Just Have Questions, Poison Control Can Be Called. It does NOT need to be an emergency.
Your local poison center can be reached directly by calling the national, toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. This national hotline number will let you talk to experts in poisoning. They will give you further instructions.
This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.
The provider will measure and monitor the person’s vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated. The person may receive:
- Blood and urine tests.
- Breathing support, including oxygen tube through the mouth into the throat, and breathing machine.
- Chest x-ray.
- CT scan (advanced imaging) of the brain if a head injury is suspected.
- ECG (electrocardiogram, or heart tracing).
- Intravenous fluids (through a vein).
- Medicines to treat symptoms, such as naloxone (see “Home Care” section above), to counteract the effects of the heroin.
- Multiple doses or continuous administration of naxolone. This may be needed because naxolone’s effects are short-lived and the depressive effects of the heroin are long-lasting.
If an antidote can be given, recovery from an acute overdose occurs within 24 to 48 hours. Heroin is often mixed with substances called adulterants. These can cause other symptoms and organ damage. A hospital stay may be necessary.
If the person’s breathing has been affected for a long time, they may breathe fluids into their lungs. This can lead to pneumonia and other lung complications.
Injecting any drug through a needle can cause serious infections. These include abscesses of the brain, lungs, and kidneys, and heart valve infection.
If you or a loved one is struggling with heroin addiction and you would like to explore heroin treatment options offered at Florida Center for Recovery, contact us at: 800-851-3291. All calls are confidential. If you’d rather contact us via our secure chat service you may do so by clicking on the link below:
Levine DP, Brown PD. Infections in injection drug users. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases, Updated Edition. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 317.
Nikolaides JK, Thompson TM. Opioids. In: Walls RM, Hockberger RS, Gausche-Hill M, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018:chap 156.
Zosel AE. General approach to the poisoned patient. In: Adams JG, ed. Emergency Medicine: Clinical Essentials. 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:chap 143.
Dr. Balta is the Medical Director at FCR for more than 10 years. Dr. Balta is Board Certified in Psychiatry and Addiction Medicine, Certified Psychoanalyst. As well, as having Psychiatric Training at The Albert Einstein School of Medicine Psychiatric Residency Program In New York City and Psychoanalytic Training at The William Alanson White Institute in New York City. While working in New York City, gained funding Grants for the treatment of Substance Abuse Disorders from SAMHSA , HRSA and the City of New York.