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Synthetic opioid alert: nitazenes

15 December 2023

You may have seen in the news that across the UK, there have been a number of accidental overdoses and deaths linked to a synthetic opioid called nitazenes.

Nitazenes have been found in heroin, and other illicit (bought on the internet or from a dealer) like benzodiazepines or oxycodone.

If you or someone you know uses drugs, it’s important to know about the risks - sharing the guidance below could help to save a life.

It’s safest not to use drugs but, if you choose to:

  • It is best not to use alone and don’t let your friends use alone either
  • If using heroin, smoke rather than inject
  • If using a new batch, start with a low dose and adjust slowly
  • Mixing different drugs, including alcohol, can increase your risk of harm and is more likely to cause an overdose. Try to use one drug at a time.

Be aware of the signs of opiate overdose:

  • Difficulty walking
  • Severe drowsiness
  • Pinpoint (very small) pupils
  • Dizziness / confusion
  • Shallow or no breathing
  • Difficulty speaking
  • Blue lips or nails
  • Cold, clammy skin
  • Choking or snoring sounds

The importance of Naloxone

  • Get, carry and use naloxone - it’s a life-saving medication that reverses the effects of opioid drugs like heroin, morphine, methadone and nitazenes
  • If you are unsure what someone has used, administer Naloxone anyway – it will not cause harm to someone who has not used opioids
  • It is highly likely that those suffering from the effects of a synthetic opioid overdose will require multiple doses of naloxone. Make sure you have enough supply of naloxone in case of an emergency
  • Get naloxone from a drug service, pharmacy or homelessness service

Get help fast

If you think that you, or someone you are with, may be experiencing symptoms of overdose call 999 immediately.

If you’re worried about your own drug use, or if you want advice for someone you know, please get in touch with us with your local service - we offer free, non-judgemental advice to whoever needs it: www.wearewithyou.org.uk