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s Use of these drugs can be life-threatening. • DRUG WARNING

Fentanyl and acetylfentanyl have been may contain found in heroin in central Sydney during and acetylfentanyl, January 2021. These drugs were also which are dangerous found in regional NSW and Sydney during November and December 2020.

Use of these drugs can be life- threatening. Support and advice For free and confidential advice: Know the risks • Call and Drug Information • Heroin may contain dangerously strong opioids Service (ADIS) on 1800 250 015 at any time like fentanyl, no matter what it looks like. 24/7. Start a Web Chat with an ADIS However, there have been recent reports of counsellor Mon-Fri, 8.30am-5pm. heroin containing fentanyl and acetylfentanyl • Call NUAA on 1800 644 413 (Mon-Fri 9am- that turns purple when mixed with water. 5pm) to speak to a peer or visit • Acetylfentanyl and fentanyl are both highly www.nuaa.org.au for a range of resources on potent opioids and even small doses can cause opioids and . overdose and even death very quickly. • Call the NSW Poisons Information Centre on • Illicit drugs with variable purity and contents are 13 11 26 for information on adverse effects being seen in NSW in 2021. from drugs. • Visit Your Room for fact sheets and other resources. Effects to look out for • Overdose symptoms include drowsiness, loss Take Home Naloxone Program of consciousness, slow breathing/snoring and skin turning blue. • Naloxone is an easy to use, life-saving medicine that can temporarily reverse an overdose from fentanyl or other drugs. People at risk of experiencing an opioid Getting help overdose or who may witness an overdose can get naloxone for free without a prescription If you see the warning signs from some NSW community pharmacies, NSW of overdose: Health needle and syringe programs, opioid Seek help immediately from your treatment services and NUAA. nearest emergency department • For participating pharmacies and more or call Triple Zero (000). Stay with information on take-home naloxone: your mate and on the phone with the https://yourroom.health.nsw.gov.au/getting- operator until the ambulance help/Pages/Naloxone.aspx. arrives. • Call ‘000’ even if naloxone has been If someone is not breathing, start administered. Repeat doses may be required. CPR if you know how. Use naloxone if you have it. Call ‘000’ even if naloxone has been given.

Issued 28 January 2021 © NSW Health.