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

COCAINE and and has been found unexpectedly in drugs in Sydney may contain the and more recently in regional areas of dangerous NSW in October 2020. fentanyl and acetylfentanyl

Use of these drugs can be life- Support and advice threatening. For free and confidential advice: Know the risks • Call and Drug Information Service (ADIS) on 1800 250 015 at any time • Illicit drugs with variable purity and contents are 24/7. Start a Web Chat with an ADIS being seen in NSW in 2020. counsellor Monday to Friday, 8.30am-5pm. • Acetylfentanyl and illicit fentanyl are both highly For information about potential adverse effects potent opioids and can cause unexpected, rapid from drugs: and life-threatening overdose, even in very • Call the NSW Poisons Information Centre on small doses. 13 11 26. • People who have never or rarely used opioids • Visit Your Room for fact sheets and other are at highest risk of overdose from these substances. Risk of overdose is also increased resources. by use of other sedatives (such as alcohol, • Visit NUAA or call 1800 644 413 for a range , ketamine, GHB). of resources to support you and your friends. Effects to look out for •

• Serious adverse effects may include drowsiness, loss of consciousness, slow Take Home Program breathing and skin turning blue. • Naloxone is an easy to use, life-saving • Be on the lookout for unexpected symptoms, medicine that can temporarily reverse an such as drowsiness following use of a overdose from fentanyl or other drugs. (e.g. ); or unusually strong sedative People at risk of experiencing an opioid effects from ketamine. overdose or who may witness an overdose can get naloxone for free without a prescription Getting help from some NSW community pharmacies and NSW Health needle and syringe programs. If you see the warning signs • For participating pharmacies and more of overdose: information on take-home naloxone: Seek help immediately from your https://yourroom.health.nsw.gov.au/getting- nearest emergency department help/Pages/Naloxone.aspx. or call Triple Zero (000). Start CPR if • Call ‘000’ even if naloxone has been someone is not breathing. administered. Repeat doses may be required.

Issued 16 October 2020 © NSW Health.