A practical guide for Arizona families
Overdose Response and Naloxone: What to Do When Every Minute Matters
An overdose can happen in any family. Knowing the warning signs, keeping naloxone nearby, and acting quickly can help save a life. Use this guide to prepare before an emergency and respond if one occurs.
Naloxone is not a substitute for emergency care. Its effects are temporary, and overdose symptoms can return. Always call 911 and stay with the person, even if they wake up.
Last updated July 2026 • Approximately 11 minutes to read
Recognize the signs
How can I tell whether someone may be overdosing?
Treat the situation as an emergency when someone cannot be awakened, is not breathing normally, or has other signs of a possible overdose. You do not need to know exactly what the person took before calling 911.
They do not respond
The person does not wake when you call their name and firmly tap their shoulder. Check for normal breathing for no more than 10 seconds.
Breathing is abnormal
Breathing may be very slow, shallow, irregular, or stopped. You may hear choking, gurgling, or unusual snoring sounds.
Skin color changes
Lips, fingertips, or skin may look blue, gray, pale, or ashen. Color changes can be harder to see on darker skin, so also check lips, gums, and nail beds.
The body is limp
The person may have a slow heartbeat, very small “pinpoint” pupils, clammy skin, vomiting, or a limp body.
Overdose versus being “high”: A person who is very sleepy but wakes and speaks may still need help. A person who cannot be awakened or is not breathing normally needs 911 and immediate overdose response.
Act immediately
What should I do during a suspected overdose?
Use these steps for a suspected opioid overdose or when you do not know which substances may be involved. Follow the 911 dispatcher’s directions and the instructions supplied with your naloxone product.
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Check for danger and try to wake the person
Make sure the area is safe to enter. Call the person’s name, tap their shoulder firmly, and check whether they are breathing normally. Do not put yourself in danger around traffic, weapons, fire, fumes, or loose powders.
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Call 911
Say that the person is unresponsive or not breathing normally and that you suspect an overdose. Give the exact location. Put the phone on speaker so you can continue helping and follow the dispatcher’s instructions.
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Give naloxone as soon as possible
If opioids could be involved, administer one dose. For a single-use nasal spray, lay the person on their back, support the neck, insert the nozzle into one nostril, and press the plunger firmly. Do not test or prime a single-use device. Product designs vary, so follow its label.
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Support breathing
Tell the 911 dispatcher immediately if the person is not breathing normally. Follow the dispatcher’s instructions for CPR or rescue breathing without delay. Use an automated external defibrillator, if available, and follow its spoken prompts.
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Give another dose if there is no response
If the person does not wake or breathe normally after 2–3 minutes, administer another naloxone dose using a new device, if available. Continue following the product instructions and the dispatcher’s directions until emergency responders arrive.
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Stay with the person
If breathing returns but the person remains unconscious, place them on their side with the top knee bent to reduce the risk of choking. Keep monitoring breathing. Reassure them if they wake. Do not offer or encourage additional substance use. Prioritize your safety and follow the dispatcher’s directions. Give used devices and any known substance information to emergency responders.
Do not
- Wait to see whether the person “sleeps it off.”
- Leave the person alone, even after naloxone appears to work.
- Put them in a cold shower or bath.
- Force them to walk, eat, drink, or vomit.
- Inject salt water, milk, stimulants, or any other substance.
- Rely on naloxone without calling 911.
Naloxone basics
What Arizona families should know about naloxone
Naloxone is a medication that temporarily reverses an opioid overdose by blocking opioid effects. It can restore breathing when an overdose involves fentanyl, heroin, or prescription opioids. Naloxone will not reverse a non-opioid overdose, but giving it is appropriate when opioid involvement is possible or the substance is unknown.
It is designed for bystander use
Prefilled nasal sprays can be administered by family members and other bystanders without medical training. Injectable products differ; obtain training and follow the specific product directions.
More than one dose may be needed
Potent opioids such as fentanyl may require additional doses. Keep more than one dose available and wait 2–3 minutes between doses unless the product or 911 dispatcher directs otherwise.
It can cause sudden withdrawal
A person may wake confused, agitated, nauseated, sweating, or in pain. Speak calmly, explain that help is coming, give them space, and continue monitoring their breathing.
Its protection is temporary
Some opioids can last longer than naloxone. A person can become unresponsive again after initially improving, which is why emergency evaluation remains essential.
Where can I get naloxone in Arizona?
Arizona residents can purchase over-the-counter naloxone nasal spray, ask a pharmacy about naloxone available under Arizona’s standing-order framework, or locate free kits through state and local programs. Availability and cost can vary, so call a location before traveling.
Find free naloxone and Arizona access information through ADHS. Pima County residents can also use the county’s naloxone location and education page.
How should naloxone be stored?
- Keep it accessible—not locked away or buried in a bag.
- Tell household members where it is and how to use it.
- Follow the package’s temperature and light-storage instructions; avoid prolonged Arizona vehicle heat.
- Check expiration dates regularly and replace expired devices.
- Carry at least two doses when possible.
When opioids may not be the only substance
What if the overdose involves stimulants, alcohol, or an unknown drug?
Not every overdose looks like opioid poisoning. Methamphetamine, cocaine, alcohol, sedatives, counterfeit pills, and combinations of substances can cause different emergencies. Because fentanyl may be present unexpectedly, give naloxone when opioid exposure is possible—but still call 911 because naloxone does not reverse other drug effects.
Possible stimulant emergency
Warning signs can include chest pain, very high body temperature, severe agitation or confusion, seizure, collapse, severe headache, or signs of stroke. Call 911, reduce surrounding noise and activity, and follow dispatcher instructions.
Possible alcohol or sedative overdose
Warning signs can include inability to wake, vomiting, seizure, slow or irregular breathing, clammy skin, and dangerously low body temperature. Call 911, place the person on their side if breathing, and do not leave them alone.
When in doubt, respond: Calling 911 and giving naloxone when opioids might be involved is safer than waiting to identify the substance.
Prepare before an emergency
How can our family reduce overdose risk?
A calm, practical conversation can make it easier to respond. Focus on safety rather than blame, punishment, or assumptions about who is at risk.
- Keep naloxone in known, easy-to-reach locations at home and when traveling.
- Make sure at least two people know how to recognize an overdose and use the product you carry.
- Replace expired naloxone and restock immediately after it is used.
- Discuss the increased overdose risk after detoxification, hospitalization, incarceration, residential treatment, or any period of reduced use because tolerance may be lower.
- Discuss the danger of combining opioids with alcohol, benzodiazepines, or other sedating substances.
- Assume pills not obtained directly from a licensed pharmacy may contain fentanyl or another unexpected substance.
- Encourage the person not to use substances alone and to ensure someone can call for help.
- Ask a licensed clinician about evidence-based treatment for opioid use disorder, including medications such as buprenorphine, methadone, or naltrexone when clinically appropriate.
- Save 911, Arizona’s OARLine, and trusted treatment contacts in family members’ phones.
A previous overdose is an urgent warning sign. Emergency treatment addresses the immediate crisis. Follow-up care should include clinical assessment, overdose-prevention planning, access to naloxone, and discussion of evidence-based treatment options.
Arizona and national resources
Where can families find immediate help and naloxone?
Life-threatening emergency
911
Call for an unresponsive person, abnormal breathing, seizure, severe chest pain, extreme overheating, or any suspected overdose.
Call 911Arizona opioid support
Arizona OARLine
Free, confidential opioid information, resources, and referrals for individuals, families, and providers.
Call 1-888-688-4222Naloxone access
Arizona Department of Health Services
Find information about pharmacies, standing-order access, and sites offering free naloxone across Arizona.
Find naloxone in ArizonaTucson and Pima County
Pima County overdose resources
Access local naloxone information, harm-reduction resources, treatment providers, and helplines.
Get help in Pima CountyPoison guidance
Poison Help
Call for expert poisoning guidance. For an unresponsive person or suspected overdose, call 911 first.
Call 1-800-222-1222Mental-health crisis
988 Suicide & Crisis Lifeline
Call or text for mental-health, suicide, or substance-use crisis support. Use 911 for a suspected overdose.
Call 988Treatment locator
FindTreatment.gov
Search the federal directory for substance-use and mental-health treatment services.
Search treatment servicesNational treatment referral
SAMHSA National Helpline
Free, confidential treatment information and referral support in English and Spanish.
Call 1-800-662-HELP (4357)What does Arizona’s Good Samaritan law cover?
As of July 2026, Arizona’s Good Samaritan law provides limited protection from certain possession, use, paraphernalia, and preparatory-offense charges when a person, in good faith, seeks medical assistance for someone experiencing a drug-related overdose and the evidence results from that request. The law has limits and does not prevent investigation or prosecution of every possible offense. The official statute currently lists a July 1, 2028 repeal date, so review the linked text for current law. Never delay calling 911 because of fear or uncertainty about legal consequences. See the current text of A.R.S. § 13-3423.
Print and complete
Our family overdose response plan
Complete this plan together and post it somewhere easy to find. Review it whenever naloxone expires or household circumstances change.
Emergency checklist
- Try to wake the person and check breathing.
- Call 911 and put the phone on speaker.
- Give naloxone if opioids could be involved.
- Support breathing as the dispatcher directs.
- Give another dose after 2–3 minutes if there is no response.
- Stay until emergency responders arrive.
Frequently asked questions
Questions Arizona families ask about naloxone and overdose
Can naloxone harm someone who is not using opioids?
Naloxone works on opioids and generally will not affect a person when opioids are absent. If someone is unresponsive and opioid involvement is possible, give naloxone and call 911 rather than waiting to identify the substance.
Will naloxone work on fentanyl?
Yes. Naloxone can reverse an opioid overdose involving fentanyl. Because fentanyl is potent, more than one dose may be needed. Call 911, give the first dose promptly, support breathing, and give another dose after 2–3 minutes if the person does not respond.
Should I call 911 before or after giving naloxone?
Do both as quickly as possible. Call 911, use speakerphone, and give naloxone without delay while following the dispatcher’s instructions. If another person is present, one person can call while the other administers naloxone.
What if I do not know what substance was taken?
Call 911. If opioids could be involved, administer naloxone. Counterfeit pills and mixed substances may contain unexpected fentanyl, and naloxone will only reverse the opioid component. The person still needs emergency evaluation.
Why might someone become upset after receiving naloxone?
Naloxone can rapidly trigger opioid withdrawal, which may cause confusion, nausea, sweating, pain, or agitation. Explain calmly that they overdosed, naloxone was given, and help is coming. Avoid arguing, do not offer or encourage additional substance use, and prioritize your own safety while waiting for responders.
Can I carry naloxone for a family member in Arizona?
Yes. Arizona’s naloxone framework allows opioid antagonists to be provided to people at risk as well as family members, community members, and others positioned to assist. Over-the-counter nasal naloxone and free community programs provide additional access routes.
Does an overdose mean residential treatment is always required?
No single level of care is right for everyone. After emergency stabilization, a qualified clinician should assess withdrawal risk, substances used, prior overdoses, mental-health symptoms, safety, supports, and treatment history. Recommendations may include medical detoxification, residential care, medication for opioid use disorder, PHP, IOP, outpatient care, or other services.
Sources and further reading
- Centers for Disease Control and Prevention: Lifesaving Naloxone
- CDC: Five Things to Know About Naloxone
- SAMHSA: Overdose Prevention and Response Toolkit
- Arizona Department of Health Services: Naloxone Access
- Arizona Department of Health Services: OARLine
- Pima County Health Department: Naloxone
- Arizona Revised Statutes § 13-3423: Medical Assistance Requests
- Arizona Revised Statutes § 36-2266: Opioid-Antagonist Prescribing and Dispensing
