To help save lives, health officials urge people to carry naloxone and know overdose signs

OLYMPIA — Fentanyl-related overdoses are increasing across the state. Now, state health officials are asking that people carry naloxone if they plan on consuming any drug not purchased at a pharmacy or cannabis dispensary or have friends and family that do.

Overdoses are occurring across all age ranges, races and ethnicities, and socio-economic backgrounds. Preliminary data show 418 overdose deaths in the first three months of 2021 compared to 378 overdose deaths in the first three months of 2020. Of the 418 overdose deaths in the first three months of 2021, 46% (191) are linked to fentanyl.

The increase in overdose deaths was also highest among American Indian/Alaska Natives, Hispanic/Latinx people, Black people and other groups already dealing with inequitable health outcomes. One concerning trend is the prevalence of young adult mortality; of the fentanyl related deaths, 55 were under 30 years of age.

Health officials want community members to be aware of blue pills marked with “M” and “30” that are being marketed as prescription opioid medication. These pills most likely contain some amount of illicit fentanyl, and their purity and potency can vary widely.

People should be aware that potency and purity can also vary within one pill. Fentanyl does not mix in evenly with other substances, and one pill can have different amounts of fentanyl throughout. Simply breaking a pill in half does not mean that users will receive an evenly split dose.

Anyone who uses drugs or knows someone who does is strongly advised to take precautions that include the following:

• Carry at least two doses of the overdose reversal drug naloxone.
• Know the signs and symptoms of an opioid overdose: blue lips (ashy white lips on a person of color) and blue fingernails; struggling/no breathing; being unresponsive to external stimuli.
• Use with someone else whenever possible. If you can’t or don’t want to use with someone, consider calling Never Use Alone: (800) 484-3731.
• If using fentanyl test strips, no matter the test result, still proceed with caution.
• Assume that any substance that you do not purchase at a pharmacy or cannabis dispensary contains fentanyl.

“The first few minutes are critical in a potential overdose, especially in rural areas where it can take emergency medical services 10 minutes or longer to arrive. The majority of overdose reversals happen because a lay person was the first responder and administered naloxone,” said Dr. Bob Lutz, state medical advisor for the Department of Health. “Not all substance use has to result in overdose. The more Washingtonians we can train on overdose recognition and response, and carry naloxone, the better prepared we are collectively to push back against a drug poisoning epidemic.”

Each of us can play an important role in saving lives in our communities. Here are some lifesaving resources and information to have with you:

• If someone may be overdosing, call 9-1-1, give naloxone, and perform rescue breathing.
• Washington’s statewide standing order to dispense naloxone can be used at any pharmacy or medical provider in WA that requires a prescription to obtain naloxone.
• Find locations near you that provide naloxone and instructions on how to use it, as well as a page specifically about fentanyl.

Help is available for people struggling with opioid use disorder to find the right care and treatment. Buprenorphine and methadone, two medications that treat opioid use disorder, can cut the risk of a fatal opioid overdose in half and support long-term recovery. If you or a loved one want treatment or just want to learn more, see the Washington Recovery Helpline, or call 1-866-789-1511.