NARCAN® Nasal Spray:

Answers to Frequently Asked Questions (FAQs)

NARCAN® Nasal Spray has become a crucial tool in the fight against opioid overdoses. As the opioid crisis continues to impact communities across the nation, having NARCAN® on hand and knowing how to administer it can save lives. The FAQs provided in this blog post aim to address common questions about NARCAN® Nasal Spray, offering clear, practical answers to help people feel confident and prepared when faced with an opioid overdose situation. Whether you’re new to using NARCAN® or looking for a refresher, this guide covers the key information everybody needs to know.

While NARCAN® Nasal Spray remains an essential tool in preventing overdose deaths, the latest statistics reveal the magnitude of the ongoing crisis and the urgency of equipping communities with life-saving interventions. According to the CDC’s National Center for Health Statistics, the United States saw an estimated 107,543 drug overdose deaths in 2023, reflecting a 3% decrease from the 111,029 deaths in 2022. This marks the first annual decline in overdose deaths since 2018, offering a glimmer of hope in the ongoing opioid crisis. However, Nevada’s situation tells a different story. In 2023, the state reported 1,279 overdose cases, but by 2024, this number had already risen by 12.51% to 1,439 cases, with 2.5 months still remaining in the year. This uptick highlights the persistent challenges faced by certain regions, even as national numbers show improvement.

Nevada state opioid responseIf you live in Nevada, you can visit the Nevada Opioid Response Website to find out where you can get overdose reversal medication.

Nevada state opioid responseIf you live in Nevada, you can visit the Nevada Opioid Response Website to find out where you can get overdose reversal medication.

The opioid epidemic is a devastating national crisis that affects people from all walks of life. Many people know someone who misuses opioids, and there is still a debilitating stigma that surrounds opioid misuse, making people afraid to ask for help. This problem needs attention so that we can help those experiencing opioid misuse feel more comfortable asking for support. Addressing the stigma and providing accessible support are key steps in combating the opioid epidemic, and one way to do that is through education. NARCAN® Nasal Spray offers a practical, life-saving solution, but many people have questions about how it works and when to use it. Below, we’ve answered some of the most frequently asked questions (FAQs) to help you feel informed and empowered to take action in an overdose emergency.

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What is NARCAN® Nasal Spray?

NARCAN® Nasal Spray is the first FDA-approved nasal formulation of naloxone, a drug used to reverse the effects of known or suspected opioid overdoses quickly. This needle-free spray is easy to use and designed for immediate administration when an overdose is suspected. Its active ingredient, naloxone hydrochloride, acts as an “opioid antagonist,” rapidly counteracting opioid effects. While NARCAN® can be lifesaving, it is not a substitute for emergency medical care, so seeking help immediately after using it is crucial.

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What are the signs of an opioid overdose?

An opioid overdose may be accidental or intentional. These overdoses come with a handful of signs. However, the most prevalent sign of an opioid overdose is a declining respiratory system (slowed or stopped breathing). Once the substance has been introduced, the respiratory and central nervous systems may become inactive. This causes the person experiencing the overdose to stop breathing. Because of this, opioid overdoses can lead to death, especially if left untreated. NARCAN® Nasal Spray enables anyone to have quick access to the life-saving drug naloxone. Other common symptoms of opioid overdoses are listed here.

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Where can NARCAN® be Found?

NARCAN® Nasal Spray can be found in most drug stores; check this list to find the closest provider to you. If you live in Nevada, you can visit the NV Opioid Response website to find out where you can get overdose reversal medication.

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Is a prescription required to pick up NARCAN® Nasal Spray?

No, anyone can purchase NARCAN® Nasal Spray directly from a pharmacist without a doctor’s prescription. Naloxone has become more easily attainable through the Statewide Naloxone Standing Order or Collaborative Practice Agreement. There are distribution sites across the state of Nevada that provide naloxone free of charge to the community. Find the closest provider to you.

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What should you do if someone is experiencing an opioid overdose?

If you have NARCAN® Nasal Spray on hand, use it immediately, and then call 911. If you do not have the nasal spray on hand, call 911.

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How do you properly use NARCAN® Nasal Spray?

Administer one dose of NARCAN® Nasal Spray immediately when an opioid overdose is suspected. Wait 2-3 minutes to see if the respiratory system kicks back in. If it does not, administer a second dose. Continue this pattern until the respiratory system begins working again or until medical help has arrived. NOTE: If someone is overdosing from fentanyl misuse, it will normally take more than one dose of naloxone to re-engage their respiratory system. Naloxone only reverses the effects of opioids for 30-90 minutes, but opioids often stay in the system for much longer. This is why calling 911 is crucial to the survival of those who experience opioid overdoses. Find complete directions and visuals for using NARCAN®® Nasal Spray.

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Will someone get in trouble if they report an opioid overdose to 911?

If someone reports an opioid overdose to 911, they are generally protected from legal trouble under Good Samaritan laws, which exist in most states. These laws are designed to encourage people to seek emergency help during an overdose without fear of arrest or prosecution for drug-related offenses. As Adam Heinz, NRP, AEMD, executive director at REMSA, explains, “Nevada passed the Good Samaritan Law so that when you call, you don’t have to worry about potentially going to jail or facing legal ramifications.” To learn more about the specific protections in your state, you can visit this resource for detailed information on Good Samaritan laws across the country.

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Is NARCAN® Nasal Spray safe for children in the event of an opioid overdose?

Yes. NARCAN® Nasal Spray is safe and effective for children experiencing an opioid overdose. Remember to always call 911 after administering this medication.

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Who is required to carry NARCAN® Nasal Spray?

All first responders, school police, and nurses’ offices in public middle and high schools in the state of Nevada are required to have NARCAN® Nasal Spray on hand. However, anyone who is often in close contact with those experiencing opioid or other illicit substance misuse should also carry it.

For more information on opioids, opioid misuse, overdose, and naloxone, visit:

988 suicide crisis lifelineIf you or a loved one is in crisis, contact Crisis Support Services by calling or texting 988 or chat 988lifeline.org.

988 suicide crisis lifeline

If you or a loved one is in crisis, contact Crisis Support Services by calling or texting 988 or chat 988lifeline.org.

References

NARCAN. (n.d.). NARCAN nasal spray: Frequently asked questionshttps://narcan.com/en/frequently-asked-questions
National Center for Health Statistics. (2024). Provisional drug overdose death counts. Centers for Disease Control and Prevention. https://www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm

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