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Signs and Symptoms of an Opioid Overdose

Opioid overdose is life-threatening and requires immediate emergency attention.  Recognizing the signs of an opioid overdose is essential to saving lives. 

  • Their face is extremely pale and/or feels clammy to the touch
  • Their body goes limp
  • Their fingernails or lips change color (gray or ashen for people of color, and purple or blue for people who are white or have less melanin)
  • They start vomiting or making gurgling noises (may sound like snoring)
  • They cannot be awakened or are unable to speak
  • Their breathing or heartbeat slows or stops

What to Do if You Suspect Overdose

  • Call 911
  • Say "I can't wake my friend up"
  • Give addresses/location
  • You don't need to tell the operator that drugs were taken or give your name if you don't want to
  • Give Naloxone
  • Perform rescue breathing if you feel comfortable
  • Roll the person into the recovery position 
  • Stay with person

Naloxone/Narcan and Resources on Campus

What We Offer 

Naloxone and fentanyl testing strips can be accessed in Wellness and Prevention Services at no cost. In the state of North Carolina, students are able to anonymously gain access to naloxone/narcan and use it without consequence under the Good Samaritan Law and the Naloxone Access Law. The first step in assisting a peer having an opioid-related overdose is to call 911. 

What is Naloxone?

Naloxone (also known as Narcan) is a life-saving medication that blocks opioid receptors in the nervous system, reversing an opioid-related overdose in an emergency situation. Opioids include but are not limited to heroin, fentanyl, and prescription/non prescription opioid medications. 

What are Fentanyl Testing Strips?

Fentanyl testing strips are a simple and inexpensive method of preventing drug overdose and reducing harm. They are small strips of paper that can detect the presence of fentanyl in a drug. Using this resource can empower an individual to make educated decisions about their safety.

Why We Do This Work

We believe students should have access to resources to protect both themselves and others. The availability of these resources promotes the safety and wellbeing of students and reduces the risk of tragedy on and off campus, as well as reduces stigma. Students should feel comfortable assisting their peers during a possible overdose without worrying about repercussions.

How to Access Support on Campus

Stop by Wellness and Prevention Services on the ground floor of the Miles Annas Student Support building. We are located on the side of the building closest to Plemmons Student Union and are open weekdays from 8am-5pm. Simply ask for Narcan/naloxone or fentanyl testing strips (or both) at the reception desk and we’ll provide it, no questions asked. Wellness and Prevention Services staff does want to ensure an individual can effectively respond to an overdose and successfully use the resources, so brief, confidential training is available and encouraged.

Accessing resources through M.S. Shook Student Health Services.

Naloxone can be accessed at no cost, no questions asked in Student Health Services; located on the second floor of the Miles Annas building and open Weekdays from 8am-4pm (with the exception of wednesday, opening at 9am) and weekends from 8-11am. Walk-ins are welcome and no prescription is necessary.

Seeking Recovery Resources?

Appalachian State University's Collegiate Recovery Community within Wellness and Prevention Services is here to assist in each individual's unique recovery by supporting pathways of recovery, preventing relapse, encouraging autonomy, providing support, increasing academic success, and offering a safe space on campus to process, grow, and reflect.

On Campus Support and Resources

M.S. Shook Student Health Service
Miles Annas Student Support Building
Address: 614 Howard St, Boone, NC 28608
Hours:
Monday - Friday 8am - 4pm (with the exception of wednesday, opening at 9am)
Saturday & Sunday 8am - 11am
Phone: (828) 262-3100
Fax: (828) 262-6958
Email: healthservice@appstate.edu

Wellness and Prevention Services
Miles Annas Student Support Building
Address: 614 Howard St, Boone, NC 28608
Hours: Monday - Friday: 8am - 5pm
Phone: (828) 262-3148
Fax: (828) 262-8452
Email: wellness@appstate.edu

Off Campus Support and Resources

Naloxone is available at these facility locations
Watauga Health Center
NC Harm Reduction Coalition
Olive Branch Ministry
Steady Collective
Holler Harm Reduction