Health authorities have issued an urgent warning for drug users, following three recent overdoses and one death linked to unexpected drugs in cocaine.
Two people were hospitalised and one person has died in NSW as a result of overdose in the past week. The cases experienced severe sedative effects and altered behaviour.
The white powder associated with the cases was presumed to be cocaine by those using it, but was found to contain bromazolam, a type of benzodiazepine with strong, sometimes unexpected effects and 2C-B, a hallucinogen.
NSW Poisons Information Centre Acting Medical Director Professor Andrew Dawson said the risk of severe overdose or death is increased when people use a drug that they are not expecting.
“One of the dangers of illicit drug supply is the strength and contents of the substance you are getting is unknown and can be inconsistent,” Professor Dawson said.
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“Anyone who experiences unexpected sedative effects such as difficulty speaking or walking, drowsiness, loss of consciousness, slowed breathing/snoring and skin turning blue/grey should seek medical care immediately.”
In a warning shared online, NSW Health reminded residents that they won’t be in trouble for calling 000 for an ambulance during a suspected overdose or reaction to drugs. Professor Dawson also said there are steps that can be taken to reduce the risk of an overdose or an adverse reaction.
“‘If you are feeling unwell, stay with friends or around other people. Don’t go home alone to sleep it off,” he said.
“Stimulants such as cocaine have also been found containing opioids. It's strongly recommended that anyone who uses illicit drugs carry naloxone. Although naloxone does not reverse the effects of benzodiazepines or hallucinogens, if you are concerned that someone is having an overdose, naloxone is safe to use in these circumstances.”
Take home naloxone is a life-saving treatment which can temporarily reverse an opioid overdose. It is available as an easy-to-use nasal spray or injection from some pharmacies and other health services. Naloxone is available from the NSW Users and AIDS Association (NUAA) via mail in a discreet package, with free shipping available for those living in regional areas by calling (02) 9171 6650 or visiting shop.nuaa.org.au
Anyone who uses naloxone should call Triple Zero (000) for an ambulance immediately after use for follow up care. Anyone who has concerns about adverse effects from drugs can contact the NSW Poisons Information Centre on 13 11 26, at any time 24/7.
For support and information on drug and alcohol problems, contact the Alcohol and Drug Information Service on 1800 250 015. This is a 24/7 service offering confidential and anonymous telephone counselling and information.
