What an opioid overdose looks like

  • Pupils are pinpoint
  • Muscles are slack
  • Unresponsive to outside stimulus
  • May appear awake, but unable to talk
  • Pale and clammy appearance
  • Fingernails and lips are blue or purplish black
  • Skin tone bluish purple or  grayish/ashen
  • Breathing is shallow, erratic or absent
  • Heartbeat is slow, erratic or absent
  • Choking sounds, and/or a snore-like gurgling noise

Overdose Basics

For general information on what an overdose is and how it is caused, including overdose due to other classes of drugs, refer to the International Overdose Awareness Day resource page.