A white powder sample expected to contain cocaine was found to contain cocaine and a small percentage of heroin.

What does this mean?

There is a risk of unexpected opioid overdose and an increase of heart strain. In recent months, both NSW Health and VIC Health have released public drug warnings relating to heroin being presented in drugs sold as cocaine and methamphetamine.

People consuming cocaine should be aware of the signs of opioid overdose, and users should also be aware that this combination comes with greater risk than either drug on its own.

Effects and signs of heroin (opioid) overdose – lowered/loss of consciousness, breathing slowly, tiny/pinpoint pupils, discoloured lips or nails, cold or clammy skin, choking/coughing/gurgling or snoring sounds.

Effects and signs of cocaine (stimulant) overdose – a fast or irregular heartbeat, chest pain, confusion, agitation, seizure and loss of consciousness.

Carry Naloxone – it can reverse an opioid overdose. While it won’t reverse a stimulant overdose, it will not cause harm to administer if someone is showing signs of an overdose and you’re unsure if they’ve consumed opioids. Always keep naloxone on hand.

Search ‘Take Home Naloxone’ to get locations for free naloxone anywhere in Australia. You can get Nyxoid nasal spray naloxone for free from CanTEST.

Be alert for signs of an overdose – knowing that the signs can vary depending on the type of overdose being experienced. Think someone may be experiencing an overdose? Always call 000 immediately (even if you have and use naloxone).

Start low, go slow. Never use alone – get a trusted person to check on you. Experiencing delayed, adverse or unexpected effects? Don’t take more.

Test your stuff! Always assume that your drugs may not be what you expect.