How to use Nyxoid to reverse an opioid overdose

“We got our hands on naloxone to keep at our house, but it was too late, we’d already lost a friend. We kept thinking, if only we had it a few days earlier… if only we knew. ODs happen so quickly, and this tiny bottle can buy you time - time is EVERYTHING when someone’s life is in the balance”- Female in her 20’s.

What is Nyxoid and naloxone?

Nyxoid is a nasal spray version of naloxone, a lifesaving drug that reverses the effects of an opioid overdose. Naloxone can be used in overdoses from most opioids - including prescription drugs like morphine, fentanyl and methadone, and illicit drugs like heroin, opium, or synthetic opioids.

Unfortunately, Nyxoid and nasal spray versions of naloxone are not currently available in New Zealand. We will update this article if they become available.

However, you can get injectable naloxone from your doctor, opioid substitution treatment provider, needle exchange sites or the needle exchange online shop. Naloxone is free but you may need to pay for postage if you buy it online. We've got info on how to use injectable naloxone.

If you do have a nasal spray form of naloxone, here's how to use it. 

Who should carry Nyxoid?

If you use opioids, whether they are prescription drugs or illicit drugs like heroin, it is always a good idea to have some form of naloxone with you.

If you are a caregiver, whānau member or close friend of someone who uses opioids it may also be a good idea to carry or have access to Nyxoid / naloxone.

Remember, if you are experiencing an opioid overdose, you likely won’t be able to administer naloxone to yourself - someone will have to do it for you. 

 

When should I use Nyxoid?

You should use Nyxoid if you think someone is experiencing an opioid overdose. Some of the signs of this are:

• Unconsciousness and the person doesn’t respond to their name or being touched
• Difficulty breathing
• Making choking, gurgling or snoring sounds
• Blue lips, tongue and hands and their skin is cool and pale
• Pinpoint pupils

If you aren’t sure whether someone is experiencing an opioid overdose, you should use Nyxoid anyway. Nyxoid won’t hurt the person if they aren’t overdosing.

There is no maximum dose of Nyxoid - meaning that you are not at risk of giving someone too much.

 

How do I use Nyxoid?

Every time you get Nyxoid, it will come with instructions about how to use it. Always keep these instructions with your Nyxoid in case someone has to use it on you. You may also be taught how to use it by a pharmacist, doctor or health service giving it to you.

Nyxoid is very easy to use, you just follow a few simple steps. Remember, each nasal spray can only be used once.

1. Always call an ambulance on 111 before you administer Nyxoid. Let them know you think someone is experiencing an opioid overdose. The person may still need medical help after you give them Nyxoid.
2. Support the person’s neck and gently lay them on their back, letting their head tilt back.
3. Make sure their nose area is clear from blood, mucus, or any other object. If it isn’t clear, remove the blockage first.
4. Take Nyxoid out of the blister pack. Place your thumb on the bottom of the spray and two fingers on either side of the nozzle. Make sure not to press down just yet.
5. Insert the device into one of the person’s nostrils. Now push firmly on the bottom of the spray until it makes a ‘click’ sound. This means the naloxone is released.
6. You can then remove the nozzle from the person’s nostril and place them on their side, in the recovery position.
7. If they don’t regain consciousness or start breathing normally after 2-3 minutes, you can use a new nasal spray in the other nostril, repeating the process.

You can repeat the process as many times as you need to until help arrives.

Where do I get Nyxoid?

Unfortunately, Nyxoid and nasal spray versions of naloxone are not currently available in New Zealand. We will update this article if they become available.

However, you can get injectable naloxone from your doctor, opioid substitution treatment provider, needle exchange sites or the needle exchange online shop. Naloxone is free but you may need to pay for postage if you buy it online. We've got info on how to use injectable naloxone.