ALT Read the full update here: https://preventoverdoseri.org/wp-content/uploads/2022/12/providence_xanax_final-compressed.pdf

ALT How to reduce risk: icon of fentanyl test strip with drop icon of naloxone nasal spray icon of speedometer on low (go slow) icon of a bowl being mixed with a prohibited sign (avoid mixing) Because the drug supply is always changing, it can be hard to know what you are buying. Testing your drugs first with fentanyl test strips can be a good first step. Having naloxone (Narcan) with you is always important so you can respond to an overdose. It is also important to try not to use alone so someone can help you if you experience an overdose. Start slow and go slow. Using a little bit of your drug at a time can be helpful to test the strength and keep track of your doses. Try to avoid mixing depressants or downers, like benzos, opioids, and alcohol when you use. Mixing these can increase your risk of an overdose.

ALT Harm reduction & xylazine When treating a skin infection possibly due to xylazine use Do not inject at the site of infection Avoid direct pressure to the site if possible Keep the area clean and dry (Icon of a hand holding a needle under a prohibited circle, icon of a hand pressing a button to imply pressure under a prohibited circle, icon of a folded cloth to imply dryness] [icon of a heart with a heart rate on it. Icon of a caution sign] If the area becomes more painful, hot, red, swollen, there is pus leakage, you develop a fever, or with any feelings of numbness please seek medical care right away.

ALT Harm Reduction & Xylazine * Recovery position to keep the airway clear (place on side, hand supports the head, knee stops body from rolling onto stomach) rescue breaths are important if slowed or stopped breathing after naloxone [Image of someone in the recovery position. Laid down with their hand supporting their head and knees stopping their body from rolling over on to their stomach]

ALT Harm Reduction & Xylazine Xylazine is relatively new to the supply and harm reduction is constantly evolving, below are some initial ways to mitigate risk when using drugs possibly contaminated with xylazine If xylazine is involved in an overdose the person may still appear sedated even after breathing returns. * Check for normal breathing and pulse * Use naloxone if slowed or stopped breathing [icons of someone looking sleepy, icon of a hand holding out a heart with a heart rate on it, icon of nasal naloxone]

ALT Click here to read the full update: https://preventoverdoseri.org/wp-content/uploads/2022/10/pvd2septfinal-compressed.pdf

ALT LOCAL DRUG TESTING UPDATE September 2022 - Providence SOLD AS [icon of a pill] Percocet (Blue 30 pill) SUBSTANCES FOUND: *indicated substances that make up most of a sample Legend
 (O) Opioids (S) Stimulants (A) Other Active Cut (B) Benzos (C) Cannabinoids Fentanyl* (O) Para-fluorofentanyl (O) Beta-hydroxyfentanyl (O) Xylazine (A) Caffeine (A) Tramadol (O) Phenacetin (A) Acetylfentanyl (O) Cocaine (S) Levamisole (A) Acrylfentanyl (O)

ALT LOCAL DRUG TESTING UPDATE September 2022 - Providence SOLD AS [icon of a substance in a bag] Percocet (Baggie) SUBSTANCES FOUND: *indicated substances that make up most of a sample Legend
 (O) Opioids (S) Stimulants (A) Other Active Cut (B) Benzos (C) Cannabinoids Fentanyl* (O) Xylazine (A) Cocaine (S)

ALT LOCAL DRUG TESTING UPDATE [icon of a question mark in a circle] Pressed pills, or pills that are not from your own prescription and pharmacy, may contain unknown substances that could increase overdose risk. Using fentanyl test strips, going slow, and having naloxone is important to reduce overdose risk. [icon of an arrow going up] The drug supply is volatile and continuously changing. The mixing of drugs with or without the knowledge of people who are using drugs creates higher risk for overdose. [icon of nasal naloxone spray] Naloxone will work to treat fentanyl, fentanyl analog, and other opioid overdose.