Naloxone resources and fentanyl information

 

SANTA CRUZ COUNTY
NALOXONE DISTRIBUTION SITES

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Call locations first during normal business hours to ensure staff are available to assist you.

WHAT IS NALOXONE?

  • Naloxone (brand name Narcan®) is a life-saving FDA-approved medication that is used to reverse the effects of overdoses from opioids such as heroin, fentanyl, oxycodone, and morphine.

  • Naloxone can be administered two ways: through injections (like a shot) or via nasal spray. 

  • To learn more about how naloxone saves lives, go to the CDC’s naloxone page or read the National Harm Reduction Coalition’s opioid overdose guide.

VIDEO: HOW TO USE NARCAN®
VIDEO: WHAT IS NALOXONE?

LOCAL CLINICS

Santa Cruz County Health Services

Naloxone available at no cost. Also available: Primary Care and Medication for Addiction Treatment (MAT)

Santa Cruz Health Center 1080 Emeline Ave, Santa Cruz.  (831) 454-4100

Watsonville Health Center 1430 Freedom Blvd, Suite D, Watsonville. (831) 763-8400

Homeless Persons Health Project (HPHP) 115-A Coral St, Santa Cruz. (831) 454-2080

Santa Cruz Community Health Centers (SCCH)

Naloxone available at no cost. Also available: Primary Care and Medication for Addiction Treatment (MAT)

(831) 427-3500 x 326. Please leave your name and phone number

Santa Cruz Women's Health Center 250 Locust St, Santa Cruz.

East Cliff Family Health Center 21507 East Cliff Dr, Santa Cruz

SC Mountain Health 9500 Central Ave, Ben Lomand

Salud Para La Gente

Need an appointment for Naloxone. Also available: Primary Care and Medication for Addiction Treatment (MAT)

204 E Bach St, Watsonville. Call center (831) 728-0222 or Margarita (831) 728-8250 x 1064. M-F 9-5 voicemail

Janus of Santa Cruz

Naloxone available. Also available: Medication for Addiction Treatment (MAT)

Main Number (831) 462-1060

1000A Emeline Ave, Santa Cruz and 284 Pennsylvania Dr, Watsonville

UCSC Health Center

This resource is primarily for UCSC students.

Naloxone $5 copay with UCSC insurance. Also available: Medication for Addiction Treatment (MAT)

1156 High St, Santa Cruz. (831) 459-2211

Dominican Hospital ED

Naloxone on request. Also available: Medication for Addiction Treatment (MAT)

1555 Soquel Dr, Santa Cruz. (831) 462-7700

Watsonville Community Hospital

Naloxone on request. Also available: Medication for Addiction Treatment (MAT)

75 Nielson St, Watsonville. (831) 761-5655

PHARMACIES

Westside Pharmacy and Medical Supply

Naloxone covered by Medi-Cal, Medicare, and most health plans or can self-pay

1401 Mission St, Santa Cruz. (831) 423-7175

Horsnyder Pharmacy and Medical Supply

Naloxone covered by Medi-Cal, Medicare, and most health plans or can self-pay

1226 Soquel Ave #A, Santa Cruz. (831) 458-1400

Frank's Pharmacy

Naloxone covered by Medi-Cal, Medicare, and most health plans or can self-pay

7548 Soquel Dr, Aptos. (831) 685-1100

UCSC Pharmacy

This resource is primarily for UCSC students.

Naloxone $5 copay with UCSC insurance

1156 High St, Santa Cruz. (831) 459-2360

Other Pharmacies may have naloxone but call ahead to confirm they have stock and will dispense without a prescription.

If you are acquiring naloxone at a pharmacy with a prescription, then you may be required to pay a co-pay depending on your insurance.

SYRINGE SERVICES

Syringe Service Program Santa Cruz

Naloxone available. Referrals to Primary Care and MAT

(831) 454-2437

1060 Emeline Ave Building F, Santa Cruz.

 

Syringe Service Program Watsonville

Naloxone available. Referrals to Primary Care and MAT

(831) 454-2437

1430 Freedom Blvd Suite A, Watsonville

Harm Reduction Coaltion of Santa Cruz County

Can deliver free Naloxone to you on M, W, & F (call or text)

Referrals for MAT

(831) 769-4700 HRCofSCC@gmail.com

OVERDOSE: RECOGNIZE AND RESPOND

We can all play a part in saving lives!

Signs of an overdose: remember PS CHUG!

Pale or discolored fingernails, lips, or skin

Slow/shallow/stopped breathing

Cold/Clammy Skin

Heartbeat has become very slow or stops

Unconscious/Unresponsive (limp, unable to wake up or speak

Gurgling, Vomiting, Choking

If you think someone is overdosing:

Acting quickly is crucial!

Call 911 immediately (California's Good Samaritan Law protects you and the person you're calling for from legal liability)

Administer naloxone (Narcan®) if available

Stay with the person needing help until EMS arrives

Lay the person on their side to prevent choking

 
 

UNDERSTANDING FENTANYL

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What is fentanyl?
Fentanyl is a powerful synthetic opioid that is up to 100x more potent than morphine and up to 50x more potent than heroin. Because of fentanyl's high potency, it poses a greater risk for overdose and mortality. It is a major contributor to fatal and nonfatal overdoses in the U.S.
While traditionally used in the hospital setting by doctors, there is now illegal manufacturing of illicit fentanyl that has flooded the US street drug supply.
Non-prescribed fentanyl is being sold as counterfeit pills such as Norco®, Percocet®, Xanax®, and Oxycontin®. It's also being sold as heroin in a powder form and has been found in methamphetamine and cocaine. 

What is the risk?
People who unknowingly take fentanyl that is mixed into other drugs are at the greatest risk for overdose and fatality.

State and local trends:
In California, there have been several recent reported cases of fatal overdoses from counterfeit pills with fentanyl that were purchased on Snapchat and Instagram.
In Santa Cruz County, total fatal overdoses from fentanyl increased over 8 times from 5 in 2019 to 44 in 2021. (April 2022 Santa Cruz coroner data)



 

Drug Checking for Fentanyl

Using fentanyl testing strips is one of the most effective ways to reduce risk if you plan on using substances. However, testing strips are not 100% accurate! Fentanyl isn't always evenly distributed throughout substances, which means a test strip may come back negative, but there could be fentanyl in another part of your drug, especially in solid pills. Additionally, strips may not detect certain types of fentanyl.

Fentanyl test strips are legal to distribute and possess in California for public health purposes (Assembly Bill 1598). This may not be the case in other states, so check your state laws.

Video: How to use fentanyl test strips (5 min)

Important, please review carefully!

Fentanyl test strip resources:

Syringe Service Program Santa Cruz (831) 454-2437. 1060 Emeline Ave Building F, Santa Cruz.

Syringe Service Program Watsonville (831) 454-2437. 1430 Freedom Blvd Suite A, Watsonville

Fentanyl vs morphine image.PNG

Fentanyl vs morphine:

it takes much less fentanyl than morphine to cause an overdose!

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A lethal 2mg dose of fentanyl next to a penny (US Drug Enforcement Administration)

CDC Video (30 sec): Dangers of Fentanyl

Other safety tips 

Assume that all non-prescribed substances contain fentanyl

Avoid street/fake pills

Never use alone (friends can save your life)

Always have naloxone (Narcan®) in case of an overdose

Start low and go slow (watch and wait

before using more)

Avoid mixing (using two or more types of drugs at one time)