Heroin Overdose Alert 3 people have died in Ireland as result of heroin overdose in the last few days, one was in North Dublin City. These deaths and other overdoses are suspected to have been from a batch heroin with a higher potency than the street ‘heroin’ generally available. (8/10/2012) Additional attention should be paid to some harm reduction advice that staff, volunteers and injecting drug users should be reminded of: Remember - Taking Drugs Is Always A Risk Don’t Use Heroin Don’t Inject Heroin (Smoking or Snorting are alternatives) Never Inject Alone Keep the Dose Low Avoid mixing drugs Avoid mixing drugs and alcohol Keep Emergency Medical Contacts Details to Hand Early Signs of Overdose Shallow Breathing Pinpoint Pupils Bluish Skin, Fingernails and/or Lips Weak Pulse Low Blood Pressure Constipation Cold/Clammy Skin Seizures Drowsiness Dry Mouth Tongue Discoloration Stomach Spasms Coma Disorientation Muscle Spasms/Rigid Muscles If signs of overdose are seen contact Emergency services immediately.