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How to recognize an  

The only thing that prescription drugs and OTC medications have in common is that they are approved by the FDA — that is, they are legal. This means that it’s not possible to give a single, comprehensive list of signs and symptoms of an overdose.

Take note if someone you know is acting strange. Is your friend slurring his words when he talks? Are your girlfriend’s pupils much smaller or larger than normal? If you are worried, you can ask them a few questions to figure out if they are sick, overly sedated, or hyperstimulated.

Of course, if your friend tells you about his symptoms, or you detect either a slow or rapid pulse or low or high body temperature, keep an eye on them and seriously consider calling for help. In situations that include excessive vomiting, seizures, or passing out, call 911 immediately.

A few basic rules:

If something doesn’t seem right — trust your gut! Don’t wait — call 911 first. Then try to get as much info as possible from your friend or anyone else who may know what was taken. Remember that mixing certain prescription drugs can be lethal!

Do not wait for all symptoms to be present.

Be aware that a person who has passed out may die.

If there is any suspicion of an alcohol overdose, do not be afraid to call 911 — you may be saving someone’s life. Be honest with the doctors and EMTs, even if you feel like someone might get in trouble. Many schools actually have a “crisis rule” offering “punitive immunity” for those who come forward in dangerous situations.

Prescription drugs might add an element of excitement to an otherwise uneventful night, but consider how you might explain that rationale to your best friend’s parents from the emergency room.

A good number to know, if you have questions, is 1-800-222-1222, the National Poison Control hotline.

If someone you know needs treatment, call 1-800-662-HELP or visit www.findtreatment.samhsa.gov to find a program in your area. The database is extensive and the locator system will show you what kind of services are available, as well as payment options.

Go to Phoenix House now.

American Council for Drug Education Children of Alcoholics Foundation