What’s Happening?
Illicit drugs are regularly being laced with powerful synthetic drugs like Fentanyl, Nitazenes, and Xylazine, which are much stronger than heroin and linked to rising overdoses.
Important safety messages for people who use drugs
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Using cautiously: “Start low and go slow.” Use a small amount to start with.
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Ensure they have enough naloxone: Ask if they have not taken receipt of it in some time.
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Not using alone: Always use where there is someone who can administer naloxone if needed.
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Use testing strips: While not 100% accurate they can make individuals realise that their heroin might be adulterated with a more harmful substance.
Also, be cautious if offered more than you planned to buy. Dealers sometimes try to offer you more than you asked for, leading to extra spending, and in some cases, creating dependency and debt.
How to reduce overdose risk
Start low, go slow
Drug supplies can vary. Starting with a small dose or injecting slowly can help you gauge how strong it is and how it makes you feel.
Never use alone
Using with others reduces risk; they can assist if you overdose.
Call for Help
If you suspect an overdose, call 999 and request an ambulance.
Carry Naloxone
Using Naloxone saves lives. It can reverse the effects of an overdose
Remember to:
- Act quickly if someone overdoses
- Call for medical help immediately – phone 999
- Check for breathing, place them in the recovery position, and give Naloxone.
Need naloxone?
You can pick Naloxone up from any of our Wirral Ways Hubs.

Recognise the signs of an overdose
Not every overdose looks the same. Common signs include:
Loss of consciousness

Shallow or no breathing

Loud snoring or gurgling sounds

Blue or pale lips or finger tips

If you hear of contaminated drugs, bad reactions, or positive test strip results
Please report this to Wirral Ways as soon as possible so we can help keep people safe.
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Under 18s Support

Last Updated on 25 November 2025