Free Mailed Narcan® Request Form

Narcan® (the generic name is naloxone) is a medication that is used to temporarily move opioids (such as prescription opioids, heroin, and fentanyl) off of the parts of the brain that control breathing to let the person experiencing an opioid overdose to start breathing again. Narcan® is very effective and in Vermont most opioid overdoses are able to be reversed using 1 or 2 doses (4mg) of Narcan®. Narcan® does not destroy the opioids in someone’s body, it simply replaces the opioid in the brain that controls breathing. Narcan® does not stay active in the body for a long period of time. It is very important for someone to be evaluated by medical personnel after experiencing an overdose, especially in case they experience a second overdose after Narcan® is no longer active in the body.

Common signs of an opioid overdose include:

Person is unconscious or not waking up
Doesn’t respond to shouting or rubbing knuckles on breastbone or between upper lip and nose
Person is not breathing normally, such as they are breathing very slowly, not breathing or you hear snoring, choking, or gurgling sounds

To learn more about the signs of an overdose watch this short video.

If you suspect someone is experiencing an opioid overdose:

Call 911
Give Narcan® if you have it
Begin rescue breathing and chest compressions
If a person starts to breath on their own, you can move them into a recovery position to protect their airway

To learn how to give Narcan® and provide rescue breathing and chest compressions watch this short video.

To learn how to move someone into a recovery position watch this short video.

Free Narcan® Kit shipped to your home or PO Box:
The Vermont Department of Health is providing people living in Vermont with the option to request a free Narcan® Kit be shipped to their home or PO Box. These kits include 2 doses of 4 mg Narcan®, written instructions on how to use Narcan®, 10 fentanyl test strips and instructions for use, and information on VTHelplink.

To request a free Narcan® Kit, fill in the information below.

* Indicates required field

First Name *This question is required.

Last Name *This question is required.

Street Address/P.O. Box # *This question is required.

Apt/Suite/Office

City/Town *This question is required.

State *This question is required.

(only available in Vermont)

Zip Code *This question is required. This question requires a valid number format.

Email Address This question requires a valid email address.