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In 2017, there were 53 identified opioid overdose deaths in the state of Hawai'i . (cit.) If you are a person who uses drugs or if you are around people who use drugs, please consider learning how to respond to an opioid overdose and carrying naloxone (intranasal brand name: Narcan). Naloxone is a medication designed to reverse an opioid overdose. Opioids slow down the activity of the central nervous system. One effect of this is slowed or stopped breathing which could lead to death. Naloxone knocks the opioids out of the opioid receptors in the brain which allows the person who is experiencing an opioid overdose to begin breathing normally. We have a helpful FAQ and are constantly updating it with questions from our site visitors. If you don’t find what you’re looking for, let us know.


hawai'i health & harm reduction center

The Hawai'i Health and Harm Reduction Center (HHHRC) serves Hawai'i communities by reducing the harm and fighting the stigma of HIV, hepatitis, homelessness, substance use, mental illness, and poverty in our community. HHHRC provides a variety of prevention, support, and training services.


Naloxone through HHHRC

Naloxone can be provided anonymously and for free by HHHRC staff to any individuals who wants it. Services are available on O’ahu, Kaua'i, Maui, and Hawai'i Island. If you live in Hawai'i and want naloxone, please call us at 808-853-3292. We also provide free training for social service providers, healthcare agencies, treatment centers, mental health specialists, law enforcement, and all other organizations that may need help to better understand and respond to the current opioid crisis.


have naloxone mailed to you

If you are a person who uses drugs, have been recently released from jail or prison, or if you are a friend, family member, or partner of of someone who may be at high-risk for an opioid overdose, you can have naloxone mailed to you at no cost.

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online naloxone pharmacy

Naloxone Exchange by Script Health is an online naloxone-specific pharmacy operating in the state of Hawaii. Naloxone Exchange provides intramuscular, intranasal, and auto-injector formulations of naloxone.


Hawai'i opioid initiative

Community and professional resources, facts on opioid overdose in Hawai'i, and other information.

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Hawai'i’s good samaritan law

In the state of Hawai'i, any person assisting in an overdose emergency can do so without fear or arrest due to possession of a dangerous substance. The law’s immunity is limited, please click the button below for more information.


Pharmacy access

Pharmacies are just now starting to make naloxone available without a prescription, but not many stock it yet. If you want to access naloxone at a pharmacy, call ahead first to ensure it is available. If it’s not, support your neighbors by asking your pharmacy to stock it.


Treatment support

Use this treatment locator to find resources related to substance use treatment, support groups, counseling, smoking cessation, and more.


Hawai'i crisis text line

This crisis text line is available for free, 24/7 support.


drug user organizing

The Urban Survivors Union is a national drug users union mobilizing against the war on drugs. Check out their wealth of resources including #reframetheblame a campaign against drug induced homicide laws.



If you need naloxone and cannot access it locally, you may place a request to get naloxone mailed to you.