Know the risks
- Testing of fake (counterfeit) 'Kalma' tablets found they contain a strong opioid, namely etodesnitazene. 'Nitazenes' can be as strong or stronger than fentanyl. Another synthetic opioid (O-desmethyltramadol) was also found in the same tablets.
- Tablets containing strong opioids can cause unexpected and severe overdose or death, even from a single tablet.
- Risk of harm is also higher if you:
- Mix different sedative drugs. Alcohol, benzodiazepines (benzos) and opioids are very dangerous to combine.
- Take a counterfeit product
- Take a higher dose
- Use drugs when you are alone
- Fentanyl test strips are unable to detect these opioids.
- Fake Kalma 2mg tablets are more likely to be rectangular in shape. Prescribed Kalma tablets purchased at pharmacies are oval.
- Fake benzos (often called street Xanax) may contain a variety of
drugs and look very similar to real pharmaceuticals.
Effects to look out for
- Difficulty speaking or walking, drowsiness, loss of consciousness, slow breathing/snoring and skin turning blue or grey.
- Be on the lookout for unexpected effects.
Getting help
If you see the warning signs of overdose:
- Seek help immediately from your nearest emergency department or call Triple Zero (000).
- Start CPR if someone is not breathing.
- Use naloxone if you have it, repeat doses may be required. Call '000" even if naloxone has been given.
Take home naloxone program
- Naloxone is an easy to use, life-saving medicine that can temporarily reverse an opioid overdose. People at risk of experiencing an opioid overdose or who may witness an overdose can get naloxone for free without a prescription from some NSW community pharmacies, NSW Health needle and syringe programs, opioid treatment services and NUAA.
- Naloxone is available in easy to use products: Nyxoid® nasal spray and Prenoxad® pre-filled syringe.
- For participating sites and more information on take-home naloxone visit
Your Room - Naloxone.
Support and advice
For free and confidential advice:
