Public Health Sudbury & Districts is warning of ongoing elevated numbers of drug poisonings and unexpected reactions to substances in the Sudbury and Manitoulin districts. The cause of the increase is unknown, public health said in a news release Aug. 13. “This warning highlights the need for continuing vigilance and serves as an important reminder that street drugs may be cut or mixed with substances such as benzos (benzodiazepines), xylazine, medetomidine, fentanyl, or carfentanil,” the release said. “If you use drugs, take steps to reduce your risk. Share this information to help save lives.” Sleepiness, paranoia, irritability The health unit has received reports of an increase in adverse reactions such as heavy nods (sedation), as well as an increase in adverse withdrawal symptoms such as confusion, irritability, and paranoia. A drug poisoning occurs when a person uses a substance and their body cannot handle its effects. A person can pass out, stop breathing, or experience a seizure. Poisonings can be fatal or non-fatal. If you see someone in distress, Public Health advises moving them “to a safe place, ideally somewhere warm and dry. Stay with them and keep an eye on them. Check that limbs are not restricted.” “If they are having trouble breathing or if they are not breathing, give rescue breaths,” the health unit said. Naxalone kits can help reverse overdoses. Information on how to use them and where to get one can be found here.