Narcan and Naloxone in Las Vegas: Where to Get It and How to Use It
Naloxone — sold under the brand name Narcan — reverses opioid overdoses and saves lives. With 225 fentanyl deaths in Clark County in 2021, having naloxone accessible can mean the difference between life and death. It is available without a prescription in Las Vegas, and multiple programs distribute it for free.
Where to Get Free Naloxone in Las Vegas
Trac-B Exchange (tracb.org) is the primary harm reduction organization in Las Vegas distributing free naloxone kits. They also provide syringe exchange services, HIV and hepatitis C testing, and overdose prevention education. The Southern Nevada Health District also distributes naloxone through community programs. Many Las Vegas pharmacies carry naloxone without requiring a prescription under Nevada's standing order. CVS, Walgreens, and independent pharmacies can dispense Narcan nasal spray — though pharmacy purchases may cost $30 to $50 without insurance, while community programs provide it free.
How to Use Narcan Nasal Spray
Narcan nasal spray is designed to be used by anyone — no medical training required. Step 1: Call 911 immediately. Step 2: Place the person on their back. Step 3: Insert the Narcan nozzle into one nostril and press the plunger firmly. Step 4: If the person does not respond within 2 to 3 minutes, administer a second dose in the other nostril. Step 5: Place the person in the recovery position (on their side) to prevent choking if they vomit. Step 6: Stay with the person until emergency services arrive. Due to fentanyl's extreme potency, multiple doses of naloxone may be needed.
Nevada's Good Samaritan Law
Nevada's Good Samaritan overdose law (NRS 453C.150) provides legal protection for people who call 911 to report an overdose. If you witness an overdose and call for help, you cannot be charged or prosecuted for possession of a controlled substance or paraphernalia. This law exists because the fear of arrest prevents people from calling 911 during overdoses — and that delay kills. Knowing that you are legally protected can save a life.
The Limits of Naloxone with Xylazine
Xylazine — found in 23 Clark County deaths in 2024 — is not an opioid, so naloxone does not reverse its effects. When fentanyl is mixed with xylazine, naloxone will reverse the opioid component but not the xylazine component. This means a person may still experience respiratory depression, sedation, or other complications even after naloxone is administered. Calling 911 is always necessary, even when naloxone appears to be working. Medical professionals can provide the additional interventions needed for xylazine exposure.
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