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An opioid overdose is characterized by Decreased consciousness, somnolence Small pupils Fatigue Slow speech Calmness Cold sensation Anesthesia Coma Urinary retention Respiratory depression, respiratory failure Hypoxia, cyanosis, grayish pale skin Bradycardia Hypotension Circulatory collapse Life-threatening overdose can occur after injection as well as smoking but is much more common after injections

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