It has also been found in other drugs, like heroin, meth, cocaine, and pressed pills. If you or someone you know is showing these symptoms, it is important to seek professional help immediately. Users and family members should have immediate access to naloxone (Narcan), an opioid agonist medication that rapidly reverses opioid overdose. Due to its potency, it has a high potential for addiction and overdose. The person should receive immediate medical attention for supportive care and to ensure the emergency has ended.

Environmental Health
- Sometimes people look for combinations of uppers (like crack or cocaine) and downers (like heroin) (this was once called a speedball).
- Two important harm reduction tools are the medication naloxone (also known by its brand name Narcan) and fentanyl test strips.
- Always have materials (Narcan and the testing strips) and emergency numbers handy.
- The report was critical of the U.S Postal Service and the U.S.
Fentanyl buccal and sublingual products have been discontinued in the US. Because this drug is no longer available in the US market, the material in this monograph is no longer updated. If this drug is used in countries other than the U.S., it is essential that the manufacturers’ labeling be consulted for more recently available information. Manufacturers use chemicals to make a substance with the same chemical structure as poppies to make fentanyl in a lab. Call an ambulance right away if you suspect you or someone you’re with may have taken an overdose. Drug enforcers theorize that dyes may help drug traffickers avoid detection with the drugs.
What Does It Mean To Have A Substance Abuse Problem?
Either way, that might seem like a high cost for a small amount of drugs. However, fentanyl is chosen by illegal drug producers and drug dealers for its strength and affordability. Its inclusion makes street drugs more potent and cheaper to make, driving its frequent use in the production of illicit substances. Even if you don’t use opiates, or any drugs at all, you probably know someone who has been affected by addiction and overdose deaths. A 2024 survey from the RAND Corporation reported that more than 42% of adults in the US know someone who has died from an overdose. So even if you don’t have a firsthand connection to this widespread social problem, you probably know someone who does.
Fentanyl has medical uses, primarily to control severe pain after surgery and in advanced-stage cancer treatment. Fentanyl is a synthetic opioid that is about 50 times as potent as heroin. People use fentanyl because it is cheap to manufacture and a small amount goes a long way. Many individuals consume fentanyl without knowledge while others use it intentionally because of its potency. For people who are addicted to fentanyl, there are safe and effective treatments available.
The Rise And Concern Of Counterfeit Pills
One of the people they tracked was a 49-year-old Ohio resident who sent about $2,500 over the course of a 10-month period. He died in early 2017 from “acute fentanyl intoxication,” just about 30 days after receiving the last of 15 packages through the Postal Service. Finally, these drugs are being mixed and cooked in open air “labs” in rural parts of China and Mexico. These labs are not being run by individuals with an interest in quality control and scientific measures. Fact sheet with facts about fentanyl, including types and forms of fentanyl and signs of overdose with tips on overdose.
Family Health

For drugs in pill forms, you might be testing a part of the pill that doesn’t have fentanyl in it. If you test one pill from a bottle or bag of pills, that one dose might not have fentanyl in it, but the others might. Because fentanyl can be created in a lab, it is much easier to produce and is, therefore, a cheaper alternative to less-potent opioids. Fentanyl can be pressed into pill form so it appears as a standard prescription opioid or sold as a powder. “People are struggling from the effects of addiction,” said Tiffany Champagne-Langabeer, senior author of a new investigation of illegal drug sales. “This study shines a light on the sophisticated methods of how the supply of opioids is coming into this country.”
- A harm-reduction organization in Vancouver is helping people addicted to opioids buy pharmaceutical-grade fentanyl at street prices as an alternative to the illicit drug supply—a first in North America.
- Don’t threaten but talk about risks and that even one pill from someone they trust can kill.A naieve mistake can be deadly.
- Fentanyl is heavily trafficked into the US from other countries and sold as pills or powders, and it has largely replaced heroin in the drug supply.
- Overdose prevention is a CDC priority that impacts families and communities.
- When it’s in powdered form, it looks a lot like other powdered drugs such as cocaine.
- This approach helps maintain respect while reinforcing positive behaviors toward long-term recovery from opioid abuse.
NIH-funded Intervention Did Not Impact Opioid-related Overdose Death Rates Over Evaluation Period
Again in 2011, both deaths from illegal fentanyl use and police encounters with illegal fentanyl use rose significantly. While some opioids come directly from the plant, fentanyl is made in a lab by scientists using the same chemical structure. The information contained on this website is not intended to be a substitute for, or to be relied upon as, medical advice, diagnosis, or treatment.
Even if you aren’t 100% sure, Narcan will not hurt the person if they aren’t experiencing an opioid overdose. After administering Narcan, it is still helpful to call for medical help. Outside of medical settings, fentanyl appears as a white powder.
Harm Reduction Needs You Join The Movement

Because fentanyl is typically diluted, users may not know how much fentanyl they might be ingesting. To novice users or long-term users alike, this could be fatal. Overdose deaths involving fentanyl have quadrupled in recent years. Because of the so-called “War on Drugs” and criminalization of people who use drugs, people often are unaware of the exact composition of the substances they’re using.
How Easy Is It To Buy Fentanyl Online? Quite Easy, According To A Senate Report
One of the easiest and most common ways to buy fentanyl is through your local pharmacy. You will need a valid prescription from a healthcare professional, as fentanyl is a prescription-only medication. Simply take your prescription to the pharmacy, and they will provide you with the medication.

Deaths from fentanyl — the synthetic, often deadly opioid frequently present in illicit street drugs — have contributed to the United States’ soaring opioid overdose deaths in the last decade. Naloxone/naltrexone are robust opioid antagonists that function by blocking µ-receptors. The FDA has approved these antidote medications for emergency treatment of patients with known or suspected opioid overdose experiencing respiratory and/or central nervous system (CNS) depression. Common routes of naloxone administration include IV, IM, IN, or subcutaneous (SC). Researchers have recently posed a caveat regarding the intranasal route for naloxone administration. Fentanyl is typically administered intravenously (IV), intramuscularly (IM), transdermally (TD) as skin patches, intranasally (IN) in the form of a volatile nasal spray, and intrathecally (IT).
He died in early 2017 from “acute fentanyl intoxication.” He had received a package from an online seller just 30 days before his death. When confronting opioid addiction, the road to recovery offers several distinct routes, each catering to diverse needs and circumstances. Explore the array of treatment avenues available to find the one that resonates most with your journey toward wellness. Bearing witness to others’ struggles similar to yours provides comfort during challenging times. Connecting with others in your community offers a way for you and others like you to share your experiences, fostering hope for those navigating life alongside addicts. Aiding someone battling drug addiction requires striking a balance between supportive gestures and enabling behavior.

Only choose reputable pharmacies that require a valid prescription and have secure payment methods. Be wary of websites that offer fentanyl without a prescription, as these are likely illegal and potentially dangerous. You have to handle stressful circumstances when supporting individuals struggling with how easy it is to get illegal substances. Illegal drug sales on the streets and in online drug markets are thriving at the expense of our loved ones, supplying potent substances leading to higher rates of overdose than ever before.
People sometimes take illegally made fentanyl knowingly, either by itself or with other drugs in various forms, such as powders or pills. People can also unknowingly consume fentanyl when it is mixed into or sold as other drugs, including heroin, cocaine, or counterfeit pills. Initial reports of fentanyl abuse were linked to prescription products, but in recent years, illicit fentanyl has become the most commonly abused form. In fact, most fentanyl-related deaths are from fentanyl made in illegal laboratories. Fentanyl is heavily trafficked into the US from other countries and sold as pills or powders, and it has largely replaced heroin in the drug supply.
They killed more than 19,000 Americans in 2016, topping heroin (15,000) and prescription opioids (14,000) for the first time. Fentanyl is a potent opioid that offers pain relief to those who live with severe acute or chronic pain conditions. A healthcare professional may prescribe it to treat severe pain. A person exhibiting the symptoms of overdose should get immediate medical attention. With an overdose of fentanyl, the brain experiences hypoxia.
“In order to buy the product, you have to use cryptocurrency, which requires a high level of technology,” she said. If you choose to use fentanyl, there are some practices that can help you minimize the risk of an overdose. Here are a few recommendations so you can be in control of your experience.