Some counterfeit pills are made to look like prescription opioids like oxycodone (Oxycontin, Percocet), hydrocodone (Vicodin) and alprazolam (Xanax), or stimulants like amphetamines (Adderall). Fake prescription pills that are widely accessible can contain deadly doses of fentanyl. They are often sold on social media and e-commerce platforms — making them available to anyone with a smartphone, including teens and young adults.
Fentanyl Patch
Again in 2011, both deaths from illegal fentanyl use and police encounters with illegal fentanyl use rose significantly. In a medical setting, people take prescribed fentanyl for severe or chronic pain. Older people are more likely than younger individuals to experience adverse effects, especially the respiratory depressant effects of fentanyl. Healthcare professionals will typically monitor people in this age group. As with other opioid drugs, fentanyl binds to the receptors in the brain that affect pain and emotion.
Chronic Disease Control

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. Fentanyl and other synthetic opioids have now surpassed heroin and prescription painkillers as the deadliest drugs in the United States. They killed more than 19,000 Americans in 2016, topping heroin (15,000) and prescription opioids (14,000) for the first time.
How Can I Find Out If My Drugs Or Pills Contain Fentanyl?
You can become dependent on fentanyl even if you’re taking it as directed by a doctor. This means you’ll experience withdrawal symptoms once you stop taking it. To prevent accidental fentanyl overdoses, you can use fentanyl test strips to ensure other drugs don’t contain the opioid. You can get them free through some outreach programs, such as needle exchanges or overdose prevention programs.
For more details about its operating status, please visit cc.nih.gov. Updates regarding government operating status and resumption of normal operations can be found at opm.gov. Nevertheless, I found the briefing a sobering reminder of the challenges federal officials face — and the ever-changing nature of the crisis. The underlying message of the report was that the US Postal Service should do more to crack down on these illicit shipments. Right now, private carriers are required to collect advanced electronic data, a bar code with information about the sender, the recipient, and what is in the package. But the Postal Service and its foreign counterparts do not.

For people who are addicted to fentanyl, there are safe and effective treatments available. Scientists are also working on opioid vaccines that would cause a person to develop antibodies to particular opioids and block their effects. This would offer a new approach to treating substance abuse, but the results of this research will likely not be known for years to come. Accidental opioid overdoses cause more deaths in the United States than traffic accidents and suicides, she noted in a university news release.
It is an opioid antagonist, so it is safe to give to someone even if they are not experiencing an opioid overdose. If someone is still unconscious after administering naloxone, wait 2-3 minutes before administering another dose (one naloxone container is a single dose). Fentanyl is a synthetic opioid that is 50 to 100 times more potent than morphine. It is prescribed to treat severe pain but is also misused and a major contributor to the opioid crisis. Tell your doctor if you feel that your pain is not controlled or if your pain increases, becomes worse, or if you have new pain or an increased sensitivity to pain during your treatment with oxycodone. Do not take more of it or take it more often than prescribed by your doctor.
How To Reduce The Risk Of A Fentanyl Overdose

There’s a lot of misinformation and disinformation about fentanyl, and it’s important to separate facts from myths. The CDPH Substance and Addiction Prevention Branch (SAPB) works with many partners throughout the state to monitor and address trends at the statewide and local level. CDPH works closely with local health departments and multi-sector partners to support local prevention and intervention efforts that address the specific and unique trends and needs of California’s communities. For more information on how to use Fentanyl safely, check out these Fentanyl Use & Overdose Prevention Tips. Explore our resource library for practical resources to promote the health and dignity of people affected by drug use.
For example, the person may obtain it as powders or pills or add it to containers such as eyedroppers or nasal sprays. Street names for fentanyl include Apache, China Girl, Goodfellas, Great Bear, and Tango & Cash. Fentanyl is an opioid pain reliever for use in medical treatment. Although healthcare professionals consider fentanyl safe and effective when a person uses it in a monitored medical setting, the drug carries a high potential for misuse, also known as abuse. In addition to local pharmacies, you can also purchase fentanyl from online pharmacies. However, it’s crucial to exercise caution when buying medications online.
- Prescription fentanyl is available under such names as Actiq®, Duragesic®, and Sublimaze® in the form of tablets, an injectable liquid, lozenges and patches.
- When users think they are purchasing heroin and instead actually receive fentanyl, it can often result in overdose deaths.5 According to the CDC, many of these overdose deaths result from illegally manufactured fentanyl.
- Keep track of how much fentanyl is left so you will know if any is missing.
- These sites were seized by federal investigators, putting a stop to their illicit pill peddling.
- Naloxone is a medication that can reverse an overdose from opioids — including fentanyl.
- Repeated activation of these centers by narcotic drugs is suspected of playing a role in drug addiction.
Help For First Responders And Health Care Workers
You may also feel dizzy, drowsy, have vision changes, or have unpleasant side effects such as dry mouth, stomach pain, or anxiety. Some opioids come directly from the opium poppy plant, but manufacturers make fentanyl in a lab and reproduce the chemical structure. For continuous delivery, a transdermal patch can slowly deliver fentanyl through the skin and into the bloodstream for up to 72 hours. A .gov website belongs to an official government organization in the United States.
How To Save A Life: Naloxone

Champagne-Langabeer is an assistant professor of health informatics at the University of Texas Health Science Center at Houston. The American Society of Health-System Pharmacists®, 4500 East-West Highway, Suite 900, Bethesda, Maryland. Duplication for commercial use must be authorized by ASHP.
The opioids I was offered were among the most dangerous available, with some 100 times stronger than morphine. Many were class-A drugs that carried a jail sentence of up to seven years if bought without a prescription. The unnamed victim was one of nine people listed in a September 2024 federal indictment against 18 defendants. These defendants, located in the United States, Dominican Republic and India, allegedly advertised, sold, manufactured and shipped millions of deadly pills marketed as legitimate pharmaceuticals via nine websites. These sites were seized by federal investigators, putting a stop to their illicit pill peddling. Due to high levels of stress, first responders and health care workers are at risk for substance use disorders.

Fentanyl is a powerful opioid pain medication as well as a common contaminant found in illicit drugs. The antidote naloxone (Narcan) can reverse the effects of a fentanyl overdose if given in time. The fentanyl crisis has become a significant public health issue in recent years. Its potency and widespread availability have contributed to a dramatic increase in opioid-related deaths. Specifically, at least 80% of overdoses are due to non-prescription substances. This percentage may be even higher as fentanyl can easily be mixed with other drugs, often without the user’s knowledge, which has made it particularly dangerous.
Fentanyl affects people differently, depending on an individual’s size and overall health condition. In its liquid form, IMF can be found in nasal sprays, eye drops, and dropped onto paper or small candies. The NIH Clinical Center (the research hospital of NIH) is open.
Medical Uses
You’ll find up-to-date fact sheets, webinars, manuals, training guides, and more. Roughly 2 million people live with an opioid addiction in the U.S.”It’s important to note… An 11-month-old girl swallowed a blue tablet she found while crawling around a new apartment. Additional testing was positive for fentanyl, methamphetamine, acetaminophen, and tramadol (from Joynt & Wand, 2021).
Use the child-resistant locks and other supplies provided by the manufacturer to keep children away from the lozenges. Keep track of how much fentanyl is left so you will know if any is missing. Store fentanyl at room temperature and away from excess heat and moisture (not in the bathroom). When it is intentionally misused, fentanyl often shows up as a powder, spiked on blotter paper or is mixed with or substituted for heroin and other street drugs.