Its impact on overdose deaths and prevalence in street drugs other than opioids (i.e., stimulants) has led many in the field to refer to fentanyl as the Fourth Wave of the Opioid Epidemic. In this post we’ll unpack some basics on fentanyl, how it has changed the landscape for drug users, and how we can think about effective solutions to this new problem. In high enough doses, opioids can cause breathing to stop completely. Fentanyl’s strength increases this risk of overdose substantially. Synthetic opioids sold illicitly can be mixed with heroin or cocaine, which amplifies its potency and potential danger. This is particularly dangerous if an individual who uses illegal substances like heroin or intentionally misuses prescription drugs is unaware that fentanyl could be in it.
- If available, administer naloxone, a medication that can rapidly reverse opioid overdose.
- Opioids are a class of drugs that include both prescription medicines such as morphine and illegal drugs like heroin.
- Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
- Many may be worried about stopping prescription fentanyl due to fear of withdrawal symptoms.
- Adverse effects occur based on dose, timing, and monitoring.
- For example, when China announced it would ban one fentanyl product, called U-47700, on July 1, one fentanyl dealer advertised a “hot sale” of the product through June.
How Can A Person Be Sure That They’re Taking Real Fentanyl?
Log in or create an account for a personalized experience based on your selected interests. Also, an IV neuromuscular blocker may be employed in cases of severe muscular rigidity to assist the controlled respiration treatments. Medical experts said fentanyl isn’t volatile, meaning it doesn’t easily become a vapor, which means you’re not going to become sick from breathing near it. Experts said fentanyl doesn’t just float up into the air and unintentionally expose people nearby.
Because fentanyl is so potent, a very small dose — the Drug Enforcement Administration (DEA) says just two milligrams — can be lethal. High-potency opioids such as fentanyl, oxycodone (Oxycontin, Roxicodone) and methadone (Methadose, Methadone HCl Intensol) typically have more-serious risks. Drugs may contain deadly levels of fentanyl, and you wouldn’t be able to see it, taste it, or smell it.
What Are The Risks Of Buying Fentanyl?

“The federal government can, and must, act to shore up our defenses against this deadly drug and help save lives,” Portman said. Dr. Christy Sutherland, medical director at PHS Community Services Society, told the Globe it seems “very strange” that she is coordinating fentanyl sales as a family doctor. Trump officials might be experimenting with creating something like a national, MAGA-loyal police force. Having that electronic data, the Senate staff said, would make it easier for customs agents to identify suspicious packages before they ever reach the United States and divert them once they arrive. The sellers preferred Bitcoin, the investigators said, but they also accepted Western Union transfers, PayPal, and prepaid credit cards.
What To Do If You Think Someone Has Overdosed

Your symptoms may return within a few minutes after you receive naloxone. If your symptoms return, the person should give you another dose of naloxone. Additional doses may be given every 2 to 3 minutes, if symptoms return before medical help arrives. Many websites that claim to sell fentanyl are scams or sell counterfeit drugs that may contain dangerous substances.
- Alternatively, contact us for more information or schedule a demo.
- Explore our resource library for practical resources to promote the health and dignity of people affected by drug use.
- Naloxone — also known by the brand names such as Narcan and Kloxxado — is a prescription medication that reverses an opioid overdose.
- As with other opioid drugs, fentanyl binds to the receptors in the brain that affect pain and emotion.
- A person with a substance use disorder might obtain fentanyl by misusing prescribed medication or acquiring the drug from an illegal laboratory.
- A dose of only 100 micrograms can produce equivalent analgesia to approximately 10 mg of morphine.
Legal Considerations
The investigators didn’t actually execute a purchase, because even a small amount of fentanyl can be lethal. But they learned how simple it was to buy these powerful opioids online and how brash the sellers were. A lot of experts would say that tackling demand and making treatment more accessible should be the top priority. Still, this new Senate report reveals in stunning detail just how easy it is to order some of the most potent opioids available from the other side of the world. This means there must be a real doctor-patient relationship, which by most state laws requires a physical examination. Prescriptions written by “cyber doctors” relying on online questionnaires are not legitimate under the law.

It is prescribed to treat severe pain but is also misused and a major contributor to the opioid crisis. Fentanyl and similar compounds like carfentanil are powerful synthetic opioids 50 to 100 times more potent than morphine. Fentanyl should only be prescribed by doctors who are experienced in treating pain in cancer patients. Fentanyl may cause serious breathing problems or death if it is used by people who are not being treated with other narcotic medications or who are not tolerant to narcotic medications. Fentanyl exerts its pain-relieving effects by acting on opioid receptors that occur naturally in the body. Endorphins, the substances in the body that normally bind to opioid receptors and naturally relieve pain, are also connected with “pleasure centers” in the brain.
Poison Control Media Information
Overdose rates have skyrocketed for nonmedical use, whether in those addicted or from accidental deaths. Due to the risk of the drug being mixed with other substances, it is now essential to obtain test strips, which can tell a person if fentanyl is present in the tested substance. It’s used to treat severe pain, for example during or after an operation or a serious injury, or pain from cancer. Naloxone is a lifesaving medication that can reverse an overdose from opioids. Naloxone comes as a nasal spray (called NARCAN®) or injection. You can buy naloxone over the counter from a local pharmacy, and you do not need training or authorization to use it.
Fentanyl Test Strips Can Be Purchased HERE WiseBatch Will Donate 20% Of All Sales To Support The Work Of NCAPDA
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). It is also available as a buccal soluble thin film, which can dissolve in the mouth, similar to the sublingual tablets. However, in contrast to other opiates, it is less common to find forms of synthetic drugs such as oral tablets or powders. The transdermal patch is for the long-term management of pain.
NIH-funded Intervention Did Not Impact Opioid-related Overdose Death Rates Over Evaluation Period
The fentanyl we see in the US drug supply mostly comes from Mexico and China. 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. Fentanyl is a strong synthetic opioid that has been used in clinical settings since 1968.
For the last two years, he has been a part of the Fentanyl Overdose Resolution Team or F.O.R.T. with the DEA Task Force. According to the Department of Justice, F.O.R.T. is a multiagency team composed of the Drug Enforcement Administration, Homeland Security Investigations, and the Fresno Police Department. King County worked with Rescue Agency to create Laced & Lethal, a campaign to educate youth about fentanyl, and how to respond to overdose.
Why Is This Medication Prescribed?

They speculate that it may also be a way to tempt teens and young adults to take them. The claim that some of the colors have a stronger effect than others is a myth. Fentanyl can also be “diverted.” That’s when the drug is prescribed by a doctor but isn’t used as directed or is sold or given to someone else. Keep a written list of all of the prescription and nonprescription (over-the-counter) medicines, vitamins, minerals, and dietary supplements you are taking.

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. As a synthetic opioid, fentanyl attaches to the body’s opioid receptors, which are found in areas of the brain that control pain and emotions. When fentanyl binds to these receptors, it can create intense feelings of euphoria and relaxation, but it also carries a high risk for addiction and overdose. “In health care, we dose fentanyl in micrograms,” explains Amanda N. Donald, MD, an addiction medicine physician at Northwestern Medicine. To prevent accidental fentanyl overdoses, you can use fentanyl test strips to ensure other drugs don’t contain the opioid.