Your doctor or pharmacist will show you and your family members how to use the medication. Ask your pharmacist for the instructions or visit the manufacturer’s website to get the instructions. If symptoms of an overdose occur, a friend or family member should give the first dose of naloxone, call 911 immediately, and stay with you and watch you closely until emergency medical help arrives.

While some opioids come directly from the plant, fentanyl is made in a lab by scientists using the same chemical structure. While it’s safe for your doctor to give you fentanyl in a medical setting, some people abuse it, which can lead to an overdose. There are two types of fentanyl – pharmaceutical fentanyl and illegally made fentanyl.

Long-Term Drug Use
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. This more recent version of fentanyl comes in bright colors.

Drugs mixed with fentanyl are extremely dangerous, and many people may be unaware that their drugs contain it. Images from a previous case now closed were provided to FOX26 News by law enforcement showing how an online seller will use social media to post what drugs are available for purchase for that specific day including time of deliveries. For example, a Fentanyl-laced Percocet M-30 pill can cost the buyer between $20 to $30 a pill. The seller will also feature Xanax, “MUHA MINIS”, which is lingo used for vape cartridges, starting at $40 a cartridge.
The Rising Crisis Of Illicit Fentanyl Use, Overdose, And Potential Therapeutic Strategies
- While it’s safe for your doctor to give you fentanyl in a medical setting, some people abuse it, which can lead to an overdose.
- Lofexidine has fewer prescriptive barriers and comparable efficacy and safety relative to other opioid receptor agonizts, but it is generally more expensive.
- In Akron, Ohio, our approach recognizes that healing doesn’t happen in isolated pieces.
- Carfentanil and fentanyl are diluted with inert cutting agents like icing sugar before being sold at the street level to reduce the potency.
The number of overdose deaths in the U.S. from synthetic opioids doubled from 2016 to 2017. In 2018, 744 people from Washington died from an opioid related overdose and 198 of these deaths included fentanyl. Data for this study were collected as part of a larger study focused on fentanyl contamination of drugs from the social media site, Reddit.com.
‘We Are Shipping To The US’: Inside China’s Online Synthetic Drug Networks

Avoid drinking alcohol for several hours after you take fentanyl. The Centers for Disease Control and Prevention reports that fentanyl is odorless and tasteless, and there is no visible way of knowing if or how much fentanyl a pill contains. But those low-cost test strips can determine whether a drug contains traces of fentanyl.
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. Since the incidence of obstructive nasal pathology is relatively high in patients who experience serious OIRD, there is documentation of relevant instances of treatment failures when using the IN formulations.
Slowed Breathing
He decided to seek out something that would be both safer and cheaper. For the past three years, he’s been buying fentanyl and its analogues, like carfentanil, online. When he receives it, he measures it out in water, which he says makes for greater accuracy. Now, for that amount, he can get enough fentanyl to last more than three weeks.

It also exerts antidepressant and anxiolytic activity and is a promising treatment for neonatal opioid withdrawal syndrome110. Repeated treatment with buprenorphine produced a greater magnitude of antinociceptive tolerance than higher-efficacy agonizts (e.g., morphine and etonitazene) in rats112. These data indicate that buprenorphine may have lower efficacy for the treatment of fentanyl overdose compared with heroin overdose, although no human trials have been performed to date116. The Biden administration raced to make this medication, a nasal spray that quickly reverses opioid and fentanyl overdoses, far more widely available. People can buy it now over the counter without a prescription. It’s distributed for free in many high-risk communities, and people using drugs often carry it.
Deaths Involving Illegally Made Fentanyl Are Rising
Other mental disorders, such as depression, insomnia, and suicidality, can also occur with fentanyl abuse, contributing to relapse and a higher risk of respiratory depression or overdose death65,67. The treatment of these mental disorders may help prevent fentanyl-related fatalities and achieve abstinence. Fentanyl was first developed in 1960 by Paul Janssen as a potent opioid anesthetic and analgesic. At the time, fentanyl was the fastest-acting opioid discovered to date and more powerful than morphine (50–100 times) and heroin (30–50 times)1,2. Since 1979, fentanyl and its analogs have been synthesized in laboratories and sold as heroin substitutes or mixed with other illicitly sourced drugs, leading to an increase in fentanyl-related overdose deaths6,7.
How Can A Person Be Sure That They’re Taking Real Fentanyl?
But for now, drug deaths continue to ease, with many states seeing 30-40% improvements in the last year alone. Fentanyl administration provides effective pain relief, but its long-term use can result in a lowering of pain thresholds98,99. This phenomenon of fentanyl-induced hyperalgesia is a challenge in the clinical management of perioperative and chronic pain. RCMP said Amelia and Hardy Leighton, who were described as hard working and healthy, were celebrating a new job and a move with recreation drugs. Both ingested toxic levels of fentanyl in combination with other drugs and died.

For those taking fentanyl in nonmedical settings, there is no medical team available to monitor someone’s breathing rate in real time to ensure their safety. A hopeful and unexpected drop in U.S. drug overdose deaths appears to be gaining speed. Fatal overdoses are down 12.7%, according to data released this week from the Centers for Disease Control and Prevention. It marks another significant improvement from last month, when surveys showed roughly a 10.6% drop in fatalities from street drugs. 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.
However, harm reduction proponents have told VICE World News the programs aren’t meeting demand. “We need new laws and aggressive domestic and international enforcement to curb the illegal online sale of counterfeit and unapproved drugs.” Gary Warner, director of research in computer forensics at the University of Alabama, launched in 2024 a project identifying websites that offered opioids without a prescription. He told Newsweek his team found 997 of such websites, 260 of which have since been shut down. He said that the 737 that are still online include some which are likely to be scam websites that do not sell drugs at all, though they appear to accept payments.
A person who formerly exhibited extroverted social behavior now displays avoidance of interpersonal connection through reduced eye contact and increasing social isolation. They previously demonstrated consistent engagement in scheduled family gatherings such as weekly dinners and recreational events. Currently, there is a pattern of social withdrawal characterized by frequent cancellations accompanied by various justifications. Communication responsiveness has diminished significantly, with periods of unavailability and unexplained absences.