Additionally, Outreach, Screening, Assessment and Referral (OSAR) providers offer Texans comprehensive services for fentanyl and other substance use. Callers speak with a trained counselor who can assess needs and refer them to a variety of services, including in-person and telehealth treatment. To find your local OSAR, go to Outreach, Screening, Assessment & Referral. These fake pills are increasingly common, and fentanyl may be mixed into them. Illegally manufactured fentanyl is found in heroin, cocaine, methamphetamine and in counterfeit pills.
The Opioid Crisis: An Overview

This causes feelings of well-being (euphoria) and relaxation and relieves pain. “Fentanyl is in the supply of many drugs on the street,” explains Dr. Donald. “It took time to create this opioid epidemic, and it is taking time as we learn how to best combat it. There is hope, and there is treatment that works, is safe and is effective.”
Additional doses of naloxone are therefore sometimes necessary. People who receive naloxone still require an emergency medical evaluation, as overdose symptoms can return. If someone who has overdosed does not have a pulse, start CPR. Once the heart and brain have gone without oxygen for a while, naloxone will not work.
What Does It Mean To Have A Substance Abuse Problem?

Many states have laws that protect not only the person who calls for help, but also the person overdosing from legal trouble. Some people take fentanyl illegally by separating it from skin patches and injecting it. This overdose rate has continued to rise in part because fentanyl is often mixed into or sold as other drugs.
Insert the tip of the nozzle into one nostril, until your fingers touch the bottom of the person’s nose. Slow or weak breathing — or no breathing at all — is a cause for concern in any medical emergency, especially a fentanyl overdose. As an emergency physician, I give fentanyl as an analgesic, or painkiller, to relieve severe pain in an acute care setting.
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. In some cases, these illicit formulations of fentanyl are made to look like other prescription opioid tablets. Illicit fentanyl use has increased sharply over the last decade and has significantly contributed to drug-related overdose and deaths.
Other Uses For This Medicine
In order to find them, you would have to dial your time travel device back to the turn of the 20th century. In the early 1900s, one of the most dangerous and addicting opioids was being sold by pharmacists over the counter. Unfortunately, This led to an increase in levels of addiction. “Hopefully I never have to witness an overdose happen, but if in case I do see it happen, at least you know what to do, and at the very least you can help a little.” That means that more education and outreach will be needed to get this lifesaving medication into more hands. Those already engaged in the opioid epidemic – community health workers and nonprofits focused on harm reduction – will have to stay intensely involved.
- Explain to them that they overdosed, and that you used Narcan on them.
- This can make it harder for the victim to breathe and for a responder to do chest compressions.
- Fentanyl patches pose a danger to kids who can stick them on their skin or mouths.
- Some opioids come directly from the opium poppy plant, but manufacturers make fentanyl in a lab and reproduce the chemical structure.
- If using fentanyl on your own, understand the dangers and seek professional treatment to help you quit.
State Of Public Health Testimony

Bystanders administered naloxone and performed CPR until an ambulance arrived. He was taken to a hospital, where he spent 3 days in the intensive care unit. He went on to recover and was discharged to a rehabilitation program.
Wildfire Preparedness And Safety
Dependence can cause extremely unpleasant withdrawal symptoms if the person stops using it. Repeated fentanyl use can lead to dependence, which means that the person’s body gets used to the presence of the drug. They are only able to feel normal when they take the drug. They may be available through state and local health departments, syringe services programs, or drug stores and online retailers. Fentanyl can have negative health effects, even when taken as prescribed.
Harm Reduction Needs You Join The Movement

If the patient has used a monoamine oxidase inhibitor in the previous 14 days, fentanyl is contraindicated. There are two types of fentanyl – pharmaceutical fentanyl and illegally made fentanyl. If you suspect someone is overdosing on fentanyl, call 911 immediately. Many people worry that calling emergency services for someone taking an illegal drug will get them in trouble, but this is not true.
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. Keep this medication in the packaging it came in, tightly closed, and out of reach of children, and in a location that is not easily accessible by others, including visitors to the home. Store fentanyl in a safe place so that no one else can use it accidentally or on purpose. 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).

General Health
So even if you don’t have a firsthand connection to this widespread social problem, you probably know someone who does. It must be introduced into the bloodstream or a mucus membrane in order for someone to feel the effects. While there are fentanyl patches that can be placed on the skin for pain management, this is not the formulation that’s cut into other substances.
- From May 2020 to April 2021, more than 100,000 Americans died from a drug overdose, with over 64 percent of these deaths due to synthetic opioids like fentanyl and its analogs.
- You can always take more of a substance, but you can’t take less.
- In a time of noise, confusion, and spin, we’re committed to clarity, truth, and depth — even when it’s hard.
- The effects of fentanyl (and all opioids) can be blocked and reversed with the use of Narcan.
- Naloxone is available at many pharmacies in Texas without a prescription.
That’s precisely why sellers prefer the US Postal Service over FedEx or UPS. Free speech is endangered; unbiased and trustworthy news is elusive. In a time of noise, confusion, and spin, we’re committed to clarity, truth, and depth — even when it’s hard.
Using fentanyl regularly can lead to an opioid use disorder (OUD). OUDs are chronic but treatable medical conditions that involve changes in our brains, which makes stopping very difficult without support. Effective medications that address cravings and withdrawal symptoms, as well as behavioral treatments, can help people with OUDs. If you suspect someone is overdosing on fentanyl, call emergency services immediately.
How Is OTC Narcan Administered?
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. Fentanyl can be made into pills or powders, which can unknowingly get mixed into other drugs. Fentanyl is a potent and dangerous drug, and the use of drugs without medical supervision carries significant risks. When used, fentanyl quickly binds to opioid receptors in the brain, producing intense feelings of euphoria and pain relief. This effect can lead to both physical and psychological dependence, even with short-term use.
If you stop taking your other pain medication(s) you will need to stop using fentanyl. 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. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.