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.
NIH-funded Intervention Did Not Impact Opioid-related Overdose Death Rates Over Evaluation Period
Sometimes people look for combinations of uppers (like crack or cocaine) and downers (like heroin) (this was once called a speedball). Although some people may seek out this combination, dealers may also mix fentanyl into other drugs to stretch their supply and increase their profits. But when fentanyl is mixed into non-opioid drugs (like methamphetamines), or when the dose of fentanyl is higher than an individual is used to, it can be lethal. Because fentanyl is typically diluted, users may not know how much fentanyl they might be ingesting.
In addition to receiving treatment for a substance use disorder, people who use illegal drugs can help prevent overdoses by using fentanyl test strips. These are low-cost paper strips that can detect fentanyl in all kinds and forms of substances. 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. Illicit fentanyl use has increased sharply over the last decade and has significantly contributed to drug-related overdose and deaths.
- Fentanyl can be known by street names such as Apache, China Girl, Dance Fever or Goodfellas.
- You’ll find up-to-date fact sheets, webinars, manuals, training guides, and more.
- However, due to its potency, fentanyl can be highly addictive and dangerous.
- Coroners’ offices and state crime laboratories do not test for fentanyl unless given a specific reason to do so.
More On Substance Abuse And Addiction
If someone with a substance use disorder is unaware of the added fentanyl, this can put them at a higher risk of accidental overdose or death. The province already has prescription heroin and fentanyl replacement programs for people who are addicted to opioids. Some drug users told VICE World News that because fentanyl is the dominant street opioid, prescription heroin and other medical alternatives are not enough to keep their withdrawal and cravings at bay. Potent benzodiazepines, or tranquilizers, are now further contaminating the illicit fentanyl supply, causing more complicated overdoses. Yes, fentanyl is significantly more potent than heroin and other opioids, which increases the risk of overdose and other health complications. Fentanyl has been linked to a surge in overdose deaths in recent years, particularly in the United States.
What Should I Do If I Forget A Dose?
Your healthcare provider will determine if fentanyl is appropriate for your condition and will provide you with a valid prescription. The white powder looked just like heroin, but was much cheaper. Drug dealers started mixing the two drugs as a way to stretch their heroin supply. In 2022, the US Drug Enforcement Agency seized brightly colored fentanyl pills and powder (“rainbow fentanyl”), demonstrating that fentanyl can come in various colors and formulations. One should always weigh the risks vs the benefits of a drug.
Prevention Tips
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. Medications are the standard treatment for fentanyl addiction.32,33 Several medications have been approved by the U.S. Food and Drug Administration (FDA) for the treatment of opioid use disorder. Another medication, lofexidine, has been approved for treatment of withdrawal symptoms.34 See “Medications for Opioid Use Disorder” for more information. Investigators were able to link the sellers to seven U.S. related opioid-related overdose deaths and 18 arrests for drug related offenses.

“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.” Buying controlled substances online without a valid prescription may be punishable by imprisonment under Federal law. Often drugs ordered from rogue websites come from foreign countries. It is a felony to import drugs into the United States and ship to a non-DEA registrant. When you buy Fentanyl online from us, you’re choosing a product backed by quality assurance, clear usage guidelines, and expert customer service.
Treating Fentanyl Addiction

This is not an addiction but instead a physiological response. Adverse effects occur based on dose, timing, and monitoring. The dose in a medical setting aims to use the least amount of the drug to achieve the desired effect of pain control. However, illicit use is usually aimed at using a dose that will maximize euphoria, therefore increasing the dangers. “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.”
Overdose Prevention
Last month, the Canadian government announced $3.5 million in funding to safe supply projects in Vancouver, Victoria, and Toronto. However, harm reduction proponents have told VICE World News the programs aren’t meeting demand. “But then, how many overdoses do you need to do before this is the program that you launch? Now that shipments from China have come under suspicion, the sellers told the investigators that they preferred to ship through Europe. Even as the US worked with China to crack down on one fentanyl compound, the sellers simply tweaked their formula and offered to sell a new version in another email included in the report. The staff started, quite literally, by Googling “fentanyl for sale,” they said.
Avoid drinking alcohol for several hours after you take fentanyl. You must immediately dispose of any medication that is outdated or no longer needed through a medicine take-back program.. If you do not have a take-back program nearby or one that you can access promptly, then flush the fentanyl down the toilet so that others will not take it.


A 17-year-old boy was found unresponsive, with pinpoint pupils and a slow respiratory rate. He was treated by EMTs with naloxone, and his mental status and respiratory rate improved. His brother reported that the boy had taken a blue tablet labeled “M30,” which the boy believed to be oxycodone. A urine test was positive for both fentanyl and cocaine (from Joynt & Wand, 2021). If a patient is taking this drug on a prescription basis, they need to communicate immediately with their physician if they experience any adverse effects.
- Recovery is possible with the proper support and treatment.
- The report was critical of the U.S Postal Service and the U.S.
- The drug user in Texas said he first began using opioids when a doctor prescribed him hydrocodone for a bad cough he had as a teenager.
- Most people need help from a health professional or program to successfully quit.
- 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.
Postings included product photos and reviews, as well as instructions for buying the items. Soon after a product had been posted and sold, the seller and site disappeared, according to the report recently published in the Journal of Medical Internet Research. That included just over 28,100 opioid product listings and over 13,500 opioid promotional and review forum traces. These were linked to over 5,100 opioid suppliers’ IDs and nearly 2,800 buyers’ IDs. Illegal drug sales on the dark web are common, hard to detect and are fueling America’s opioid epidemic, a University of Texas study reveals. The report was critical of the U.S Postal Service and the U.S.
Fentanyl test strips are a low-cost method of helping prevent overdoses. They can be used on a tablet to see whether it contains fentanyl. While this is not a 100% safety net, it is one tool that can help prevent an overdose. Pharmaceutical fentanyl is used to treat post-op pain, cancer patients and others with severe chronic pain. When used, fentanyl quickly binds to opioid receptors in the brain, producing intense feelings of euphoria and pain relief.