Do not take more of it or take it more often than prescribed by your doctor. 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.
If fentanyl is used by a child or an adult who has not been prescribed the medication, try to remove the medication from the person’s mouth and get emergency medical help. There are two types of fentanyl – pharmaceutical fentanyl and illegally made fentanyl. From April 2024 to March 2025, the CDC reported 43,000 synthetic opioid deaths, most of which are from fentanyl, down from nearly 70,000 in the previous similar period. Alternatively, some people may take illegally manufactured fentanyl for its heroin-like effect. Sometimes, individuals mix it with other drugs because of its potency. A person exhibiting the symptoms of overdose should get immediate medical attention.
Common Forms Of Fentanyl
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. 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. He was admitted to an intensive care unit for observation.
US Overdose Deaths Involving Any Opioid By Sex, 1999-2023
The drug also causes a shorter-lived high than other opioids, meaning users must take the drug more frequently to avoid withdrawal. “Street drugs have gotten a lot more variable since the start of the pandemic. Now you have mom and pop shops making street drugs – that creates disincentives for stability and control,” Dasgupta said. “A lot of people have used drugs that have flowed through cryptomarkets without knowing what cryptomarkets are,” he said.

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There is a high probability a person will have withdrawal symptoms after two weeks of use. You are likely to start feeling these within 24 hours of stopping the medication. Because fentanyl is so potent and commonly found in the drug supply, it is easy for people to accidentally overdose on fentanyl.
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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. 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. He progressed to prescription painkillers, and then, when they became too expensive, to heroin.
- Keep a written list of all of the prescription and nonprescription (over-the-counter) medicines, vitamins, minerals, and dietary supplements you are taking.
- Throw away the remaining handles in a place that is out of the reach of children and pets, and flush the toilet twice when it contains up to five lozenges.
- Because a smaller dose has a similar effect relative to other opioids, it is also easier to smuggle.
- Fentanyl also can increase feelings of pleasure, often referred to as euphoria.
- Effective medications that address cravings and withdrawal symptoms, as well as behavioral treatments, can help people with OUDs.
Fentanyl And Overdose
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 is much stronger than oxycodone and many other opioids.
What Are The Signs Of Fentanyl Overdose?
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. An overdose happens when a drug produces serious adverse effects and life-threatening symptoms. When people overdose on fentanyl, their breathing can slow or stop. This can decrease the amount of oxygen that reaches the brain, a condition called hypoxia.
People who use drugs might not be aware they are taking fentanyl, yet the reality is that fentanyl-laced drugs are prevalent. In 2022, the DEA seized more than 50 million street pills laced with fentanyl — more than twice as many in 2021. Of the fentanyl-laced street pills analyzed by the DEA in 2022, 60% contained a potentially lethal dose of fentanyl. Fentanyl is increasingly found in street drugs that have been stamped with illegally purchased pill presses to look like other common pharmaceutical-grade drugs, such as oxycodone. As an opioid, fentanyl travels through your blood to attach to opioid receptors in brain cells. It remains one of the most commonly used opioids in controlled medical settings or advanced cancer pain.
But fentanyl first made its way into the illicit drug supply about 10 years ago, particularly in areas east of the Mississippi River. 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.

How Is Fentanyl Different From Oxycodone And Other Opioids?

Trump fired back, accusing Harris of wanting to legalize street fentanyl, which isn’t true. He’s repeated false claims linking fentanyl to concerns about immigration and the border. So far, there is this disconnect between what voters are hearing and improvements in the overdose crisis.
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). This medication should not be prescribed for other uses; ask your doctor or pharmacist for more information. 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. Doctors will only prescribe the fentanyl patch to people who are already tolerant of opioid therapy that is similar in strength.
The Rise Of Fentanyl: Key Overdose Trends
- Repeated activation of these centers by narcotic drugs is suspected of playing a role in drug addiction.
- Fentanyl, a potent synthetic opioid, has been making headlines due to its alarming involvement in overdose deaths.
- The report recommends that all international packages start to include what they call “advanced electronic data”—special information on bar codes that could help flag drug-bearing packages for postal workers.
- Despite these programs, the internet has made buying almost anything online an option.
A healthcare professional may prescribe it to treat severe pain. A person with opioid use disorder has an increased risk of overdose. Carrying naloxone can provide them with an extra layer of protection from overdose. A person with a substance use disorder might obtain fentanyl by misusing prescribed medication or acquiring the drug from an illegal laboratory.
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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. In 2022, the advocacy group Facing Fentanyl designated Aug. 21 “National Fentanyl Prevention and Awareness Day,” to honor the people who have died from fentanyl and to increase public awareness of its toll. Fentanyl use can result in death even with one dose, especially if a person accidentally takes it incorrectly. Research has found that pregnant women with untreated addiction may be less likely to get regular prenatal care. This can raise their risk of serious or even deadly pregnancy complications.
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. That’s precisely why sellers prefer the US Postal Service over FedEx or UPS.