Fentanyl now causes more overdoses deaths in the US than any other drug. Naloxone (Narcan) is an antidote for fentanyl and other opioid overdoses. Naloxone helps reverse the respiratory depression of fentanyl. Naloxone can help prevent fentanyl-related deaths when it is given within a short period of time after an overdose. The nasal spray form of naloxone does not require a prescription and can be obtained from pharmacies.
Become A Harm Reduction Champion
They found people who were purchasing for personal use — including seven who overdosed and died — as well as the people buying to set up their own distribution network in America. One of the easiest and most common ways to buy fentanyl is through your local pharmacy. You will need a valid prescription from a healthcare professional, as fentanyl is a prescription-only medication. Simply take your prescription to the pharmacy, and they will provide you with the medication. Any drug in any form (powder, pill) you get from a dealer, friend or an online source could have fentanyl in it.
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. Fentanyl is 100 times stronger than morphine and 50 times stronger than heroin (DEA, n.d.). It is so potent that just 2 milligrams can cause someone to experience a fatal overdose (DEA, 2024). An individual’s tolerance to fentanyl will impact the amount required to cause a fatal overdose. The large number of overdose deaths involving fentanyl highlights the need to ensure people most at risk can access care, as well as the need to expand prevention and response activities.

Street Names For Fentanyl
Fentanyl acts like many other opioids such as morphine and heroin. The Stop Overdose website educates drug users on fentanyl, naloxone, polysubstance use, and dealing with stigma. Illegal fentanyl, however, has an unknown amount of fentanyl and may be mixed with other drugs, which may result in harmful behaviors. Over time, however, the brain adapts to fentanyl, making it difficult for someone to experience positive emotions without the drug.

Symptoms Of Fentanyl Addiction
A person with a substance use disorder might obtain fentanyl by misusing prescribed medication or acquiring the drug from an illegal laboratory. Misuse of fentanyl includes taking it orally, smoking it, snorting it, or injecting it. The emergency and referral resources listed above are available to individuals located in the United States and are not operated by the National Institute on Drug Abuse (NIDA). NIDA is a biomedical research organization and does not provide personalized medical advice, treatment, counseling, or legal consultation.
Why Is This Medication Prescribed?
Your doctor may need to adjust the dose of your other pain medication(s) to better control your pain. Fentanyl may cause serious harm or death if used accidentally by a child or by an adult who has not been prescribed the medication. Even partially used fentanyl may contain enough medication to cause serious harm or death to children or other adults.
Symptoms Of Overdose May Include The Following:
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.
Treating Fentanyl Addiction

However, it’s important to note that fentanyl is a controlled substance and should only be obtained legally with a valid prescription. In this article, we will provide an overview of where you can legally purchase fentanyl. The modern epidemic of fentanyl adulteration is far broader in its geographic distribution, production and number of deaths.

In 2020, over 80% of the fentanyl police confiscated with in tablet form. Police evidence that looked like black tar heroin actually was heroin in 95% of cases, suggesting that fentanyl was rarely in “heroin” in 2020. Illicit fentanyl use has increased sharply over the last decade and has significantly contributed to drug-related overdose and deaths. Illicit fentanyl is often mixed with other drugs like heroin, cocaine, xylazine, counterfeit prescription pills, or legitimate prescriptions. Thus, consumers may unknowingly ingest fentanyl, increasing the risk of overdose and death. Typically, a fentanyl overdose manifests as an extrapolation of its pharmacological side effects.
Using a drug that has been contaminated with or replaced by fentanyl can greatly increase the risk of a life-threatening overdose. However, an emergency medicine called naloxone can reverse an opioid overdose related to fentanyl. 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. Initial reports of fentanyl abuse were linked to prescription products, but in recent years, illicit fentanyl has become the most commonly abused form. In fact, most fentanyl-related deaths are from fentanyl made in illegal laboratories.
How Can A Person Be Sure That They’re Taking Real Fentanyl?
- ORE is a central collection of communication materials and educational resources about opioid misuse, addiction, treatment, and overdose prevention.
- Substances can mask or enhance the effects of others making it harder to gauge how intoxicated you are.
- Due to its high potency and low cost per dose, street dealers have found it to be a useful filler or substitute when selling other, more expensive street drugs.
- Fentanyl + alcohol may increase the risk of respiratory depression and possible overdose.
- The use of fentanyl citrate injection with CYP3A4 inducers or stopping the CYP3A4 inhibitor will require close and repetitive monitoring of the patient.
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. Prescription fentanyl is FDA -approved to treat severe pain related to surgery or complex pain conditions. Over the past decade, fentanyl that is made and distributed illegally has become increasingly common in the illegal drug supply and has contributed to a surge in drug overdose deaths.
- One should always weigh the risks vs the benefits of a drug.
- Because fentanyl is so potent and commonly found in the drug supply, it is easy for people to accidentally overdose on fentanyl.
- As with any opiate, there is a risk of dependency, tolerance, misuse, and addiction with fentanyl.
- Research has found that pregnant women with untreated addiction may be less likely to get regular prenatal care.
Obtain a valid prescription from a healthcare professional and only purchase fentanyl from licensed pharmacies – either locally or online. Remember, your health is paramount, and following the proper channels will help ensure the safe and responsible use of this potent medication. In addition to local pharmacies, you can also purchase fentanyl from online pharmacies. However, it’s crucial to exercise caution when buying medications online. Only choose reputable pharmacies that require a valid prescription and have secure payment methods. Be wary of websites that offer fentanyl without a prescription, as these are likely illegal and potentially dangerous.