Fentanyl is a synthetic opioid that can be prescribed by doctors for pain management (National Institute on Drug Abuse NIDA, 2021). It is also increasingly found mixed into street drugs (Drug Enforcement Administration DEA, 2024). Understanding the dangers of fentanyl is crucial, especially for individuals who might unknowingly consume it or use it without a doctor’s prescription. Illicitly manufactured fentanyl is illegal and can be sold as powder, nasal spray or pills that look like other prescription opioids. Fentanyl can be known by street names such as Apache, China Girl, Dance Fever or Goodfellas.
- Fentanyl can be made to look like cocaine, heroin, or prescription opioids in pill or powder form.
- Fentanyl belongs to a class of drugs called opioid agonists.
- You must immediately dispose of any medication that is outdated or no longer needed through a medicine take-back program..
- Fentanyl is an opioid pain reliever for use in medical treatment.
- From this data, a user should wait 2 min (120 s) at minimum when interpreting FTS.
- Your doctor will probably start you on a low dose of fentanyl and gradually increase your dose until you find the dose that will relieve your breakthrough pain.
The woman woke up on the floor several hours later and found her partner unresponsive. She called EMS, and they were brought to an emergency room. Her partner was pronounced dead, and his autopsy also showed fentanyl in his blood. Roughly 2 million people live with an opioid addiction in the U.S.”It’s important to note… Find rehab for yourself or a loved one by speaking with a treatment provider.
ORE is a central collection of communication materials and educational resources about opioid misuse, addiction, treatment, and overdose prevention. Do not stop using fentanyl without talking to your doctor. If you suddenly stop using fentanyl, you may experience unpleasant withdrawal symptoms. If you suspect someone is overdosing on fentanyl, call 911 immediately.
NY Lawmakers Want Widespread Access To Xylazine, Fentanyl Test Strips
Fentanyl is typically administered intravenously (IV), intramuscularly (IM), transdermally (TD) as skin patches, intranasally (IN) in the form of a volatile nasal spray, and intrathecally (IT). It is also available as a buccal soluble thin film, which can dissolve in the mouth, similar to the sublingual tablets. However, in contrast to other opiates, it is less common to find forms of synthetic drugs such as oral tablets or powders.
The DEA and other federal agencies have made a formal commitment to reducing the flow of fentanyl into the US. Trump officials might be experimenting with creating something like a national, MAGA-loyal police force. But as Lopez has detailed time and again, cracking down on supply — as the Portman bill would — doesn’t do anything to address demand or treatment, which many experts name as the bigger issues. Even through the narrow lens of cutting the drug supply, the sellers have already proven adept at adapting to new circumstances. 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.
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- “Fentanyl is in the supply of many drugs on the street,” explains Dr. Donald.
- The antidote naloxone (Narcan) can reverse the effects of a fentanyl overdose if given in time.
- Fentanyl has medical uses, primarily to control severe pain after surgery and in advanced-stage cancer treatment.
- Avoid drinking alcohol for several hours after you take fentanyl.
- Fentanyl typically relaxes you and puts you in a euphoric state.
- This can result in misuse if someone removes the gel contents from discarded patches.
They have been working on this investigation since last year, and their full findings will be reviewed at a Senate hearing on Thursday. Always prioritize your health and safety, and do not hesitate to reach out for help if you are dealing with fentanyl addiction or other substance use issues. Contact a treatment provider today to learn more about your treatment options. While the dangers of addiction to fentanyl cannot be understated, one should not focus on addiction but on the dangers of the drug itself, with or without addiction. Overdose rates have skyrocketed for nonmedical use, whether in those addicted or from accidental deaths. Fentanyl comes as a lozenge on a handle, a sublingual (underneath the tongue) tablet, and a buccal (between the gum and cheek) tablet to dissolve in the mouth.

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. Fentanyl is a powerful synthetic opioid that is commonly used to treat severe pain. However, due to its high potency, fentanyl also has a high potential for misuse and abuse. This has led to concerns about whether or not it can be purchased over the counter. The symptoms of a fentanyl overdose are the same as any other opioid overdose, even though they may come on more quickly due to the drug’s potency.
The following list contains some of the key side effects that may occur while taking fentanyl. Fentanyl works in your brain to change how your body feels and responds to pain. For more information on how to use Fentanyl safely, check out these Fentanyl Use & Overdose Prevention Tips.
Fentanyl Test Strips
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. Repeated activation of these centers by narcotic drugs is suspected of playing a role in drug addiction. Hence, fentanyl, similar to other narcotic drugs, carries a high risk of addiction and accidental overdose. In the second decade of the 21st century in the United States, fentanyl was one of the deadliest drugs of abuse. Fentanyl can be added to heroin for increased potency or be distributed under the guise of highly potent heroin.
What Should I Do If I Forget A Dose?
These medications are never meant to be taken in high doses or long-term. The side effects of OTC opioids will become stronger with higher doses, at which point the individual can develop slow and shallow breathing and potentially lose consciousness. When taken in high enough doses, OTC opioids produce the same euphoric effects that both prescription and illicit opioids are known for. In some ways OTC opioids could be considered even more dangerous than prescription opioids because they are so readily available. The real danger starts when one of these medications starts being misused. Although easier to obtain than prescription or illicit opioids, they still come with the same risks and many of the same side effects as their stronger counterparts.
It Is Safe To Respond To Fentanyl Overdose?

These are low-cost paper strips that can detect fentanyl in all kinds and forms of substances. Fentanyl is estimated to be about 100 times more potent than morphine and 50 times more potent than heroin as a pain reliever. It is an effective medication for managing severe pain when properly prescribed and monitored by a clinician. Fentanyl can be illegally mixed into other substances, including heroin, cocaine, ecstasy, and methamphetamine (NIDA, 2021). This combination can result in an individual consuming a much stronger substance than they are used to, resulting in overdose and possibly death.
Enhancing Healthcare Team Outcomes
If a person appears to experience overdose symptoms again, they may require another dose. The Food and Drug Administration (FDA) has warned that deaths and overdoses have occurred in people using both the brand-name product Duragesic and generic transdermal fentanyl patches. The FDA also warned that children are at particular risk for accidental death from exposure. When someone with an opioid use disorder misuses fentanyl, it is usually illegally manufactured fentanyl rather than a prescription product. For example, the person may obtain it as powders or pills or add it to containers such as eyedroppers or nasal sprays. Street names for fentanyl include Apache, China Girl, Goodfellas, Great Bear, and Tango & Cash.
Treatment Options For Fentanyl Addiction
Over-the-counter (OTC) opioids are opioids that are available to the general public without a prescription. They are not always available in every state, however, and may require an ID in order to purchase. Talk to your doctor about other drug options that may work for you. Many insurance companies require a prior authorization for this drug. This means your doctor will need to get approval from your insurance company before your insurance company will pay for the prescription.
AddictionResource.net, and its parent company Recovery Guide LLC, is not a treatment provider and does not offer medical advice or clinical services. We receive compensation from Treatment X in exchange for ad placement. This advertisement is clearly marked and is separate from our editorial content. It is also important to note that OTC opioids are often misused in combination with other substances, most commonly alcohol, marijuana, and other OTC medications. Complications are more likely to arise when these substances interact with each other. While it would take a much larger amount to overdose on an OTC opioid than on a prescription opioid, it is possible.


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). Fentanyl should be used along with your other pain medication(s).