These are low-cost paper strips that can detect fentanyl in all kinds and forms of substances. Fentanyl should only be prescribed by doctors who are experienced in treating pain in cancer patients. Fentanyl may cause serious breathing problems or death if it is used by people who are not being treated with other narcotic medications or who are not tolerant to narcotic medications. Fentanyl exerts its pain-relieving effects by acting on opioid receptors that occur naturally in the body.
Harm Reduction Needs You Join The Movement

Its potency and widespread availability have contributed to a dramatic increase in opioid-related deaths. Specifically, at least 80% of overdoses are due to non-prescription substances. This percentage may be even higher as fentanyl can easily be mixed with other drugs, often without the user’s knowledge, which has made it particularly dangerous.
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. Hypoxia can lead to a coma, permanent brain damage, and even death. To prevent accidental fentanyl overdoses, you can use fentanyl test strips to ensure other drugs don’t contain the opioid.
Forms Of Fentanyl
He died in early 2017 from “acute fentanyl intoxication,” just about 30 days after receiving the last of 15 packages through the Postal Service. The Chinese sellers shipped purchases through other countries to reduce the risk of the drugs being detected and seized by customs officials. Investigators started by Googling “fentanyl for sale” and then emailing sellers from six different websites as they posed as first-time buyers.
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. Adverse effects occur based on dose, timing, and monitoring.

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Because of the so-called “War on Drugs” and criminalization of people who use drugs, people often are unaware of the exact composition of the substances they’re using. This makes evidence-based harm reduction strategies such as fentanyl test strips, safety planning, and access to safe supply more vital than ever. 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. But more than 150 people die every day from overdoses related to synthetic opioids like fentanyl, according to the U.S. In addition to receiving treatment for a substance use disorder, people who use illegal drugs can help prevent overdoses by using fentanyl test strips.
Opioids Have Become A Major Problem In The US, Even If Congress Hasn’t Given It That Much Attention
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. Opioids are a class of drugs that include both prescription medicines such as morphine and illegal drugs like heroin. One of the easiest and most common ways to buy fentanyl is through your local pharmacy.
- It’s one of the most common drugs involved in overdose deaths.
- Being aware if fentanyl is present allows people to implement appropriate harm reduction strategies to reduce the risk of an overdose.
- Drug dealers started mixing the two drugs as a way to stretch their heroin supply.
- Comparable to fentanyl, fentanyl analogs have similar chemical structure and effects.
Fentanyl can continue to be effective after removing the patch, as the skin has already absorbed the drug. However, the amount of time it remains effective depends on the individual. As with other opioid drugs, fentanyl binds to the receptors in the brain that affect pain and emotion. This causes feelings of well-being (euphoria) and relaxation and relieves pain. This campaign also shows the difference between counterfeit pills and real pills.
How To Use Fentanyl Safely
It’s available both for those who have been prescribed fentanyl and those who are misusing fentanyl. Naloxone may be available without a prescription at community-based programs, local public health groups or local health departments. In many states, the medicine may be requested from a pharmacy without a patient-specific prescription.
Resources For Those Using Or Abusing Opioids

Fentanyl is typically prescribed for patients with severe pain who have not responded to other opioid medications. Your healthcare provider will determine if fentanyl is appropriate for your condition and will provide you with a valid prescription. The illicit trade in fentanyl – a powerful opioid between 50 to 100 times more potent than morphine – is a deadly enterprise that spans organized crime groups in China, Mexico and much of the western world. And in 2023, American enforcement agencies seized enough fentanyl to kill every citizen of the United States. Call your doctor if you experience more than four episodes of breakthrough pain per day or if you have new pain or an increased sensitivity to pain during your treatment with fentanyl.
While it’s safe for your doctor to give you fentanyl in a medical setting, some people abuse it, which can lead to an overdose. 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. Fentanyl is used as needed to treat breakthrough pain but not more often than four times a day.

How To Identify A Potential Fentanyl Overdose And What To Do
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. This is likely not a new trend, and numerous vendors possibly also deal with other drug substances alongside fentanyl. Vendor clusters with Bitcoin payments to fentanyl suppliers have also been identified interacting with dark web marketplaces that have since gone offline, such as Silk Road and Hydra.
Fentanyl Potency
The Works Program is a free, legal and anonymous harm reduction program that provides free supplies, disposal programs and referrals. Their goal is to reduce the rsiks of disease and overdose deaths across Boulder County communities. The immunity described above also extends to the person who suffered the emergency drug or alcohol overdose event. Fentanyl is often mixed into other substances or marketed as substances other than fentanyl, such as prescription medications.
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. Typically, a fentanyl overdose manifests as an extrapolation of its pharmacological side effects. Although the clinical scenarios may vary among patients, one of the main concerns is the level of expression of OIRD.
To get the contacts, all MacFarlane had to do was access the dark web — an encrypted online network that can’t be searched through websites like Google. “We do overnight delivery with FedEx or UPS, the packaging is discreet and your package is coming from California, okay,” an alleged fentanyl dealer told Global News over the phone. Dr. Christy Sutherland, medical director at PHS Community Services Society, told the Globe it seems “very strange” that she is coordinating fentanyl sales as a family doctor. Trump officials might be experimenting with creating something like a national, MAGA-loyal police force. The sellers preferred Bitcoin, the investigators said, but they also accepted Western Union transfers, PayPal, and prepaid credit cards. They wanted to ship the packages through the international arm of the US Postal Service, rather than a private carrier like FedEx or UPS.