The cost is $10 for one-tenth of a gram—which is called a “point” on the street and goes for the same price. The researchers hope their findings will prompt policymakers to take steps to curb dark web sales of opioids. Champagne-Langabeer is an assistant professor of health informatics at the University of Texas Health Science Center at Houston. If your loved one is struggling with opioid use, the resources below may be helpful. Manufacturers use chemicals to make a substance with the same chemical structure as poppies to make fentanyl in a lab. Call an ambulance right away if you suspect you or someone you’re with may have taken an overdose.

Prevention Tips
These small, paper strips can be obtained at needle-exchange sites, are easy to use and only take minutes to interpret. Because fentanyl is so potent, a very small dose — the Drug Enforcement Administration (DEA) says just two milligrams — can be lethal. High-potency opioids such as fentanyl, oxycodone (Oxycontin, Roxicodone) and methadone (Methadose, Methadone HCl Intensol) typically have more-serious risks. The use of fentanyl citrate injection with CYP3A4 inducers or stopping the CYP3A4 inhibitor will require close and repetitive monitoring of the patient.
Harm Reduction Approaches
Fentanyl analogs, which are similar in nature to fentanyl and include substances like acetylfentanyl, furanylfentanyl, and carfentanil, have also been found in the US drug supply. After use, the patch still contains enough medication to serious harm someone who is not using fentanyl. When you remove the patch, fold it in half, so the sticky side sticks to itself.

The Investigator graph below shows that some vendors are active on a number of other dark markets, including Incognito, Vice City Market and World Market. This cluster of vendors receives fentanyl from a supplier based in Shanghai, China. Elliptic’s investigation into the role of crypto in the fentanyl trade has uncovered that these rules are often not strictly enforced. Many vendors still sell fentanyl on mainstream dark web markets, disguised using names such as “China White” and hashtags such as “fetty” or “synthetic”.
- Gary Warner, director of research in computer forensics at the University of Alabama, launched in 2024 a project identifying websites that offered opioids without a prescription.
- You must immediately dispose of any medication that is outdated or no longer needed through a medicine take-back program..
- Many may be worried about stopping prescription fentanyl due to fear of withdrawal symptoms.
- You can buy naloxone over the counter from a local pharmacy, and you do not need training or authorization to use it.
Symptoms Of Fentanyl Addiction
Despite these programs, the internet has made buying almost anything online an option. It’s crucial to use extreme caution when getting medication or products marketed as “natural alternatives” from someone other than your health care provider. There have been situations where people thought they were buying natural products, including weight-loss supplements, cannabis and anti-anxiety medications, and instead got fentanyl-laced drugs. Its strong potency means it can be used in operating rooms, to control pain after surgery and to alleviate pain for people with advanced cancer. But its effectiveness at relieving pain and increasing pleasure also have made it a popular street drug with dangerous risks of addiction, overdose and death.
Kristin runs a blog on Tumblr called “Strange Biology,” which is also her favorite topic to write about. It is also used for other types of pain that you’ve had for a long time when weaker painkillers have stopped working. For more information on the core strategies and evidence based interventions, read The Primer on Spending Funds. The DEA and other federal agencies have made a formal commitment to reducing the flow of fentanyl into the US.
If you stop taking your other pain medication(s) you will need to stop using fentanyl. Illegal fentanyl can be used in the same ways as prescribed fentanyl. Some people who misuse fentanyl remove the gel contents of a fentanyl patch and then inject or ingest the contents. Others might freeze patches and then place frozen pieces under the tongue.
Fentanyl Patch
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. A person exhibiting the symptoms of overdose should get immediate medical attention. With an overdose of fentanyl, the brain experiences hypoxia. 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.
Fentanyl Use And Overdose Prevention Tips
This can make it harder for the victim to breathe and for a responder to do chest compressions. There is no way to know how much fentanyl is in something based on look, smell, or taste. Any opioid pill not from a pharmacy is highly likely to be fake and contain fentanyl.
- Strategies of going slowly and using with another person can help to prevent overdose deaths.
- In another instance, we have identified on-chain payments between vendor clusters and suppliers of pill presses and dies – equipment needed for manufacturing precursors.
- You may also feel dizzy, drowsy, have vision changes, or have unpleasant side effects such as dry mouth, stomach pain, or anxiety.
- According to the FDA, THC is the abbreviation for the chemical tetrahydrocannabinol, which is a psychoactive component or substance of the marijuana plant.
- Your doctor will give you more information about the program and how to get your medication and will answer any questions you have about the program and your treatment with fentanyl.
Revealed: Fake Online Pharmacies Thriving Despite DEA Crackdown
Despite media attention on the reason behind these pills, experts do not agree that the pills are being marketed to children. If you experience symptoms of liver problems (e.g., abdominal pain, persistent vomiting, feeling unwell, fever, itching, yellowing of the skin and eyes, dark urine), contact your doctor immediately. Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects. The following side effects have been reported by at least 1% of people using Fentanyl (Fentanyl-transdermal).

This reduces the opportunity for someone who is not using the medication to come into contact with the patch. It is a good idea to apply the patch out of sight of children, to prevent “mimicking” behaviour. Apply the patch to non-irritated and non-irradiated (not exposed to radiation) skin on a flat surface such as the chest, back, flank (side of the body between the upper abdomen and back), or upper arm. Hair at the application site should be clipped (not shaved) before applying a patch. Fentanyl (Fentanyl-transdermal) may be available under multiple brand names and/or in several different forms. Any specific brand name of Fentanyl (Fentanyl-transdermal) may not be available in all of the forms or approved for all of the conditions discussed here.
NIH-funded Intervention Did Not Impact Opioid-related Overdose Death Rates Over Evaluation Period

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. Fentanyl is a potent synthetic opioid, which, similar to morphine, produces analgesia but to a greater extent. This robust pharmacologic agent is typically 50 to 100 times more potent. A dose of only 100 micrograms can produce equivalent analgesia to approximately 10 mg of morphine. However, fentanyl exhibits vastly different properties and pharmacokinetics.
How Does Fentanyl Make People Feel?
Be sure to schedule appointments with your doctor on a regular basis so that you do not run out of medication. Call your doctor if you have any unusual problems while using this medication. Receive free access to exclusive content, a personalized homepage based on your interests, and a weekly newsletter with the topics of your choice.
Stop Overdose
Many individuals consume fentanyl without knowledge while others use it intentionally because of its potency. Gary Warner, director of research in computer forensics at the University of Alabama, launched in 2024 a project identifying websites that offered opioids without a prescription. He told Newsweek his team found 997 of such websites, 260 of which have since been shut down. He said that the 737 that are still online include some which are likely to be scam websites that do not sell drugs at all, though they appear to accept payments.
In case of overdose, remove the fentanyl from the victim’s mouth and call local emergency services at 911. 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. Dispose of unneeded lozenges by removing each lozenge from the blister package, holding the lozenge over the toilet, and cutting off the medicine end with wire cutters so that it falls into the toilet. 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. Dispose of unneeded tablets by removing them from the packaging and flushing them down the toilet.