While some opioids come directly from the plant, fentanyl is made in a lab by scientists using the same chemical structure. The Stop Overdose website educates drug users on fentanyl, naloxone, polysubstance use, and dealing with stigma. Discarded fentanyl patches may still contain significant amounts of the drug.
Ask your pharmacist or click here to learn more about accessing NARCAN® Nasal Spray in your state. Calling the number is free and confidential, but treatment services may involve costs depending on your insurance coverage and the level of care required. You are under no obligation to engage in care with Treatment X. Over-the-counter (OTC) opioids are opioids that are available to the general public without a prescription.
If you suspect someone is overdosing on fentanyl, call emergency services immediately. If available, administer naloxone, a medication that can rapidly reverse opioid overdose. Fentanyl is in a class of medications called narcotic (opiate) analgesics.

What Are Over-The-Counter (OTC) Opioids?
Symptoms of a fentanyl overdose, including slow or absent breathing, generally occur within minutes of the overdose. Death can follow quickly if the overdosed person isn’t treated. Using fentanyl regularly can lead to an opioid use disorder (OUD). OUDs are chronic but treatable medical conditions that involve changes in our brains, which makes stopping very difficult without support. Effective medications that address cravings and withdrawal symptoms, as well as behavioral treatments, can help people with OUDs.
Common Forms Of Fentanyl

It is relatively easy to produce and is much more potent than heroin. 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. His brother reported that the boy had taken a blue tablet labeled “M30,” which the boy believed to be oxycodone. A urine test was positive for both fentanyl and cocaine (from Joynt & Wand, 2021).
Can A Person Overdose On Fentanyl?
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. In general, opioid overdoses occur about one to three hours after the drug is ingested, according to the New York State Department of Health.
Poison Control Media Information

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. If you still have pain after using one lozenge or tablet, your doctor may tell you to use a second lozenge or tablet. You may use the second lozenge (Actiq) 15 minutes after you finish the first lozenge, or use the second tablet (Fentora) 30 minutes after you started using the first tablet. Talk to your doctor about how well the medication is working and whether you are experiencing any side effects so that your doctor can decide whether your dose should be adjusted.
NY Lawmakers Want Widespread Access To Xylazine, Fentanyl Test Strips
- You should carry the list with you in case of emergencies.
- A healthcare professional may prescribe it to treat severe pain.
- Fentanyl is a powerful synthetic opioid that is commonly used to treat severe pain.
- Naloxone can temporarily restore normal breathing, but the effects only last 30 to 90 minutes.
Fentanyl is a potent opioid that offers pain relief to those who live with severe acute or chronic pain conditions. A healthcare professional may prescribe it to treat severe pain. 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.

It Is Shockingly Easy To Order Fentanyl And Synthetic Opioids Online
This can cause death by slowing their breathing and lowering oxygen levels in their blood. Your doctor might prescribe fentanyl if you have severe pain due to cancer, nerve damage, serious injury, or major surgery. In its liquid form, IMF can be found in nasal sprays, eye drops, and dropped onto paper or small candies. Some people claim they can tell they are taking fentanyl, rather than heroin, due to its pale color (which ranges from bright white to off-white) and sweet taste. However, this is not a reliable indicator of whether a person is taking real fentanyl or not.
According to the CDC, the rate of fentanyl overdoses in 2020 was 18 times higher than in 2013. Fentanyl currently accounts for the vast majority of all opioid overdoses and almost 70% of all drug overdose deaths. Its impact on overdose deaths and prevalence in street drugs other than opioids (i.e., stimulants) has led many in the field to refer to fentanyl as the Fourth Wave of the Opioid Epidemic. In this post we’ll unpack some basics on fentanyl, how it has changed the landscape for drug users, and how we can think about effective solutions to this new problem. While using fentanyl, you should talk to your doctor about having a rescue medication called naloxone readily available (e.g., home, office).
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. Fentanyl is an opioid pain reliever for use in medical treatment. Although healthcare professionals consider fentanyl safe and effective when a person uses it in a monitored medical setting, the drug carries a high potential for misuse, also known as abuse. See the impact of fentanyl and other synthetic opioids on drug overdose deaths.
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. As Vox’s German Lopez previously explained, fentanyl has been around since the 1960s, but its illicit use has spiked in recent years.
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. Many people worry that calling emergency services for someone taking an illegal drug will get them in trouble, but this is not true.

This can make it harder for the victim to breathe and for a responder to do chest compressions. 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. 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.

What Are The Signs Of Fentanyl Overdose?
- It is also available as a buccal soluble thin film, which can dissolve in the mouth, similar to the sublingual tablets.
- Sometimes people look for combinations of uppers (like crack or cocaine) and downers (like heroin) (this was once called a speedball).
- That’s precisely why sellers prefer the US Postal Service over FedEx or UPS.
- Once the heart and brain have gone without oxygen for a while, naloxone will not work.
- While you may think all drugs should be legal, many would disagree.
Although the clinical scenarios may vary among patients, one of the main concerns is the level of expression of OIRD. In such cases, oxygen administration and respiratory assistance are a priority. An opioid drug antagonist such as naloxone can help to correct OIRD symptoms. Thus, the therapeutic approach should continue until a normal respiratory rate coincides with appropriate oxygen saturation levels. Fentanyl is a synthetic opioid that is up to 100 times more potent than morphine. It is typically used to manage severe pain in patients who have built up a tolerance to other opioids.