What is fentanyl and why is it behind the deadly surge in US drug overdoses?

Fentanyl can kill you within a matter of 2 minutes, usually due to respiratory failure (breathing that has stopped). If you’ve used fentanyl or other substances in the past and have recently experienced a period of sobriety, your tolerance for the drug has likely decreased. If you choose to use again, be mindful of potential changes in drug potency and start with a smaller dose than you might have used in the past. These strategies can help you avoid an accidental overdose or other unwanted experiences. Colorado authorities have seen a large influx of fentanyl over the past year and are expecting to see an increase in overdoses in the coming months.

However, because fentanyl is so strong, several doses of naloxone may be required. If you are concerned that you or someone near you may have taken too much fentanyl, you should call 911 at once. Once medical how long does fentanyl stay in your system personnel arrives, they will decide if they are facing a case of opioid overdose, and administer naloxone as required. When people become addicted, drug seeking and drug use take over their lives.

SAMHSA Behavioral Health Treatment Locator

Other drugs laced with fentanyl (heroin, methamphetamine, cocaine, or crack) can lead to overdose or fatal drug interactions. The user may take their standard amount but because of fentanyl’s high potency, even small doses can lead to overdose. Any drug use potentially carries with it the risk of overdose, but opioid overdoses are particularly common due to the popularity of these drugs for illegal, recreational use. It is clear that once the stage of addiction is reached, a person is far more at risk of unintentionally taking more of a drug than their body can process.

why is fentanyl so dangerous

Drug dealers have used fentanyl analogs as an adulterant in illicit drug supplies since 1979, with fentanyl-related overdoses clustered in individual cities. As the chief of medical toxicology at UMass Chan Medical School, I have studied fentanyl and its analogs for years. As fentanyl has become ubiquitous across the U.S., it has transformed the illicit drug market and raised the risk of overdose. Two counties hard-hit by fentanyl deaths, especially among people younger than 25, have prosecuted harsher punishments of fentanyl dealers in an effort to combat overdose deaths. Since taking office, Gov. Gavin Newsom and his administration have spent more than $1 billion in an attempt to reign in the opioid and fentanyl epidemic.

Emergency room physician explains illicit fentanyl

However, most recent cases of fentanyl-related overdose are linked to illegally made fentanyl, which is distributed through illegal drug markets for its heroin-like effect. It is often added to other drugs because of its extreme potency, which makes drugs cheaper, more powerful, more addictive, and more dangerous. Unless a drug is prescribed by a licensed medical professional and dispensed by a legitimate pharmacy, you can’t know if it’s fake or legitimate. And without laboratory testing, there’s no way to know the amount of fentanyl in an individual pill or how much may have been added to another drug. The Substance Abuse and Mental Health Services Administration (SAMHSA) offers a free, confidential, 24/7 treatment referral and information hotline for individuals and families facing mental health and/or substance use disorders. The Works Program is a free, legal and anonymous harm reduction program that provides free supplies, disposal programs and referrals.

why is fentanyl so dangerous

Drug traffickers often mix fentanyl into other drugs because it is cheap to manufacture and a small amount goes a long way. Opponents of harsher penalties pointed to the failed enforcement policies of the crack cocaine epidemic as a reason to reject harsher sentences. Locking up users, opponents said, was a policy choice that led to overcrowded prisons and overpoliced communities. People who are given naloxone should be monitored for another two hours after the last dose of naloxone is given to make sure breathing does not slow or stop.

What are the effects of an overdose?

These behavioral treatment approaches have proven effective, especially when used along with medicines. Medications for opioid use disorders—including fentanyl use disorder—are safe, effective, and save lives. These medicines interact with the same opioid receptors in the brain on which fentanyl acts, but they do not produce the same effects.

There is no way to know how much illicit fentanyl may be contained in a drug you plan to use or how potent it is. However, fentanyl test strips are available at certain health departments or syringe exchange programs, so you can test the drug you plan to use for fentanyl. Find treatment programs in your state that treat addiction and dependence on opioids, such as heroin or prescription pain https://ecosoberhouse.com/ relievers, at dpt2.samhsa.gov/treatment/. Start with a very small dose every time you use something that could be contaminated with fentanyl. Because fentanyl is often mixed in with other substances in large batches, the amount present in a single pill or drug can vary widely. The immunity described above also extends to the person who suffered the emergency drug or alcohol overdose event.

Listen to the podcast on the dangers of fentanyl

Into Action is an addiction treatment center specializing in personalized treatment for drug and alcohol abuse, conveniently located in Houston, Texas and led by experienced master’s level counselors and medical professionals. Fentanyl produces effects similar to heroin, including relaxation, euphoria, and pain relief. Unwanted side effects are usually confusion, drowsiness, dizziness, nausea, vomiting, urinary retention, pupillary constriction, and respiratory depression. You can access naloxone from most pharmacists in the U.S. without a prescription. If you, a family member, or a friend take illegal drugs, it is important to have immediate access to naloxone to help possibly save a life. One 2 milligram (mg) dose of fentanyl is enough to kill an adult, but may be more or less depending upon your body size, opioid tolerance, and former usage.

Assists employers and union representatives with policy development, drug testing, employee assistance, employee education, supervisor training, and program implementation. Students, staff, faculty and community members can also access resources outside the university. If you can’t be in the company of someone else who is sober, plan to have someone check in on you in case you need help.

While brief, the video course is worth the price of admission, and two doses of Narcan (or a similar brand name) will arrive at your door in only a week or so for a small cost of shipping. To get your free naloxone and basic training certification, go to EndOverdose.net. The non-profit provided more than 111,000 training sessions just last year. “Street drugs have gotten a lot more variable since the start of the pandemic. Now you have mom and pop shops making street drugs – that creates disincentives for stability and control,” Dasgupta said.

  • It is often added to other drugs because of its extreme potency, which makes drugs cheaper, more powerful, more addictive, and more dangerous.
  • Despite the lifesaving track records of these medications, their availability is limited by restrictions on where and how they can be used and inadequate numbers of prescribers.
  • Compared to other opioids, fentanyl is typically much more potent and, therefore, much more dangerous if misused or abused.
  • Mixing different types of opioids also puts people at high risk for abuse and addiction.