Accidental opioid overdoses cause more deaths in the United States than traffic accidents and suicides, she noted in a university news release. “Fentanyl is in the supply of many drugs on the street,” explains Dr. Donald. “It took time to create this opioid epidemic, and it is taking time as we learn how to best combat it. There is hope, and there is treatment that works, is safe and is effective.”
Medical experts said fentanyl isn’t volatile, meaning it doesn’t easily become a vapor, which means you’re not going to become sick from breathing near it. Experts said fentanyl doesn’t just float up into the air and unintentionally expose people nearby. For continuous delivery, a transdermal patch can slowly deliver fentanyl through the skin and into the bloodstream for up to 72 hours. 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.
Treatment Options For Fentanyl Addiction
A Narcan nasal spray is available over-the-counter and anyone can administer it. 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. 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.
The Opioid Crisis: An Overview
The second implication is how these risks are assessed and uncovered. Regardless of how vendors try to conceal their fentanyl listings on the dark web, their activities can nevertheless be exposed through blockchain analytics. One dark web marketplace – the since-retired “ASAP Market” – was particularly selective about enforcing its apparent “no fentanyl” policy. The image below shows a listing disguised as “synthetic China White”.
These small, paper strips can be obtained at needle-exchange sites, are easy to use and only take minutes to interpret. The use of fentanyl citrate injection with CYP3A4 inducers or stopping the CYP3A4 inhibitor will require close and repetitive monitoring of the patient. The Stop Overdose website educates drug users on fentanyl, naloxone, polysubstance use, and dealing with stigma. In a medical setting, people take prescribed fentanyl for severe or chronic pain. As with any opiate, there is a risk of dependency, tolerance, misuse, and addiction with fentanyl.
Navigating Professional Assistance Options

There are two types of fentanyl – pharmaceutical fentanyl and illegally made fentanyl. Fentanyl, synthetic narcotic analgesic drug, the most potent narcotic in clinical use (50 to 100 times more potent than morphine). The citrate salt, fentanyl citrate, is administered by injection, either intramuscularly or intravenously, sometimes in combination with a potent tranquilizer.

Why Is This Medication Prescribed?
In some cases, these illicit formulations of fentanyl are made to look like other prescription opioid tablets. If used correctly, fentanyl test strips can detect the presence of the most common types of fentanyl in street drugs and pills. These strips can be a useful harm reduction tool for people who drugs. Fentanyl test strips may not be able to detect all forms of illicit fentanyl and they cannot tell you how much fentanyl may be present. There can also be false positives (showing that fentanyl is present when it really isn’t).
Which Darknet Markets Are Up
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. Fentanyl can last for a few hours when taken orally or when snorted, smoked, or injected. The transdermal patches can last for up to 12 to 24 hours after the patch has been removed.
What Does It Mean To Have A Substance Abuse Problem?

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. As a prescription, fentanyl is available under the brand name Actiq, which is a throat lozenge, or Duragesic, a patch placed on the skin. If a person is hospitalized or undergoing surgery, a healthcare professional may administer fentanyl as an injection called Sublimaze. As Vox’s German Lopez previously explained, fentanyl has been around since the 1960s, but its illicit use has spiked in recent years. It is relatively easy to produce and is much more potent than heroin.
Take the same steps as you would with any suspected opioid overdose. 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. ORE is a central collection of communication materials and educational resources about opioid misuse, addiction, treatment, and overdose prevention. An injection of naloxone can reverse the effects of the drug if given soon enough.
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. 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.
- Death can follow quickly if the overdosed person isn’t treated.
- There are more than 30 nonpharmaceutical-grade fentanyl analogs circulating on the illicit drug market, many of which cannot be detected on standard urine drug screens.
- Fentanyl patches offer a continuous dose and last 72 hours.
- Naloxone can help prevent fentanyl-related deaths when it is given within a short period of time after an overdose.
- Since then, more than 8,500 people have died of drug overdoses, with last year being the deadliest on record.
- Fentanyl is an opioid pain reliever for use in medical treatment.
How Do Opioids Affect The Body?
While some urine drug screens can detect fentanyl, others do not. People can test positive for fentanyl for 3 to 5 days after last use. We also routinely track dark web markets for additional risk factors, such as the trade in fentanyl and firearms. Our Research and Investigations Team also focuses on identifying new ways vendors use to disguise the trade of such illicit goods. Our research also shows that alongside darknet markets, some darknet vendors have set up smaller online stores selling fentanyl. If a patient is taking this drug on a prescription basis, they need to communicate immediately with their physician if they experience any adverse effects.
If the patient has used a monoamine oxidase inhibitor in the previous 14 days, fentanyl is contraindicated. A harm-reduction organization in Vancouver is helping people addicted to opioids buy pharmaceutical-grade fentanyl at street prices as an alternative to the illicit drug supply—a first in North America. Fentanyl is a potent opioid that offers pain relief to those who live with severe acute or chronic pain conditions.