For example, a Fentanyl-laced Percocet M-30 pill can cost the buyer between $20 to $30 a pill. The seller will also feature Xanax, “MUHA MINIS”, which is lingo used for vape cartridges, starting at $40 a cartridge. The mortality rates from fentanyl consumption and increasing enforcement actions against dealers have even spooked many cybercriminals into steering clear from facilitating its trade.
Overdose prevention is a CDC priority that impacts families and communities. Drug overdose is a leading cause of preventable death in the U.S. The Centers for Disease Control and Prevention reports that fentanyl is odorless and tasteless, and there is no visible way of knowing if or how much fentanyl a pill contains. But those low-cost test strips can determine whether a drug contains traces of fentanyl. 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.

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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. In such cases, oxygen administration and respiratory assistance are a priority. An opioid drug antagonist such as naloxone can help to correct OIRD symptoms.
Fentanyl Addiction
If using fentanyl under a doctor’s care, communicate openly with them about any concerns. If using fentanyl on your own, understand the dangers and seek professional treatment to help you quit. If a person has a susceptibility to addiction, then it is a situation where the person is more likely to develop a substance use disorder. The physical and mental effects of fentanyl vary depending on how it is used.
Public Health
A person with opioid use disorder has an increased risk of overdose. Carrying naloxone can provide them with an extra layer of protection from overdose. Alternatively, some people may take illegally manufactured fentanyl for its heroin-like effect.
- OUDs are chronic but treatable medical conditions that involve changes in our brains, which makes stopping very difficult without support.
- The citrate salt, fentanyl citrate, is administered by injection, either intramuscularly or intravenously, sometimes in combination with a potent tranquilizer.
- It works by blocking the effects of opiates to relieve dangerous symptoms caused by high levels of opiates in the blood.
- These were linked to over 5,100 opioid suppliers’ IDs and nearly 2,800 buyers’ IDs.
- An investigator on the committee, who was not authorized to speak publicly about the findings, said these represent a tiny fraction of the hundreds of fentanyl-selling sites on the web.
How Does Fentanyl Make People Feel?

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.
“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. They told the investigators that there was less of a chance the package would end up detained — we’ll get back to that in a moment.

Detection For Harm Reduction Purposes
Initial reports of fentanyl abuse were linked to prescription products, but in recent years, illicit fentanyl has become the most commonly abused form. In fact, most fentanyl-related deaths are from fentanyl made in illegal laboratories. Fentanyl is heavily trafficked into the US from other countries and sold as pills or powders, and it has largely replaced heroin in the drug supply. In some cases, these illicit formulations of fentanyl are made to look like other prescription opioid tablets.
This Is How Easy It Is To Order Deadly Opioids Over The Internet
Fentanyl can have negative health effects, even when taken as prescribed. These effects may include confusion, drowsiness, nausea, visual disturbances, constipation, muscle stiffness, and many others. RCMP said Amelia and Hardy Leighton, who were described as hard working and healthy, were celebrating a new job and a move with recreation drugs. Both ingested toxic levels of fentanyl in combination with other drugs and died. Carfentanil and fentanyl are diluted with inert cutting agents like icing sugar before being sold at the street level to reduce the potency. This shift in the way opioids are being trafficked across the Canadian border is presenting new challenges for law enforcement.
It’s used to treat severe pain, for example during or after an operation or a serious injury, or pain from cancer. 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.

Ask your pharmacist for the instructions or visit the manufacturer’s website to get the instructions. If symptoms of an overdose occur, a friend or family member should give the first dose of naloxone, call 911 immediately, and stay with you and watch you closely until emergency medical help arrives. Your symptoms may return within a few minutes after you receive naloxone. If your symptoms return, the person should give you another dose of naloxone. Additional doses may be given every 2 to 3 minutes, if symptoms return before medical help arrives. To put it in perspective, it’s 50 to 100 times more potent than morphine.
Health Conditions

That’s precisely why sellers prefer the US Postal Service over FedEx or UPS. Investigators tracked several shipments to individuals who sent money to the six online sellers. One of the people they tracked was a 49-year-old Ohio resident who sent about $2,500 over the course of a 10-month period. 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.
Strategies For Assisting Loved Ones With Fentanyl Addiction
This can cause death by slowing their breathing and lowering oxygen levels in their blood. Dealers may sell it as a standalone drug or as a counterfeit for another drug (like oxycodone). It’s also used as a low-cost additive to other drugs like heroin, methamphetamine, molly, and ecstasy. Your doctor may also prescribe other types of fentanyl if you need extra pain relief while your regular painkiller wears off. Keep this medication in the packaging it came in, tightly closed, and out of reach of children, and in a location that is not easily accessible by others, including visitors to the home. Store fentanyl in a safe place so that no one else can use it accidentally or on purpose.
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).
People sell illegal fentanyl as a powder, dropped onto blotter paper, put in eye droppers and nasal sprays, or as pills that look like other prescription opioids. Fentanyl is 100 times stronger than morphine and 50 times stronger than heroin (DEA, n.d.). It is so potent that just 2 milligrams can cause someone to experience a fatal overdose (DEA, 2024). An individual’s tolerance to fentanyl will impact the amount required to cause a fatal overdose. Opioids include prescription painkillers (such as oxycodone) and illegal drugs (such as heroin and fentanyl).