With the popularity of drug dealers mixing fentanyl into other drugs, fentanyl test strips can help people who use drugs identify whether what they are taking contains fentanyl or not. 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.
How To Use Fentanyl Safely
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. 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. The medication will reverse the effects of fentanyl and block future effects. If a person appears to experience overdose symptoms again, they may require another dose. Fentanyl is an opioid pain reliever for use in medical treatment.
Administration

“In health care, we dose fentanyl in micrograms,” explains Amanda N. Donald, MD, an addiction medicine physician at Northwestern Medicine. Fentanyl is a synthetic opioid that can be prescribed by doctors for pain management (National Institute on Drug Abuse NIDA, 2021). It is also increasingly found mixed into street drugs (Drug Enforcement Administration DEA, 2024).
How To Identify A Potential Fentanyl Overdose And What To Do
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”. Dark web market rules prohibiting the sale of fentanyl on their platforms. Find rehab for yourself or a loved one by speaking with a treatment provider. Postings included product photos and reviews, as well as instructions for buying the items.
- Because of this, don’t drive or do activities that require you to be fully alert and awake after your treatment.
- He died in early 2017 from “acute fentanyl intoxication,” just about 30 days after receiving the last of 15 packages through the Postal Service.
- 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.
- This characteristic not only magnifies its impact but also reduces the overall quantity of raw materials required in its synthesis.
This article focuses on injectable fentanyl; more detailed coverage of the transdermal formulation is available in the StatPearls specific article on transdermal fentanyl. Naloxone and naltrexone are opioid antagonists that reverse the effects of fentanyl. Additional harm reduction strategies may also be valuable options considering the growing volatility of the drug market.

Fentanyl Addiction
Someone will go to take their “regular dose” and not realize they are taking something much, much stronger. This can lead to a range of health issues, including a potentially fatal overdose. It is sadly not uncommon now to find heroin, cocaine, methamphetamine, or MDMA laced with fentanyl on the street.
Respiratory Depression
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. Fentanyl is a potent synthetic opioid, which, similar to morphine, produces analgesia but to a greater extent.
These are designed to provide an extended-release dose of fentanyl over the course of 72 hours. It’s crucial to remember that there is no way to verify the actual content or purity of fentanyl bought illicitly. Even a small amount of fentanyl can be deadly, and using it, particularly when obtained illegally, carries extreme risks. He decided to seek out something that would be both safer and cheaper.
Which Darknet Markets Are Up
But more than 150 people die every day from overdoses related to synthetic opioids like fentanyl, according to the U.S. The province already has prescription heroin and fentanyl replacement programs for people who are addicted to opioids. Some drug users told VICE World News that because fentanyl is the dominant street opioid, prescription heroin and other medical alternatives are not enough to keep their withdrawal and cravings at bay. Potent benzodiazepines, or tranquilizers, are now further contaminating the illicit fentanyl supply, causing more complicated overdoses. Illegal drugs, such as heroin and cocaine, are sometimes mixed with fentanyl, which makes the drugs more potent. If someone with a substance use disorder is unaware of the added fentanyl, this can put them at a higher risk of accidental overdose or death.
- While it’s safe for your doctor to give you fentanyl in a medical setting, some people abuse it, which can lead to an overdose.
- Education about the risks of fentanyl use, increased access to naloxone, and comprehensive addiction treatment programs are crucial in addressing this crisis.
- Synthetic opioids sold illicitly can be mixed with heroin or cocaine, which amplifies its potency and potential danger.
- Because fentanyl is so strong, it takes only a small dose of the drug to cause death.
- This would offer a new approach to treating substance abuse, but the results of this research will likely not be known for years to come.
The Full List Of Trusted Darknet Markets:
He has advised numerous international organizations, public and private sector entities on emerging crime trends and prevention measures. Elliptic has amassed a comprehensive dataset of crypto wallets used by fentanyl dealers to facilitate this deadly trade. Our blockchain analytics engine Nexus can be used to trace the on-chain activities of these dealers – including money laundering or dark web activity. The Elliptic Investigator graphs shown above underscore these capabilities – allowing any associations between dark web markets or vendors with fentanyl suppliers to be unearthed with ease.

Young People And Fentanyl

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.
It is also an idea that President Trump has at times endorsed. There are hurdles, including international treaties and the readiness or willingness of other countries to implement the same standards. The investigators didn’t actually execute a purchase, because even a small amount of fentanyl can be lethal.

Fentanyl Misuse Is Not Only Dangerous, But Deadly
Medications are the standard treatment for fentanyl addiction.32,33 Several medications have been approved by the U.S. Food and Drug Administration (FDA) for the treatment of opioid use disorder. Another medication, lofexidine, has been approved for treatment of withdrawal symptoms.34 See “Medications for Opioid Use Disorder” for more information. Fentanyl and other synthetic opioids have now surpassed heroin and prescription painkillers as the deadliest drugs in the United States.