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. This medicine will add to the effects of alcohol and other central nervous system (CNS) depressants.
Hippo is a trusted and secure way to manage personal information and pay for medications. Street fentanyl can be found either on its own or added to other drugs. The customer can work with the supplier to determine which form they would like. Fentanyl is easier and cheaper to create when compared to other opiates, like heroin and can provide a stronger high in a smaller dose. The manufacturer can easily create an inexpensive substance, and the customer can get a good high for a low price.

Check with your doctor right away if you have anxiety, restlessness, a fast heartbeat, fever, sweating, muscle spasms, twitching, nausea, vomiting, diarrhea, or see or hear things that are not there. These may be symptoms of a serious condition called serotonin syndrome. Your risk may be higher if you also take certain other medicines that affect serotonin levels in your body. Call your doctor right away if you have worsening of pain, increased sensitivity to pain, or new pain after taking this medicine. These may be symptoms of opioid-induced hyperalgesia and allodynia.
Why Is It So Dangerous?
Carrying naloxone can provide them with an extra layer of protection from overdose. A person taking prescribed fentanyl can experience dependence, meaning they have withdrawal symptoms when they stop taking the drug. A healthcare professional may prescribe medications such as buprenorphine and methadone, which affect the same receptors in the brain as those affected by fentanyl. A doctor may also choose to prescribe naltrexone, which stops the effect fentanyl has on the body. 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.
Fentanyl On The Street: What Are Fentanyl Street Prices?
When confronting opioid addiction, the road to recovery offers several distinct routes, each catering to diverse needs and circumstances. Explore the array of treatment avenues available to find the one that resonates most with your journey toward wellness. Bearing witness to others’ struggles similar to yours provides comfort during challenging times. Connecting with others in your community offers a way for you and others like you to share your experiences, fostering hope for those navigating life alongside addicts. The importance lies in reaching out to experts specializing in detoxification programs designed specifically for safe recovery from severe addictions. As a result, the production process becomes more streamlined and resource-effective, contributing to fentanyl’s reputation as a relatively inexpensive substance to create.
National Fentanyl Prevention And Awareness Day™ Toolkit

Check with your doctor before taking any of these medicines while you are using this medicine. It is used for breakthrough cancer pain, which are flares of pain that “break through” after a routine pain medicine has been used. Fentanyl belongs to the group of medicines called opioid analgesics. It is only used in patients who are already taking opioid analgesics. Other side effects not listed may also occur in some patients.
FIND TREATMENT:
When used correctly, fentanyl test strips can identify the most common types of fentanyl in illicit drugs and pills. However, testing may not be 100% accurate, and you should assume that any illicit substance contains fentanyl. To learn more about how to use fentanyl test strip visit the CDC Fentanyl Test Strips Resource Guide. Naloxone (Narcan) is a medication that rapidly reverses the effects of opioid overdose. The drug can potentially save a person’s life, although multiple doses may be required for it to work successfully.
- Call your doctor right away if you or your child have a rash, itching, hoarseness, trouble breathing, trouble swallowing, or any swelling of your hands, face, or mouth while you are using this medicine.
- This includes prescription or nonprescription (over-the-counter OTC) medicines and herbal (eg, St. John’s wort) or vitamin supplements.
- These sounded like sophisticated operations, offering discounts on bulk purchases and even trying to upsell the investigators to carfentanil, an even more powerful opioid.
- Your doctor may decrease your dose if you have sleep apnea (stop breathing for short periods during sleep) while using this medicine.
Reported Use Of Most Drugs Among Adolescents Remained Low In 2024
People who use drugs and people who may witness an overdose should learn what an overdose looks like, carry naloxone, and know how to give naloxone to a person to reverse an opioid overdose. As fentanyl becomes more common in Oregon’s drug supply, it is increasingly important to know how to identify and respond to overdoses. However, because some fentanyl analogs are extremely potent, rescue breathing and sometimes more than one dose may be necessary. If you have questions about a fentanyl prescription that you received from a healthcare provider, talk to your pharmacist, primary care provider or visit the OHA Prescription Opioids webpage for more information.

What Does It Mean To Have A Substance Abuse Problem?
These sounded like sophisticated operations, offering discounts on bulk purchases and even trying to upsell the investigators to carfentanil, an even more powerful opioid. Prescription fentanyl is available under such names as Actiq®, Duragesic®, and Sublimaze® in the form of tablets, an injectable liquid, lozenges and patches. Dependence can cause extremely unpleasant withdrawal symptoms if the person stops using it.
Heat can cause the fentanyl in the patch to be absorbed into your body faster. This may increase the chance of serious side effects or an overdose. While you are using this medicine, do not use a heating pad, electric blanket, heat or tanning lamps, sauna, a sunlamp, or a heated water bed, and do not sunbathe, or take long baths or showers in hot water. This medicine will add to the effects of alcohol and other CNS depressants. Check with your doctor before taking any of the medicines listed while you are using this medicine.

Drug Users Can Now Legally Buy Pure Fentanyl For Dirt Cheap In Vancouver
This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it. Blood and urine tests may needed to check for unwanted effects. In young children or persons with decreased mental alertness, the Duragesic® patch should be put on the upper back to decrease the chance that the patch will be removed and placed in the mouth. Appropriate studies have not been performed on the relationship of age to the effects of the Ionsys® patch in the pediatric population. This medicine is available only under a restricted distribution program called the Opioid Analgesic REMS (Risk Evaluation and Mitigation Strategy) program. Research has found that pregnant women with untreated addiction may be less likely to get regular prenatal care.
In An Emergency? Need Treatment?
Along with the pandemic, the growing availability of illicit fentanyl, often disguised by drug cartels to appear as legal prescription opioids, has exacerbated the crisis. In 2024, the DEA seized more than fifty-five million fentanyl-laced, fake prescription pills, down from eighty million the previous year. The amount seized last year seizures was enough to equate to more than 367 million deadly doses.
- The underlying message of the report was that the US Postal Service should do more to crack down on these illicit shipments.
- However, testing may not be 100% accurate, and you should assume that any illicit substance contains fentanyl.
- It is very important that your doctor check your or your child’s progress while using this medicine.
- Do not use the patch for mild pain or pain that occurs only once in a while.
- They speculate that it may also be a way to tempt teens and young adults to take them.
- As little as 2 milligrams or less may cause death, which is about the size of a few grains of salt.
Other NIDA Sites
Fentanyl’s strength increases this risk of overdose substantially. Synthetic opioids sold illicitly can be mixed with heroin or cocaine, which amplifies its potency and potential danger. This is particularly dangerous if an individual who uses illegal substances like heroin or intentionally misuses prescription drugs is unaware that fentanyl could be in it. Fentanyl acts in the central nervous system (CNS) to relieve pain. Some of its side effects are also caused by actions in the CNS. When an opioid is used for a long time, it may become habit-forming or cause mental or physical dependence.
Many of the opioid pills and powders sold on the street are fake. They often contain fentanyl in potentially deadly amounts but are mislabeled as other opioids. The DEA sampled tablets seized nationwide between January and March 2019. It found 27 percent contained potentially lethal doses of fentanyl.
Additionally, fentanyl and synthetic opioids have other frequently reported side effects, including migraine, dizziness, vertigo, confusion, hallucinations, and a higher risk of fractures in the elderly59–63. Its repeated use leads to the development of tolerance and drug dependence64,65. Other mental disorders, such as depression, insomnia, and suicidality, can also occur with fentanyl abuse, contributing to relapse and a higher risk of respiratory depression or overdose death65,67. The treatment of these mental disorders may help prevent fentanyl-related fatalities and achieve abstinence. Fentanyl is ~30–50 times more potent than heroin, and smaller volumes of heroin and other drugs that are adulterated with fentanyl can produce powerful effects with lower production costs.