Death can follow quickly if the overdosed person isn’t treated. And in 2023, American enforcement agencies seized enough fentanyl to kill every citizen of the United States. Figure 2 shows the signs and symptoms of an opioid overdose. If someone has experienced an overdose from an opioid, including fentanyl, call and administer naloxone. It is safe to touch the person and items that may have fentanyl on them (like a doorknob) because fentanyl cannot be absorbed through the skin with casual use (Connolly, 2022). Call your doctor if you experience more than four episodes of breakthrough pain per day or if you have new pain or an increased sensitivity to pain during your treatment with fentanyl.
Older Black Men Are Disproportionately Affected By The Overdose Crisis
Accessing the dark web can only be done using specific browsers, such as TOR Browser. Some WA State syringe services programs can provide fentanyl test strips. Fentanyl overdose often comes on much faster and stronger than a typical opioid overdose. In some cases, a person’s chest may become very stiff (called “chest wall rigidity” or “wooden chest”).
Fentanyl Overdose

Sometimes, a person with opioid dependence may take fentanyl as a substitute for heroin. The potency of fentanyl and the potential for incorrect dosing can result in overdose and death. A person with a substance use disorder might obtain fentanyl by misusing prescribed medication or acquiring the drug from an illegal laboratory. Misuse of fentanyl includes taking it orally, smoking it, snorting it, or injecting it. Fentanyl is up to 100 times more potent than morphine and 50 times more potent than heroin. Access this directory of Washington State syringe exchange programs.
This medication should not be prescribed for other uses; ask your doctor or pharmacist for more information. Additionally, some people use the ultrapotent fentanyl analog carfentanil, which is legally used to sedate large animals. While fentanyl is legally manufactured and distributed in the U.S., it can be stolen, obtained with fraudulent prescriptions or made in illegal labs. Overdose prevention is a CDC priority that impacts families and communities. Drug overdose is a leading cause of preventable death in the U.S.
But the investigator anticipates stricter enforcement to come. While test strips won’t tell you how much fentanyl is there, knowing that fentanyl is in your drugs gives you information to make safer choices. For free fentanyl test strips (and free naloxone), you can contact your nearest Overdose Response Program (ORP). To find locations near you, please view the Maryland Department of Health’s ORP map.
Why Do People Take Fentanyl?
Common pharmaceutical industry fentanyl analogs used during surgery include sufentanil (Sufenta), alfentanil (Alfenta) and remifentanil (Ultiva). 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. The use of fentanyl citrate injection with CYP3A4 inducers or stopping the CYP3A4 inhibitor will require close and repetitive monitoring of the patient. As with any opiate, there is a risk of dependency, tolerance, misuse, and addiction with fentanyl. Physical dependence results in withdrawal symptoms when individuals suddenly stop taking the drug.
General Health

Fentanyl also can increase feelings of pleasure, often referred to as euphoria. Other effects can include drowsiness, nausea, confusion, constipation and addiction. When someone with an opioid use disorder misuses fentanyl, it is usually illegally manufactured fentanyl rather than a prescription product. For example, the person may obtain it as powders or pills or add it to containers such as eyedroppers or nasal sprays. Street names for fentanyl include Apache, China Girl, Goodfellas, Great Bear, and Tango & Cash.

Last July, he said, there were thousands of listings for fentanyl and its analogues on AlphaBay, a darknet site that was shut down by law enforcement. Now, on Dream Market, another darknet drug market, there are just 300. “A lot of people have used drugs that have flowed through cryptomarkets without knowing what cryptomarkets are,” he said. To get extremely potent opioids, users turn to the dark web—and sometimes, Google. Det. Cardinale describes vaping as the gateway drug that leads to more serious drug use including cocaine and Fentanyl. The vape pens contain THC resin which potentially holds up to 60 percent of THC inside the cartridge.
Spread The WordOne Pill Can Kill
Our product ensures you receive genuine, pharmaceutical-grade Fentanyl—ideal for those who want a trustworthy source to order Fentanyl online. Similarly, customers seeking to buy Fentanyl or locate Fentanyl for sale should follow strict quality and legal guidelines. Our premium-grade Fentanyl offers unmatched purity and potency, designed to meet your needs with both quality and affordability. Whether you’re seeking relaxation, improved sleep, or other benefits, we provide pure Fentanyl for sale at a cheap price without compromising on safety or reliability. Much like those looking to buy Fentanyl online for research or clinical study, it is essential to prioritize trusted vendors and verified products. Darknet markets — also known as cryptomarkets — provide a largely anonymous platform for trading in a range of illicit goods and services.
Opioids Easily Purchased Online And Shipped Through Mail With Little Chance Of Discovery, Probe Finds
The powerful opioid fentanyl has been found in everything from methamphetamine and cocaine to marijuana and fake Adderall pills. Nearly 6,000 Californians died from fentanyl overdoses in 2021 alone. Cruelly, about one in every 25 of those deaths was a child 19 or younger, according to the latest data from the California Overdose Surveillance Dashboard. Additional harm reduction strategies may also be valuable options considering the growing volatility of the drug market.
Can I Buy Fentanyl Online?
Fentanyl is a strong synthetic opioid that has been used in clinical settings since 1968. Fentanyl can be made into pills or powders, which can unknowingly get mixed into other drugs. A 26-year-old man with a history of fentanyl abuse was found unresponsive in a gas station bathroom.

Prescription fentanyl is FDA -approved to treat severe pain related to surgery or complex pain conditions. Over the past decade, fentanyl that is made and distributed illegally has become increasingly common in the illegal drug supply and has contributed to a surge in drug overdose deaths. To put it in perspective, it’s 50 to 100 times more potent than morphine.
- There are hurdles, including international treaties and the readiness or willingness of other countries to implement the same standards.
- They found people who were purchasing for personal use — including seven who overdosed and died — as well as the people buying to set up their own distribution network in America.
- There are two types of fentanyl – pharmaceutical fentanyl and illegally made fentanyl.
- Researchers have recently posed a caveat regarding the intranasal route for naloxone administration.
- If used correctly, fentanyl test strips can detect the presence of the most common types of fentanyl in street drugs and pills.
How To Use Fentanyl Safely

Trump officials might be experimenting with creating something like a national, MAGA-loyal police force. Having that electronic data, the Senate staff said, would make it easier for customs agents to identify suspicious packages before they ever reach the United States and divert them once they arrive. 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.
The investigators didn’t actually execute a purchase, because even a small amount of fentanyl can be lethal. But they learned how simple it was to buy these powerful opioids online and how brash the sellers were. A lot of experts would say that tackling demand and making treatment more accessible should be the top priority. Still, this new Senate report reveals in stunning detail just how easy it is to order some of the most potent opioids available from the other side of the world. This means there must be a real doctor-patient relationship, which by most state laws requires a physical examination. Prescriptions written by “cyber doctors” relying on online questionnaires are not legitimate under the law.