Comparable to fentanyl, fentanyl analogs have similar chemical structure and effects. 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.
Harm Reduction Approaches
So far, all overdose deaths in Oregon where xylazine was present also involved fentanyl. If you have questions about a fentanyl prescription that you received from a healthcare provider, talk to your pharmacist or primary care provider. Some WA State syringe services programs can provide fentanyl test strips. The emergency and referral resources listed above are available to individuals located in the United States and are not operated by the National Institute on Drug Abuse (NIDA).

What Are The Possible Effects Of Fentanyl?
A doctor may also choose to prescribe naltrexone, which stops the effect fentanyl has on the body. 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. Opioids are a class of drugs that include both prescription medicines such as morphine and illegal drugs like heroin.

Why Is Fentanyl Dangerous?

Join 40,000+ People Who Receive Our Newsletter Get valuable resources on addiction, recovery, wellness, and our treatments delivered directly to your inbox. This approach helps maintain respect while reinforcing positive behaviors toward long-term recovery from opioid abuse. As a result, the production process becomes more streamlined and resource-effective, contributing to fentanyl’s reputation as a relatively inexpensive substance to create. The high concentration of active substance within fentanyl means that a relatively small amount can produce a powerful effect. This characteristic not only magnifies its impact but also reduces the overall quantity of raw materials required in its synthesis.

What Are The Signs Of A Fentanyl Overdose?
Guided by medical professionals and an array of therapeutic modalities, inpatient programs equip you with the necessary tools to break free from the grip of addiction. The Drug Enforcement Administration (DEA) estimates that obtaining a kilogram (roughly 2.2 pounds) of powdered fentanyl from China could cost a few thousand dollars. But once this powder is converted into hundreds of thousands of pills, the street value could soar into the millions of dollars.
Authentic Prescription Pills And Counterfeit Pill Imitations

Fentanyl test strips can identify the presence of fentanyl in unregulated drugs. They can be used to test injectable drugs, powders, and pills. If you choose to use fentanyl, there are some practices that can help you minimize the risk of an overdose. Here are a few recommendations so you can be in control of your experience. Fentanyl is a strong synthetic opioid that has been used in clinical settings since 1968.
- The image below shows a listing disguised as “synthetic China White”.
- Drugs may contain deadly levels of fentanyl, and you wouldn’t be able to see it, taste it, or smell it.
- Last year, F.O.R.T responded to 84 overdoses; 34 resulted in death.
- Fentanyl should only be prescribed by doctors who are experienced in treating pain in cancer patients.
Click On The Images For Free Naloxone

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. Physical dependence results in withdrawal symptoms when individuals suddenly stop taking the drug.
Naloxone: Overdose Reversal Drug
According to the Centers for Disease Control, it’s up to 100 times more potent than morphine. Drugs may contain deadly levels of fentanyl, and you wouldn’t be able to see it, taste it, or smell it. It is nearly impossible to tell if drugs have been mixed with fentanyl unless you test your drugs with fentanyl test strips.
It Is Safe To Respond To Fentanyl Overdose?
People who receive naloxone still require an emergency medical evaluation, as overdose symptoms can return. If someone who has overdosed does not have a pulse, start CPR. Once the heart and brain have gone without oxygen for a while, naloxone will not work. This is why it is so important to administer naloxone as soon as possible. Over the last decade, the conversation of the opioid epidemic has changed to include fentanyl.
Chronic Pain
Recently, drug seizures have found brightly colored pills laced with fentanyl, also known as rainbow fentanyl. Despite media attention on the reason behind these pills, experts do not agree that the pills are being marketed to children. In recent years the drug supply has become overrun with illicitly manufactured synthetic fentanyl, which can be manufactured very cheaply. The fentanyl we see in the US drug supply mostly comes from Mexico and China.
The fentanyl crisis has become a significant public health issue in recent years. Its potency and widespread availability have contributed to a dramatic increase in opioid-related deaths. Specifically, at least 80% of overdoses are due to non-prescription substances. This percentage may be even higher as fentanyl can easily be mixed with other drugs, often without the user’s knowledge, which has made it particularly dangerous. To put it in perspective, it’s 50 to 100 times more potent than morphine.
The U.S. Drug Enforcement Administration estimates more than 258,000 people died from fentanyl overdose between 2013 and 2021. Fentanyl acts like many other opioids such as morphine and heroin. Do not let anyone else use your medication, even if he or she has the same symptoms that you have.