Fentanyl has medical uses, primarily to control severe pain after surgery and in advanced-stage cancer treatment. A debate has begun among drug policy experts and public health officials over why fatal overdoses are declining so rapidly. It must be introduced into the bloodstream or a mucus membrane in order for someone to feel the effects. While there are fentanyl patches that can be placed on the skin for pain management, this is not the formulation that’s cut into other substances. The person should receive immediate medical attention for supportive care and to ensure the emergency has ended. From April 2024 to March 2025, the CDC reported 43,000 synthetic opioid deaths, most of which are from fentanyl, down from nearly 70,000 in the previous similar period.

We must address the factors contributing to the fentanyl crisis on multiple fronts. Despite the devastating impact of the opioid crisis, it’s important to remember that recovery is possible. Millions of Americans have successfully overcome both opioid and alcohol use problems. BetterHelp can connect you to an addiction and mental health counselor.

The Rise Of Fentanyl: Key Overdose Trends
It can be hard to function without the drug in your system. Most people need help from a health professional or program to successfully quit. But these tips can reduce some of that risk and lower your chances of overdose, infection, or other problem.
What Is Fentanyl’s Role In The Overdose And Addiction Crisis?
More powerful than heroin and morphine, it’s highly effective for pain management in a medical setting—but also incredibly risky when abused. Illicit fentanyl use has increased sharply over the last decade and has significantly contributed to drug-related overdose and deaths. Illicit fentanyl is often mixed with other drugs like heroin, cocaine, xylazine, counterfeit prescription pills, or legitimate prescriptions. Thus, consumers may unknowingly ingest fentanyl, increasing the risk of overdose and death. Overdose deaths involving fentanyl have quadrupled in recent years. Because of the so-called “War on Drugs” and criminalization of people who use drugs, people often are unaware of the exact composition of the substances they’re using.
Healthcare-Associated Infections
- The medication will reverse the effects of fentanyl and block future effects.
- There are many things that can impact intoxication, overdose and bad reactions like feeling tired, being sick, or different emotional states.
- From April 2024 to March 2025, the CDC reported 43,000 synthetic opioid deaths, most of which are from fentanyl, down from nearly 70,000 in the previous similar period.
- Fentanyl is up to 100 times more potent than morphine and 50 times more potent than heroin.
- The University of Kentucky Public Relations and Strategic Communications Office provides a weekly health column available for use and reprint by news media.
- Its potency and widespread availability have contributed to a dramatic increase in opioid-related deaths.
Fentanyl’s inexpensive production cost and high potency make it a common add-in in various street drugs like heroin, cocaine, and meth, intensifying their effects — but also their dangers. They have been working on this investigation since last year, and their full findings will be reviewed at a Senate hearing on Thursday. Accidental opioid overdoses cause more deaths in the United States than traffic accidents and suicides, she noted in a university news release.
Symptoms Of Overdose May Include The Following:
As little as 2 milligrams or less may cause death, which is about the size of a few grains of salt. One line is a positive result and means there is fentanyl in your drug supply. It’s hard to predict the amount of fentanyl that could kill someone. As little as 2 milligrams may be lethal depending on how big your body is, what your tolerance for opioids is, and your past usage of fentanyl.
Treatment Options For Fentanyl Addiction

A person exhibiting the symptoms of overdose should get immediate medical attention. With an overdose of fentanyl, the brain experiences hypoxia. 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. Fentanyl is up to 100 times more potent than morphine and 50 times more potent than heroin.
Medical Professional Licenses
NIDA is a biomedical research organization and does not provide personalized medical advice, treatment, counseling, or legal consultation. Information provided by NIDA is not a substitute for professional medical care or legal consultation. “Two years ago, I would have thought this was crazy,” said Dr. Akhil Anand, a psychiatrist at the Cleveland Clinic who specializes in addiction. Now, Anand said, he’s seeing a lot more people in Ohio seeking out illicit fentanyl as their drug of choice.
This week’s column is by faculty and staff of the UK HEALing Communities Study. The information on this site is for educational purposes only, and does not substitute for professional medical advice. This site was developed by the UW Addictions, Drug & Alcohol Institute (ADAI). During Thursday’s press conference, Juliano and other experts noted that poverty, homelessness and racial disparities in access to healthcare appear to be making it much harder for some groups to recover. These alarming statistics highlight the urgent need for change.

According to experts, there are many reasons fentanyl has become such a widely used illicit drug, despite its high overdose potential. Schools and programs serving youth can be prepared for an opioid overdose by having naloxone available and providing training on how to administer it. Also, schools can update their memorandums of understanding (MOUs) with local first responders to ensure a plan is in place to immediately respond to an overdose.
The rise in use and overdoses are described as well as some of the reasons for these changes. Implications for overdose prevention and initiating treatment with medications for opioid use disorder are described. In 2020, over 80% of the fentanyl police confiscated with in tablet form. Police evidence that looked like black tar heroin actually was heroin in 95% of cases, suggesting that fentanyl was rarely in “heroin” in 2020.
Click On The Images For Free Naloxone
Naloxone is a medication that can reverse an overdose from opioids — including fentanyl. If you or someone you know is at risk of an opioid overdose, speak with your doctor or pharmacist about obtaining naloxone to carry and keep at home. Gupta, the White House drug czar, said the drop in drug deaths, while welcome, is only a beginning. “We have removed more barriers to treatment for substance use disorder than ever before and invested historic levels of funding to help crack down on illicit drug trafficking at the border,” Gupta said. He pointed to the widespread availability of the opioid overdose reversal medication naloxone as another likely factor reducing deaths. The United States is in the middle of a devastating opioid epidemic, and its deadliest driver is fentanyl.
Health And Safety
Breathing air in a room with fentanyl can’t make you sick. Medical experts said fentanyl isn’t volatile, meaning it doesn’t easily become a vapor, which means you’re not going to become sick from breathing near it. Experts said fentanyl doesn’t just float up into the air and unintentionally expose people nearby.
- Initial reports of fentanyl abuse were linked to prescription products, but in recent years, illicit fentanyl has become the most commonly abused form.
- For more information on how to use Fentanyl safely, check out these Fentanyl Use & Overdose Prevention Tips.
- This is why fentanyl is often found in drugs like cocaine, counterfeit Xanax, counterfeit Adderall, or other drugs not classified as opioids.
- Brad Finegood, who coordinates overdose and addiction programs in King County, Wash., which includes Seattle, pointed to a 22% decline in fatal overdoses in the first nine months of this year.
- Sometimes, a person with opioid dependence may take fentanyl as a substitute for heroin.
Until recently, intentional use of fentanyl was mostly limited to the West Coast, but in the past few years, addiction specialists have seen an uptick in use of the drug across the country. We also use different external services like Google Webfonts, Google Maps, and external Video providers. Since these providers may collect personal data like your IP address we allow you to block them here. Please be aware that this might heavily reduce the functionality and appearance of our site. ” it’s important to understand the types of fentanyl and how they vary.


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. But they learned how simple it was to buy these powerful opioids online and how brash the sellers were. “Street drugs have gotten a lot more variable since the start of the pandemic. Now you have mom and pop shops making street drugs – that creates disincentives for stability and control,” Dasgupta said. Legal pharmaceutical products are manufactured with safeguards in place to ensure quality control.
If used correctly, fentanyl test strips can detect the presence of the most common types of fentanyl in street drugs and pills. These strips can be a useful harm reduction tool for people who drugs. Fentanyl test strips may not be able to detect all forms of illicit fentanyl and they cannot tell you how much fentanyl may be present.
If available, administer naloxone, a medication that can rapidly reverse opioid overdose. Tell your doctor if you feel that your pain is not controlled or if your pain increases, becomes worse, or if you have new pain or an increased sensitivity to pain during your treatment with oxycodone. Do not take more of it or take it more often than prescribed by your doctor. Fentanyl may cause serious harm or death if used accidentally by a child or by an adult who has not been prescribed the medication. Dispose of partially used lozenges according to the manufacturer’s directions immediately after you remove them from your mouth. If fentanyl is used by a child or an adult who has not been prescribed the medication, try to remove the medication from the person’s mouth and get emergency medical help.
Many people worry that calling emergency services for someone taking an illegal drug will get them in trouble, but this is not true. Many states have laws that protect not only the person who calls for help, but also the person overdosing from legal trouble. Some people take fentanyl illegally by separating it from skin patches and injecting it.