A 17-year-old boy was found unresponsive, with pinpoint pupils and a slow respiratory rate. He was treated by EMTs with naloxone, and his mental status and respiratory rate improved. His brother reported that the boy had taken a blue tablet labeled “M30,” which the boy believed to be oxycodone. A urine test was positive for both fentanyl and cocaine (from Joynt & Wand, 2021). Illegal fentanyl is potent and deadly, and other drugs are often laced with it. Pharmaceutical fentanyl is used to treat post-op pain, cancer patients and others with severe chronic pain.
Fentanyl Addiction
There are two types of fentanyl – pharmaceutical fentanyl and illegally made fentanyl. Fentanyl, synthetic narcotic analgesic drug, the most potent narcotic in clinical use (50 to 100 times more potent than morphine). The citrate salt, fentanyl citrate, is administered by injection, either intramuscularly or intravenously, sometimes in combination with a potent tranquilizer. If the patient has used a monoamine oxidase inhibitor in the previous 14 days, fentanyl is contraindicated. A harm-reduction organization in Vancouver is helping people addicted to opioids buy pharmaceutical-grade fentanyl at street prices as an alternative to the illicit drug supply—a first in North America.

Overdose Prevention

As Vox’s German Lopez previously explained, fentanyl has been around since the 1960s, but its illicit use has spiked in recent years. It is relatively easy to produce and is much more potent than heroin. In certain neighborhoods, there are people who do not think of Percocet or Oxycodone pills as an opiate. There’s no clear way to tell by sight, taste or smell that something has fentanyl. By testing their drugs, people can know what they’re taking and take steps to be safer, like getting Narcan.

Conditions & Services
Its strong potency means it can be used in operating rooms, to control pain after surgery and to alleviate pain for people with advanced cancer. But its effectiveness at relieving pain and increasing pleasure also have made it a popular street drug with dangerous risks of addiction, overdose and death. Fentanyl can be added to heroin for increased potency or be distributed under the guise of highly potent heroin.
How Much Does Fentanyl Cost? (The Street Prices)
This can make it harder for the victim to breathe and for a responder to do chest compressions. There is no way to know how much fentanyl is in something based on look, smell, or taste. Any opioid pill not from a pharmacy is highly likely to be fake and contain fentanyl.
Fentanyl Dealers Are Bypassing Dark Web Restrictions To Sell Deadly Precursors Online: Here’s How
Naloxone is used to reverse the life-threatening effects of an overdose. It works by blocking the effects of opiates to relieve dangerous symptoms caused by high levels of opiates in the blood. Your doctor may also prescribe you naloxone if you are living in a household where there are small children or someone who has abused street or prescription drugs.

Illegal drug sales on the dark web are common, hard to detect and are fueling America’s opioid epidemic, a University of Texas study reveals. If you suspect someone is experiencing an overdose, the CDC recommends following the steps below. Fentanyl stays in your system and can be detected by a drug test for 24 to 72 hours. Fentanyl typically relaxes you and puts you in a euphoric state. You may also feel dizzy, drowsy, have vision changes, or have unpleasant side effects such as dry mouth, stomach pain, or anxiety.
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Investigators started by Googling “fentanyl for sale” and then emailing sellers from six different websites as they posed as first-time buyers. Dr. Christy Sutherland, medical director at PHS Community Services Society, told the Globe it seems “very strange” that she is coordinating fentanyl sales as a family doctor. The cost is $10 for one-tenth of a gram—which is called a “point” on the street and goes for the same price. In its liquid form, IMF can be found in nasal sprays, eye drops, and dropped onto paper or small candies.

How Much Does Fentanyl Cost On The Street?

Our analysis has revealed that dark web vendors have purchased fentanyl to the tune of $0.5 million from dealers. Though this is dwarfed by the direct export trade – which exceeds $32 million in crypto – there nevertheless remains some key implications for countering the trade in fentanyl. In another instance, we have identified on-chain payments between vendor clusters and suppliers of pill presses and dies – equipment needed for manufacturing precursors. This indicates that some vendors are directly involved in the manufacturing and supply, as well as onward distribution. ASAP Market showing a listing of fentanyl, despite supposedly banning the sale of the drug.
- The underlying message of the report was that the US Postal Service should do more to crack down on these illicit shipments.
- A doctor may also choose to prescribe naltrexone, which stops the effect fentanyl has on the body.
- For example, the person may obtain it as powders or pills or add it to containers such as eyedroppers or nasal sprays.
- Always prioritize your health and safety, and do not hesitate to reach out for help if you are dealing with fentanyl addiction or other substance use issues.
- People taking a daily prescribed dose will become dependent on the drug and will have withdrawal symptoms if they stop it.
If you are switching from one product to another, your doctor will prescribe a dose that is best for you. Prescription fentanyl is available under such names as Actiq®, Duragesic®, and Sublimaze® in the form of tablets, an injectable liquid, lozenges and patches. The Chinese sellers shipped purchases through other countries to reduce the risk of the drugs being detected and seized by customs officials.
The drug interacts with receptors in your brain to create feelings of pain relief, relaxation, contentment, and pleasure. Fentanyl is 100 times stronger than morphine and 50 times stronger than heroin (DEA, n.d.). It is so potent that just 2 milligrams can cause someone to experience a fatal overdose (DEA, 2024). An individual’s tolerance to fentanyl will impact the amount required to cause a fatal overdose. Fentanyl misuse can lead to unconsciousness, compromise respiratory function and lead to overdose resulting in death. You can’t overdose by touching an item containing fentanyl.
Overdose prevention sites allow individuals to use previously acquired drugs in a safe and supervised space to prevent overdose fatalities (for more on OPS). Fentanyl is often mixed with other drugs like heroin, crack, or cocaine. Sometimes people look for combinations of uppers (like crack or cocaine) and downers (like heroin) (this was once called a speedball). Although some people may seek out this combination, dealers may also mix fentanyl into other drugs to stretch their supply and increase their profits. But when fentanyl is mixed into non-opioid drugs (like methamphetamines), or when the dose of fentanyl is higher than an individual is used to, it can be lethal.
Carrying naloxone can provide them with an extra layer of protection from overdose. Alternatively, some people may take illegally manufactured fentanyl for its heroin-like effect. Sometimes, individuals mix it with other drugs because of its potency. 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. A person with a substance use disorder might obtain fentanyl by misusing prescribed medication or acquiring the drug from an illegal laboratory.