The reversing agent is administered through a nasal spray reversing the effect of an opioid overdose, in particular, fentanyl. Despite the number of overdoses Det. Cardinale has seen in the Valley, he believes the F.O.R.T. program is working. Last year, F.O.R.T responded to 84 overdoses; 34 resulted in death. As of this year, F.O.R.T reporting 22 overdoses in the Valley. The vaping is going to come back in full force, and I think we’re going to start seeing an increase in overdose, in overdose deaths,” said Det. Cardinale.
Breakthrough Pain
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. A tiny dose of fentanyl, about the size of 10 to 15 grains of table salt (2 mg), is enough for a lethal dose, which is why so many drug users fall victim to drug overdose deaths. For people who are addicted to fentanyl, there are safe and effective treatments available.
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). If you live in King County you may be able to order free fentanyl test strips through an online order form. Fentanyl overdose often comes on much faster and stronger than a typical opioid overdose.
What Are The Signs Of Fentanyl Overdose?

Naloxone (Narcan) is an antidote for fentanyl and other opioid overdoses. Naloxone helps reverse the respiratory depression of fentanyl. Naloxone can help prevent fentanyl-related deaths when it is given within a short period of time after an overdose.

Can A Person Overdose On Fentanyl?
- “In health care, we dose fentanyl in micrograms,” explains Amanda N. Donald, MD, an addiction medicine physician at Northwestern Medicine.
- A sharp increase in deaths from illegal fentanyl use started in 2005 and continued through 2007.
- While it works quickly, naloxone is a temporary solution that works for 30 to 90 minutes.
- 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.
- Of the fentanyl-laced street pills analyzed by the DEA in 2022, 60% contained a potentially lethal dose of fentanyl.
Additional doses may be given every 2 to 3 minutes, if symptoms return before medical help arrives. Fentanyl is a potent synthetic opioid, which, similar to morphine, produces analgesia but to a greater extent. This robust pharmacologic agent is typically 50 to 100 times more potent. A dose of only 100 micrograms can produce equivalent analgesia to approximately 10 mg of morphine.

Click On The Images For Free Naloxone
- AddictionResource.net, and its parent company Recovery Guide LLC, is not a treatment provider and does not offer medical advice or clinical services.
- A program has been set up for each fentanyl product to decrease the risk of using the medication.
- Your doctor will probably start you on a low dose of fentanyl and gradually increase your dose until you find the dose that will relieve your breakthrough pain.
- Naloxone is used to reverse the life-threatening effects of an overdose.
- The woman woke up on the floor several hours later and found her partner unresponsive.
- Common routes of naloxone administration include IV, IM, IN, or subcutaneous (SC).
Many fatal overdoses thought to be from heroin have been from fentanyl. A small dose of fentanyl can be fatal depending on how tolerant someone is and their body size. Coroners’ offices and state crime laboratories do not test for fentanyl unless given a specific reason to do so.

How To Use Fentanyl Safely
In case of overdose, remove the fentanyl from the victim’s mouth and call local emergency services at 911. This medication should not be prescribed for other uses; ask your doctor or pharmacist for more information. Illegal fentanyl can be used in the same ways as prescribed fentanyl. Some people who misuse fentanyl remove the gel contents of a fentanyl patch and then inject or ingest the contents. Others might freeze patches and then place frozen pieces under the tongue. Overdose prevention is a CDC priority that impacts families and communities.
General Health
Because fentanyl is so potent and commonly found in the drug supply, it is easy for people to accidentally overdose on fentanyl. A fentanyl overdose can occur after the drug is injected, swallowed, snorted, or smoked. Symptoms of a fentanyl overdose, including slow or absent breathing, generally occur within minutes of the overdose. Death can follow quickly if the overdosed person isn’t treated. One should always weigh the risks vs the benefits of a drug.
One line is a positive result and means there is fentanyl in your drug supply. After a fentanyl treatment, you may have side effects that hinder your thinking and reactions or cause dizziness or drowsiness. Because of this, don’t drive or do activities that require you to be fully alert and awake after your treatment. Avoid drinking alcohol for several hours after you take fentanyl. Your doctor might prescribe fentanyl if you have severe pain due to cancer, nerve damage, serious injury, or major surgery. Fentanyl comes as two different transmucosal products and several other types of products.

Postal Service because it searches for suspicious packages by hand, while services like FedEx and DHL use more rigorous, automated methods. The Senate subcommittee did not look closely at darknet sites, the investigator told me, because they found so much on the open web. But the investigator anticipates stricter enforcement to come. The drug user in Texas said he first began using opioids when a doctor prescribed him hydrocodone for a bad cough he had as a teenager.
For the past three years, he’s been buying fentanyl and its analogues, like carfentanil, online. When he receives it, he measures it out in water, which he says makes for greater accuracy. Now, for that amount, he can get enough fentanyl to last more than three weeks. In managing such situations, understanding what your loved one is going through forms the first step toward providing effective assistance. This includes knowing how dependence on prescription opioids like fentanyl manifests itself physically and psychologically.

To put it in perspective, it’s 50 to 100 times more potent than morphine. According to the CDC, overdoses involving synthetic opioids increased by 72.2% from 2014 to 2015. In addition to receiving treatment for a substance use disorder, people who use illegal drugs can help prevent overdoses by using fentanyl test strips. These are low-cost paper strips that can detect fentanyl in all kinds and forms of substances. Illicit fentanyl related products are described including the different forms it can appear in.