A .gov website belongs to an official government organization in the United States. The list of street names for cocaine is long and ever evolving. We look at the most common slang for cocaine and where they are derived from. “I’ve actually learned it Narcan in high school because you’d be surprised, lots of people were doing drugs and overdosing,” says Luis Armas Ramirez. One common misconception Hernandez runs into surrounds Narcan’s packaging, which says nasal spray in large letters on the box.

People making illegal fentanyl often do this because it’s less expensive to use fentanyl than other drugs. People sell illegal fentanyl as a powder, dropped onto blotter paper, put in eye droppers and nasal sprays, or as pills that look like other prescription opioids. Alternatively, some people may take illegally manufactured fentanyl for its heroin-like effect.
What Are The Signs Of A Fentanyl Overdose?
The urgent and ultimate goal is to prevent more fatal overdoses. Normally, when a person is high on heroin or another opioid, they might go to sleep or slur their words, according to GoodRx. In contrast, someone who has overdosed may fall unconscious rather than asleep.
FDA Experts Want To Make Narcan, An Overdose Reversal Drug, Available Over The Counter
This causes feelings of well-being (euphoria) and relaxation and relieves pain. “Fentanyl is in the supply of many drugs on the street,” explains Dr. Donald. “It took time to create this opioid epidemic, and it is taking time as we learn how to best combat it. There is hope, and there is treatment that works, is safe and is effective.”

Because this drug is no longer available in the US market, the material in this monograph is no longer updated. If this drug is used in countries other than the U.S., it is essential that the manufacturers’ labeling be consulted for more recently available information. Manufacturers use chemicals to make a substance with the same chemical structure as poppies to make fentanyl in a lab. Call an ambulance right away if you suspect you or someone you’re with may have taken an overdose.
Health Care Professionals
Naloxone is a lifesaving medication that can reverse an overdose from opioids. Naloxone comes as a nasal spray (called NARCAN®) or injection. You can buy naloxone over the counter from a local pharmacy, and you do not need training or authorization to use it. Despite the lifesaving track records of these medications, their availability is limited by restrictions on where and how they can be used and inadequate numbers of prescribers. Despite the number and diversity of its analogs, fentanyl itself continues to dominate the illicit opioid supply.
Medical Professional Licenses
They are only able to feel normal when they take the drug. They may be available through state and local health departments, syringe services programs, or drug stores and online retailers. Fentanyl can have negative health effects, even when taken as prescribed. These effects may include confusion, drowsiness, nausea, visual disturbances, constipation, muscle stiffness, and many others. Using a single dose of Naloxone (Narcan) can reverse these symptoms in seconds and save lives. Get the facts on the effects, uses and health risks of this herbal substance.
- They killed more than 19,000 Americans in 2016, topping heroin (15,000) and prescription opioids (14,000) for the first time.
- That’s precisely why sellers prefer the US Postal Service over FedEx or UPS.
- If a person appears to experience overdose symptoms again, they may require another dose.
- People making illegal fentanyl often do this because it’s less expensive to use fentanyl than other drugs.
- In case of overdose, remove the fentanyl from the victim’s mouth and call local emergency services at 911.
- It also comes as a liquid, as in nasal sprays or eye drops, which can be dropped onto paper like LSD.
How Is OTC Narcan Administered?
Your doctor may decrease your dose if you have sleep apnea (stop breathing for short periods during sleep) while using this medicine. It is very important that your doctor check your or your child’s progress while using this medicine. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it. Blood and urine tests may needed to check for unwanted effects. Families with loved ones who have opioid use disorder should have naloxone on hand, experts advise. A FTS was dipped in DI water for 12 s and placed on a flat surface.
They are often sold on social media and e-commerce platforms — making them available to anyone with a smartphone, including teens and young adults. Texans should only take legitimate pharmaceutical medications prescribed by medical professionals and dispensed by pharmacists in the U.S. Naloxone is a medicine that can temporarily reverse the effects of an opioid overdose. The Australian Government is offering this medication free of charge and without a prescription to people who may experience, or witness, an opioid overdose. Fentanyl is to blame for 146 deaths in Vermont since 2016, when it overtook heroin and prescription painkillers as the most deadly opioid in the state. The potent synthetic has already killed 30 people in Vermont in 2018, more than heroin and prescription opioids combined, according to state data.
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. Because the drug is less expensive than other opioids, people making it illegally commonly mix it into drugs such as heroin, cocaine, or methamphetamines. If you buy drugs illegally, there is a chance fentanyl can be in them.
Public Health

Lastly, fentanyl use can extend to the treatment of epilepsy. That is, in combination with certain neuroleptic medications as part of therapeutic neuroleptanalgesia. Criminal drug networks are mass-producing fake pills, falsely marketing them as legitimate prescription pills, and killing unsuspecting Texans, according to the Drug Enforcement Administration. Some counterfeit pills are made to look like prescription opioids like oxycodone (Oxycontin, Percocet), hydrocodone (Vicodin) and alprazolam (Xanax), or stimulants like amphetamines (Adderall). Fake prescription pills that are widely accessible can contain deadly doses of fentanyl.

A couple purchased some marijuana and smoked it on their couch. The woman woke up on the floor several hours later and found her partner unresponsive. She called EMS, and they were brought to an emergency room. Her partner was pronounced dead, and his autopsy also showed fentanyl in his blood.
Maintenance Or Taper: What Works Best When Quitting Heroin?
There’s a lot of misinformation and disinformation about fentanyl, and it’s important to separate facts from myths. For more information on how to use Fentanyl safely, check out these Fentanyl Use & Overdose Prevention Tips. Explore our resource library for practical resources to promote the health and dignity of people affected by drug use.

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. The nasal spray form of naloxone does not require a prescription and can be obtained from pharmacies. Naloxone acts quickly to reverse the effects of an opioid overdose, but opioids last much longer than naloxone. Additional doses of naloxone are therefore sometimes necessary.
On Wednesday, the FDA announced that it has approved the sale of naloxone nasal spray, also known as Narcan, for sale over-the-counter to treat opioid overdose. Previously, the medication had only been available by prescription. Now, the agency said, it will be sold at drug stores, grocery stores, gas stations, and online within the next several months. One measure to prevent fentanyl overdose is distributing naloxone to bystanders. Naloxone can reverse an overdose as it occurs by blocking the effects of opioids.