Fentanyl is a powerful synthetic opioid that is similar to morphine but is 50 to 100 times more potent.1,2 It is a prescription drug that is also made and used illegally. Like morphine, it is a medicine that is typically used to treat patients with severe pain, especially after surgery.3 It is also sometimes used to treat patients with chronic pain who are physically tolerant to other opioids.4 Tolerance occurs when you need a higher and/or more frequent amount of a drug to get the desired effects.
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Fentanyl analogs produced in illicit laboratories may be hundreds of times more potent than street heroin and tend to produce significantly more respiratory depression, making them even more dangerous to users than heroin.
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Individuals using heroin or cocaine, or in recovery for a drug use disorder may not know that the potency of street-sold heroin and cocaine can be significantly enhanced by adding fentanyl. Because the potency of such drugs is not known, and they are not told about the addition of fentanyl, any illicit drug use – even a reduced dose – can result in accidental overdose or death.
How to Use Fentanyl
Fentanyl analogues may be hundreds of times more potent than heroin. Fentanil is used orally, smoked, snorted, or injected. Fentanyl is sometimes sold as heroin or oxycodone, sometimes leading to overdoses. Many fentanyl overdoses are initially classified as heroin overdoses. The recreational use is not particularly widespread in the EU with the exception of Tallinn, Estonia, where it has largely replaced heroin. Estonia has the highest rate of 3-methylfentanyl overdose deaths in the EU, due to its high rate of recreational use.
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Fentanyl may be used orally, smoked, snorted, or injected and no one method of use is safer than another.
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Other Names: Apache, Dance Fever, Friend, Goodfellas, Jackpot, Murder 8, Apace, China Girl, China Town, China White, Great Bear, He-Man, Poison and Tango & Cash, drop dead, serial killer, shine, TNT, percopop, CAS 437-38-7
In its prescription form, fentanil is known by such names as Actiq®, Duragesic®, and Sublimaze
Abstral, Actiq, Duragesic, Effentora, Fentora, Instanyl, Lazanda, Sublimaze, Subsys
Fentanil, Fentanila, Fentanilo, Fentanil CII, Fentanylum, Phentanyl