Fentanyl skin patch is used to treat severe pain, including acute pain following surgery. Ionsys® is applied by your healthcare provider in a hospital setting after surgery for the short-term management of acute pain. Duragesic® is used for pain severe enough to require around-the-clock pain relief for a long period of time. See the impact of fentanyl and other synthetic opioids on drug overdose deaths. The opioid epidemic is taking a heavy toll on the U.S. economy, according to many reports. One of the most staggering and widely cited estimates, by the U.S.

Fentanyl Is Primarily Seized At Official Ports Of Entry, Not Illegal Crossing Routes

And with a rock-bottom fentanyl street price, it’s a substance abused at an alarming rate. Fentanyl is a full μ-opioid receptor agonist, but it also acts on δ- and κ-opioid receptors68,69. Fentanyl has been shown to exert its analgesic and lethal effects through different receptor populations in the CNS. It is eliminated from cerebrospinal fluid at approximately the same rate as morphine70,71.
How And Why Is Fentanyl Abused?

Postal Service because it searches for suspicious packages by hand, while services like FedEx and DHL use more rigorous, automated methods. The report recommends that all international packages start to include what they call “advanced electronic data”—special information on bar codes that could help flag drug-bearing packages for postal workers. The Senate subcommittee did not look closely at darknet sites, the investigator told me, because they found so much on the open web. The Senate investigator said Chinese authorities might have been lax in shutting down these websites in the past because opioid overdoses are not as big of a problem in that country as they are in the United States.
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In 2024, the DEA seized more than fifty-five million fentanyl-laced, fake prescription pills, down from eighty million the previous year. The amount seized last year seizures was enough to equate to more than 367 million deadly doses. The crisis has become a scourge on the economy, a threat to national security, and a major foreign policy challenge.
- We will also cover misuse of fentanyl, addiction, and the risk of overdose.
- People who receive naloxone still require an emergency medical evaluation, as overdose symptoms can return.
- For example, the fentanyl street price for ten grams can cost up to $2000.
- Based on data from the National Vital Statistics System, 599,255 drug overdose deaths occurred from 1979 to 2016 in the United States, and the overall mortality rate has seen exponential growth.
- First responders will likely administer naloxone if you haven’t already, or give it to them again.
Why Is It So Dangerous?
Potent benzodiazepines, or tranquilizers, are now further contaminating the illicit fentanyl supply, causing more complicated overdoses. Initial reports of fentanyl abuse were linked to prescription products, but in recent years, illicit fentanyl has become the most commonly abused form. In fact, most fentanyl-related deaths are from fentanyl made in illegal laboratories.
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Some fentanyl analogs are legally manufactured for medical purpose like treating severe pain in humans and sedating animals. Others (such as illicitly manufactured carfentanil) are illegally produced for non-medical use. When used, illicit fentanyl analogs pose severe health risk, including rapid onset opioid overdose. The presence of fentanyl and its analogs has become a central contributor to the increase in the number of opioid-related overdose deaths. Moreover, the number of deaths that were attributable to illicitly manufactured fentanyl and its analogs nearly quadrupled between July 2015 and June 2017 in Montgomery County, Ohio32. Heroin-positive cases declined while methamphetamine-positive cases increased in these victims.
Fentanyl On The Street: What Are Fentanyl Street Prices?
For many, patches can be an effective and affordable way to get fentanyl. On the other hand, pure fentanyl can be more expensive than other options because no additives are reducing its potency. Fentanyl’s street prices are dangerously low, causing it to be a highly accessible drug. The average price of a gram of fentanyl spans from $150 to $200, and the average price of a fentanyl patch is about $40.
About 52% Less Fentanyl Was Seized By August 2025 Than By August 2024
Make sure you store the medicine in a safe and secure place to prevent others from getting it. Fentanyl and other synthetic opioids have now surpassed heroin and prescription painkillers as the deadliest drugs in the United States. They killed more than 19,000 Americans in 2016, topping heroin (15,000) and prescription opioids (14,000) for the first time.
Fentanyl is a synthetic opioid used to treat the most severe pain. While all opioids can be deadly, fentanyl is especially dangerous because it is so strong—much stronger than heroin or morphine. Recent domestic policy changes by the Trump administration herald a new phase in the U.S. government’s response to the deadly epidemic. Although fentanyl patches are a legal form of the drug doctors sometimes prescribe for pain, they are easily abused. People may take the gel out of the patch and either put it in their mouth or inject it.

Dependence can cause extremely unpleasant withdrawal symptoms if the person stops using it. 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.
Levels Of Care
Tell your doctor right away if you think you are pregnant or if you plan to become pregnant while using this medicine. Elliptic has amassed a comprehensive dataset of crypto wallets used by fentanyl dealers to facilitate this deadly trade. Our blockchain analytics engine Nexus can be used to trace the on-chain activities of these dealers – including money laundering or dark web activity.

You don’t need to be a medical professional to administer naloxone to someone having an overdose. Naloxone and naltrexone are opioid antagonists that reverse the effects of fentanyl. Fentanyl exerts its pain-relieving effects by acting on opioid receptors that occur naturally in the body. Endorphins, the substances in the body that normally bind to opioid receptors and naturally relieve pain, are also connected with “pleasure centers” in the brain. Repeated activation of these centers by narcotic drugs is suspected of playing a role in drug addiction.
- Routine testing for xylazine by the Oregon State Medical Examiner began in 2020.
- Synthetic opioids sold illicitly can be mixed with heroin or cocaine, which amplifies its potency and potential danger.
- Smoking IMF is not safer than injecting, snorting, or ingesting IMF.
- He died in early 2017 from “acute fentanyl intoxication.” He had received a package from an online seller just 30 days before his death.
There have been numerous stories of tragic overdose deaths due to street fentanyl, specifically in the pill form. Extended-release patches are a popular option since they provide a steady dose of fentanyl for up to 72 hours and are quite affordable. Some choose fentanyl nasal sprays; while others like to keep it simple and go with fentanyl pills to allow them to monitor their intake. 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. An overdose happens when a drug produces serious adverse effects and life-threatening symptoms.
What makes fentanyl so addictive is that it’s cheap and it can produce an intense high with just a small amount, even at a much lower dose than heroin. Abusing fentanyl can build up a tolerance to the drug, which increases the risk of overdosing. This campaign also shows the difference between counterfeit pills and real pills. Amid these efforts, the Biden administration kept up pressure on Mexico to intercept precursors received from China and to crack down on clandestine labs in its own country.
Check with your doctor before taking any of the medicines listed while you are using this medicine. You will receive the Ionsys® patch while you are in a hospital. A nurse or other trained health professional will give you this medicine after surgery. You will be taught how to use this medicine in the hospital, but the patch will be removed by your healthcare provider before you leave the hospital.
“We hope to set up forums, to share intelligence and information, and case cooperation and solve the drug crime fundamentally with international cooperation.” Efforts have been made by the U.S. government to screen for the drug in the mail, and legislation has been introduced to make detection of fentanyl easier abroad and domestically. Fentanyl’s extreme potency also makes the drug more addictive and more deadly, further fueling the crisis. A lethal dose requires just two milligrams of the drug—an amount roughly equivalent to ten to fifteen grains of table salt. Fentanyl use can result in death even with one dose, especially if a person accidentally takes it incorrectly. For continuous delivery, a transdermal patch can slowly deliver fentanyl through the skin and into the bloodstream for up to 72 hours.