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WHAT IS FENTANYL?
Fentanyl is a potent synthetic opioid drug approved by the Food and Drug Administration for use as an analgesic (pain relief) and anesthetic. It is approximately 100 times more potent than morphine and 50 times more potent than heroin as an analgesic.WHAT IS ITS ORIGIN?
Fentanyl was first developed in 1959 and introduced in the 1960s as an intravenous anesthetic. It is legally manufactured and distributed in the United States. Licit fentanyl pharmaceutical products are diverted via theft, fraudulent prescriptions, and illicit distribution by patients, physicians, and pharmacists. From 2011 through 2018, both fatal overdoses associated with abuse of clandestinely produced fentanyl and fentanyl analogues, and law enforcement encounters increased markedly. According to the Centers for Disease Control
and Prevention (CDC), fentanyl analouges were involved in roughly 2,600 drug overdose deaths each year in 2011 and 2012, but from 2012 through 2018, the number of drug overdose deaths involving fentanyl and other synthetic opioid increased dramatically each year. More recently, there has been a re-emergence of trafficking, distribution, and abuse of illicitly produced fentanyl and fentanyl analogues with an associated dramatic
increase in overdose.

Why is Fentanyl so Dangerous?

Synthetic opioids are the most common drugs involved in overdose deaths.

Fentanyl is 50 times stronger than heroin and 100 times stronger than morphine, so only a small amount can kill someone.

Illegally made fentanyl (IMF) is mixed with other drugs like heroin, cocaine and methamphetamine or made into pills that resemble other prescription opioids.

The high potency of IMF significantly increases risk of overdose, especially if the user is unaware the drug contains fentanyl.

What Does Fentanyl Look Like?

Illegally made fentanyl (IMF) is available in different forms, including liquid and powder.

IMF is mixed with other drugs like heroin, cocaine and methamphetamine or made into pills that resemble other prescription opioids.

In liquid forms, IMF can be found in nasal sprays, eye drops, and dropped onto paper or small candies.

This picture shows a small amount of fentanyl in a crystalized form.

How is Fentanyl Abused?

Fentanyl can be injected, snorted/sniffed, smoked, taken orally by pill or tablet, and spiked onto blotter paper.

Fentanyl patches are abused by removing its gel contents and then injecting or ingesting these contents.

Patches have also been frozen, cut into pieces, and placed under the tongue or in the cheek cavity.

Illicitly produced fentanyl is sold alone or in combination with heroin and other substances and has been identified in counterfeit pills, mimicking pharmaceutical drugs such as oxycodone.

According to the National Forensic Laboratory Information System, reports on fentanyl (both pharmaceutical and clandestinely produced) increased from nearly 5,400 in 2014 to over 56,500 in 2017, as reported by federal, state, and local forensic laboratories in the United States.