The Chinese sellers shipped purchases through other countries to reduce the risk of the drugs being detected and seized by customs officials. Arda is the Lead Crypto Threat Researcher (APAC) at Elliptic and an Assistant Professor of Crypto & Future Crimes at City University of Hong Kong. His research focuses on crimes enabled by cryptoassets and emerging technologies, including fraud, money laundering, terrorist financing and illicit activity on the dark web. He has advised numerous international organizations, public and private sector entities on emerging crime trends and prevention measures.
As an emergency physician, I give fentanyl as an analgesic, or painkiller, to relieve severe pain in an acute care setting. My colleagues and I choose fentanyl when patients need immediate pain relief or sedation, such as anesthesia for surgery. Fentanyl is both sold alone and often used as an adulterant because its high potency allows dealers to traffic smaller quantities but maintain the drug effects buyers expect.
Flu-Like Symptoms And Sweating

First responders will likely administer naloxone if you haven’t already, or give it to them again. Naloxone only works in the body for 30 to 90 minutes, so it’s possible for someone to still have overdose effects after the medication wears off or needs multiple doses. Although fentanyl patches are a legal form of the drug doctors sometimes prescribe for pain, they are easily abused.
Call an ambulance right away if you suspect you or someone you’re with may have taken an overdose. Drug enforcers theorize that dyes may help drug traffickers avoid detection with the drugs. They speculate that it may also be a way to tempt teens and young adults to take them.
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Throw the remaining fentanyl packaging or cartons into a trash container; do not flush these items down the toilet. Call your pharmacist or the manufacturer if you have questions or need help disposing of unneeded medication. Keep this medication in the packaging it came in, tightly closed, and out of reach of children, and in a location that is not easily accessible by others, including visitors to the home. Store fentanyl in a safe place so that no one else can use it accidentally or on purpose.
Epidemic And Evolution Of Illicit Fentanyl Use

Your doctor or pharmacist will show you and your family members how to use the medication. Ask your pharmacist for the instructions or visit the manufacturer’s website to get the instructions. If symptoms of an overdose occur, a friend or family member should give the first dose of naloxone, call 911 immediately, and stay with you and watch you closely until emergency medical help arrives. Your symptoms may return within a few minutes after you receive naloxone.If your symptoms return, the person should give you another dose of naloxone. Additional doses may be given every 2 to 3 minutes, if symptoms return before medical help arrives.
What Should I Know About Storage And Disposal Of This Medication?

A lot of experts would say that tackling demand and making treatment more accessible should be the top priority. Still, this new Senate report reveals in stunning detail just how easy it is to order some of the most potent opioids available from the other side of the world. The first is that many dark web markets – though outwardly disassociating themselves from the fentanyl trade – continue to be either a willing or inadvertent intermediary for facilitating the purchase and sale of deadly opioids.

Interventions For The Management And Prevention Of Fentanyl Overdose
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. The Centers for Disease Control and Prevention reports that fentanyl is odorless and tasteless, and there is no visible way of knowing if or how much fentanyl a pill contains. But those low-cost test strips can determine whether a drug contains traces of fentanyl. For continuous delivery, a transdermal patch can slowly deliver fentanyl through the skin and into the bloodstream for up to 72 hours. A .gov website belongs to an official government organization in the United States.
Fentanyl Patch

“The feds are very on top of the clearnet markets,” he said. Five or six times a day, a man from Texas injects a dose of carefully measured fentanyl. He does it when he wakes up and before he goes to work, and sometimes on breaks. It makes him drowsy, but he says people can’t usually tell he just used. To get extremely potent opioids, users turn to the dark web—and sometimes, Google.
Opioids Have Become A Major Problem In The US, Even If Congress Hasn’t Given It That Much Attention
For example, when China announced it would ban one fentanyl product, called U-47700, on July 1, one fentanyl dealer advertised a “hot sale” of the product through June. A debate has begun among drug policy experts and public health officials over why fatal overdoses are declining so rapidly. PHS Community Services Society told VICE World News only people already in a safe supply program for opioids are prescribed the pharma-grade fentanyl, and they pay for their prescriptions to remove the financial incentive to re-sell the drugs. 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.
Public Health
- Lastly, fentanyl use can extend to the treatment of epilepsy.
- A doctor may also choose to prescribe naltrexone, which stops the effect fentanyl has on the body.
- On Facebook, where he did much of his advertising, Chen had a reputation as a fast and reliable vendor, according to social media reviews left by nearly a dozen customers.
- As fentanyl has become ubiquitous across the U.S., it has transformed the illicit drug market and raised the risk of overdose.
- Our 2016 report, Anonymity Overdose, charted the connection between the opioid epidemic and the problem of anonymous shell companies.
“But due to the openness, anonymity, convenience, cross-border nature of the Internet, any country would have a difficult time completely eradicating illegal information.” A big question going forward is How low will U.S. drug deaths go? We’ve already seen the biggest, fastest drop in U.S. history.
Trump Signs Bill Making Tough Sentences For Fentanyl Trafficking Permanent
Anne Fundner, whose 15-year-old son Weston died of an accidental fentanyl overdose in 2022, previously spoke at the Republican National Convention in Milwaukee last year. This Social Media Toolkit (ZIP) provides social media posts and graphics you can share to increase awareness about the fentanyl crisis. Due to high levels of stress, first responders and health care workers are at risk for substance use disorders.