Become A Harm Reduction Champion
Understanding Fentanyl: What You Need to Know
Please note that if you do not use drugs frequently or daily, it is not necessary to request more than a couple test strips from free harm reduction programs. The word “overdose” has sometimes carried a moral judgment that the individual was “pushing their limits” in order to get as high as possible, as if it were their own fault. Fentanyl test strips aren’t legal everywhere because some states consider them to be drug paraphernalia (items you need to do drugs). But a growing number of health and public policy experts are supporting their use along with other harm-reduction strategies.
Can you buy fentanyl? This question arises due to the ongoing opioid crisis and the increasing presence of synthetic opioids like fentanyl in various markets. Fentanyl is a powerful pain-relieving medication, but its potency and potential for abuse require careful consideration.
What is Fentanyl?
The potent synthetic has already killed 30 people in Vermont in 2018, more than heroin and prescription opioids combined, according to state data. Some online retailers sell fentanyl test strips, and certain states such as Ohio are now providing test strips in vending machines for easier access, sometimes along with naloxone. When buying online, use extreme caution to be sure the tests are valid.
That way, they can make an informed decision about their drug use. Harm reduction strategies to prevent overdoses vary a bit by the specific type of drug, but generally include using less, testing your drugs, using a less risky method of administration, and not using alone. For opioids, there is a medication that can be used to reverse the effects of an overdose. Fentanyl is the main driver of opioid overdose deaths in Washington state. In 2022, the drug was involved in 90% of fatal opioid overdoses in the state and 65% of all overdose deaths, according to the University of Washington’s Addictions, Drug and Alcohol Institute. The shadowy addition of fentanyl to the illegal drug supply sent deadly overdoses skyrocketing among users who were unaware they were using such a strong drug.
Fentanyl is a synthetic opioid that is used medically for pain management. It is approximately 50 to 100 times more potent than morphine. While fentanyl is beneficial in treating severe pain, especially post-surgery or in cancer patients, its misuse can lead to serious health risks, including overdose and death.
They’re important because we live in an era of contaminated drug supply. The illicit drugs (meaning those that people buy outside of a pharmacy or from an unregulated source) have become incredibly contaminated. For example, substances that were formerly sold as heroin in Massachusetts are almost entirely illicitly manufactured fentanyl.
If they don’t have access to clean syringes, they may reuse or share needles, which increases their risk for HIV, hepatitis C and wounds. In 2019, UCSF funded a successful pilot project to distribute fentanyl test strips to San Francisco veterans at the center. The pilot paved the way for similar projects at other Veteran Affairs’ centers nationwide.
Legal Status of Fentanyl
The truth is, most people have no idea whether or not their drugs contain fentanyl. The only way to determine a substance contains fentanyl is by testing for it. And since most interactions with fentanyl are accidental, most people are not prepared for a potential overdose. Test strips are inexpensive and typically give results within 5 minutes, which can be the difference between life or death. In order to use the strips, testers dissolve a small amount of substance in water, and then dip the test strip into the liquid for 15 seconds. Because the test strips are highly sensitive, a minimal amount of drug residue is sufficient to obtain a result.
If you use drugs, you may be at risk for taking fentanyl without even knowing it. Fentanyl is a highly potent opioid that drug dealers dilute with cutting agents to make counterfeit prescription pills that appear to be Oxycodone, Percocet, Xanax, and other drugs. Small variations in the quantity or quality of fentanyl in a fake prescription pill can accidentally create a lethal dosage. Fentanyl has now become the leading cause of drug poisoning deaths in the United States. Due to high levels of stress, first responders and health care workers are at risk for substance use disorders. The Heroes Helpline is a free, confidential, telephone support line available to EMS and health care workers.
Fentanyl can be legally prescribed by healthcare professionals for treating certain medical conditions. However, the illegal manufacture and distribution of fentanyl are significant concerns globally.
- Legitimate prescriptions: Available for patients with severe pain.
- Illegal purchases: Often found on the black market, posing severe risks.
How is Fentanyl Misused?
Fentanyl is often misused due to its potency. Misuse can include:
- Taking fentanyl without a prescription
- Using fentanyl in higher doses than prescribed
- Combining fentanyl with other substances
Can You Buy Fentanyl Illegally?
The illicit purchase of fentanyl poses a significant danger:
- Various forms of illicit fentanyl exist, such as powders, pills, and patches.
- Online marketplaces may offer fentanyl, increasing the risk of counterfeit products.
- Illicitly obtained fentanyl often comes mixed with other substances, leading to unintentional overdoses.
Risks of Buying Fentanyl
Can you buy fentanyl safely? The answer is nuanced. Buying fentanyl without a prescription is illegal and extremely dangerous. Here are some risks associated with illegal fentanyl:
- Inconsistent dosing: The lack of regulation can lead to unpredictable and dangerous outcomes.
- Overdose risk: Even small quantities can lead to life-threatening situations.
- Legal consequences: Purchasing illegal drugs can lead to criminal charges.
- Here’s some information so you can stay informed, aware, and safer around fentanyl and other opioids.
- In some cases, using meth or coke, especially at higher doses, can lead to another type of overdose called Overamping.
- Since 2019, 134,280 doses of NARCAN® have been distributed at no cost through community agencies to people who use opioids or drugs that could be mixed with opioids, and their families and friends.
- It is commonly mixed with drugs like heroin, cocaine, and methamphetamine and made into pills that resemble other prescription opioids such as oxycodone.
- Even though it has pharmaceutical uses, illegal fentanyl often gets mixed with heroin or cocaine to increase the drug’s effects.
Resources for Help
If you or someone you know is struggling with substance misuse, several resources are available:
- National Helpline: 1-800-662-HELP (4357)
- Substance Abuse and Mental Health Services Administration (SAMHSA): Offers treatment services and referrals.
- Local support groups: Many communities have support groups to help those struggling with addiction.
Frequently Asked Questions
1. Can you buy fentanyl patches over the counter?
No, fentanyl patches require a prescription and should only be used under medical supervision.
2. What should I do if I suspect someone has an overdose from fentanyl?
Call emergency services immediately and administer naloxone if available.
3. Is fentanyl safe for everyone?
No, fentanyl is only safe for those with a prescription and under medical advice, especially due to its potency.
4. What are the signs of fentanyl misuse?
Signs may include excessive drowsiness, confusion, slurred speech, and, in severe cases, respiratory depression.
In conclusion, while can you buy fentanyl might be a common query, it highlights the need for awareness of the dangers associated with illicit drug purchases. Always prioritize safety and seek help if you or someone you know is struggling with substance misuse.
