Fentanyl is a powerful synthetic opioid that is primarily used to treat severe pain, particularly in patients with cancer or those recovering from surgery. It is estimated to be 50 to 100 times more potent than morphine, making it an effective pain management solution in controlled medical environments.’
But fentanyl has been making headlines over the last few years. If you’ve never used fentanyl yourself, you may be wondering why it’s so dangerous. This synthetic opioid has been influential in the field of medicine. But it’s also taken on a life of its own as a street drug and can hardly even be classified at the same level as other opioids.
Understanding Fentanyl: What it is and How it Works
Fentanyl works by binding to the body’s opioid receptors, which are found in areas of the brain that control pain and emotions. Once introduced into the system, fentanyl activates opioid receptors, leading to a decrease in the perception of pain. It can also trigger feelings of euphoria that contribute to its potential for abuse.
In medical applications, fentanyl can be administered in various forms including patches, injections, and lozenges, but the illicit market has also seen an alarming rise in its availability in powder form, sometimes mixed with other drugs. Illicit fentanyl is particularly dangerous because it is often mixed with other substances without the user’s knowledge, increasing the risk of overdose.
Fentanyl’s ability to depress the respiratory system can lead to fatal outcomes, especially when combined with other depressants such as benzodiazepines. The pharmacological properties of fentanyl mean that even a small amount can have profound effects, making it particularly dangerous for those who are not opioid-tolerant. As a result, healthcare professionals are increasingly advocating for the use of naloxone, an opioid antagonist that can reverse the effects of an overdose, as a critical tool in combating the rising tide of fentanyl-related fatalities.
The Potency of Fentanyl Compared to Other Opioids
Fentanyl’s potency is one of the critical factors that contribute to its danger. To give a sense of scale, a dose of fentanyl would be 200 times stronger than a dose of an equivalent size of morphine. This potency places users at an increased risk of overdose, especially when they are unaware of the presence of fentanyl in what they believe are lesser opioids or other illicit substances. The clandestine nature of the drug trade means that users often have no way of knowing the exact composition of what they are consuming, heightening the risk of accidental overdose.
The rapid onset of fentanyl’s effects, which can occur within minutes of administration, further complicates the situation, as users may not have enough time to react or seek help in the event of an overdose. When smoked or injected, the effects can be felt almost instantaneously, which can lead to a rapid escalation of dosage as users try to continue the initial high.
This behavior is particularly dangerous, as it can easily lead to a situation where the user consumes a lethal dose before realizing the severity of their actions. The presence of fentanyl in counterfeit prescription drugs, which are often marketed as legitimate prescription medications, has created a false sense of security among users who may believe they are taking a different substance altogether.
How Fentanyl Affects the Body and Brain
When fentanyl is introduced to the body, it quickly crosses the blood-brain barrier, bringing about rapid changes in brain chemistry. This swift action results in pain relief but also causes sedation, drowsiness, and impairment of cognitive functions. Users often experience a euphoric “high,” which can lead to repeated use and ultimately physical dependence.
As the brain becomes accustomed to the effects of the drug, users may require higher doses to achieve the same effects, leading to a dangerous cycle of increased consumption. This process can alter the brain’s natural reward system, making it difficult for users to feel pleasure from everyday activities, thus reinforcing their dependency on the drug.
Fentanyl’s incredibly high potency means that even a small miscalculation in dosage can lead to overdose. The opioid receptors in the brain, which are responsible for regulating pain and emotions, become overwhelmed, resulting in respiratory depression. This is particularly concerning, as the respiratory system can slow down to the point of failure, leading to death if immediate medical intervention is not provided.
In addition to the brain, fentanyl can wreak havoc on the body as a whole. Chronic use can lead to a range of physical health issues, including gastrointestinal problems, hormonal imbalances, and cardiovascular complications. Users may experience constipation, and this can lead to more severe conditions like bowel obstruction. Furthermore, long-term opioid use can disrupt the endocrine system, causing issues such as decreased libido and fertility problems.
The Risk of Fentanyl Overdose
The high risk of overdose is perhaps the most harrowing aspect of fentanyl use. An overdose occurs when the drug overwhelms the opioid receptors, leading to respiratory depression, decreased heart rate, and eventually, death if not treated promptly. Signs of a fentanyl overdose can manifest quickly, and the narrow margin between a therapeutic dose and a lethal dose is concerning. This precarious balance is exacerbated by the fact that fentanyl can be absorbed through the skin or mucous membranes, meaning even a small accidental exposure can lead to severe consequences.
Fentanyl’s potency means that users often unknowingly ingest life-threatening amounts, particularly when mixed with other substances like heroin or cocaine. The unpredictable strength of these mixtures significantly escalates the risk of an overdose, making education and awareness paramount in combating the fentanyl crisis.
Fentanyl in the Illicit Drug Market: A Growing Concern
Occasionally used in medical settings, fentanyl in illicit forms is often mixed with other drugs to increase their potency. This practice not only elevates the danger for users but also complicates the efforts to prevent overdoses and curb addiction rates.
Drug traffickers exploit fentanyl’s potency, as smaller volumes can be manufactured and transported with ease. This has resulted in increased availability and decreased prices in many areas, leading to a surge in unintentional overdoses.
Signs and Symptoms of a Fentanyl Overdose
Recognizing the signs and symptoms of a fentanyl overdose is critical for timely intervention. Fentanyl affects opioid receptors, leading to these symptoms. Symptoms may include:
- Severe drowsiness or inability to wake up
- Slow or shallow breathing
- Blue or purple tint to the lips and fingertips
- Cold, clammy skin
- Pinpoint pupils
Awareness of these symptoms can save lives. If you or someone you know experiences these signs, it is crucial to call emergency services immediately.
How to Use Naloxone to Reverse a Fentanyl Overdose
Naloxone is a life-saving medication that can reverse an opioid overdose, including those caused by fentanyl. It is an opioid antagonist, which works by displacing opioids from their receptors, effectively restoring normal breathing and consciousness. Here’s how to use naloxone:
- Recognize the signs of an overdose.
- Call for emergency help immediately.
- Administer naloxone based on the product instructions (intranasal or intramuscular).
- Stay with the person until emergency services arrive.
Having naloxone readily available in homes, schools, and communities can significantly reduce the fatality rate of opioid overdoses.
Prevention Strategies for Reducing Fentanyl-Related Risks
Preventing fentanyl-related risks involves a multi-faceted approach. Harm reduction is a crucial concept in this context, focusing on minimizing the negative health, social, and legal impacts associated with drug use. Effective strategies can include:
- Education and awareness programs that inform the public about the dangers of fentanyl and opioid misuse.
- Safe disposal programs for unused medications to reduce the possibility of misuse.
- Access to mental health and addiction services to support those struggling with opioid-related issues.
- Community engagement initiatives that create support networks for affected families.
- Policy advocacy aimed at enhancing regulations surrounding prescriptions and illicit drug trafficking.
By adopting these preventative measures, communities can foster a safer environment and reduce the incidence of fentanyl overdoses.
Heal from Addiction at Discovery Institute
For individuals struggling with addiction, professional treatment options, including fentanyl detox, are essential for recovery. Discovery Institute offers comprehensive addiction recovery programs that are tailored to meet individual needs. Addiction treatment services play a crucial role in recovery by providing the necessary support and resources. Their approaches emphasize holistic healing, incorporating therapy, support groups, medication management, and lifestyle education.
If you’re ready to halt your fentanyl addiction, reach out to us today. We’re ready to help you start your journey.
Dr. Joseph Ranieri D.O. earned his BS in Pharmacy at Temple University School of Pharmacy in 1981 and His Doctorate Degree in Osteopathic Medicine at the Philadelphia College of Osteopathic Medicine in 1991. He is Board Certified by the American Board of Family Medicine and a Diplomate of the American Board of Preventive Medicine Addiction Certification. Dr. Ranieri has lectured extensively to physicians, nurses, counselors and laypeople about the Disease of Addiction throughout New Jersey and Pennsylvania since 2012.