Fentanyl Fact Sheet

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WHAT IS FENTANYL?

Fentanyl is a type of opioid. It is extremely strong; a very small amount can cause an overdose. It is 50 times stronger than heroin and 100 times stronger than morphine. It does have medical uses; it can help patients experiencing severe pain. For example, people experiencing pain from cancer or major surgery may be prescribed fentanyl.

However, illicitly manufactured fentanyl (IMF) is becoming more available. It is contributing to a drastic rise in overdoses across the United States. It is responsible for an 84% increase in synthetic opioid-involved death in 2020 (CDC).

WHAT IS IMF?

IMF is made in illegal drugs labs. It has been found in many different forms, including as a liquid, a powder, and in brightly colored pills. IMF can also be mixed into drugs. It is commonly laced into drugs like heroin, cocaine, MDMA, pot, and methamphetamine in order to make the drugs have a stronger effect.

While some people intentionally buy IMF, it can be laced into drugs without people knowing. The person buying and the person selling the drugs may not know that the drugs contain fentanyl.

HOW IS IMF IMPACTING NATIVE COMMUNITIES?

In 2020, the number of deaths from drug overdose increased by 39% for American Indian/Alaska Native (AI/AN) people. This increase in overdose deaths was largely caused by IMF. It was present in around 40% of all fatal overdoses in 2020.

WHY IS IMF SO DANGEROUS?

Overdoses are caused by a tiny amount of fentanyl/IMF. Two milligrams, which is about the size of 5 grains of salt, can cause an overdose. Also, drugs are often laced with IMF early in the supply chain. IMF is tasteless, odorless, and too small to see, so a streetlevel dealer or friend may not know that there is IMF in the drugs they are selling. Finally, even if someone knew there was IMF laced into the drugs, only lab testing could tell them if it is a deadly dose.

FENTANYL FACT SHEET
THIS IS A LETHAL DOSE OF IMF FOR MOST PEOPLE, ACCORDING TO THE DEA

WHAT CAN YOU DO?

Everyone should carry Narcan (naloxone). Narcan can reverse an overdose from opioids, including IMF. It can save someone’s life. Because of Good Samaritan Laws, you will not be arrested if you call 911 & give Narcan (naloxone) when someone is overdosing.

ONE PILL CAN KILL

SIGNS OF AN OVERDOSE:

Breathingisslow&shallow

Unresponsive

Tinypupils

Slowheartrate,lowbloodpressure

Gurglingand/orsnoring

Skiniscoldand/orclammy

Cannotwakeup

Bluishlipsorfingers

IFYOUUSESTREEDRUGS:

Golow&slow.Youcanalways takemorelater

Donotusealone.Makesure someoneisnearbywithNarcan (naloxone)

Testyourdrugsforfentanyl,but beawarethatfentanylmaynot bedistributedevenlythroughout thedrug.

RESOURCES

SPTHB Signs of Overdose Fact Sheet

SPTHBRESOURCESONOPIOIDUSE:

ToscheduleafreeNarcan(naloxone)training,orderfreeNarcan,orderfreedrug testingkits,findaccesstotheclosestclinics,andforpeerrecoveryinformation, contactCaseyWard-Freemanatcward-freeman@spthb.org

CDC Fentanyl Resources DEA Fentanyl Resources

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