We also routinely track dark web markets for additional risk factors, such as the trade in fentanyl and firearms. Our Research and Investigations Team also focuses on identifying new ways vendors use to disguise the trade of such illicit goods. Our research also shows that alongside darknet markets, some darknet vendors have set up smaller online stores selling fentanyl. If a patient is taking this drug on a prescription basis, they need to communicate immediately with their physician if they experience any adverse effects. It’s used to treat severe pain, for example during or after an operation or a serious injury, or pain from cancer. If you unknowingly take fentanyl in another drug, you may overdose since fentanyl is so potent.
How Much Does Fentanyl Cost?
Throw away the remaining handles in a place that is out of the reach of children and pets, and flush the toilet twice when it contains up to five lozenges. Dispose of unneeded tablets by removing them from the packaging and flushing them down the toilet. 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. If you suddenly stop using fentanyl, you may experience unpleasant withdrawal symptoms. Fentanyl should be used along with your other pain medication(s).

Navigating Professional Assistance Options
Congress passed its first major opioids legislation and funding in late 2016 but hasn’t done much since to follow up. Now that shipments from China have come under suspicion, the sellers told the investigators that they preferred to ship through Europe. Even as the US worked with China to crack down on one fentanyl compound, the sellers simply tweaked their formula and offered to sell a new version in another email included in the report. The staff started, quite literally, by Googling “fentanyl for sale,” they said. Posing as first-time buyers, they made contact with six responsive sellers.
In 2022, the US Drug Enforcement Agency seized brightly colored fentanyl pills and powder (“rainbow fentanyl”), demonstrating that fentanyl can come in various colors and formulations. As a synthetic opioid, fentanyl attaches to the body’s opioid receptors, which are found in areas of the brain that control pain and emotions. When fentanyl binds to these receptors, it can create intense feelings of euphoria and relaxation, but it also carries a high risk for addiction and overdose. Fentanyl is a synthetic opioid that is 50 to 100 times more potent than morphine.

Accessibility Report

Due to its high potency and low cost per dose, street dealers have found it to be a useful filler or substitute when selling other, more expensive street drugs. A fentanyl transdermal patch will cost around $40 on the street. These are designed to provide an extended-release dose of fentanyl over the course of 72 hours.
- The liquid form is often dropped on paper or small candy, leading to the potential for tragic deaths among children.
- As with other opioid drugs, fentanyl binds to the receptors in the brain that affect pain and emotion.
- Illicitly produced fentanyl is sold alone or combined with heroin and other substances.
- Now, for that amount, he can get enough fentanyl to last more than three weeks.
This can cause death by slowing their breathing and lowering oxygen levels in their blood. This more recent version of fentanyl comes in bright colors. People who make it mix it with dyes and either press it into multicolored pills or sell it in a colored powder form. While some opioids come directly from the plant, fentanyl is made in a lab by scientists using the same chemical structure. In case of overdose, remove the fentanyl from the victim’s mouth and call local emergency services at 911.
Some people take fentanyl illegally by separating it from skin patches and injecting it. This overdose rate has continued to rise in part because fentanyl is often mixed into or sold as other drugs. Because fentanyl is so strong, it takes only a small dose of the drug to cause death.
MORE: Social Media Being Used To Sell Pills Laced With Fentanyl, Reports Say

The DEA has found an average of 2.4 milligrams of fentanyl in the pills they test (DEA, 2024). People who use drugs might not be aware they are taking fentanyl, yet the reality is that fentanyl-laced drugs are prevalent. In 2022, the DEA seized more than 50 million street pills laced with fentanyl — more than twice as many in 2021. Of the fentanyl-laced street pills analyzed by the DEA in 2022, 60% contained a potentially lethal dose of fentanyl. Fentanyl is increasingly found in street drugs that have been stamped with illegally purchased pill presses to look like other common pharmaceutical-grade drugs, such as oxycodone.
How To Reduce The Risk Of A Fentanyl Overdose

You may also feel dizzy, drowsy, have vision changes, or have unpleasant side effects such as dry mouth, stomach pain, or anxiety. Some opioids come directly from the opium poppy plant, but manufacturers make fentanyl in a lab and reproduce the chemical structure. Fentanyl can also be “diverted.” That’s when the drug is prescribed by a doctor but isn’t used as directed or is sold or given to someone else. Talk to your doctor about the risks of using this medication. Additionally, some people use the ultrapotent fentanyl analog carfentanil, which is legally used to sedate large animals. While fentanyl is legally manufactured and distributed in the U.S., it can be stolen, obtained with fraudulent prescriptions or made in illegal labs.
The Rise And Concern Of Counterfeit Pills

It is also used for other types of pain that you’ve had for a long time when weaker painkillers have stopped working. Manufacturers use chemicals to make a substance with the same chemical structure as poppies to make fentanyl in a lab. Call an ambulance right away if you suspect you or someone you’re with may have taken an overdose. Fentanyl patches can take up to 2 days to start working, but they last longer.
This characteristic not only magnifies its impact but also reduces the overall quantity of raw materials required in its synthesis. However, street prices for a gram of fentanyl are typically significantly less at $60/pill in the US according to the United Nations Office on Drugs and Crime. A fentanyl tablet might run you somewhere between $25 and $50.
To buy his fentanyl, the man uses “darknet” sites, which are unlisted on search engines, rely on a special private browser for access, and don’t tie his username to his identity. He says most of the sites on the regular internet, which the Senate report focused on, are scams in which dealers will take money and fail to deliver. (The Senate investigators did not actually make any purchases.) Or, these so-called “clearnet” sites lead to arrests.
Coroners’ offices and state crime laboratories do not test for fentanyl unless given a specific reason to do so. In this article, we will discuss the medical uses of fentanyl and its side effects. We will also cover misuse of fentanyl, addiction, and the risk of overdose. This campaign also shows the difference between counterfeit pills and real pills. The program not only educates parents and students but also school officials including administrators and teachers.