In addition, some dealers intentionally add deadly amounts to some pills because the death of a user is like an advertisement that that dealer has really strong drugs. This wanton disregard for human life is reflected in the fact the DEA has often tested counterfeit OxyContin how long does fentanyl stay in your system pills containing up to 5 milligrams of fentanyl—or 2½ times a lethal dose. At high levels, stimulants can cause heart attack, overheating (hyperthermia), and brain damage. Even after a low dose of cocaine, a person is 24 times more likely than normal to have a heart attack.

Three 3-h SHIELD training sessions were conducted in Indiana in December 2020, and March and June 2021. The trainings were held via Zoom to limit the spread of COVID-19, and were led by a former police officer to maximize credibility and present material in ways that would resonate with officers. Drugs substituted with powerful synthetic opioids, such as fentanyl, are especially dangerous. Since the amount needed for a dose is so tiny, these drugs are hard to work with and measure.

Boulder County Substance Use Advisory Group

Naloxone is a medication that is effective against fentanyl and other opioids if given immediately. It binds to the opioid receptors in the brain, so that the effects of fentanyl are blocked. The brand names Narcan and Kloxxado are also naloxone but used as a nose spray.

According to experts, there are many reasons fentanyl has become such a widely used illicit drug, despite its high overdose potential. (Top) Normally, excitatory and inhibitory https://ecosoberhouse.com/article/how-long-does-alcohol-stay-in-your-system-blood-and-urine/ signals are in balance, and breathing is controlled and regular. (Bottom) Under the influence of alcohol or opioids, excitatory and inhibitory signals are out of balance.

The Scope of Counterfeit Drugs

Fentanyl has now become the leading cause of drug poisoning deaths in the United States. A scarcely visible speck of fentanyl is enough to kill; dealers are using increasingly larger amounts of the synthetic opioid to cut their drugs. That deadly combination has caused fentanyl overdoses to become the No. 1 killer of American adults 18 to 45, according to the Centers for Disease Control & Prevention (CDC). While fentanyl continues to be used medically—in microgram doses administered with rigid safeguards—the DEA reports that more than a dozen fentanyl variants are now being produced illegally. Drug dealers routinely mix fentanyl with heroin, cocaine, meth and other drugs—and to produce counterfeit pills. They mix in fentanyl in unsanitary conditions without precisely measure the dose.

Assume that any pill or drug not purchased directly from a pharmacy could contain fentanyl. This includes illicit drugs (cocaine, heroin, meth, etc.) as well as prescription medications (Xanax, Oxycodone, etc.). Experts consider 2 mg of fentanyl to be lethal, but many counterfeit pills contain up to 5 mg (more than twice the lethal dose).