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Fentanyl 

Fentanyl is a powerful synthetic opioid — man-made and up to 50 times stronger than heroin and 100 times stronger than morphine. It was originally made for hospital pain control, but now much of what’s on the street is illegally made, often mixed into other drugs without people knowing.

Street names include “fetty,” “fent,” “china white,” “dance fever,” “murder 8,” and “apache.” You’ll also hear people say “pressed pills,” “blues,” or “M30s” — fake oxycodone tablets that actually contain fentanyl.

Right now, it’s the main driver behind record numbers of overdoses across the U.S. Even a few grains of it can stop breathing. Because it’s so strong, people can overdose quickly — especially when they don’t know it’s in their drugs. Dealers often mix fentanyl into cocaine, heroin, meth, and fake pills because it’s cheap and increases potency.

What it does:

  • Rapid, intense high that fades fast

  • Extreme sleepiness, slowed breathing, or no breathing at all in overdose

  • Very high risk if mixed with alcohol, xylazine, or other depressants

Harm-reduction basics:

  • Always carry naloxone (Narcan) — it does reverse fentanyl overdoses.

  • Don’t use alone; if you can, have someone nearby with naloxone ready.

  • Test your supply with fentanyl test strips whenever possible.

  • Start with a very small amount — potency varies wildly batch to batch.

Source: U.S. Centers for Disease Control and Prevention (CDC).