Elliptic has amassed a comprehensive dataset of crypto wallets used by fentanyl dealers to facilitate this deadly trade. Our blockchain analytics engine Nexus can be used to trace the on-chain activities of these dealers – including money laundering or dark web activity. Our research also shows that alongside darknet markets, some darknet vendors have set up smaller online stores selling fentanyl. On-chain data reveals that one of them – named “One Stop Shop Pharmacy Online” – procured fentanyl from the dealer Alex Peijnenburg, who has been sanctioned by the Office of Foreign Assets Control (OFAC). If you unknowingly take fentanyl in another drug, you may overdose since fentanyl is so potent.
Can A Person Overdose On Fentanyl?
The report blames the Postal Service and Customs and Border Protection for failing to prepare for the increase in international shipments. Only slightly more than a third of international packages include advanced electronic data (AED) that would help target illegal opioids. Fentanyl moving through the street market comes in a powder form and can be injected, smoked, or snorted. It has also been found in other drugs, like heroin, meth, cocaine, and pressed pills. Fentanyl is a synthetic opioid that is about 50 times as potent as heroin. People use fentanyl because it is cheap to manufacture and a small amount goes a long way.

For people who are addicted to fentanyl, there are safe and effective treatments available. Scientists are also working on opioid vaccines that would cause a person to develop antibodies to particular opioids and block their effects. This would offer a new approach to treating substance abuse, but the results of this research will likely not be known for years to come. One-hundred times more powerful than morphine and 50% more powerful than heroin, fentanyl can be injected, snorted or sniffed, smoked, taken as a pill or placed on paper. Illicitly produced fentanyl is sold alone or combined with heroin and other substances.
What Is A Fentanyl Overdose?
Additional testing was positive for fentanyl, methamphetamine, acetaminophen, and tramadol (from Joynt & Wand, 2021). Make sure your physician knows about all of your medications before taking fentanyl. Our analysis has revealed that dark web vendors have purchased fentanyl to the tune of $0.5 million from dealers.
Another medication, lofexidine, has been approved for treatment of withdrawal symptoms.34 See “Medications for Opioid Use Disorder” for more information. Investigators were able to link the sellers to seven U.S. related opioid-related overdose deaths and 18 arrests for drug related offenses. They were also able to identify suspected distribution networks that transship purchases into the U.S. from China. According to the report, the street value of the 500 online transactions discovered by the Subcommittee in its investigation conservatively translates to around $766 million-worth of fentanyl. Fentanyl and other synthetic opioids have now surpassed heroin and prescription painkillers as the deadliest drugs in the United States. They killed more than 19,000 Americans in 2016, topping heroin (15,000) and prescription opioids (14,000) for the first time.
More On Substance Abuse And Addiction
- The Senate subcommittee did not look closely at darknet sites, the investigator told me, because they found so much on the open web.
- Its potency and widespread availability have contributed to a dramatic increase in opioid-related deaths.
- Food and Drug Administration (FDA) for the treatment of opioid use disorder.
- According to the CDC, the rate of fentanyl overdoses in 2020 was 18 times higher than in 2013.
Click on the location markers to view details, then scroll down in the details to confirm what each ORP offers. Naloxone can reverse a fentanyl overdose, although in some cases it may take more doses because fentanyl is so potent. You should also call 911, just like for any medical emergency, so extra help is on the way. More than 63,600 Americans have died of drug overdoses in 2016, according to the Centers for Disease Control and Prevention, with two-thirds of those caused by opioids, including fentanyl. Being aware if fentanyl is present allows people to implement appropriate harm reduction strategies to reduce the risk of an overdose. Education about the risks of fentanyl use, increased access to naloxone, and comprehensive addiction treatment programs are crucial in addressing this crisis.
Prevention Tips
Many individuals consume fentanyl without knowledge while others use it intentionally because of its potency. Although fentanyl patches are a legal form of the drug doctors sometimes prescribe for pain, they are easily abused. People may take the gel out of the patch and either put it in their mouth or inject it. When it’s in powdered form, it looks a lot like other powdered drugs such as cocaine. Powdered fentanyl can also be pressed into pills that look like prescription pills such as Percocet or Xanax. Producers of illicit fentanyl add it to or substitute it for other street drugs to increase profits and the potential for addiction — which keeps their customers coming back for more.
Illicit fentanyl is often mixed with other drugs like heroin, cocaine, xylazine, counterfeit prescription pills, or legitimate prescriptions. Thus, consumers may unknowingly ingest fentanyl, increasing the risk of overdose and death. Fentanyl is a synthetic opioid that is 50 to 100 times more potent than morphine.
Report Suspected Unlawful Sales Of Pharmaceutical Drugs On The Internet

It is also used for other types of pain that you’ve had for a long time when weaker painkillers have stopped working. If you suspect someone is experiencing an overdose, the CDC recommends following the steps below. You can download our Crypto and the Global Fentanyl Trade report here.
After A Year In Business, Mentor’s D&D Meadery Has Products In 300 Markets
Overdose deaths involving fentanyl have quadrupled in recent years. Because of the so-called “War on Drugs” and criminalization of people who use drugs, people often are unaware of the exact composition of the substances they’re using. This makes evidence-based harm reduction strategies such as fentanyl test strips, safety planning, and access to safe supply more vital than ever.

Ideally, it’s best to use them every time you use, but it may not be realistic for everyone. Naloxone is an FDA- approved medication that rapidly reverses opioid overdoses. This means it can block opioid receptors in the body and reverse an opioid overdose for minutes. It is a temporary treatment – so you should still call 911 if someone responds to the medicine. One participant was concerned about legal implications from using fentanyl test strips.
People who take fentanyl may develop a tolerance to high doses, meaning that more of the drug is needed to achieve the desired effect. Discarded fentanyl patches may still contain significant amounts of the drug. This can result in misuse if someone removes the gel contents from discarded patches. Research has found that pregnant women with untreated addiction may be less likely to get regular prenatal care. This can raise their risk of serious or even deadly pregnancy complications. Dependence can cause extremely unpleasant withdrawal symptoms if the person stops using it.
In high enough doses, opioids can cause breathing to stop completely. Fentanyl’s strength increases this risk of overdose substantially. Synthetic opioids sold illicitly can be mixed with heroin or cocaine, which amplifies its potency and potential danger.

The sellers preferred Bitcoin, the investigators said, but they also accepted Western Union transfers, PayPal, and prepaid credit cards. They wanted to ship the packages through the international arm of the US Postal Service, rather than a private carrier like FedEx or UPS. They told the investigators that there was less of a chance the package would end up detained — we’ll get back to that in a moment. In a time of noise, confusion, and spin, we’re committed to clarity, truth, and depth — even when it’s hard. The subcommittee identified more than 500 sales, totaling $230,000, that involved the six online sellers.
It is safe to touch the person and items that may have fentanyl on them (like a doorknob) because fentanyl cannot be absorbed through the skin with casual use (Connolly, 2022). Call your doctor if you experience more than four episodes of breakthrough pain per day or if you have new pain or an increased sensitivity to pain during your treatment with fentanyl. Your doctor may need to adjust the dose of your other pain medication(s) to better control your pain. 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.

