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Signs & Symptoms of Fentanyl Addiction

Fentanyl is an artificial opioid drug that is used as a pain reliever for advanced cancer and post-surgery pain. It’s given in a shot, a skin patch, or as a lozenge (similar to cough drops). This painkiller is known to be manufactured and sold illegally.

Due to its euphoric effects, fentanyl misuse and abuse are rampant. From 2019 to 2021, over 106,000 deaths from drug overdoses, primarily due to fentanyl abuse, have been reported. Fentanyl addiction can have devastating effects on an individual, such as organ failure, mental illness, coma, and even death. Understanding and recognizing the signs of fentanyl addiction is a massive step towards the path of recovery.

Physical Signs of Fentanyl Addiction

A person struggling with fentanyl addiction may show some or all of these physical signs:

      • Fatigue

      • Diarrhoea

      • Muscle pain

      • Bone pain

      • Dry mouth

      • Mouth sores

      • Sudden chills

      • Weight loss

      • Vision problems

      • Nausea and vomiting

      • Slow breathing

      • Increased heart rate

      • Swollen hands and feet

      • Uncontrollable leg movements

      • Loss of consciousness

    Behavioral Signs of Fentanyl Addiction

    Behaviour changes of fentanyl addiction can vary, but there are common signs such as:

        • Isolation

        • Irritability

        • Restlessness

        • Poor hygiene

        • Mood swings

        • Risky behavior

        • Lack of motivation

        • Financial problems

        • Neglect of responsibilities

        • Changes in sleep pattern

        • Opening fentanyl patches to take the content

      Psychological Signs of Fentanyl Addiction

      Fentanyl addiction can cause mental health problems. The psychological signs of Fentanyl addiction include the following:

          • Anxiety

          • Euphoria

          • Depression

          • Hallucination

          • Lack of focus

          • Intense cravings

          • Distorted thinking

          • Compulsive drug seeking

        What to do if you suspect someone is addicted to fentanyl?

        If you suspect that someone is addicted to fentanyl, here are several steps you can take to help the individual:

              • Take note of the signs of fentanyl abuse that you have observed. This information is crucial to aid in the recovery of your loved one.

                • Express your concern and support. It can be challenging to convince your loved one to seek professional help. The best approach is to communicate with empathy and not with judgment.

                  • Research treatment options. You may contact drug treatment facilities or a sober living home and ask about the different programs they offer. 

                How do you talk to someone about addiction?

                It’s natural to feel hesitant and nervous when you talk to someone about addiction. The best way to start is by educating yourself. Learn about the effects of the drug and the signs of abuse before talking to the individual.

                Here are some dos and don’ts on how you can communicate with the person effectively about addiction:

                Dos:

                Express your concern.

                    • “I’ve noticed changes in your behavior, and I’m concerned. Can we talk about this?”

                  Be encouraging. 

                      • “It may be difficult but I know you can do this.”

                    Set realistic boundaries with your loved one and be firm about it.

                        • “I care about you but I won’t be able to tolerate or support (specify action or behavior).”

                      Express your appreciation.

                          • “I appreciate that you have improved in (specify action or behavior).” 

                        Offer help and support.

                            • “Is there anything specific that I can help you with?” 

                          Don’ts:

                          Do not use negative language.

                              • Avoid calling them names such as “addict or junkie.”

                            Avoid blaming.

                                • “This happened because of you.”

                              Do not threaten.

                                  • “If you will not stop, I will call the police/kick you out.”

                                Do not minimize their struggle.

                                    • “Why is it hard for you to quit? Just stop.”

                                  Do not assume

                                      • “You’re just doing this for attention.”

                                    Where to find help

                                    If you or someone you know has a fentanyl use disorder, reaching out for help is a crucial step towards recovery Contact the Substance Abuse and Mental Health Services Administration’s (SAMHSA) National Helpline at 1-800-662-HELP (4357). 

                                    Another helpful option is connecting with a local treatment facility or a sober living home. You can also do research on local support groups nearby. There are supportive communities and caring professionals who are more than willing to help.

                                    FAQs About Signs & Symptoms of Fentanyl Addiction

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                                    Yes, someone can overdose on fentanyl accidentally since a small amount of the drug can already be deadly. A person may unknowingly take more than the required dose. Here are signs of fentanyl overdose you should watch out for:

                                    • Constricted pupils
                                    • Loss of consciousness
                                    • Choking sounds
                                    • Slow or no heartbeat
                                    • Bluish skin, nails, and lips
                                    • Cold and clammy skin
                                    • Limp body

                                    Fentanly is more potent compared to other opioids. This painkiller is a hundred times stronger than morphine and fifty times more powerful than heroin. Fentanyl also has a shorter duration of action, which lasts 30-40 minutes, compared to other opioids like morphine, which can last up to 3-4 hours.

                                    Long-term fentanyl misuse can have chronic health effects, such as:

                                    • Constipation
                                    • Organ damage
                                    • Stomach issues 
                                    • Low immune system
                                    • Irregular heartbeats
                                    • Severe respiratory problems
                                    • Low oxygen level in the body
                                    • Permanent brain damage
                                    • Coma
                                    • Death

                                    Preventing yourself or someone you know from becoming addicted to fentanyl involves education and accountability. Stay informed about the risks that come with taking the drug. If you or someone you know is prescribed to use it, accountability for taking the drug is a must. 

                                    The correct dose and interval should be recorded and communicated openly with a trusted individual. Additionally, getting mental health support, avoiding peer pressure, and being in a supportive community are ways to proactively avoid addiction.

                                    Fentanyl is addictive because it attaches to opioid receptors in the brain, enhancing dopamine release or the “feel-good” hormone. It provides a sense of euphoria, which makes the person tolerant and dependent on the drug. Addiction can start when they desire to take fentanyl more frequently to continue feeling its effects.

                                    You can detect fentanyl use through physical signs such as drowsiness, constricted pupils, slowed breathing, and cold and clammy skin. Additionally, observe for behavioral cues such as social withdrawal, euphoria, neglect of responsibilities, and lack of motivation. Look for drug paraphernalia. Fentanyl can be sniffed as a powder, sprayed, or sucked as a candy.

                                    The potency of the dosage, how long a person has been taking fentanyl, frequency of usage, body weight, and general health are all factors that influence how long fentanyl stays in the system. Drug tests are designed to detect fentanyl. Generally, fentanyl use can be detected in blood in 24 hours, urine in 1-3 days, and saliva in 1-2 days.

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                                    Reviewed by

                                    Charley Allen LMFT

                                    Charley Allen

                                    California Licensed Marriage and Family Therapist (LMFT)
                                    Verified by Design For Recovery

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                                    David Beasley Sober Living Life Coach

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                                    David Beasley

                                    David Beasley

                                    Author

                                    David Beasley is a compassionate leader and the visionary founder of Design for Recovery Sober Living Homes, where he dedicates his life to helping individuals reclaim their lives from addiction.

                                    Charley Allen LMFT

                                    Reviewer

                                    Charley Allen

                                    Charley Allen

                                    Reviewer

                                    Charley Allen, LMFT. A proud alumnus of Antioch University, Los Angeles, he holds a Masters in Clinical Psychology and is a licensed Marriage and Family Therapist in California.

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