Fentanyl is a powerful synthetic opioid
Opioids are medications that reduce pain by targeting opioid receptors in the brain. Most of them are produced using the poppy plant, but synthetic opioids such as fentanyl are manufactured in the lab. According to the National Institute on Drug Abuse, fentanyl is 50-100 times more powerful than morphine, another powerful (natural) opioid from which heroin is derived. So what is fentanyl made from that makes it so powerful?
In the United States, the Drug Enforcement Administration classifies fentanyl as a Schedule II substance, meaning it has a high potential for abuse and physical dependence but has a recognized medical use as a prescription drug. Fentanyl is so potent that it is now competing with heroin as the most dangerous opioid on the market.
Fentanyl is also commonly abused alongside other substances. Since it is so potent and powerful, it is often used as a cheap way of cutting more expensive drugs. However, the consequences of consuming fentanyl unwittingly can be catastrophic. Additionally, combining it with other substances often affects the brain in surprising and unpredictable ways. Using fentanyl irresponsibly in this fashion can often be fatal.

What is Fentanyl Made From? : Illegally Made Fentanyl
According to the Centers for Disease Control and Prevention, overdoses due to fentanyl are on the rise. This is in part due to the increased availability of illegally-made non-pharmaceutical fentanyl. From 2012 to 2015, the number of deaths due to overdoses from synthetic opioids such as fentanyl almost tripled. Because fentanyl is so easy to produce in large quantities, and because even a pinch of it is so powerful, drug dealers are turning more and more often to selling fentanyl, which in many areas is now more accessible than heroin. Additionally, among abused substances, fentanyl is particularly easy to ship undetected. This has contributed to a large extent toward the spread of the substance.
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Adding to Heroin
Due to its affordability and potency, fentanyl is commonly used by drug dealers to cut or lace other drugs, particularly opioids such as heroin. As a result, many drug addicts who are trying to buy heroin are often consuming fentanyl as well. Unfortunately, while heroin is obviously dangerous in and of itself, consuming both drugs simultaneously exposes addicts to increased risks. Because both opioids are central nervous system depressants, the chances of respiratory depression increase.
When respiratory depression occurs, breathing slows or comes to a stop entirely. Additionally, the chances of overdoses skyrocket. This is particularly true because heroin users are consuming fentanyl accidentally, and when using opiates it is important to match potency and dose to the individual user’s tolerance and sensitivity levels.
Adding to Cocaine
It is also common for fentanyl to be mixed with cocaine and pressed into pill form. These substances, which are sold on the street under many names, are often sold without any mention of the fentanyl contained within. Combining opioids with stimulants such as cocaine is known as speedballing.
These substances, which have opposite effects, are used together because they both provide powerful and euphoric “highs” and tend to nullify the other drug’s negative effects. However, the risk of overdose increases alongside the high. Stimulants such as cocaine overwork the heart and cause the body to use more oxygen.
On the other hand, fentanyl and other depressants cause users to breathe more slowly and can even slow the rhythm of the heart itself. These contradictory effects can be life threatening.
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The Problem of Not Knowing
Unfortunately for many addicts, it is often unclear what they are getting when they choose to purchase an illicit drug. Fentanyl can be added to many drugs, including heroin and illicit stimulant cocaine. Drug dealers who are trying to profit may not mention this, which adds an additional risk factor. These shady practices can occur when fentanyl is purchased on the street, but it is becoming more and more common with drugs purchased on the Internet’s “dark web” as well.
Dangers of Prescription Drug Abuse
Fentanyl creates unique and deadly traps beyond other opioids. People underestimate its power because it comes from doctors. Here are the specific dangers explained simply.
Stops Breathing Even at Normal Doses
Fentanyl slows breathing to dangerous levels, even when taken exactly as prescribed for severe pain. Your lungs simply forget to work properly. This happens without warning.
Builds Tolerance Lightning Fast
Your body adapts within days, needing higher doses for the same relief. What starts as prescribed pain management quickly becomes dependence. Doctors must taper patients slowly to avoid a crisis.
Street Versions Kill Instantly
Illegally buying fentanyl or fentanyl-laced drugs causes overdose death in minutes. No tolerance warning—just sudden collapse. Most users don't realize fentanyl hides in counterfeit pills.
Withdrawal Hits Brutal and Fast
Quitting triggers intense flu-like symptoms, muscle pain, and deep anxiety within hours. Street users face this alone without medical support. The pain drives relapse immediately.
Confusion Traps Users in Silence
Fentanyl causes mental fog and sedation that hides growing problems. Users don't notice their decline until emergencies strike. Family often discovers the addiction too late.
Fentanyl moves faster than any other opioid. Medical use slides into abuse silently. Sober living provides peer accountability after detox to escape fentanyl's grip completely.
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- Fentanyl is a powerful synthetic opioid
- What is Fentanyl Made From? : Illegally Made Fentanyl
- Adding to Heroin
- Adding to Cocaine
- The Problem of Not Knowing
- Dangers of Prescription Drug Abuse
- Ready for Lasting Recovery?







Written By
David Beasley