“A lot of people have used drugs that have flowed through cryptomarkets without knowing what cryptomarkets are,” he said. To buy his fentanyl, the man uses “darknet” sites, which are unlisted on search engines, rely on a special private browser for access, and don’t tie his username to his identity. He says most of the sites on the regular internet, which the Senate report focused on, are scams in which dealers will take money and fail to deliver. (The Senate investigators did not actually make any purchases.) Or, these so-called “clearnet” sites lead to arrests.
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This combination can result in an individual consuming a much stronger substance than they are used to, resulting in overdose and possibly death. The DEA has found an average of 2.4 milligrams of fentanyl in the pills they test (DEA, 2024). Naloxone — also known by the brand names such as Narcan and Kloxxado — is a prescription medication that reverses an opioid overdose. While it works quickly, naloxone is a temporary solution that works for 30 to 90 minutes.
Drugs mixed with fentanyl are extremely dangerous, and many people may be unaware that their drugs contain it. The Food and Drug Administration (FDA) has warned that deaths and overdoses have occurred in people using both the brand-name product Duragesic and generic transdermal fentanyl patches. The FDA also warned that children are at particular risk for accidental death from exposure. See the impact of fentanyl and other synthetic opioids on drug overdose deaths. Investigators were able to link the sellers to seven U.S. related opioid-related overdose deaths and 18 arrests for drug related offenses.
Older Black Men Are Disproportionately Affected By The Overdose Crisis
- Illegal fentanyl, however, has an unknown amount of fentanyl and may be mixed with other drugs, which may result in harmful behaviors.
- Fentanyl is a human-made opioid used to treat severe pain.
- Investigators were able to link the sellers to seven U.S. related opioid-related overdose deaths and 18 arrests for drug related offenses.
- In a medical setting, people take prescribed fentanyl for severe or chronic pain.
- Medications are the standard treatment for fentanyl addiction.32,33 Several medications have been approved by the U.S.
Our analysis has revealed that dark web vendors have purchased fentanyl to the tune of $0.5 million from dealers. Though this is dwarfed by the direct export trade – which exceeds $32 million in crypto – there nevertheless remains some key implications for countering the trade in fentanyl. In another instance, we have identified on-chain payments between vendor clusters and suppliers of pill presses and dies – equipment needed for manufacturing precursors. This indicates that some vendors are directly involved in the manufacturing and supply, as well as onward distribution. ASAP Market showing a listing of fentanyl, despite supposedly banning the sale of the drug.
Efforts To Prevent Fentanyl Overdoses

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. People sell illegal fentanyl as a powder, dropped onto blotter paper, put in eye droppers and nasal sprays, or as pills that look like other prescription opioids. Fentanyl is 100 times stronger than morphine and 50 times stronger than heroin (DEA, n.d.).
Fentanyl Patch
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. This blog is provided for general informational purposes only. By using the blog, you agree that the information on this blog does not constitute legal, financial or any other form of professional advice.
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See the results of one such investigation, Operation Cyber Chase. As Vox’s German Lopez previously explained, fentanyl has been around since the 1960s, but its illicit use has spiked in recent years. It is relatively easy to produce and is much more potent than heroin. Portman and a bipartisan group of senators have actually introduced legislation to require the Postal Service to collect this electronic data. It is also an idea that President Trump has at times endorsed. There are hurdles, including international treaties and the readiness or willingness of other countries to implement the same standards.
How Can I Find Out If My Drugs Or Pills Contain Fentanyl?
- Tell your doctor if you feel that your pain is not controlled or if your pain increases, becomes worse, or if you have new pain or an increased sensitivity to pain during your treatment with oxycodone.
- It is relatively easy to produce and is much more potent than heroin.
- 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.
- Most people need help from a health professional or program to successfully quit.
It works by changing the way the brain and nervous system respond to pain. A program has been set up for each fentanyl product to decrease the risk of using the medication. Your doctor will need to enroll in the program in order to prescribe fentanyl and you will need to have your prescription filled at a pharmacy that is enrolled in the program. As part of the program, your doctor will talk with you about the risks and benefits of using fentanyl and about how to safely use, store, and dispose of the medication. After you talk with your doctor, you will sign a form acknowledging that you understand the risks of using fentanyl and that you will follow your doctor’s instructions to use the medication safely.
This causes feelings of well-being (euphoria) and relaxation and relieves pain. The emergency and referral resources listed above are available to individuals located in the United States and are not operated by the National Institute on Drug Abuse (NIDA). NIDA is a biomedical research organization and does not provide personalized medical advice, treatment, counseling, or legal consultation. Information provided by NIDA is not a substitute for professional medical care or legal consultation. This means there must be a real doctor-patient relationship, which by most state laws requires a physical examination. Prescriptions written by “cyber doctors” relying on online questionnaires are not legitimate under the law.
Make sure you follow the instructions on how to properly use Fentanyl (Fentanyl-transdermal). If you have any questions, contact your doctor or pharmacist. Withdrawal symptoms may be experienced if the dose is significantly reduced or suddenly discontinued.

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They also had other features suggesting they were untrustworthy. Increasing demand for online pharmaceuticals has in turn raised concerns about the reputability of those who dispense them. ASOP Foundation found that 20 new illicit pharmacy websites are created every day and, in a 2024 survey, found that 54 percent of respondents mistakenly believed that all online pharmacies are FDA approved. The issue of drug safety has come to the fore as more Americans than ever turn to online pharmacies.

Why Is This Medication Prescribed?

If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice. Maximum pain relief may not occur for up to 72 hours after first starting Fentanyl (Fentanyl-transdermal). Your doctor may give you a short-acting pain control medication during this period. Fentanyl test strips can identify the presence of fentanyl in unregulated drugs.
The Chinese sellers shipped purchases through other countries to reduce the risk of the drugs being detected and seized by customs officials. Investigators started by Googling “fentanyl for sale” and then emailing sellers from six different websites as they posed as first-time buyers. Congress passed its first major opioids legislation and funding in late 2016 but hasn’t done much since to follow up. And so far, the Trump administration’s response to the opioid crisis — a regular talking point for the president on the campaign trail — has been severely lacking in those other, arguably more pressing areas. But as Lopez has detailed time and again, cracking down on supply — as the Portman bill would — doesn’t do anything to address demand or treatment, which many experts name as the bigger issues. Even through the narrow lens of cutting the drug supply, the sellers have already proven adept at adapting to new circumstances.