What is Fentanyl?

Fentanyl is an extremely powerful Opioid pain medication that is approximately 50 times more potent than Morphine. It is a fully synthetic Opioid that was created in 1960 and approved for use in the US in 1968. It was intended primarily for post-surgical pain, palliative care, and other end-of-life pain. Fentanyl is a major contributor to overdose deaths in the on going opioid epidemic. Due to the low production costs, Fentanyl is being used illicitly to increase potency in otherwise less potent drugs often laced with or imitating other substances causing lethal doses. Make sure you are testing for Fentanyl.

Cut-Off Levels (ng/mL)

200, 300 ng/mL (Urine)

10 ng/mL (Saliva)

Window of Detection

1 – 3 Days (Urine)

1 – 2 Days (Saliva)

How is it Used?

When prescribed by a physician, fentanyl is often administered via injection, transdermal patch, or in lozenges. However, the fentanyl and fentanyl analogs associated with recent overdoses are produced in clandestine laboratories. This non-pharmaceutical fentanyl is sold in the following forms: as a powder; spiked on blotter paper; mixed with or substituted for heroin; or as tablets that mimic other, less potent opioids.8 People can swallow, snort, or inject fentanyl, or they can put blotter paper in their mouths so that fentanyl is absorbed through the mucous membrane.

What are the Effects?

Like other opioids, fentanyl works the same way by binding to the opioid receptors in the brain producing euphoric pain relieving effects. This leads to high potential for dependency and abuse. Due it’s extreme potency, fentanyl can be fatal even in very small doses.

Common Symptoms

  • euphoria
  • drowsiness
  • nausea 
  • confusion
  • constipation
  • sedation
  • tolerance
  • addiction
  • respiratory depression and arrest
  • unconsciousness
  • coma
  • death

    Common Street Names

    • Apache
    • China Girl
    • China White
    • Dance Fever
    • Friend
    • Goodfella
    • Jackpot
    • Murder 8
    • TNT
    • Tango & Cash

    What does it Look Like?

    White powdery substance.

    Legal Status

    Scheduled I substance under U.S. Controlled Substance Act for prescription use only.

    Testing Options

    • Integrated Urine Test Cup
    • Urine Test Dip Card
    • Oral Fluid Test
    • Field Test

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