Opioids likeheroinget most of the attention when it comes to addiction and deadlyoverdoses, butfentanylis more potent and dangerous than most opioids. Fentanyl played a role in thedeath of musician Prince, and the illicit use of this incredibly strong opioid is becoming more of a problem in the United States.
Fentanyl is a synthetic opioid, meaning it’s manmade and is estimated to be anywhere from 50 to 100 times more potent thanmorphineaccording to the DEA. Other groups estimate that the potency even higher. It’s also thought to be up to 50 times more potent than heroin. Because fentanyl use is on the rise, deaths related to the drug are also increasing.
There are statistics showing that in many states, fentanyl is involved in as much as 75 percent ofoverdosedeaths, which shows the staggering impact of this deadly drug.
Why is fentanyl so dangerous? What is it about fentanyl that makes it more dangerous than other, already-deadly opioids? To understand the answers to those questions, it’s key to know how fentanyl impacts a person’s physical and mental health.
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Fentanyl’s Effect on the Brain
Fentanyl binds to opioid receptors and crosses the blood-brain barrier. This function is how fentanyl is able to create a sense of euphoria and deep relaxation for the user.
While fentanyl may act in the same general way as other opioids, the speed at which it takes effect is one of the ways it’s distinctive.
Fentanyl binds quickly to opioid receptors and that’s what makes the effects feel more euphoric. The rapidity is also one of the reasons why fentanyl is so dangerous and so addictive.
Because of the potency of fentanyl, it takes a much smaller amount of the drug to have the same effect that would be seen with other opioids. Because of this potency, fentanyl is measured in micrograms instead of milligrams.
The difference in potency is another one of the significant reasons why fentanyl is so dangerous. When fentanyl is taken illicitly, there’s really no way for people to know how much they’re getting.
Some individuals may not be expecting to take fentanyl at all, as it can be cut into other drugs. So, because even the smallest amount can lead to overdose, fentanyl is deadly because it can kill without much warning.
The Physical Reasons Why Fentanyl Is So Dangerous
There are also physical reasons why fentanyl is so dangerous, along with the fact that a relatively small amount is so potent.
One of the primary physical reasons why fentanyl is so dangerous is the respiratory depression it creates. This danger is the case with all opioids, although again, it can happen with a much smaller dose than other opioids.
If someone takes something over the therapeutic dose of any opioid, including fentanyl, their breathing can slow to the point that they die. With fentanyl, respiratory effects happen faster.
Wooden chest syndrome, or chest wall rigidity, is another reason that fentanyl is deadly. As part of the slowing of respiration, when someone injects fentanyl intravenously, they’re at risk for wooden chest syndrome. When this syndrome occurs, the chest and abdomen muscles tighten and become so rigid that even doing CPR is difficult if not impossible.
These reasons why fentanyl is so dangerous also go along with the fact that it’s considered a high-risk drug for addiction and dependence. Because of how it crosses the blood-brain barrier so quickly, tolerance can develop very quickly as well, which makes the person using the drug feel as if they need larger doses to get the same euphoric high. This pattern puts them at a higher risk for overdose.
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