Rehab 4 Addiction

What is Fentanyl?

Fentanyl is a medical drug used for pain relief. It’s often used in hospitals during procedures, and prescribed by doctors for aches and chronic pain.

So how has this drug become the topic of regular tragedy in recent news?

Fentanyl Statistics

A homeless person

Like all opioids, Fentanyl is derived from the opium poppy, and is being increasingly illicitly manufactured.

The drug is then cut into other drugs like cocaineheroin and methamphetamine.

100 times stronger than morphine, this opioid has a high potential for addiction, and is increasingly used recreationally.[1]

This has made street drugs even more addictive, more powerful, and more dangerous.[2]

What are Fentanyl’s Brand Names?

Woman taking a pill painkiller

Prescription Fentanyl is sold under a few different brand names:

  • Fentora™ – effervescent buccal tablets
  • Abstral® and Subsys™ – sublingual tablets
  • Duragesic® – transdermal Fentanyl patches and injectable formulations
  • Actiq® – oral transmucosal lozenges/‘lollipops’
  • Lazanda – nasal sprays[3]

What Are Opioids?

A doctor taking notes about fentanyl dosages

Opioids, or narcotics, are medicines that treat severe pain, like headaches, backaches and injuries.

There is an increasingly high risk of becoming addicted if you take Fentanyl for an extended period of time.[4]

Why Do People Abuse Fentanyl?

Two friends taking drugs, silhouetted against a city skyline

As well as numbing pain, Fentanyl can produce effects such as euphoria and relaxation.[5]

Recreationally, Fentanyl can also be consumed by being:

  • Snorted/sniffed
  • Smoked
  • Spiked onto blotter paper[6]

Any form of Fentanyl has the potential to become addictive if used regularly.

What are the Signs of Fentanyl Abuse?

An older man typing on a laptop

Common behavioural symptoms of addiction include:

  • Being arrested, disorderly conduct or driving under the influence
  • Having unprotected sex and taking risks under the influence
  • Neglecting work, school or childcare responsibilities[7]

What are the Side Effects of Fentanyl?

Man holding his head under the influence of Fentanyl

Fentanyl depresses the central nervous system (CNS) and respiratory function, which can lead to physical symptoms.

The side effects of Fentanyl and Fentanyl abuse include:

  • Confusion
  • Slurred speech
  • Clammy skin
  • Blurred vision
  • A tight chest /trouble breathing
  • Dizziness
  • Cough
  • Fever
  • Loss of appetite
  • Mood changes
  • Tiredness[8]

The NHS recommends calling 111 if you experience unexplained stiff muscles, dizziness or fatigue while taking Fentanyl.

How Does Fentanyl Affect the Brain?

A brain

Fentanyl produces strong analgesic responses through binding and activation of opioid receptors.[9]

Fentanyl has shown in research to cause neuroadaptive changes in the brain.[10]

Neuroadaptation is where the body adjusts to the presence of a drug, which can lead to dependence.

Fentanyl dependence is when the brain can no longer function normally without it.

What Causes Fentanyl Addiction?

Someone taking medication holding a cup of tea

Fentanyl is highly addictive because it’s so potent.

Once your brain has become accustomed to Fentanyl, this can also make it hard for you to get pleasure from anything else, leading to opioid use disorder.

Whether you’re taking a prescription drug or using Fentanyl as an illegal high, you can quickly develop Fentanyl withdrawal symptoms when you stop.[11]

Can Fentanyl Cause Physical Dependence?

Yes, all opioids have the potential to cause physical dependence.

A physical dependence, unlike a behavioural addiction, is when your brain fails to function normally when the substance is taken away.

This is because opioids like Fentanyl change your brain chemistry.

Are Mental Health Disorders  Risk Factors for Fentanyl Addiction?

A study identifying early risk factors for addiction later in life found that the following markers make you more likely to go on to develop addiction:

  • Psychopathology – phobias and mental health conditions (this is a dual dignosis)
  • Personal substance use – using Fentanyl as a legal high
  • Parental and peer influence – having friends and family who use and abuse drugs or alcohol
  • Socioeconomic status – being working class
  • Negative life events – ACEs, trauma and stress
  • Neurobiology – your genetics could be at play

If you tick the boxes for any of these risk factors, you may be more susceptible to getting addicted to Fentanyl.

What are Fentanyl Withdrawal Symptoms?

Man sweating during fentanyl withdrawal

Fentanyl withdrawal can cause:

  • Pupillary dilation
  • Piloerection
  • Dysphoria
  • Insomnia
  • Yawning
  • Muscle aches
  • Nausea
  • Fever and sweating
  • Lacrimation
  • Rhinorrhea
  • Vomiting and diarrhoea[12]

What are Fentanyl Addiction Symptoms?

A woman looking to the side with her hand pressed anxiously to her lips

Substance use disorder is an technical term for drug abuse, dependence, and addiction.

The Diagnostic and Statistical Manual of Mental Disorders from the American Psychiatric Association can help you determine if your Fentanyl use is a problem.

The DSM defines substance use disorder as:

  1. You take more and more Fentanyl, and over a longer period than was intended
  2. You have intense cravings for Fentanyl, or struggle to cut down
  3. A lot of your time is spent getting hold of, taking and recovering from Fentanyl use
  4. You crave Fentanyl
  5. Your usage has made you struggle to fulfil major role responsibilities at work, school or home
  6. Use of Fentanyl is causing negative consequences in your relationships
  7. You prioritise using Fentanyl over engaging in social, occupational or recreational activities
  8. You use Fentanyl even in dangerous scenarios, such as driving
  9. You use Fentanyl despite knowing that it harms your health and life
  10. You’ve developed a tolerance, and need more Fentanyl to get the same effect
  11. You experience withdrawal symptoms when you try to stop or cut down[13]

If you spot any of these Fenyanyl addiction signs, it’s important to get help sooner rather than later, as your dependence can worsen.

How Does Fentanyl Addiction Affect Lives?

An elderly woman with a Fentanyl addiction washing carrots at a sink

Physical Health

Opioid abuse increases your chances of risk factors like falls and injuries.

It also affects the endocrine system (the body’s network of glands and organs).

This can cause:

  1. Reduced libido
  2. Infertility
  3. Depression[14]

Relationships

A mother holding her son at the beach

Opioid use disorders can begin to break down personal relationships.

Addiction can cause:

  • Emotional problems – you may respond to people in your life in a way that’s fuelled by anxiety, fear, shame, anger, and guilt
  • Money problems – spending money on substances leaves less for family and household responsibilities
  • Adverse events for children – having a parent in addiction increases the likelihood trauma, neglect, and mental health problems in children[15]
  • Marital and relationship breakdown – addiction can cause tension and conflict in a relationship

Work

A man looking out of the window. The blinds cast a shadow on his face

Your job prospects could be disrupted by:

  • Taking a lot of time off sick – time off under the influence of Fentanyl or recovering
  • Being fired – failing to meet expectations
  • Low performance – poor concentration, motivation, and accuracy
  • Prolonged unemployment – struggling to find a job

What is Fentanyl Addiction Treatment?

Two women talking one-to-one at a table about Fentanyl addiction symptoms

It is possible to get clean and recover from Fentanyl addiction treatment.

Therapies

Talking therapies, behavioural therapies, group therapy and addiction counselling can greatly boost your chances of a successful recovery.

Medication

Fentanyl is a substance that causes physical changes in the brain. This can lead to dependence, which means medication may be necessary for you to withdraw.

Detoxification (Detox)

Fentanyl detox is about withdrawing from the substance and giving your brain and body the chance to acclimatise to life without it.

For a physical addiction like Fentanyl, a medical detox may be necessary.

This means you’ll be prescribed medication to help you alleviate the withdrawal symptoms.

Self-Help

Therapy group smiling and talking about celebrities and alcoholism

Charities that can help you with Fentanyl addiction include:

  • FRANK – receive free support for yourself and parents or carers
  • Families Anonymous – get online and face-to-face support meetings for yourself and family and friends

Reducing Harm

If you’re taking a Fentanyl prescribed by a doctor, ensure you follow the prescription, and don’t increase your dose without medical advice.

Be honest with your doctor about your symptoms – this will allow your doctor to prescribe the correct dosage and reduce the chance of dependence.

If you have been using Fentanyl recreationally as a high, ensure you know the risks. Charities such as Talk To Frank can provide more information about Fentanyl.

If you’re using a different type of drug such as cocaine or heroin and you’re concerned about this being mixed with Fentanyl, Fentanyl test strips can help you detect whether your drug contains any Fentanyl.

What is Fentanyl Overdose?

The inside of a lit ambulance on a dark night. Paramedics moving someone on a stretcher during Fentanyl overdose

Fentanyl is among the most common drugs involved in overdose deaths,[16] and has become a primary driver for the recent opioid crisis in the US.

Even in small doses, Fentanyl it can be deadly. Statistics by the Centers for Disease Control and Prevention report that over 150 people die every day from overdoses related to synthetic opioids such as Fentanyl.[17]

EEG tests which measure the brain revealed Fentanyl stops people’s breathing before other noticeable changes, and this can result in a loss of consciousness.

This explains why Fentanyl is so deadly.[18]

What are the Symptoms of Fentanyl Overdose?

A man lying on the floor during Fentanyl overdose

These signs could be caused by Fentanyl overdose, and require medical attention:

  • Pale or blue lips or fingertips
  • Loss of breathing, or shallow breaths
  • Weak muscles (especially in the knees or neck)
  • Losing consciousness
  • Raspy breaths or gurgling noises
  • Confusion and disorientation[19]

How Can a Fentanyl Overdose Be Treated?

Epipen medicine for overdose

Overdose carries serious health risks, and requires medical intervention.

Naloxone

Naloxone is a medication that can prevent the death of someone who has taken a deathly dose of Fentanyl.[20]

Change Grow Live advise how to save someone’s life with Naloxone:

  • Call 999 for an ambulance
  • Check the airways for any blockages
  • Put the person in the recovery position
  • If you have Prenoxad (injection), inject it into their thigh or upper arm muscle
  • If you have Nyxoid (nasal spray), place the spray in their nose and pull the plunger
  • Wait with the person until the ambulance arrives[21]

Where Can I Get Help for Drug Addiction?

Two men sat together discussing treatment for Fentanyl addiction

It’s important to get professional treatment soon as possible, because addictions become worse over time.

The following organisations and charities are completely free and available for everyone:

  1. The NHS – find information and resources for drug addiction
  2. Change Grow Live – get support and tools to help you recover
  3. Humankind – receive psychosocial interventions, counselling and more

Rehab for Fentanyl Addiction

An older man smiling

Inpatient Rehab

Inpatient Fentanyl rehab is where you temporarily live at a rehab facility – eating and sleeping there.

This is a secure unit where you’ll have 24/7 support to ensure you have the best chances success in your recovery journey.

Outpatient Rehab

A woman filling out a clipboard checklistWith outpatient treatment, you’ll continue to live at home, but travel into local treatment centres for regular care.

This may suit you if you have children, work or any other commitments you need to keep.

Get Help Today With Rehab 4 Addiction

Rehab 4 Addiction can also offer support and rehab referrals.

When you call our helpline, you’ll be speaking to a someone who is in recovery and understands what you need to take the first step and begin your recovery process.

For more information about rehab for Fentanyl addiction, simply reach out to our 24/7, confidential hotline on 0800 140 4690.

References

[1] https://www.cdc.gov/stopoverdose/fentanyl/index.html#:~:text=Fentanyl%20is%20a%20synthetic%20opioid,nonfatal%20overdoses%20in%20the%20U.S.

[2] https://www.cdc.gov/stopoverdose/fentanyl/index.html

[3] https://www.dea.gov/sites/default/files/drug_chem_info/fentanyl.pdf

[4] https://www.asahq.org/madeforthismoment/pain-management/opioid-treatment/what-are-opioids/

[5] https://www.dea.gov/factsheets/fentanyl

[6] https://www.dea.gov/factsheets/fentanyl#:~:text=What%20is%20their%20effect%20on,pupillary%20constriction%2C%20and%20respiratory%20depression.

[7] https://www.tn.gov/behavioral-health/substance-abuse-services/treatment—recovery/treatment—recovery/prescription-for-success/warning-signs-of-drug-abuse.html

[8] https://www.nhs.uk/medicines/fentanyl/side-effects-of-fentanyl/

[9] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7491576/#:~:text=Fentanyl%20and%20morphine%20opioids%20produce,%2Dopioid%20receptor%20(mOR).

[10] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9107910/

[11] https://nida.nih.gov/publications/drugfacts/fentanyl

[12] https://ndarc.med.unsw.edu.au/blog/yes-people-can-die-opiate-withdrawal#:~:text=Signs%20and%20symptoms%20include%20dysphoria,presented%20above%2C%20vomiting%20and%20diarrhoea.

[13] https://drugfree.org/article/substance-use-disorder-vs-addiction/

[14] https://fpm.ac.uk/opioids-aware-clinical-use-opioids/long-term-harms-opioids#:~:text=Long%2Dterm%20administration%20of%20opioids,adrenal%20insufficiency%20in%20both%20sexes.

[15] https://hipsprocedures.org.uk/hkyysz/parents-who-have-additional-needs/children-living-in-households-where-there-is-substance-misuse#:~:text=Substance%20misuse%20may%20also%20impact,role%20models%20and%20inappropriate%20parenting

[16] https://www.cdc.gov/mmwr/volumes/69/wr/mm6911a4.htm?s_cid=mm6911a4_w

[17] https://www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm

[18] https://www.massgeneral.org/news/press-release/study-reveals-fentanyl-effects-on-brain

[19] https://www.changegrowlive.org/advice-info/alcohol-drugs/fentanyl-harm-reduction

[20] https://jamanetwork.com/journals/jama/fullarticle/2799344

[21] https://www.changegrowlive.org/advice-info/alcohol-drugs/fentanyl-harm-reduction