The Difference Between Overdosing & Drug Poisoning — And How Fentanyl Became So Dangerous (2024)

In recent years, opioid use, overdoses, and now poisonings have become the most significant public health issues in the United States.

Every day, we see headlines about more people dying due to illegal fentanyl. Fentanyl is the single most lethal drug our nation has ever seen.

It affects every community regardless of socioeconomic status, race, or geography.

Criminal drug networks are flooding our borders with mass-producing fake pills and falsely marketing them as legitimate prescription pills to deceive the American public on the black market.

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The devastation drug addiction brings to families and communities is immeasurable. We must do everything within our power to stop this tragedy from ruining so many lives.

To that end, it's essential to understand the difference between an overdose and poisoning when it comes to someone's death. The languagewe use can significantly influence how we view and respond to these tragedies.

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What is an overdose?

Because there is no standard definition for "drug overdose," the term is often used interchangeably with "drug poisoning" and "drug-related death."

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These terms are not always used consistently by organizations responsible for providing public data and reports, making their results complicated and often inaccurate.

This lack of consistency and accuracy creates confusion, and misunderstanding, consequently causing a delay in finding effective solutions to a tragedy killing hundreds of people daily.

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Can happen by accident— or on purpose

An overdose occurs when a person takes more of a substance than their body can safely process. This can happen accidentally, especially if a person takes multiple substances at once or takes a substance, they are not tolerant to.

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Sometimes, people intentionally take too much of a substance to get high or, in many cases, self-medicate unwanted feelings. Still, unless they feel suicidal, their intentions are rarely to die.

No matter the reason for the overdose, it is always a tragedy.

Many drugs can cause overdoses, but opioids are some of the most commonly involved substances.

Opioids are a class of drugs that includes prescription painkillers like Oxycontin and Percocet, in addition to illegal drugs like heroin and illicit forms of fentanyl.

Opioids bind to receptors in the brain and spinal cord, reducing pain perception. They also have mood-altering effects, which is why they're often abused.

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When someone takes too many opioids or takes them along with other central nervous system depressants like alcohol, it can slow down their breathing to a lethal degree.

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What is drug poisoning?

Poisoning occurs when someone intentionally gives someone else a substance that will make them sick or kill them. This can happen through food, drink contamination or by putting harmful chemicals in medications or other products.

Drug deaths can also be considered poisoning if the substance that caused the harm was given to the person without their knowledge or consent. They are often deceived and not aware of the presence of the drug or its strength.

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In many cases, people ingest a pill believing it is a legitimate prescription medication such as hydrocodone (Vicodin®), oxycodone (Oxycontin®, Percocet®) and alprazolam (Xanax®); or amphetamines (Adderall®) — but end up dying from fentanyl toxicity.

Drug poisoning occurs when someone is exposed to a drug that is harmful to their health—unlike drug overdoses, which occur when someone takes too much of a drug, resulting in serious health consequences or death.

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Most vulnerable: young adults

The most targeted group of victims isyoung adults.

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Young adults are known to push their limits and take risks. However, this curiosity should not be their downfall. Fentanyl poisoning is destroying a generation of young people.

Those who have not died from fentanyl overdoses have suffered the trauma of knowing who did. Parents are mourning the sudden death of their children, and grandparents are suddenly taking on the responsibility of parenting their grandchildren.

This epidemic has had a devastating impact on families and communities across the country. It is time for young people to be more aware of the dangerous times they are living in.

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They need to know that fentanyl has and continues to invade every corner of our nation. They need to be aware that this crisis is bigger than anything we have ever seen and that they are not invincible. That one poordecision can have lethal consequences.

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Only by understanding the risks can they make informed decisions about their safety.

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Fentanyl overdose and poisoning are preventable tragedies, and we need to do anything in our power to protect our children from thisfate.

We need to be clear in our statements and actions. I understand that the difference between an overdose and poisoning might seem like semantics for some, but it's important to use the correct terminology when discussing the unconscionable deaths of so many.

By understanding the difference between these two terms, we can help reduce the stigma around overdoses and ensure those responsible for poisonings are held accountable for their actions.

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Clare Waismann is an experienced and well-respected substance use counselor, as well as the founder of Waismann Method® Opioid Treatment Specialists and Domus Retreat Recovery Center. She has written extensively for numerous healthcare publications and has been featured in national and international media.

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The Difference Between Overdosing & Drug Poisoning — And How Fentanyl Became So Dangerous (2024)

FAQs

What is fentanyl and why is it so dangerous? ›

Fentanyl is a powerful synthetic opioid that is up to 50 times stronger than heroin and 100 times stronger than morphine. Just 2 milligrams of fentanyl, equal to 10 to15 grains of table salt, is considered a lethal dose.

Who created fentanyl? ›

Fentanyl was created in 1959 by Dr. Paul Janssen as an intravenous surgical analgesic. The drug is 50–100 times more potent than morphine. Because of its strength, the drug was rarely used except in hospital operating rooms or on large animals.

How is fentanyl affecting the US? ›

Fentanyl today is killing more Americans than – between the age of 18 and 49 – than any other public health issues. We've seen death rates of about 300 Americans daily.

What is dangerous than fentanyl? ›

Fentanyl analogues (e.g., carfentanil) are like fentanyl but have a slightly different chemical make-up. Fentanyl analogues can be much more dangerous than fentanyl and potentially fatal.

How to tell if you've been exposed to fentanyl? ›

Slow breathing or no breathing, drowsiness or unresponsiveness, and constricted or pinpoint pupils are the specific signs consistent with fentanyl† intoxication. > Naloxone is an effective medication that rapidly reverses the effects of fentanyl†. > Move away from the source of exposure and call EMS.

Why do hospitals use fentanyl? ›

Fentanyl injection is used to relieve severe pain during and after surgery. It is also used with other medicines just before or during an operation to help the anesthetic (numbing medicine) work better. Fentanyl belongs to the group of medicines called opioid analgesics (pain medicines).

When did the fentanyl crisis start? ›

Fentanyl-related overdose deaths started rising in 2012. By 2016, they eclipsed deaths from heroin and diverted prescription pain pills. By 2017, fentanyl was found in more than 50 percent of opioid-related overdose deaths, and by 2022, as we know, it was involved in roughly 90 percent.

Can fentanyl be absorbed through the skin? ›

While fentanyl can be absorbed across the skin, this happens only with constant direct contact over hours and days. Still, you should avoid touching fentanyl. Skin absorption can be increased by using alcohol-based hand sanitizers, bleach, and excessive sweating.

Are dogs immune to fentanyl? ›

Working dogs, like narcotics detection dogs, are particularly susceptible because they may inhale the powdered drug. Because fentanyl and fentanyl-related drugs are potent, it only takes a tiny amount of drug to cause an overdose.

Is OxyContin still available? ›

Oxycodone is only available on prescription. It comes as slow-release tablets, standard tablets and capsules, and a liquid that you swallow.

How can we stop the fentanyl crisis? ›

These strategies include increasing access to naloxone, removing barriers to implementation of harm reduction strategies, such as drug checking and test strips, and supporting increased access to treatment and recovery services.

How is fentanyl eliminated? ›

Fentanyl is hepatically metabolized via the CYP450 enzyme system, specifically CYP3A4. The drug has a half-life of 3 to 7 hours. Excretion is 75% in the urine and 9% in feces.

Why is fentanyl used in sedation? ›

Background Fentanyl provides systemic analgesia and enhances the sedative effect of benzodiazepines. When midazolam-only sedation is ineffective, fentanyl can be considered as an adjunct, but this advanced sedation technique requires additional training.

What is the brand name of fentanyl? ›

Fentanyl pharmaceutical products are currently available as oral transmucosal lozenges, commonly referred to as fentanyl “lollipops” (Actiq®), effervescent buccal tablets (Fentora™), sublingual tablets (Abstral®), sublingual sprays (Subsys™), nasal sprays (Lazanda®), transdermal patches (Duragesic®), and injectable ...

What does fentanyl do to the brain? ›

Fentanyl works on opioid receptors in the brain to decrease pain throughout the body. Fentanyl can also make people feel euphoric, confused, sedated, tired, dizzy, constipated, and nauseous, and it can decrease their rate of breathing.

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