Today I need to talk about something that is very important and hits very close to home right now. A close family friend has passed away two day ago due to a Fentanyl overdose. She was 25 years old, and now she is gone. So I thought this blog topic should be What Every Parent Should Know About Fentanyl Abuse.
What is Fentanyl? It is a narcotic that is used to treat severe pain. It is a controlled substance and the risk for addiction is high. It can cause respiratory distress and death when taken in high doses or when combined with other substances, especially alcohol, or other illicit drugs such as cocaine and heroin.
Side Effects of Fentanyl Use
The side effects associated with fentanyl can emerge, with greater severity, in individuals who abuse this drug. For this reason, it is helpful to consider some of the most common side effects, which include but are not limited to:
Confusion
Chest pain
Convulsions
Blurred vision
Black stools
Labored breathing
Irregular heartbeat
Fainting
Feeling of a tight chest
Dizziness or lightheadedness
Decrease in urine flow
Cough
Dry mouth
Fever or chills
Loss of appetite
Mood changes
Pounding in ears
Pale skin
Back pain or side pain
Nervousness
Tingling or numbness in the hands, lips, or feet
Ulcers, sores, or white spots in the mouth
Sneezing, sore throat, or sunken eyes
Swelling in the calves, ankles, feet, and hands
Fatigue
One of the most common side effects of fentanyl abuse is the onset of addiction (to be clinically accurate, addiction per the DSM-5, would be called an opioid use disorder). When the body continues to receive fentanyl, it naturally makes adjustments. One adjustment is to build tolerance, which then requires the person to take more fentanyl in order to achieve the desired high.
There is a great danger implicit in tolerance — as the fentanyl intake rises, so too does the risk of harmful side effects. The body wants to promote survival but once drugs are introduced, and drugs are foreign substances to the body, the system gets turned into a potential engine of personal destruction.
More Rare Side Effects
The side effects that are considered rare for individuals who use fentanyl for therapeutic purposes under the control of a doctor may be brought out by abuse of fentanyl. Some of the less common side effects include but are not limited to:
Problems walking and balancing
Clumsiness
Stomach or abdominal
Headache
Muscle jerking or twitching
Less responsiveness to stimuli
Hallucinations (visual, audio, and tactile)
Severe constipation
Extreme sleepiness
Abnormal thoughts
Slowed or fast paced heartbeat
Trembling
Seizures
Signs of Fentanyl Overdose
When a person uses fentanyl as part of a medically supervised pain management plan, there is little risk of overdose. However, fentanyl abuse exposes a person to an ongoing risk of overdose. The most common signs of fentanyl overdose are slow breathing or acutely shallow breathing. If the following symptoms arise and persist, it may be necessary to seek medical attention:
Shallow or slowed breathing
Depression; feeling empty or discouraged
Loss of strength
Muscle stiffness
Lack of interest in activities
Back pain
Diarrhea
Signs of Fentanyl Withdrawal
When a person stops using fentanyl or considerably reduces the familiar dose, withdrawal symptoms emerge. The following are some of the most common fentanyl withdrawal symptoms may include:
Restlessness
Yawning
Chills
Irritability or anxiety
Runny nose or watery eyes
Sweating or chills
Muscle pain
Overall weakness
Stomach cramps
Widened pupils
Joint pain
Backache
Fast breathing
High blood pressure
Increased heart rate
Nausea
Vomiting
There is a general advisement in the addiction treatment community that an individual should not attempt to stop using narcotics suddenly. The opioid withdrawal process can be particularly uncomfortable, and suddenly stopping the use of narcotics can trigger severe withdrawal symptoms to emerge. Rehab programs that offer medication-assisted therapy will provide eligible clients with substitution therapy in the form of drugs like methadone or Suboxone (buprenorphine).
It is called substitution therapy because the person is safely transitioned to the treatment medication without fully detoxing from narcotics. Some individuals will remain on an opioid substitution therapy for months or even years. Other individuals will eventually reach full detoxification (i.e., no opioids or opiates in the body).
Help is available
SAMHSA National Helpline
Confidential free help, from public health agencies, to find substance use treatment and information. Learn more
1-800-662-4357