Fentanyl
Opioid · popular
A synthetic opioid measured in micrograms, 50-100x morphine potency. It contaminates counterfeit pills and other powders. Overdose can be immediate and requires naloxone plus emergency services.
Dose and effect data: PsychonautWiki (CC BY-SA 4.0) and TripSit (PolyForm Noncommercial 1.0.0).
Before you dose
Dose
Published population range
Basis: No weight-based model is meaningful.
Fentanyl and nitazenes are active in microgram amounts and are routinely pressed into counterfeit pills and mixed into other powders.
Check an amount you already have
Timeline (insufflated)
Bars show relative time in each phase, scaled to the total duration. Each phase keeps its colour in the list above.
Expected effects
- Very intense euphoria (brief)
- Analgesia
- Sedation
Possible side effects
- Immediate risk of fatal respiratory depression
- Overdose from doses measured in micrograms
- Contamination of counterfeit pills and other powders
- Rapid dependence
- Naloxone may need multiple doses
Known toxicity
- potentially fatal at heavy dosages
- potentially lethal when mixed with depressants like alcohol or benzodiazepines
- unintentionally transporting the substance from the skin by touching the mouth, nose or eyes is dangerous
Harm reduction
- There is no reliable way to eyeball a dose. Assume any powder or pill could contain it.
- Never use alone, and carry naloxone - it usually needs more than one dose for fentanyl and nitazenes.
- Do not combine with benzodiazepines, alcohol or GHB.
- If you are using again after any break, start with a fraction of your previous dose.
- Never use alone. The single most effective thing you can do is have someone with you or on the phone.
- Carry naloxone and know how to use it. It reverses opioid overdose and cannot harm someone who has not taken opioids.
- Use fentanyl and nitazene test strips on every batch, including pills. They catch a large share of contamination, though not all of it.
- Start with a fraction of your usual amount when you get a new batch or after any break in use - tolerance drops fast, in days.
- Do not mix with benzodiazepines, alcohol, GHB or other sedatives. That combination is behind the majority of opioid deaths.
- If someone is unresponsive: call emergency services, give naloxone, put them in the recovery position and stay with them. Naloxone wears off before many opioids do, so a second dose may be needed.
Identify what you have
Reagent tests show what a substance probably is, not how pure it is or what else is in the mix. Fentanyl and nitazene test strips are the only reliable check for those, and quantitative lab testing is better than both.
Mixing
See interaction notes for details.
See interaction notes for details.
See interaction notes for details.
See interaction notes for details.
See interaction notes for details.
See interaction notes for details.
See interaction notes for details.
See interaction notes for details.
See interaction notes for details.
See interaction notes for details.
See interaction notes for details.
See interaction notes for details.
Tolerance, dependence and detection
Sources
• PsychonautWiki — Fentanyl (CC BY-SA 4.0)
https://psychonautwiki.org/wiki/Fentanyl
• TripSit wiki — Fentanyl (PolyForm Noncommercial)
https://wiki.tripsit.me
Dosina is educational harm-reduction information, not medical advice. Doses are population ranges from published sources and cannot account for your tolerance, health conditions or what is actually in your substance. Possession and use may be illegal where you live.