Fentanyl

Fentanyl is a synthetic opioid that is 50-100 times stronger than morphine. Many individuals consume fentanyl without their knowledge (because they don’t realize that it is in the drugs they’re using), while others are intentionally using fentanyl because of its potency, effectiveness for pain management, or because they enjoy it.

CDC Fentanyl One-Pager PDF

Fentanyl and other synthetic opioids entering the street drug supply has resulted in a dramatic increase in overdoses and deaths in the US, California and in Nevada County (see images below). In 2024, fentanyl was present in 87% of opioid overdose deaths in California.

Graph showing 3 waves of overdose deaths
CDC: Opioid Overdose Deaths per 100,000 population (1999-2023).
Graph of Fentanyl-related Overdose Deaths in CA over time
California Department of Public Health: Fentanyl-related Overdose Deaths in CA (2012-2025).
Chart of Nevada County Opioid Overdose Deaths 2019-2025
Nevada County Public Health: Nevada County Opioid Overdose Deaths 2019-2025

Locally, fentanyl has been found in methamphetamine, counterfeit pills (Percocet, Xanax, others), cocaine and MDMA (ecstasy or molly), among others. If the drugs you are using were not given to you directly by a pharmacy, they could contain fentanyl.

Narcan, fentanyl test strips, and other harm reduction strategies are important tools in reducing the risk of overdose and death.