If someone has experienced an overdose from an opioid, including fentanyl, call and administer naloxone. It is safe to touch the person and items that may have fentanyl on them (like a doorknob) because fentanyl cannot be absorbed through the skin with casual use (Connolly, 2022). However, skin absorption can be affected in unknown ways, so avoid touching your eyes, nose, or mouth and wash your hands with soap and water as soon as possible (Washington State Department of Health, n.d.). Fentanyl is a synthetic opioid that can be prescribed by doctors for pain management (National Institute on Drug Abuse NIDA, 2021). It is also increasingly found mixed into street drugs (Drug Enforcement Administration DEA, 2024).

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Whether you’ve been using for weeks or years, we’re here to help you heal, not judge. “It’s a degree of loss of consciousness and a degree of lost muscular control,” said Dr. Daniel Ciccarone, a UCSF professor of addiction medicine. To explore additional treatment options, you can view editorially selected providers on our site or visit the SAMHSA Treatment Locator. Calling the number is free and confidential, but treatment services may involve costs depending on your insurance coverage and the level of care required. You are under no obligation to engage in care with Treatment X.
- Fenty fold is a warning sign of overdose and it can be fatal.
- Always consult with healthcare professionals for diagnosis and treatment of addiction and related conditions.
- If they don’t respond, check if they’re breathing by looking at their chest to see if it’s moving up and down.
Users swiftly develop fentanyl lean tolerance, necessitating increasingly larger and more frequent doses to achieve the desired effect or simply to avoid excruciating withdrawal symptoms. This rapid escalation into physical and psychological dependence means individuals are trapped in a relentless cycle of craving, use, and withdrawal. The public display of “fent leaning” or “fent folding” tragically underscores the profound and dehumanizing grip this addiction holds over individuals. At the same time, fentanyl induces profound muscle weakness by disrupting normal neuromuscular signaling. The muscles essentially “turn off” in ways that medical administration of opioids intentionally seeks to achieve for pain relief, but street use creates extreme, uncontrolled relaxation. The combination of rigid trunk muscles and weakened supporting muscles creates the characteristic forward bend.
Deaths involving illegally made fentanyl are rising
Groups like Narcotics Anonymous (NA) offer a safe space to share experiences and receive support. Participation in support groups can significantly enhance the recovery process. Another common effect of opioids like fentanyl is “nodding off.” This state is a semi-conscious condition where the user drifts in and out of consciousness. When a person nods off, they might lean forward, bend over, or slump as they lose the ability to maintain a proper posture.
Is seeing someone in a “fentanyl slump” a medical emergency?

Education about the risks of fentanyl use, increased access to naloxone, and comprehensive addiction treatment programs are crucial in addressing this crisis. If you or someone you know is struggling with fentanyl use, it is essential to seek professional help. The United States is in the middle of a devastating https://knowrayjones.com/2023/05/15/how-to-help-a-high-functioning-alcoholic-how-to/ opioid epidemic, and its deadliest driver is fentanyl. This synthetic opioid, far more potent than heroin, is fueling a tragic and alarming surge in overdose deaths.
Risks of Nodding Off & Fentanyl Folding
Our compassionate team is dedicated to helping you overcome addiction, offering a supportive and understanding environment every step of the way. With a commitment to long-term recovery, we tailor our services to meet your unique needs and ensure you receive the best care possible. Fentanyl is highly addictive and more potent than many other opioids. Today, drug dealers use fentanyl to lace other illicit drugs like cocaine, heroin, methamphetamine, ketamine, ecstasy, molly, and other street drugs. A person taking prescribed fentanyl can experience dependence, meaning they have withdrawal symptoms when they stop taking the drug. Sometimes, a person with opioid dependence may take fentanyl as a substitute for heroin.
- Fentanyl and fentanyl analogues (some stronger than fentanyl, some weaker) are not “naloxone resistant.” They are opioids and will respond to naloxone if someone is overdosing.
- Memorial flowers remind us of lives lost, but they also symbolize the love and care that remains.
- As an incredibly potent opioid, it directly impacts the brainstem’s control centers for breathing.
- If you have naloxone (Narcan), use it right away by following the instructions on the package.
- Fentanyl is highly addictive and more potent than many other opioids.
Does the Fenty Fold occur with all Opioid Addictions or just Fentanyl Addiction?
We’ll help you build the foundation for lasting recovery through evidence-based care tailored to your needs. Your path to healing awaits – reach out for a confidential consultation. Nationwide, the Center for Disease Control and Prevention numbers show 84,181 opioid overdose deaths in 2022 to 81,083 and 81,083 in 2023. Deaths related to fentanyl began to rise around 2019, according to the California Department of Health. In the last detailed study in 2022, the CDPH estimated nearly what is alcoholism 6,000 opioid-related overdose deaths in California. It comes in both pharmaceutical and non-pharmaceutical forms.
- Fentanyl has a relatively short half-life, but its effects can be prolonged due to its potency.
- The drug induces deep sedation and reduced consciousness, causing muscle weakness that makes the body slump forward while the brain becomes unable to signal the body to stand upright.
- An 11-month-old girl swallowed a blue tablet she found while crawling around a new apartment.
This transition typically marks the descent into a devastating cycle of addiction, where the pursuit of fentanyl becomes the singular focus, eclipsing nearly every other aspect of their existence. And while fentanyl lean may seem like a social or recreational trend at first, its consequences can quickly spiral into physical dependency, emotional instability, and social withdrawal. Early intervention can prevent tragedy and lead to a future free from the grip of synthetic opioids.

Simply put “Fentanyl Fold” is caused by the extreme potency the drug affects the body’s central nervous system, exerting a depressant effect. This depressant effect is dramatically stronger with Fentanyl, resulting in much more rapid and dramatic physical symptoms, such as “Fentanyl Fold” or severe “Nodding Off”. With the depressant effect on the central nervous system people will see a loss of motor function coupled with extreme drowsiness, it is this combination specifically that is the reason for such intense folding. These people were prescribed opioids like oxycodone and hydrocodone for legitimate pain and turned to fentanyl when they could no longer obtain their prescriptions. If you’re experiencing a medical emergency or witnessing an overdose, call 911 immediately. This article is for educational purposes and should not be considered medical advice.
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Because tolerance builds quickly, users often escalate their intake, which only increases the risk. Combining fentanyl with other depressants—like alcohol, benzodiazepines, or promethazine—dramatically increases the risk of overdose. Each of these substances individually slows down the central nervous system.
In fact, most fentanyl-related deaths are from fentanyl made in illegal laboratories. Fentanyl is heavily trafficked into the US from other countries and sold as pills or powders, and it has largely replaced heroin in the drug supply. In some cases, these illicit formulations of fentanyl are made to look like other prescription opioid tablets. People sometimes take illegally made fentanyl knowingly, either by itself or with other drugs in various forms, such as powders or pills. People can also unknowingly consume fentanyl when it is mixed into or sold as other drugs, including heroin, cocaine, or counterfeit pills. Figure 2 shows the signs and symptoms of an opioid overdose.
