Nirvana Recovery AZ

Recognizing and Preventing Fentanyl Overdose in Arizona

Distressed man with spilled pill bottles and text “The Dangers of Fentanyl Overdose,” emphasizing the urgency of recognizing and preventing fentanyl overdoses in Arizona.

Fentanyl overdose poses severe life-threatening dangers due to its high potency, significantly higher than many other opioids. Despite the devastating ,risk of fentanyl overdose, individuals who receive timely intervention and support often demonstrate incredible strength and determination on their journey towards recovery.

Fentanyl is estimated to be 50 to 100 times more potent than morphine and about 50 times more potent than heroin. This extreme potency increases the dangers of Fentanyl overdose, even in small quantities. We at Nirvana Recovery consider it as our responsibility to share the risks associated with Fentanyl overdose. This synthetic opioid is a major contributor to the overdose crisis in Arizona. This blog sheds light on what constitutes a Fentanyl overdose, the statistical dangers, how to respond to an overdose, and strategies for avoiding Fentanyl addiction.

For someone experiencing a fentanyl overdose, the critical steps to saving their life include:

  • Recognizing the Signs of Overdose
  • Calling Emergency Services Immediately
  • Administering Naloxone
  • Providing Support Until Help Arrives
  • Follow-up Care

Fentanyl’s ability to induce rapid and severe consequences, including respiratory failure, coma, and even death, underscores the urgent need for awareness, education, and immediate action. To take those actions, it’s crucial to understand the gravity of the situation faced by individuals, families, and communities across the globe.

1. Fentanyl Overdose Danger Can Be Respiratory Failure

One of the most critical risks of a fentanyl overdose is respiratory failure. Fentanyl, like other opioids, depresses the central nervous system, which controls breathing. An overdose can reduce the urge to breathe to such an extent that it leads to hypoventilation, where the body cannot remove carbon dioxide properly, or apnea, where breathing stops altogether. Without immediate intervention, respiratory failure can quickly lead to death due to a lack of oxygen.

2. A Fentanyl Overdose Can Cause A Person To Fall Into A Coma

This state of profound unconsciousness results from the Fentanyl overdose, severely depressing the brain’s functions. In a coma, the individual cannot be awakened and has diminished natural reflexes. This condition can lead to permanent brain damage or death if not rapidly addressed.

3. The Ultimate Risk Of A Fentanyl Overdose Is Death

The depressed breathing function can lead to hypoxia, a condition where not enough oxygen reaches the brain and other vital organs. Hypoxia can cause rapid organ failure and death. The risk of death is exceptionally high because fentanyl can act very quickly, often catching users and those around them off guard.

4. The Risk Of Tissue Damage And Permanent Brain Damage Due To Fentanyl Overdose

Fentanyl’s capacity to significantly slow or stop breathing can drastically reduce the amount of oxygen that reaches the brain, a condition known as hypoxia. Prolonged hypoxia can result in irreversible tissue damage, particularly to the brain, leading to permanent brain damage. This damage may manifest as impaired cognitive functions, motor skills, and memory, severely impacting the individual’s quality of life. The risk of tissue damage underscores the need for urgent medical care in the event of a fentanyl overdose to restore breathing and oxygen levels as quickly as possible to minimize long-term harm.

5. Fentanyl Overdose Can Lead To Seizures

Fentanyl has the potential to disrupt the regular electrical activity of the brain, leading to seizures. These sudden, uncontrolled electrical disturbances can cause changes in behavior, movements, feelings, and levels of consciousness. Seizures are dangerous in themselves and pose additional risks of injury during the event. The occurrence of seizures indicates a severe toxic effect of fentanyl on the brain, necessitating immediate medical intervention to prevent further neurological damage.

6. Fentanyl Overdose Is Its Ability To Induce Cardiac Arrest

One of the most dire consequences of a Fentanyl overdose can be a sudden loss of heart function. It can depress the central nervous system to a point where the heart’s electrical signaling becomes erratic, leading to an abrupt cessation of heartbeat. Without immediate life-saving interventions, such as CPR or the use of a defibrillator, cardiac arrest quickly leads to death. This highlights the critical importance of recognizing the signs of an overdose early and responding promptly.

Rapid Onset of Fentanyl Overdose Symptoms

The symptoms of a fentanyl overdose can onset very rapidly due to the drug’s high potency. Fentanyl acts quickly
in the body, often taking effect within minutes, especially if injected or absorbed through the mucous membranes. This rapid action leaves a very narrow window for intervention. Symptoms such as difficulty breathing, severe drowsiness, and unconsciousness can develop quickly, escalating from initial signs to life-threatening conditions in a short time. This rapid response is the reason for underscoring the importance of awareness and preparedness in environments where opioid use occurs.

Recognizing Symptoms of Fentanyl Overdose

Early recognition of Fentanyl overdose symptoms can save lives. Signs to watch for include:

Small, Constricted "Pinpoint Pupils"

One of the hallmark signs of opioid overdose, including Fentanyl, is the presence of small, constricted pupils, often described as “pinpoint.” This symptom is a direct consequence of opioid receptors in the brain being overly activated by the drug, affecting the part of the brain that regulates the size of the pupils.

Loss of Consciousness or Difficulty Staying Awake

Individuals experiencing a Fentanyl overdose may find it challenging to stay awake or may lose consciousness entirely. This state, often referred to as “nodding off,” is a dangerous symptom indicating that the drug has severely impairs the individual’s brain function.

Slow, Weak, or Absent Breathing

Opioids like Fentanyl depress the body’s respiratory drive, leading to slowed, weakened, or completely stopped breathing. This is one of the most dangerous symptoms of overdose, as it can quickly lead to hypoxia—insufficient oxygen reaching the brain and other vital organs. Hypoxia can result in permanent brain damage or death if not immediately addressed.

Choking or Gurgling Sounds

Choking or gurgling sounds, sometimes described as a “death rattle,” indicate that an individual is struggling to breathe. These sounds may occur as the airway becomes partially blocked due to a weakened ability to maintain airway control during an overdose.

Limp Body, Cold and Clammy Skin

A Fentanyl overdose can lead to a significant reduction in muscle tone, resulting in a limp body. The skin may also feel cold and clammy to the touch, signaling a critical decrease in blood circulation as the body’s vital systems begin to shut down.

Discoloration of the Skin, Especially on the Lips and Nails

Cyanosis, or bluish discoloration of the skin, especially evident on the lips and nails, is a late sign of an opioid overdose. This symptom indicates a severe lack of oxygen in the bloodstream, a direct result of respiratory depression caused by the drug.

What To Do if Your Loved One Overdose Fentanyl

In the event of a suspected Fentanyl overdose, we recommend these immediate actions:

Call Arizona Substance Abuse Partnership (ASAP) Immediately: Quick medical intervention is crucial.

In recognition of National Fentanyl Prevention and Awareness Day, Governor Katie Hobbs announced the continuation of the Arizona Substance Abuse Partnership (ASAP). This initiative serves as the state’s central hub for tackling substance abuse challenges through prevention, treatment, and recovery programs.

Administer Naloxone: This life-saving medication can reverse an opioid overdose’s effects. Naloxone is available without a prescription in Arizona.

Keep the Person Awake and Breathing: Engage with them to maintain consciousness.

Position the Person Safely: Lay them on their side to prevent choking.

Stay Until Help Arrives: Continuous support can be critical until emergency services take over.

Comprehensive measures are being undertaken by the Arizona Department of Health Services (ADHS) to curb this crisis. From the establishment of the Opioid Assistance and Referral Line (OARLine) to the distribution of life-saving naloxone and fentanyl test strips, ADHS’s multifaceted approach underscores a critical message—while the challenge is daunting, concerted actions and available resources can pave the way for significant strides in overcoming this epidemic.

Strategies To Reduce The Risk Of Fentanyl Overdose

Preventing Fentanyl addiction and overdose requires a multifaceted approach, focusing on education, vigilance, and appropriate intervention. Here are some proven strategies.

  • Educate Yourself and Others – Increase awareness about the potency of Fentanyl and its potential for addiction and overdose through workshops, school programs, community outreach, and social media.
  • Use Fentanyl Responsibly – Only use prescription opioids, including Fentanyl, under strict medical supervision. Never take higher doses than prescribed. Also, properly dispose of unused or expired medications to reduce the risk of misuse. Many communities offer drug take-back programs to safely eliminate these substances.
  • Easy Access to Naloxone – Having Naloxone readily available in homes, schools, and public spaces can save lives.
  • Testing for Fentanyl before Use -Encourage the use of Fentanyl test strips to check substances for the presence of Fentanyl. These strips can detect Fentanyl in drugs like heroin, cocaine, methamphetamine, and MDMA. Even with negative test results, individuals should exercise caution, as test strips may not detect all analogs of Fentanyl, such as carfentanil, which are even more potent.
  • Support and Treatment Access – Promote a culture that supports seeking help for substance use issues without stigma. Early intervention can prevent the progression of addiction.
  • Treatment Programs – Enrol in some comprehensive Fentanyl addiction treatment programs that offer a range of services, including detoxification, counselling, and long-term recovery support in case of treatment required after surviving a Fentanyl overdose.
  • Personal Vigilance – Know the signs of opioid overdose and have a plan in place to respond, including calling emergency services and administering Naloxone if needed. Be aware that illicit drugs can be laced with Fentanyl without your knowledge. Avoid using non-prescription drugs as a precaution against unintended Fentanyl exposure.

The Emerging Threat: Fentanyl Mixed with Xylazine

The emergence of Fentanyl mixed with other substances, such as the animal tranquilizer xylazine, poses an even more significant threat, complicating the overdose landscape in the U.S.

The combination of fentanyl and xylazine is particularly dangerous because:

  • Xylazine is a veterinary tranquilizer that is not approved for human use. It is sometimes added to fentanyl to increase its potency or to cut costs.
  • Xylazine is not an opioid, so naloxone (Narcan) will not reverse its effects. This means that even if someone is given naloxone to reverse an opioid overdose, they may still die from the xylazine.
  • Xylazine can cause other serious health problems, such as skin infections, tissue damage, and even amputation.

Fentanyl Overdone Has Long-Term Health Dangers Too

Surviving a fentanyl overdose can be a harrowing experience, with the potential for long-term health consequences that extend far beyond the immediate life-threatening dangers of the overdose itself. Understanding these potential long-term health issues is crucial for survivors, their families, and healthcare providers as they navigate the path to recovery and manage the aftermath of an overdose.

Brain Damage Due to Oxygen Deprivation

Fentanyl Overdose survivors might experience a range of cognitive impairments, including difficulties with memory, concentration, and problem-solving, as well as changes in personality and behavior. In severe cases, this can result in permanent disabilities that require long-term care and support.

Other Organ Damage

The impact of a fentanyl overdose isn’t limited to the brain; other organs can also suffer as a response to the overdose. Kidney damage may lead to long-term dialysis, while liver damage can result in impaired detoxification processes. Damage to the cardiovascular system can increase the risk of heart disease and complications, including heart failure and arrhythmias.

Mental Health Issues

The trauma of experiencing an overdose, along with the potential for lasting physical impairments, can ,lead to depression, anxiety, post-traumatic stress disorder (PTSD), and other mental health conditions. These issues can complicate the recovery process, requiring comprehensive treatment plans that address both the physical and psychological aspects of recovery.

Increased Risk of Subsequent Overdoses

Surviving a fentanyl overdose can, unfortunately, increase the risk of future overdoses. This may be due to a combination of factors, including the development of tolerance, ongoing substance use, and changes in the brain’s chemistry and functioning resulting from the initial overdose.

Necessity for Comprehensive Care

The long-term health consequences of surviving a fentanyl overdose highlight the necessity for comprehensive care that addresses the full spectrum of needs of those in recovery. This includes medical treatment for any lasting physical damage, mental health support to address psychological impacts, and Fentanyl addiction treatment services to prevent future overdoses.

Nirvana Recovery's Role in Combatting Fentanyl Overdose

Nirvana Recovery dedicates itself to the fight against the opioid epidemic through comprehensive treatment programs, education, and advocacy. Understanding the severity of Fentanyl overdose and promoting effective response strategies are part of our mission to save lives and support recovery.

Conclusion

The threat posed by Fentanyl cannot be overstated. Education, preparedness, and compassion are our most potent tools in addressing this crisis. If you or someone you know is struggling with opioid addiction, Nirvana Recovery is here to help with resources, treatment, and support. For more information on preventing and responding to Fentanyl overdose or to learn about our addiction treatment programs, visit Nirvana Recovery’s website or contact us directly. Together, we can make a difference in the fight against opioid addiction.

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Nirvana Recovery