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DefiningFentanyl2.doc

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Zhelman

Yulia Zhelman

Professer Barne

English – 101 – L26

26 September 2023

Defining Fentanyl

Drugs, whether over the counter or prescription drugs, are meant be used in a good way. Drugs are meant to help decrease pain, alleviate inflammation, help the body heal at a faster rate, or control an imbalance in the body. Medicine has been used for centuries. Why, if medicine is meant for good, are there so many medical drug related abuses, overdoses, and deaths? The latest drug to make headlines has been fentanyl. In recent years, the topic of fentanyl has been covered by every major news outlet and social media site.

So, what is fentanyl? Fentanyl is a strong manufactured opioid drug. It is used as an analgesic (pain relief) and anesthetic. Fentanyl is approved by the FDA and can be prescribed by a doctor. If a doctor prescribes fentanyl, the patient can take it as a shot, patch, lozenge, or pill. Unfortunately, a lot of people are getting fentanyl from other sources, not just doctors. “This [fentanyl] is a chemical mix that is pretty easy to make. It's cheap to make. Fentanyl is uniquely difficult to stop. You can smuggle it in tiny quantities” (Desjardins). People who use fentanyl recreationally usually consume the drug by snorting powder, taking it in pill form, smoking the drug, or using it as a patch. Fentanyl is extremely dangerous. “In 2013, Drug dealers begin adding fentanyl — which is up to 100 times more potent than heroin — to heroin and other illicit drugs, spurring another surge in opioid overdose deaths” (Vaida 32) . Fentanyl can have a wide variety of effects on the body. It can cause the person taking it to be relaxed or experience ecstasy. Fentanyl can make a person confused, tired, dizzy, or nauseous. It’s medical purpose causes a patient to have pain relief or be sedated.

An overdose is when a toxic (poisonous) amount of a medication is consumed. Some signs of a fentanyl overdose include “bluish lips and nose, abnormal breathing and a lack of responsiveness” (Hernandez). “Overdose deaths in the United States, driven largely by fentanyl, reached a record of about 93,331 last year — a 29 percent increase from 2019, according to provisional data by the Centers for Disease Control and Prevention” (Vaida 5). “Opioids work because they connect to brain receptors processing the body's own painkillers known as endorphins. While endorphins may last for minutes, opioids can boost the body's natural ability to block pain and promote calm for hours. Over time, the drug rewires the brain, and the body craves stronger and stronger doses to feel a sense of equilibrium. The body needs more of it to relieve pain, get high and stave off withdrawal” (Vaida 21). “Fentanyl is killing kids at an alarming rate. The Centers for Disease Control, the CDC, says that in 2021, fentanyl was involved in 84% of all overdose deaths among teenagers” (Carrillo). “Opioids and stimulants have a history together. People who chronically use opioids often will turn to stimulants as a way to offset the tiredness that comes along with the use of drugs like heroin and fentanyl. The tactic is called speedballing,  according to the National Institute on Drug Abuse, and can cause an intense high, which can also be very dangerous” (Maucione).

How can health care professionals combat fentanyl? Thankfully there is a drug that can counter the effects of fentanyl. “Naloxone, which comes in a nasal spray and an injectable drug, can reverse the effects of an opioid overdose and restore a person's breathing” (Hernandez). “Experts say naloxone is easy to administer and use and very low risk” (Carrillo). “The FDA's approval of the nasal spray Narcan — the brand name for the drug naloxone — means the medication could be more widely available across the U.S. The overdose-reversing drug Narcan could soon be available to buy over the counter without a prescription” (Hernandez).

Again, drugs are meant to be used for good. How does society combat drug addiction while still making drugs available for those who need them? “Among public health experts, lawmakers and patient advocates, a long-running debate is intensifying: What should be done about opioids? One obvious solution is to restrict the prescribing of painkillers. But some physicians and patient advocates argue that the pendulum has swung too far, saying patients with severe chronic pain — such as those with cancer and sickle cell anemia — cannot always get the opioids they need” (Vaida7). There is a fine line between making drugs available for the sick, but keeping them away from addicts. “In 2011, the CDC officially declared a prescription drug epidemic caused by opioid painkillers and began the process of setting new guidelines for physicians to reduce opioid prescribing” (Vaida 26). “  Synthetic opioids, mostly fentanyl, kill more Americans every year than died in the Vietnam, Iraq and Afghanistan wars combined” (Corder). This is an alarming statistic. Hopefully, politicians, doctors, and society can all work together to make this a safer and healthier world.

Works Cited Page

Carrillo, Sequoia. “School districts rush to stock Narcan, the best defense against fentanyl”.

NPR, 27 Sep 2023. https://www.npr.org/2023/09/27/1201956943/school-districts-rush-to-stock-narcan-the-best-defense-against-fentanyl

Corder, Mike and Whitehurst, Lindsay. “WATCH: Garland announces results of operation

targeting dark web opioid, fentanyl traffickers”. PBS News Hour, 2 May 2023. https://www.pbs.org/newshour/politics/watch-live-garland-announces-results-of-operation-targeting-dark-web-opioid-fentanyl-traffickers

Desjardins, Lisa. “Senate hearing on fentanyl outlines international supply chain that brings

drug to U.S.” PBS News Hour, 15 Feb 2023. https://www.pbs.org/newshour/show/senate-hearing-on-fentanyl-outlines-international-supply-chain-that-brings-drug-to-u-s

Hernandez, Joe. “The FDA approves the overdose-reversing drug Narcan for over-the-counter sales” NPR.org, 29 March 2023. https://www.npr.org/2023/03/29/1166750095/narcan- fda-approval-naloxone-over-the-counter-otc

Maucione, Scott. “Fentanyl mixed with cocaine or meth is driving the '4th wave' of the overdose

crisis”. NPR.org, 14 Sep 2023. https://www.npr.org/sections/health-shots/2023/09/14/1199396794/fentanyl-mixed-with-cocaine-or-meth-is-driving-the-4th-wave-of-the-overdose-cris

Vaida, Bara. "Opioid Crisis".  CQ Researcher, 06 Aug 2021. Thousand Oaks, California: CQ Press, 2021. 29 Sep 2023, doi: https://doi.org/10.4135/cqresrre20210806