Dose of Reality: Get the Facts on Opioids

Why are opioids risky?

All types of opioids are addictive. The brain and body develop a tolerance to opioids very quickly, meaning more amounts are needed to feel the same effect. This may rapidly become dependence, meaning that not taking opioids may cause severe pain and discomfort because opioids are no longer in the brain and body. This leads some people to use opioids more and more, a cycle that can lead to opioid use disorder. Opioid use disorder occurs when opioid use interferes with daily life. This may include challenges at home, at work, at school, or in relationships. Anyone who uses opioids can develop opioid use disorder. It is a chronic disease that can be managed. Taking too many opioids at one time can cause a person to stop breathing and die.

Fentanyl: You can’t see it, smell it, or taste it.

People all over Wisconsin are unknowingly taking drugs containing fentanyl and overdosing because the drugs look identical to what they are used to taking. Get the facts on fentanyl to know how to protect yourself and your loved ones.

Illegally manufactured fentanyl is strong and unevenly mixed into drugs.

  • Fentanyl is up to 50 times stronger than heroin and up to 100 times stronger than morphine.
  • Because fentanyl is strong and cheap to produce, people who manufacture illegal drugs use fentanyl to make their drugs more powerful and less expensive to manufacture.
  • The amount of fentanyl in illegal drugs as well as counterfeit pills is completely random—even from the same supply. One portion or pill may not contain fentanyl, while other portions and pills from the same supply may contain fentanyl.

Illegally manufactured fentanyl is being found in many drugs.

  • Illegally manufactured fentanyl is often found in counterfeit pills that are made to resemble prescription drugs. This includes prescription pain relievers, like oxycodone, and stimulants like ADDERALL®. You are at risk for a fentanyl overdose if you buy pills from any source that is not a licensed pharmacy.
  • Illegally manufactured fentanyl is also found in other drugs like cocaine, methamphetamine, and heroin. You are at risk of a fentanyl overdose if you use any of these drugs.

Fentanyl overdoses are often fatal.

  • Because fentanyl is very strong, it does not take a lot of fentanyl to cause an overdose, especially for someone who does not usually take opioids.
  • In 2020, the latest year in which data is available, 86% of opioid deaths in Wisconsin were connected to a synthetic or manufactured opioid like fentanyl.

You can’t overdose from fentanyl by simply touching it or breathing it in. Fentanyl must be consumed directly to cause an overdose.

Learn more about fentanyl and how to respond to a fentanyl overdose: Fentanyl: What is it? P-03608 (PDF)

Take action: Test for fentanyl

Get free fentanyl test strips

Use the map below to find an organization or vending machine offering free fentanyl test strips near you or view a spreadsheet of all the locations (Excel).

Have a pickup location to add to this map? Email dhsdcts@dhs.wisconsin.gov.

Wisconsin residents can request free fentanyl test strips by mail through NEXT Distro. Submit a request for fentanyl test strips to be shipped to you at no cost.

Promote the use of fentanyl test strips: Visit the Dose of Reality: Partner Resources section for social media posts and more.

Carry naloxone

Naloxone is the opioid overdose reversal drug. It is available as a nasal spray or an injection. It can be used to save the life of someone experiencing a fentanyl-related overdose. Act fast in the case of a fentanyl-related overdose. Call 911, then give naloxone. More than one dose of naloxone may be needed. Learn more about naloxone and where to get it near you.