What Is Carfentanil?

Unveiling the dangers of carfentanil: What is it? How does it compare to fentanyl? Stay informed, stay safe.

Dr. Deyhimy MD
March 22, 2024

Understanding Carfentanil

Carfentanil is a synthetic opioid that is 10,000 times more potent than morphine and 100 times more potent than fentanyl. Originally developed as a tranquilizing agent for large animals like elephants, carfentanil has gained notoriety due to its illicit use and its potential for causing serious harm or even death if misused by humans.

Introduction to Carfentanil

Carfentanil, also known by its chemical name 4-carbomethoxyfentanyl, belongs to the class of opioids, which includes drugs like heroin, morphine, and fentanyl. It is a central nervous system depressant that produces powerful pain-relieving and sedative effects. Carfentanil was never intended for human use and is not approved for medical use in humans.

The Potency of Carfentanil

The potency of carfentanil is what sets it apart from other opioids. As mentioned earlier, carfentanil is 10,000 times more potent than morphine and 100 times more potent than fentanyl. A tiny amount of carfentanil can have a significant impact, making it extremely dangerous when used illicitly or unknowingly.

To put its potency into perspective, a lethal dose of carfentanil in humans can be as little as 0.1 milligrams. This means that a single dose the size of a grain of salt can be fatal. Due to its extreme potency, carfentanil poses a substantial risk to individuals who come into contact with it, including those who use recreational drugs and first responders.

It's important to note that carfentanil is not intended for human consumption and has no legitimate medical use in humans. The misuse of carfentanil is a serious concern and can have devastating consequences. Understanding the potency of carfentanil is crucial in recognizing the dangers associated with this synthetic opioid.

Dangers of Carfentanil

Carfentanil, a synthetic opioid, presents significant dangers and risks, particularly when it is used illicitly or in combination with other drugs.

Illicit Use of Carfentanil

Carfentanil is often disguised as or mixed with heroin, making it particularly dangerous due to its potency and the increased risk of accidental overdose. This deceptive practice puts individuals who use opioids at a high risk of unknowingly consuming carfentanil, which can lead to severe health consequences and even death.

Risks of Carfentanil Exposure

Carfentanil's potency is a major concern, as it is approximately 10,000 times more potent than morphine and 100 times more potent than fentanyl. Even minimal exposure to carfentanil can result in overdose and death. The extremely high potency increases the risk of respiratory depression and can quickly lead to respiratory arrest.

Carfentanil is a threat not only to individuals who use opioids but also to first responders, law enforcement, and medical personnel. Due to its high potency and potential for exposure through inhalation or skin contact, these individuals face significant risks when dealing with carfentanil-related incidents. Proper precautions, such as wearing personal protective equipment, are crucial when handling situations involving carfentanil.

Carfentanil in Combination with Other Drugs

When carfentanil is combined with other drugs, the risks become even more pronounced. Mixing carfentanil with substances like heroin or other opioids significantly heightens the likelihood of overdose and death. In some cases, carfentanil has been disguised as heroin, leading to unintentional overdoses and fatalities among opioid users. The combination of carfentanil's exceptional potency and its potential presence in street drugs poses a significant threat to public health and safety.

Understanding the dangers associated with carfentanil is crucial for individuals who use drugs recreationally or are prescribed opioid medications. It is essential to be aware of the potential risks, seek help when needed, and exercise extreme caution when it comes to substances that may contain carfentanil.

Carfentanil vs. Fentanyl

Carfentanil and fentanyl are both synthetic opioids that have gained attention due to their potency and potential dangers. In this section, we will compare the potency of carfentanil and fentanyl, as well as their medical use and illicit distribution.

Comparing Potency: Carfentanil and Fentanyl

Carfentanil is an incredibly potent synthetic opioid, approximately 10,000 times more potent than morphine and about 100 times more potent than fentanyl. Its extreme potency means that safe human dosage could be measured in micrograms, and as a result, carfentanil is not approved for use in humans. It is primarily used to sedate large animals, such as elephants, in a veterinary setting.

On the other hand, fentanyl is also a highly potent synthetic opioid, but it is not as potent as carfentanil. Fentanyl is approximately 50 to 100 times more potent than morphine [1]. It is approved for medical use in humans for pain management, typically in cases of severe pain or for anesthesia during surgical procedures. Fentanyl is available in various forms, including patches, lozenges, nasal sprays, and injectable formulations.

Medical Use and Illicit Distribution

Carfentanil, due to its potency and potential risks, is not approved for use in humans. Its use is strictly limited to veterinary practice, where it is employed to sedate large animals. The controlled and supervised administration of carfentanil in veterinary settings highlights its dangerous nature and reinforces the need for caution.

Fentanyl, on the other hand, has legitimate medical applications. It is prescribed by healthcare professionals to manage severe pain, particularly in cases where other opioids may not be effective. However, it is important to note that fentanyl has also been illicitly manufactured and distributed, contributing to the current opioid crisis. Illicitly produced fentanyl, often mixed with other drugs or disguised as other substances, poses significant risks to individuals who unknowingly consume it.

In summary, while both carfentanil and fentanyl are potent synthetic opioids, carfentanil is significantly more potent and is not approved for use in humans. Fentanyl, although also highly potent, has legitimate medical applications but has been illicitly distributed and misused, leading to serious public health concerns. The misuse and illicit distribution of both substances underscore the urgent need for awareness, prevention, and intervention efforts to combat the risks associated with these powerful opioids.

Carfentanil and Overdose Crisis

Carfentanil, a fentanyl analog, has played a significant role in overdose outbreaks, particularly in the United States. This potent synthetic opioid is approximately 10,000 times more potent than morphine, making it extremely dangerous and potentially lethal.

Carfentanil's Role in Overdose Outbreaks

During the years 2016 and 2017, there was a dramatic surge in overdose deaths in the United States. In these years, there were increases of 11,228 (+21.4%) and 6,605 (+10.4%) deaths, respectively. Carfentanil availability increased in 2016, peaked in 2017, and then suddenly declined in 2018.

The majority of carfentanil exhibits were concentrated in a few states, namely Ohio, Florida, Pennsylvania, Kentucky, and Michigan. These states experienced a substantial increase in overdose deaths in 2017, followed by a decline in 2018, aligning with the rise and fall of carfentanil availability. It is important to note that the decline in overdose deaths in these states accounted for nearly all of the total decline in the United States.

Decline in Overdose Deaths

The sudden decline in overdose deaths in the United States in 2018 was closely associated with the rise and fall of carfentanil availability. A reduction of one carfentanil exhibit per capita was found to be associated with a reduction of 0.327 overdose deaths per capita. The statistical analysis demonstrated a significant association between changes in carfentanil exhibits and overdose deaths.

While the decline in overdose deaths in 2018 is encouraging, it is crucial to remain vigilant and address the ongoing challenges posed by carfentanil and other potent opioids. Continued efforts in prevention, education, and harm reduction strategies are essential to combat the overdose crisis and protect public health.

Carfentanil: A Threat to Public Safety

Carfentanil, a powerful synthetic opioid, poses a significant threat to public safety. Its extreme potency and potential for lethal consequences make it a danger to both individuals who use drugs recreationally and those who come into contact with it unintentionally.

Risks to First Responders and Medical Personnel

Exposure to carfentanil can have severe consequences for first responders and medical personnel. Inhalation, ingestion, or even skin contact with this potent substance can be deadly. According to Recovery First, exposure to carfentanil poses significant risks to those who are on the front lines, such as first responders and healthcare professionals.

Due to its high potency, even a minuscule amount of carfentanil can have fatal effects. The risk of accidental exposure is particularly concerning for individuals who may come into contact with the substance during emergency situations or routine medical procedures. It is crucial for first responders and medical personnel to take appropriate precautions and follow strict safety protocols to minimize the risks associated with carfentanil.

Disguise and Misuse of Carfentanil

Carfentanil is often disguised or mixed with other substances, such as heroin, which heightens the danger it presents. This deceptive practice increases the risk of accidental overdose and death. According to the DEA, the use of carfentanil as an adulterant in illicit drugs is a significant concern. Individuals who are unaware of the presence of carfentanil in a drug may inadvertently consume a lethal dose.

The ability of carfentanil to mimic other substances complicates the identification and treatment of overdoses. Medical professionals must remain vigilant and consider the possibility of carfentanil when responding to drug-related emergencies. Additionally, law enforcement agencies work diligently to identify and intercept the illicit distribution of carfentanil to prevent further harm.

Overall, carfentanil's potency and its potential for accidental exposure pose a grave threat to public safety. The risks it presents to first responders, medical personnel, and individuals who use drugs underscore the need for awareness, education, and proactive measures to address this ongoing crisis.

Global Presence of Carfentanil

Carfentanil, a synthetic opioid that is approximately 10,000 times more potent than morphine and 100 times more potent than fentanyl, has become a concerning presence in several countries. While it was initially developed for veterinary use as an elephant tranquilizer under the trade name Wildnil, its illicit manufacturing and distribution for human consumption pose significant risks.

Carfentanil in Different Countries

Carfentanil has been reported in numerous countries, with most seizures attributed to its potential as an opioid agent in the illicit drug market. The exact prevalence and distribution of carfentanil vary across regions, but its emergence in multiple countries highlights the global nature of this issue. Some of the countries where carfentanil has been detected include:

Country
United States
Canada
United Kingdom
Germany
Sweden
Australia
China
Mexico
Russia

Link to Illicit Drug Market

The presence of carfentanil in various countries is primarily linked to its involvement in the illicit drug market. Due to its extreme potency, carfentanil is often disguised or mixed with substances like heroin, amplifying the risk of accidental overdose. Illicit drug manufacturers and distributors may add carfentanil to their products to enhance their effects, but this significantly raises the potential for fatal outcomes.

The use of carfentanil in the illicit drug market poses a severe threat to public health and safety. Its potency and the increased risk of accidental overdoses make it a significant concern for individuals taking recreational drugs or medications. The potential exposure to carfentanil highlights the importance of understanding the risks associated with illicit substances and the need for effective prevention, education, and harm reduction strategies to address this global issue.

References

About the Author
Dr. Deyhimy MD

Dr. David Deyhimy, with over 20 years of experience, is a board-certified physician in addiction medicine and anesthesiology based in Orange County.

FIND OUT IF YOUR HEALTH INSURANCE WILL PAY FOR TREATMENT
Verify Insurance | Coachella Valley Recovery CenterVerify Insurance | Coachella Valley Recovery CenterVerify Insurance | Coachella Valley Recovery CenterVerify Insurance | Coachella Valley Recovery CenterVerify Insurance | Coachella Valley Recovery CenterVerify Insurance | Coachella Valley Recovery CenterVerify Insurance | Coachella Valley Recovery CenterVerify Insurance | Coachella Valley Recovery Center
VERIFY BENEFITS
GET IMMEDIATE HELP DAY OR NIGHT

TREATMENT DESIGNED FOR YOU.

Don’t hesitate to contact us today with any questions you may have about our program or if someone you know is struggling with addiction.