Fentanyl Information and Resources

Fentanyl is a man-made opioid that’s many times stronger than morphine or heroin.  Because it is so strong and so addictive, it’s being added to heroin, fake prescription pills, even stimulants like cocaine and methamphetamine.  The result is huge increases in overdoses, and sadly, more Tennesseans than ever dying.  These deaths are preventable with knowledge and tools.

READ MORE: State Departments Issue Guidance Around Fentanyl Exposure

Click this link or the image at the right to download our printable onepager on fentanyl.

Haz clic en este enlace para descargar nuestra página informativa sobre fentanilo en Español.

Click this link to join an upcoming training on fentanyl.

printable fentanyl onepager.  Data and information in this document is also published on this webpage

Understanding the Danger

Because fentanyl is so strong, people who make illicit (illegal) drugs use fentanyl to make their drugs cheaper and more powerful. They do not have the special equipment that spread out the chemicals evenly. Each pill or powder is not the same. It does not take a lot of fentanyl to cause an overdose, especially for someone who does not usually use opioids.  As illustrated in the image below, the fake pills in the drug supply look almost the same as real pills you would get from a pharmacy with a prescription.

illustration showing authentic oxycodone and counterfeit pills containing fentanyl
Year Overdose Deaths
2017 501
2018 744
2019 1,087
2020 2,014
2021 2,734
2022 2,797
2023 2,270
2024 1,624

Save a Life with Naloxone

Naloxone is a medication that reverses opioid overdose so a person can breathe until EMS arrives. It comes in several forms including nasal sprays and injectable liquids. You can get naloxone from a pharmacy without a prescription.  Many insurances including TennCare cover naloxone at a minimal cost.

Free online training on how to use naloxone is available at this link. If you would like more information or a naloxone training for a group/agency, reach out to the Regional Overdose Prevention Specialist (ROPS) who serves your area.

image of blue bag naloxone kit showing narcan nasal spray

Fentanyl Test Strips

In March 2022, the Tennessee General Assembly passed legislation that allowed for the individual use of equipment that detects synthetic opioids, such as fentanyl. The most of common of these tools are fentanyl test strips. TDMHSAS added this low cost, life-saving tool to its overdose prevention program, and the results outperformed previous, comparable studies.

Test Strips Method

You can't tell if a drug has fentanyl in it by smelling tasting, or looking at it. Fentanyl test strips are the best way to find out if fentanyl is in the substance. Test strips help prevent overdose and death, and they can lead to changes in a person's drug use. 

1 line: Fentanyl detected
2 lines: NO fentanyl detected
2 faint lines: NO fentanyl detected

No test strip can detect all forms of fentayl or test all substances. It is important to have naloxone nearby no matter the results. People who use fentayl test strips accept all responsbility for any injury, or death that could accur after taking drugs, whether they have been tested or not tested for fentanyl. 

Mix Method (Most accurate)

1. Mix a small sample with 2 spoonfuls of water. Usemore water if you're testinf or meth.
2. Dip the strip into the water up to the MAX line and wati for the water to absorb up to where the FUL text starts. This will take about a minute. 
3. DRY by laying the stirp flat and let it dry for at least five minutes. 

Fentanyl Test Strips information in Tennessee with our printable onepager.

Fentanyl testing strips onepager

Fentanyl Training Videos

This brief, 15 minute video serves as an introduction to fentanyl and seeks to share facts instead of fear.

Want to learn more about Fentanyl and Xylazine? This hour-long training goes into deeper depth on the topics.

Additional Resources

Overdose Reversal Cards
This document is formatted to print 3 cards per page front and back that explain how to recognize an overdose and use naloxone to save a life.

Fentanyl Test Strip Cards
This document is formatted to print 3 cards per page front and back that explain how to use fentanyl test strips and provide essential treatment and recovery resources.

TN Department of Health Data Dashboard
This interactive tool contains state, regional, and county level data on fatal overdoses, nonfatal overdoses and drug prescribing. 

TN Department of Health Overdose Facts and Figures
This page Includes released reports such as the 2021 Annual Overdose Report and the 2022 Fatal Overdose Death Report.

Fentanyl Exposure Brochure

CDC Stop Overdose Campaign

For More Information

If you would like to schedule a training for your organization or agency, please contact your local Substance Abuse Prevention Coalition. If you do not have a coalition in your county, contact the Regional Overdose Prevention Specialist who serves your area.

To learn more about the program, please contact:

Cate Faulkner
Manager, State Opioid Response Prevention
615-840-0382
Cate.Faulkner@tn.gov