Opioids
The opioid epidemic is affecting Santa Cruz County, and fentanyl-laced drugs are increasing. We are encountering patients who are using other substances not knowing fentanyl is in their drug. Services are available.
WHAT ARE PRESCRIPTION OPIOIDS, HEROIN, & FENTANYL?
Prescription Opioids: These are very strong opioid pain relief medications and are highly addictive and now regulated. Common prescription opioids include Oxycodone (OxyContin, Percocet), Morphine, Codeine, Hydrocodone (Vicodin), and Fentanyl. People can become addicted to their prescription, and then turn to buy pills from other people including counterfeit pills laced with deadly amounts of fentanyl.
Heroin: Heroin is an illegal opioid-based synthetic substance that is highly addictive and can come in different forms such as white or brown powder, a black sticky substance (black tar heroin), and solid black chunks.
Fentanyl: Fentanyl is a synthetic opioid that is 50 times stronger than heroin and 100 times stronger than morphine. It is currently being laced (added) to counterfeit pills, cocaine, methamphetamine, and other drugs. People are now becoming addicted to opioids or overdosing without even knowing it because it is added to other drugs. Fentanyl is extremely dangerous because it can cause overdose and death very easily, one grain of salt-sized fentanyl can cause an overdose if touched or inhaled.
 
			HOW IS IT USED?
Opioids can be taken orally as a pill/tab/film, snorted, injected, or smoked.
STREET NAMES
Prescription Pills: Oxy, Percs
Heroin: Black, Chiva, Negra, H, White China, Chasing the Dragon
Fentanyl: Blues, M-30s, Boats, Fenty, Percs, 30s, 50s, Fent, Skittles, Rainbows
DRUG PARAPHERNALIA
 Prescription bottles
Prescription bottles
 Lighters
Lighters
 Straws or hallowed ballpoint pens (for snorting)
Straws or hallowed ballpoint pens (for snorting)
 Bongs/pipes
Bongs/pipes
 Syringes/needles
Syringes/needles
 Lose pills
Lose pills
 Spoons with burn marks
Spoons with burn marks
 Plastic baggies with the residue of white, light yellow, or black powders
Plastic baggies with the residue of white, light yellow, or black powders
 Foil
Foil
 Cotton balls
Cotton balls
SIGNS THAT SOMEONE IS USING OPIOIDS
 Feeling drowsy and sleepy for several hours
Feeling drowsy and sleepy for several hours
 Foggy mental state
Foggy mental state
 Slowed breathing
Slowed breathing
 Slowed heart rate
Slowed heart rate
 Dry mouth
Dry mouth
 “Nodding,” alternate between periods of being awake and asleep
“Nodding,” alternate between periods of being awake and asleep
 Sweating
Sweating
 Nausea
Nausea
 Vomiting
Vomiting
 Itching
Itching
 Needle marks and bruising from injection sites
Needle marks and bruising from injection sites
 Changes in sleep habits
Changes in sleep habits
 Weight loss or appetite changes
Weight loss or appetite changes
 Seeming to have frequent colds or flu-like symptoms
Seeming to have frequent colds or flu-like symptoms
 Seeking prescriptions or visiting multiple doctors
Seeking prescriptions or visiting multiple doctors
 An increase in reported pain levels although the person’s condition doesn’t seem to be worse than before
An increase in reported pain levels although the person’s condition doesn’t seem to be worse than before
SIGNS/SYMPTOMS OF AN OPIOID OVERDOSE
If you believe someone is experiencing an overdose from opioids, call 911 immediately and administer Narcan.
 Unconscious/unresponsive
Unconscious/unresponsive
 Awake but can’t talk
Awake but can’t talk
 Vomiting
Vomiting
 Body is very limp
Body is very limp
 Slow or No breathing
Slow or No breathing
 Low pulse
Low pulse
 Fingernails or lips turning blue
Fingernails or lips turning blue
GENERAL HEALTH EFFECTS
 Skin problems like abscesses and infections (if injected)
Skin problems like abscesses and infections (if injected)
 Heart problems
Heart problems
 Liver diseases
Liver diseases
 Kidney diseases
Kidney diseases
 Collapsed veins from repeated injections
Collapsed veins from repeated injections
 Stroke
Stroke
 Death
Death
 Frequent constipation or diarrhea
Frequent constipation or diarrhea 
 Respiratory depression
Respiratory depression
 Suppressing the urge to cough
Suppressing the urge to cough
Ready to get Involved?
Organizations and community members involved in SUD/OUD are welcome to join!
Email Yara Castro at info@sosaheal.org or call 520-375-6050 for more information.
