Fentanyl pills

Buy fentanyl online  also spelled fentanil, is an opioid which is used as a pain medication and together with other medications for anesthesia. Fentanyl is also made illegally and used as a recreational drug, often mixed with heroin or cocaine. It has a rapid onset and effects generally last less than an hour or two. Medically, fentanyl is used by injection, as a patch on the skin, as a nasal spray, or in the mouth.

Common side effects include vomiting, constipation, sedation, confusion, hallucination, and injuries like falls.Serious side effects may include decreased breathing (respiratory depression), serotonin syndrome, low blood pressure, addiction, or coma. In 2016, more than 20,000 deaths occurred in the United States due to overdoses of fentanyl and analogues, half of all opioid overdose deaths.Fentanyl works primarily by activating μ-opioid receptors. It is about 75 times stronger than morphine for a given weight, and some of its analogues such as carfentanil are more than 10,000 times stronger.

Fentanyl was first made by Paul Janssen in 1960 and approved for medical use in the United States in 1968.In 2015, 1,600 kilograms (3,500 lb) were used in healthcare globally. As of 2017, fentanyl was the most widely used synthetic opioid in medicine.[ Fentanyl patches are on the WHO List of Essential Medicines, the most effective and safe medicines needed in a health system. For a 100 μg vial, the average wholesale cost in the developing world is US$0.66 (2015). and in the USA it costs US$0.49 (2017).

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