Opioids

Opioids - such as fentanyl, heroin, hydrocodone, methadone, morphine, oxycodone and tramadol - act on the brain, producing a euphoric effect. Addiction is a chronic disease, which can lead to death if not treated.

Emergency / Overdose

Call or text 9-1-1 if the situation is immediately life-threatening. Our Fire and Rescue personnel carry medication that can prevent death from an opioid overdose. 

Call the Fairfax Detoxification Center at 703-502-7000, available 24/7, every day of the year, including weekends and holidays. Our staff will talk with you about your options.


Fentanyl / Fake Pills

Stay Informed

fake-and-real-opioid-pillsFENTANYL 

  • Fentanyl is a synthetic opioid that is up to 50 times stronger than heroin and 100 times stronger than morphine.
  • Fentanyl is extremely fatal, even in the smallest doses.
  • Most fatal overdoses in Fairfax County in recent years have involved fentanyl, which is a common substitute or cutting agent in illicit narcotics such as cocaine, heroin, MDMA (also known as ecstasy or molly), and counterfeit pills.
  • Two mg of fentanyl – the amount on the tip of the pencil – is a potentially deadly dose, according to the U.S. Drug Enforcement Administration (DEA).
  • The DEA has seized over 16 million fentanyl pills and 6,271 pounds of fentanyl powder as of July 2026, representing over 151 million deadly doses.
  • Counterfeit pills laced with fentanyl can look the same as authentic pills, making it almost impossible to know whether a pill has a deadly dose of fentanyl or not.
     

fake and real opioid pills, including those with fentanylrainbow fentanyl pills in multiple colors

 

Rainbow fentanyl – or fentanyl pills and powder that come in a variety of bright colors, shapes, and sizes – is also a national concern, according to the U.S. DEA.

 

Polysubstance Use

Polysubstance use is the use of more than one drug taken together or within a short time period, either intentionally or unintentionally. 

Intentional polysubstance use occurs when a person takes a drug to increase or decrease the effects of a different drug or wants to experience the effects of the combination. Unintentional polysubstance use occurs when a person takes drugs that have been mixed or cut with other substances, like fentanyl, without their knowledge. 

Whether intentional or not, mixing drugs is never safe. The effects from combining drugs may be stronger and more unpredictable than one drug alone, and even deadly. Find more information on polysubstance use in the link below. 

burnt tin foil with opioid residueOur Police Department has found that numerous youth overdoses have involved burnt tin foil which is often used to facilitate the inhalation of the pills (other Northern Virginia jurisdictions are also observing this).

Signs of Opioid Overdose: 

  • Face is pale or clammy
  • Breathing is infrequent or has stopped
  • Deep snoring or gurgling (death rattle)
  • Unresponsive to any stimuli
  • Slow or no heart rate and/or pulse
  • Bluish purple, or ashen skin color
  • Fingernails turn blue or blue-black
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