Fentanyl that you get in an OR and the "fentanyl" on the streets are actually two different chemicals.
The street drug "fentanyl" is actually carfentanil, which is about 100 times more potent that fentanyl (or about 5000 times more potent than heroin). It is favored by criminals because when it's highly concentrated, you can fit ~the same amount of doses in a suitcase that with heroin would take a 20ft container. That suitcase, when bought from a legitimate Chinese pharmaceutical manufacturer, will also cost very little. Then if you can smuggle it into the states, you can run a billion-dollar drug empire from it, and never have to smuggle in anything again.
This is why all supply-side measures against opiates are never going to work again. There are already enough of them in the hands of criminals in the US to cover the demand for decades, if not centuries. It's also why "fentanyl" on the street is so deadly. When the active ingredient is so potent and arrives concentrated, if the dilution process is even a little uneven, a single dose can easily be accidentally a 100 times more potent than you expect it to be.
Even if you use other drugs, never use street fentanyl for any reason.
The street drug "fentanyl" is actually carfentanil, which is about 100 times more potent that fentanyl (or about 5000 times more potent than heroin). It is favored by criminals because when it's highly concentrated, you can fit ~the same amount of doses in a suitcase that with heroin would take a 20ft container. That suitcase, when bought from a legitimate Chinese pharmaceutical manufacturer, will also cost very little. Then if you can smuggle it into the states, you can run a billion-dollar drug empire from it, and never have to smuggle in anything again.
This is why all supply-side measures against opiates are never going to work again. There are already enough of them in the hands of criminals in the US to cover the demand for decades, if not centuries. It's also why "fentanyl" on the street is so deadly. When the active ingredient is so potent and arrives concentrated, if the dilution process is even a little uneven, a single dose can easily be accidentally a 100 times more potent than you expect it to be.
Even if you use other drugs, never use street fentanyl for any reason.