Carfentanil or Carfentanyl (Wildnil) is an analog of the prevalent synthetic opioid analgesic fentanyl and is one of the most potent opioids known.
In fact, it is also the most potent opioid used commercially. 
It has a quantitative potency of approximately 10,000 times that of morphine and 100 times that of fentanyl, with activity in humans starting at about one microgram.
It is marketed under the trade name Wildnil as a general anesthetic agent for large animals.
Carfentanil addiction is life-threatening, but it is feasible to be treated. Level Up West Palm offers comprehensive treatment from a safe and comfortable detox to residential care.
Basically, Carfentanil is intended for large-animal use only as its extreme potency makes it inappropriate for use in humans.
Currently, Sufentanil, approximately 10–20 times less potent (500 to 1000 times the efficacy of morphine per weight)
than Carfentanil, is the maximum strength fentanyl analog for humans. 
Carfentanil, a synthetic opioid, is a white powdery substance that looks like cocaine or heroin.
Oftentimes, drug dealers mix it with heroin to presumably make the heroin stronger.
This drug is so powerful it poses a significant threat to first responders and law enforcement personnel who touch it by accident.
In addition, people can overdose on Carfentanil quickly. Multiple doses of the anti-overdose drug Narcan may not be effective.
Experts say this new opioid cocktail combines three drugs, each individually more potent than heroin.
This dangerous opioid cocktail is responsible for a spate of fatal overdoses in the United States, and its potency has authorities worried.
Named for its ashy color, the drug looks like a dry concrete mix. It can also appear in chunks or rocks.
Moreover, the exact combination of substances that make up the drug seems to vary widely.
Still, powerful painkillers like fentanyl and Carfentanil are common, as well as the less well-known designer drug U-47700.
It’s never too late to ask for help, and treatment should not be as harsh as you may imagine during withdrawal.
“Gray death is one of the scariest combinations that I have ever seen in nearly 20 years of forensic chemistry drug analysis,”
Deneen Kilcrease told the Associated Press at the Georgia Bureau of Investigation. 
Fentanyl, the most well-known component of gray death, is a synthetic opioid first synthesized in 1960.
Generally, it has played a prominent role in North America’s current opioid epidemic because of its potency as a drug.
Fentanyl and other synthetic opioids were responsible for nearly 10,000 deaths in the United States alone in 2015 — an increase of more than 70 percent,
according to the Centers for Disease Control and Prevention (CDC) 
The less common Carfentanil is primarily beneficial as a sedative for elephants and other large animals.
Fentanyl is 50 to 100 times more potent than morphine.
And Carfentanil dwarfs that, being 10,000 times more powerful than morphine.
Fentanyl and its analogs can enter the body by inhalation, ingestion, intravenous or intramuscular injection.
In addition, skin contact is a potential exposure route.
Still, it is not likely to lead to overdose unless prolonged exposure to large volumes of highly concentrated fentanyl in powder form.
Brief skin contact with fentanyl or its analogs is not expected to lead to toxic effects if any visible contamination is immediately removed.
It is not yet known whether fentanyl can be absorbed through the eyes.
The signs and symptoms of a fentanyl overdose are not distinct from overdoses of other opioids because the symptoms include:
To emphasize, even exposure to small quantities of fentanyl may be fatal as it acts as an incapacitating agent that impairs a person’s ability to function.
Naloxone is a safe and effective medication used to block the effects of opioid overdoses temporarily. It is an essential tool in preventing fatal opioid overdoses.
Due to its high potency, one may need multiple doses of naloxone to treat a fentanyl overdose.
Naloxone only temporarily blocks the effects of respiratory depression caused by opioids (for 30-90 minutes),
so medical attention is still required following its administration.
In addition, Healthcare workers should also be advised that they may encounter violence
and aggression from patients because of withdrawal symptoms following the intake of naloxone.
Carfentanil works in the same way that other opioids do.
However, it dramatically alters the opioid levels in the brain and central nervous system to relieve pain.
As a result, it produces intense feelings of sedation and relaxation.
The human body naturally produces opioids, which are a type of brain chemicals or neurotransmitters.
These brain chemicals help regulate and manage feelings of pain and stress caused by pain,
slowing down activity within the central nervous system to block nerve signals carrying these feelings from reaching the brain.
Carfentanil mimics these natural opioids and enters the brain to bind with what are known as opioid receptors.
Then, it activates them repeatedly to stimulate them into overproduction, flooding the brain and nervous system with an excess of opioids.
Carfentanil and other fentanyl-related compounds are a danger to public safety, first responder, medical, treatment, and laboratory personnel.
These substances can come in several forms, including powder, blotter paper, tablets, and spray – they can be absorbed through the skin or accidental inhalation of airborne powder.
Therefore, if encountered, responding personnel should do the following based on the specific situation, according to DEA:
Exercise Extreme Caution
Only properly trained and outfitted law enforcement professionals should handle any substance suspected to contain fentanyl or a fentanyl-related compound.
If encountered, contact the appropriate officials within your agency.
Be Aware of Any Sign of Exposure
Symptoms include respiratory depression or arrest, drowsiness, disorientation, sedation, pinpoint pupils, and clammy skin.
The onset of these symptoms usually occurs within minutes of exposure.
Seek Immediate Medical Attention
Carfentanil and other fentanyl-related substances can work very quickly, so it is essential to call EMS immediately in cases of suspected exposure.
If inhaled, move the victim to fresh air. If ingested and the victim is conscious, wash out the victim’s eyes and mouth with cool water.
Be Ready to Administer Naloxone in the Event of Exposure: Naloxone is an antidote for opioid overdose.
Immediately administering naloxone can reverse an overdose of carfentanil, fentanyl, or other opioids, although multiple doses of naloxone may be required.
Continue to administer a dose of naloxone every 2-3 minutes until the individual is breathing independently for at least 15 minutes or until EMS arrives.
Above all, remember that Carfentanil can resemble powdered cocaine or heroin.
If you suspect the presence of Carfentanil or any synthetic opioid, do not take samples or otherwise disturb the substance, as this could lead to accidental exposure.
Instead, secure the substance and follow approved transportation procedures. 
Like most other mental health problems, drug use disorders have no single cause and are not the consequence of a lack of discipline or self-control.
Instead, several biological, psychological, and social factors, known as risk factors, can raise an individual’s vulnerability to developing a substance use disorder.
However, most substance use professionals recognize a genetic aspect to the risk of drug addiction.
Adults exposed to conflicting events as children are at higher risk of developing substance use disorders.
In addition to poverty, examples of such adverse events include:
Psychological associations with substance abuse or addiction include mood disorders as addiction risk factors, like:
The detoxification and stabilization phase of treatment is designed for people who experience withdrawal symptoms following prolonged abuse of drugs.
Detox is a medical care and pharmacotherapy process that seeks to help the person achieve abstinence with the minimum of physical and emotional discomfort.
The detox process will look different for everyone because of how long the substance stays in the system.
For some, it may require medical assistance due to the severity of the withdrawal symptoms.
Carfentanil drug addiction treatment requires a medically-assisted detox and care to ensure long-term sobriety and a safe environment.
Through the admissions process, our team at Level Up West Palm is working to determine the severity of a client’s addiction and dependence,
as well as any unique factors that may influence their recovery process.
This information will ensure admission to the most beneficial treatment facility, help with travel arrangements, and develop a personalized treatment plan.
How We Can Help
If you or someone you love is seeking a safe,
secure, and compassionate resource for opioid or Carfentanil addiction treatment, Level Up West Palm Beach is here for you.
Don’t hesitate to contact us to speak with an addiction counselor today about our levels of care.
 Carfentanil – National Center for Biotechnology Information/PubChem®
 Synthetic Opioid Overdose Data – Centers for Disease Control and Prevention
 Carfentanil: A Dangerous New Factor in the U.S. Opioid Crisis – Drug Enforcement Administration
Speak with an Addiction Advisor. Call the number below.
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Tiffany Tait is the Chief Operating Officer at Level Up West Palm Beach in where Tiffany works closely with the facility, helping to ensuring that patients are comfortable and safe. Tiffany has been working in the addiction treatment field for 14 years. She has helped countless addicts get through the detox process and begin their journey toward lifelong recovery. She is especially recognized for her experience in clinical program development, leadership development, and organizational restructuring. She holds a Bachelor of Science Degree in Criminology and Masters of Social Work Degree from Florida State University in Tallahassee, FL. Tiffany is originally from Brooklyn, New York, and enjoys reading, being a mom and taking long naps on the beach.