Street Fentanyl Surges In Western U.S., Leading To Thousands Of Deaths

Researchers point to a devastating new development: Fentanyl is making swift inroads in the western U.S., where it used to be rare.

Cornelia Li for NPR

Seven months ago, when Jake got out of jail in Phoenix, he expected to go back to using his drug of choice: heroin. But the street market for illegal opioids had changed.

“I just started smoking [fentanyl] pills because that was the thing that was around; it was so easy to get,” he said. NPR is only using Jake’s first name because he fears being arrested after talking openly about his addiction.

“Soon as I wake up, I have to have a pill,” Jake said. “The high is not very long, so 20 minutes after I smoke a pill, I want to smoke another one, you know?”