One Pill Can Kill
Facts About Counterfeit Pills
Criminal drug networks are mass-producing fake pills and falsely marketing them as legitimate prescription pills to deceive the American public.
Counterfeit pills are widely available, and DEA and its law enforcement partners are seizing deadly fake pills at record rates.
Counterfeit pills are more lethal than ever before. The number of DEA-seized counterfeit pills with fentanyl has jumped nearly 430 percent since 2019. DEA lab testing reveals that 2 out of every 5 pills with fentanyl contain a potentially lethal dose.
The only safe medications are ones prescribed by a trusted medical professional and dispensed by a licensed pharmacist.
Legit or Counterfeit
Synthetic opioid drug prescribed for pain as OxyContin®, Tylox®, and Percodan®. These drugs are derived from one species of the poppy plant, and have a high potential for abuse.
Authentic Oxycodone Front
Authentic Oxycodone Back
Side by Side
Street Names: 30s; 40s; 512s; Beans; Blues; Buttons; Cotton; Greens; Hillbilly Heroin; Kickers; Killers; Muchachas; Mujeres; OC; Oxy; Oxy 80s; Roxy; Roxy Shorts; Whites
Depressants that produce sedation, induce sleep, relieve anxiety and prevent seizures. Available in prescription pills, syrup and injectable preparation. Prescribed as Valium®, Xanax®, Restoril®, Ativan®, Klonopin®
Street Names: Bars; Benzos; Bicycle Handle Bars; Bicycle Parts; Bricks; Footballs; Handlebars; Hulk; Ladders; Planks; School Bus; Sticks; Xanies; Yellow Boys; Zanbars; Zannies; Z-Bars
Prescription stimulants used to treat Attention-Deficit / Hyperactivity Disorder (ADHD). Used as a study aid, to stay awake, and to suppress appetites. Prescribed as Adderall®, Concerta®, Dexedrine®, Focalin®, Metadate®, Methylin®, Ritalin®.
Street Names: A-Train; Abby; Addy; Amps; Christmas Trees; Co-Pilots; Lid Poppers; Smart Pills; Smarties; Study Buddies; Study Skittles; Truck Drivers; Zing
The images of legitimate and counterfeit pills are examples and do not represent the many variations of counterfeit pills. Never trust your own eyes to determine if a pill is legitimate. The only safe medications are ones prescribed by a trusted medical professional and dispensed by a licensed pharmacist.
How Teens Misuse Medicine
Drug Overdoses Killed a Record Number of Americans
Buying Drugs Online – What You Should Know & How to Protect Your Kids
10 Strategies to Prevent Your Young Person from Using Drugs
Severe Opioid Overdoses Rose by Nearly a Third During Pandemic
Growing Up Drug Free - a Parent's Guide to Prevention
2020 National Drug Threat Assessment
Drugs of Abuse
DEA Fentanyl Drug Factsheet
Fentanyl: The Next Wave of the Opioid Crisis
Fentanyl Flow to the United States
Fentanyl-Laced Crack Cocaine a Deadly New Threat
Drug Education and Prevention
DEA Fentanyl Related Press Releases
Notes from the Field - Counterfeit Percocet
Drug Overdose Deaths
Increase in Fatal Drug Overdoses Across the United States Driven by Synthetic Opioids Before and During the COVID-19 Pandemic
Increases in Drug and Opioid-Involved Overdose Deaths — United States
Synthetic Opioid Overdose Data
Food and Drug Administration
Department of Health and Human Services
National Institute on Drug Abuse Resources
If you or someone you know has a mental health condition or a substance use disorder, there are resources and services available to assist with screening, treatment, and recovery:
SAMHSA's National Helpline
Also known as the Treatment Referral Routing Service, this Helpline provides 24-hour free and confidential treatment referral and information about mental health and substance use disorders, prevention, and recovery, in English and Spanish.
Assists employers and union representatives with policy development, drug testing, employee assistance, employee education, supervisor training, and program implementation.
Naloxone is a medicine that rapidly reverses an opioid overdose. It is an opioid antagonist. This means that it attaches to opioid receptors and reverses and blocks the effects of other opioids. Naloxone can quickly restore normal breathing to a person if their breathing has slowed or stopped because of an opioid overdose.
Naloxone Drug Facts | National Institute on Drug Abuse (NIDA)
Opioid Overdose Toolkit | SAMHSA
Naloxone for Opioid Overdose: Life-Saving Science | National Institute on Drug Abuse (NIDA)
Is naloxone accessible? | National Institute on Drug Abuse (NIDA)
The Helping to End Addiction Long-term Initiative | NIH HEAL Initiative
Medications to Treat Opioid Disorder | National Institute on Drug Abuse (NIDA)
Buprenorphine Practitioner & Treatment Program Locator
Find information on locating practitioners and treatment programs authorized to treat addiction and dependence on opioids, such as heroin or prescription pain relievers, at SAMSHA.gov.
Opioid Treatment Program Directory
Find treatment programs in your state that treat addiction and dependence on opioids, such as heroin or prescription pain relievers at Opioid Treatment Program Directory.
Find out more about these treatment topics:
- SAMHSA Behavioral Health Treatment Services Locator: Confidential and anonymous source for individuals seeking treatment facilities for substance use disorder, addiction, and mental health concerns.
- Find a Health Center: Some health centers provide mental health and substance use disorder services. Contact the health center directly to confirm availability of specific services and to make an appointment.