Fentanyl-related deaths are finally beginning to decline, but the danger is far from over. Even a single exposure to fentanyl can be fatal, as just two milligrams—an amount barely visible to the eye—can be enough to cause death.

In 2022, California reported the highest number of fentanyl deaths in the U.S., with 6,453 lives lost. These numbers are a sobering reminder that fentanyl remains one of the most dangerous substances in the drug supply.

Despite the risks, recovery from fentanyl use is absolutely possible. One study found that 89% of patients who tested positive for fentanyl at methadone intake and remained in treatment for six months achieved abstinence. This is a powerful testament to the effectiveness of long-term care and the strength of the recovery journey.

However, recovering from opioid use, especially synthetic opioids like fentanyl, can come with setbacks. Relapse isn’t just a return to drug use; it can be deadly. After a period of sobriety, your body’s tolerance drops significantly, making you far more vulnerable to overdose.

At Pura Vida Recovery, we’re committed to helping individuals and families understand the risks and realities of fentanyl. We provide education, tools, and ongoing support so you can stay safe, protect your progress, and keep moving forward.

Why Fentanyl Makes Relapse So Dangerous

Many people in early recovery are not aware that their tolerance to opioids decreases rapidly once they stop using. What might have been a “normal dose” before entering treatment can now be life-threatening. Combine that with the fact that fentanyl is often mixed into other drugs, such as heroin, cocaine, pills, and even marijuana, and the risk of accidental overdose skyrockets.

Because fentanyl is colorless, tasteless, and odorless, it’s almost impossible to detect without test strips. That means someone who relapses, even just once, may unknowingly consume a deadly dose.

Where can you get fentanyl test strips? Here in Santa Rosa, CA, you can choose from a list of places that provide free supplies, including test strips. If you’re not in Sonoma County, a quick Google search for your location will tell you where you can get harm reduction supplies. California also announced in 2024 that they would be offering free test strips through the Naloxone Distribution Project.

Fentanyl and the Overdose Crisis

According to the CDC, fentanyl is now the leading cause of opioid overdose deaths in the U.S., especially among people under 40. Many of these tragedies involve individuals who were in or recently out of treatment, highlighting the importance of continued support and relapse prevention strategies during early recovery.

Even those who use other substances—not opioids—may unknowingly be exposed to fentanyl due to cross-contamination or counterfeit pills. Counterfeit pills are fake medications that may contain none of the active ingredient, the wrong active ingredient, or the right ingredient but in the wrong quantity. Therefore, a person may innocently believe that they are taking Xanax, when in reality, they’re getting a counterfeit pill that contains fentanyl.

Staying Safe in Early Recovery

At Pura Vida Recovery, we take a proactive approach to fentanyl treatment and relapse prevention, especially when fentanyl is a risk. Here’s how we help our clients and community stay safe:

• Comprehensive Relapse Prevention Planning. We help clients identify triggers, build healthy routines, and create strategies for staying grounded during stressful moments.
• Education on Fentanyl Awareness. Our programs include real-world information on how fentanyl is showing up in the drug supply and how to avoid it.
• Access to Naloxone (Narcan). We believe everyone in early recovery should carry Naloxone, a medication that can reverse opioid overdoses. We also train families and loved ones on how to use it.
• Aftercare and Peer Support. Recovery doesn’t end after detox or residential treatment. Ongoing support, therapy, and peer connection make a critical difference in reducing relapse risk.

A Message to Those in Recovery

If you’re in early recovery, please know this: one moment of relapse does not define you, but it can be deadly, especially in the era of fentanyl. Don’t be afraid to reach out for help, even if you’ve slipped. There is no shame in returning to treatment or asking for support. What matters most is your safety and your future.

Pura Vida Recovery provides compassionate, evidence-based care for individuals recovering from opioid use and fentanyl exposure. Whether you’re just starting your journey or getting back on track, we’re here to walk alongside you every step of the way. Contact us today at (707) 879-8432 to learn more about our programs and how we can help you stay safe in recovery.