Addiction to fentanyl, a powerful synthetic opioid, has been on the rise, leading to devastating effects on individuals and their loved ones. Among the many signs of fentanyl abuse, one alarming and increasingly recognized phenomenon is known as the “fentanyl fold” or “the fentanyl bend over.”
It is crucial to understand what the fentanyl fold is, what causes it, how to recognize other, less obvious signs of fentanyl abuse, and how to approach a loved one about getting help for their addiction.
What Is Fentanyl Fold?
The “fentanyl fold,” also referred to as “the fentanyl bend over,” is a phenomenon where individuals under the influence of fentanyl appear to be hunched or slumped over in a folded position. This posture, while unnatural, can last for extended periods as the person struggles to regain control of their body.1
This physical stance is often seen in public spaces, adding to the growing visibility of the opioid crisis. The fentanyl fold doesn’t just signal intoxication, it reflects the overwhelming impact that fentanyl has on the body’s motor functions.
The fentanyl fold can be an early sign that someone is on the edge of a drug overdose or respiratory failure, which is why this posture should never be ignored. It’s essential for people around those exhibiting this behavior to recognize the severity of the situation and, if necessary, contact emergency services.
What Causes the Fentanyl Fold?
The fentanyl fold is primarily caused by fentanyl’s overwhelming sedative properties. As a synthetic opioid, fentanyl is 50 times more potent than morphine, which means its effects on the body are stronger and quicker.2
When fentanyl enters the bloodstream, it quickly crosses into the brain, where it binds to opioid receptors. These receptors are involved in regulating not only pain but also essential bodily functions like breathing, heart rate, and muscle coordination.2
One of fentanyl’s most pronounced effects is respiratory depression, where breathing slows to a dangerously low rate. This lack of oxygen to the brain and muscles can contribute to the slackening of muscle tone, making it difficult for individuals to maintain their posture. While other opioids can cause similar effects, fentanyl is so potent that the body’s muscle control deteriorates rapidly, leading to the telltale “folded” posture.2
In addition to respiratory depression, fentanyl causes extreme sedation. The euphoric high that comes from using the drug is paired with a feeling of profound drowsiness. In many cases, users are unable to stay awake or alert, even while sitting or standing. This intense sedation leads to the slumped-over, folded posture that fentanyl users often display.2
4 Less Obvious Signs of Fentanyl Abuse
While some signs of fentanyl abuse, such as the fentanyl fold, are more visible, many indicators are subtle and harder to detect. Recognizing these less obvious signs can be critical in identifying fentanyl addiction early and helping someone seek the necessary support:2
1. Changes in Behavior and Routine
One of the early warning signs of fentanyl abuse is a noticeable shift in behavior or daily routine. People struggling with substance use disorder may begin neglecting their responsibilities at work, school, or home. You might notice increased absenteeism or lateness, a decline in performance, or a lack of interest in activities they once enjoyed. These changes can happen gradually, making it easy to dismiss them as stress or fatigue, but they are often linked to the compulsive nature of drug seeking and use.
2. Physical Symptoms of Use and Withdrawal
Fentanyl abuse can cause various physical symptoms, some of which may not be immediately linked to drug use. These symptoms include drowsiness, nausea, constipation, and confusion. Over time, the body becomes reliant on the drug, and withdrawal symptoms can start to appear if fentanyl is not used, such as chills, sweating, or restlessness.
3. Emotional Instability
Fentanyl use can lead to emotional ups and downs that seem unpredictable. Someone may experience extreme happiness or euphoria shortly after using the drug, followed by sedation or depressive episodes as the drug’s effects wear off. These mood swings can disrupt relationships, create tension, and lead to isolation as the person becomes more focused on obtaining and using fentanyl.
4. Increased Secrecy and Isolation
As fentanyl addiction takes hold, individuals may become more secretive and isolated. This behavior often stems from shame, fear of being judged, or an attempt to hide their drug use. You may notice them avoiding social gatherings, withdrawing from family events, or spending long periods alone. They may also lie about their whereabouts or activities.
Talking to a Loved One About Getting Help
Addressing fentanyl addiction is never easy, especially when someone you care about is caught in its grip. However, it’s crucial to have a conversation with your loved one about seeking help for their addiction. Here are some tips for approaching this delicate situation:
- Pick the right moment. Avoid confronting someone when they’re under the influence of fentanyl or in a highly emotional state. Instead, choose a time when they are relatively calm and sober.
- Express concern without judgment. When discussing addiction, it’s vital to avoid coming across as accusatory or judgmental. Instead, express your concern out of love and worry for their well-being. Use “I” statements, such as “I’m worried about you,” rather than “You’re ruining your life.”
- Educate yourself. Before starting the conversation, learn as much as you can about fentanyl addiction, its effects, and treatment options. Being informed shows that you’re serious about helping and gives you the knowledge to answer any questions they may have.
- Have resources ready. If your loved one is open to the idea of seeking help, be prepared with information on treatment centers, group therapy, or detox programs. Having these resources ready can ease their transition into accepting help.
- Be patient. Addiction is a complex disease, and recovery doesn’t happen overnight. Even if your loved one is not ready to seek help right away, the conversation you have started can plant the seed for future change. Continue to express your support and remind them that help is available when they are ready.
Ready to Get Help for Fentanyl Addiction? Lumina Recovery Is Here
Fentanyl addiction is a serious and life-threatening condition, and signs like the fentanyl fold can indicate that someone is in deep need of help. Beyond these more obvious signs, there are many other subtle indicators of fentanyl use, and recognizing them is critical in addressing the addiction early.
Through holistic opioid addiction treatment, Lumina Recovery is ready to help you or a loved one at any step of the healing process from medically assisted detox to aftercare, and everything in between.
Reach out today to support your loved one in taking the critical steps toward recovery and reclaiming their health and future.
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