HomeUSCarfentanil Crisis: The Alarming Rise of a Lethal Fentanyl Alternative

Carfentanil Crisis: The Alarming Rise of a Lethal Fentanyl Alternative

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Nearly 20 years after overcoming drug addiction and completing rehab as a teenager, Michael Nalewaja, now 36, was enjoying a peaceful life in Alaska, working as an electrician.

However, this tranquility was shattered just days before Thanksgiving 2025. Michael and a friend accidentally consumed a deadly mix of fentanyl and carfentanil, likely mistaking it for cocaine.

“When I heard the word ‘autopsy,’ I just collapsed,” recounted his mother, Kelley Nalewaja, reflecting on the devastating call she received from Michael’s wife. “Even if Narcan had been on hand, and 911 called immediately, he wouldn’t have made it.”

Carfentanil, a highly potent chemical described by experts as 10,000 times stronger than morphine and 100 times more powerful than fentanyl, is experiencing a dangerous resurgence in the U.S., resulting in the deaths of hundreds of unsuspecting users.

This surge in such a lethal drug—capable of killing with an amount smaller than a poppy seed—occurs even as fentanyl seizures and overall drug overdose fatalities are on a multiyear decline.

“You’re talking about not even a grain of salt that could be potentially lethal,” said Frank Tarentino, the DEA’s chief of operations for its northeast region, which stretches from Maine to Virginia. “This presents an extremely frightening proposition for substance abuse dependent people who seek opioids on the street today.”

Carfentanil surge

A decade ago, carfentanil exploded into the North American drug supply, causing hundreds of unsuspecting drug users to overdose, only to see a major dip after China banned it, closing a key regulatory loophole in the U.S.

But the situation has shifted dramatically in recent years.

In 2025, DEA labs identified carfentanil 1,400 times in U.S. drug seizures, compared with 145 in 2023 and only 54 in 2022, according to DEA records viewed by AP.

Traffickers in Mexico may be experimenting with producing carfentanil themselves, authorities say, while others could be procuring it from China-based vendors skirting the country’s regulations by spamming online forums in other countries with ads for the drug.

Complicating matters for the cartels are the extreme dangers associated with manufacturing carfentanil, Tarentino said.

“You can’t just dabble in this,” he said. “This is not some mad scientist on Reddit you’re going to get to go out to a rudimentary laboratory in Mexico to make carfentanil.”

Dip in overdose deaths and fentanyl seizures

U.S. overdose deaths have fallen for more than two years — the longest drop in decades. Experts point to several possible explanations, including the overdose-reversing drug naloxone being more widely available and the expansion of addiction treatment. Some have also tied it to the regulatory changes the U.S. has pressed for in China.

Experts say that even multiple high doses of naloxone might not be enough to reverse an overdose when carfentanil is involved.

Fentanyl seizures, along with several other illicit drugs, have also dipped. U.S. Customs and Border Protection reported that fentanyl seizures plunged to about 12,000 pounds (5,443 kilograms) in 2025 — less than half the amount seized in 2023.

But even as fentanyl numbers fall, it remains a major focus of the DEA. Just recently, the agency’s proposed budget included a $362 million increase centered on cartel-driven fentanyl trafficking.

“Anyone who takes a pill that is not prescribed to them by their doctor is playing a game of Russian roulette with their life,” said Sara Carter, President Donald Trump’s drug czar. “But if those terrorists think they can continue this chemical warfare without consequences, they are wrong.”

Researched as a chemical weapon

While the prevalence of carfentanil still pales in comparison to fentanyl, experts are nevertheless alarmed by the increase of a substance researched for years as a chemical weapon and deployed by Russian forces on Chechen separatists in 2002.

The DEA’s annual quota for lawfully manufactured carfentanil — veterinarians use it to tranquilize elephants and other large animals — is just 20 grams, an amount that can fit in the palm of your hand.

“It’s like a biological weapon,” said Michael King Jr., founder of the Opioid Awareness Foundation. “If the world thinks we had a problem with fentanyl, that’s minute compared to what we’re going to be dealing with with carfentanil.”

In 2024, overdose deaths involving carfentanil nearly tripled compared to the previous year, with 413 deaths across 42 states and Washington, D.C., according to the most recent data available by the Centers for Disease Control and Prevention.

“Carfentanil definitely has that potential of spreading throughout the United States unless law enforcement really focuses in on carfentanil and they develop intelligence as to how these drug addicts are getting it,” said Mike Vigil, a former chief of international operations at the DEA.

In recent months, the DEA has documented several large seizures of carfentanil. In October, the DEA Los Angeles Field Division found 628,000 pills containing carfentanil, while in September, officials seized more than 50,000 counterfeit M30 pills from a person at a gas station in Washington state that turned out to be a mixture of carfentanil and acetaminophen.

‘All about money’

In some cases, frequent drug users have become tolerant to fentanyl and are seeking out carfentanil, despite the danger, because of the sudden euphoria it promises, explained Rob Tanguay, senior medical lead for addiction services with Recovery Alberta, a health agency in Canada. It appeals to the drug market, he said, because so little of it goes such a long way toward supply.

“The toughest part about all of this,” he said, “is that this is all about money.”

After Michael Nalewaja’s death, his mother decided against a large funeral.

Instead, she organized a town hall in her hometown of El Dorado Hills, California, bringing together local officials along with mothers who had gone through something similar.

As she grieves her son, an adept salesman full of charisma who had recently gotten a national award by the electrical union, she’s pushing for major legislative and judicial changes so others don’t go through what she did because of a drug she said was never meant for humans.

“It’s not an OD; it’s not an overdose,” she said. “It’s a murder weapon.”

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