Missouri

Here’s how to identify and avoid fake prescription pills to prevent an accidental overdose

Fentanyl-laced pills disguised as common medications are causing accidental overdoses in Missouri.
Fentanyl-laced pills disguised as common medications are causing accidental overdoses in Missouri. Courtesy U.S. Drug Enforcement Administration

Overdose deaths are on the rise in Kansas City and around the country, and investigators say that counterfeit prescription pills are partially to blame. Officials have seized more than 9.5 million fake pills this year so far—more than in the past two years combined. These fake pills are frequently laced with dangerous drugs like fentanyl and methamphetamine that can cause deadly overdoses in unsuspecting users.

With accidental overdose deaths on the rise, officials in all 50 states have seized counterfeit pills disguised to mimic common medications like Xanax, Vicodin, Percocet and Adderall.

[Users] don’t even know that the samples they buy on the street contain fentanyl… so many of the pills look genuine, but they are actually fake pills,” says Percy Menzies, a pharmacist and the director of Assisted Recovery Centers of America in St. Louis. “Fentanyl has become the common denominator.”

Here’s what to look out for in order to help prevent an accidental overdose from fake prescription medication.

Never buy pills from individuals

If you aren’t purchasing pills from a licensed pharmacy, you can’t be completely sure they are legitimate. Private sellers online or in person may claim to be offering their own legally-prescribed medication, while actually selling dangerous counterfeits.

The Drug Enforcement Administration reports that fake pills are frequently sold online, including on social media, where uninformed buyers can easily purchase them. In a September press release, the agency warned that any “pills purchased outside of a licensed pharmacy are illegal, dangerous, and potentially lethal.”

Fentanyl test strips that are intended for drug testing urine can be used to detect fentanyl in counterfeit drugs. However, Missouri state law includes the testing strips in its definition of “drug paraphernalia,” and possession of them is considered a Class D misdemeanor, which is a fine up to $500.

Avoid so-called “M-30s”

Oxycodone pills are frequently small, round, light blue tablets with an M imprinted on one side and the number 30 on the other, indicating a 30 mg dose of the drug. These so-called “M-30” pills are frequently counterfeited. It may not be possible to tell the difference between real and fake Oxycodone with the naked eye. You can trust its safety only if this medication is prescribed to you by a doctor and purchased from a reputable pharmacy.

Learn about Naloxone

Centre Daily Times, file

This emergency antidote is an easy and effective way to reverse the effects of an opioid overdose. It’s available without a prescription at many pharmacies, and will only affect people experiencing an overdose. It is harmless to those who don’t have opioids in their system. You can also access Naloxone for free using the resources compiled by the nonprofits NoMoDeaths and the Mo Hope Project.

Do you have more questions about fake pills or preventing overdoses? Let our new Service Journalism team know at kcq@kcstar.com.

This story was originally published October 21, 2021 at 1:00 PM.

Natalie Wallington
The Kansas City Star
Natalie Wallington was a reporter on The Star’s service journalism team with a focus on policy, labor, sustainability and local utilities from fall 2021 until early 2025. Her coverage of the region’s recycling system won a 2024 Feature Writing award from the Kansas Press Association.
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