now, we've established that this extraction, in the wrong hands, can lead to death no matter how the user decides to use the end product.
we're here to provide unbiased and accurate information to you guys. BL is about harm reduction and while this is a controvesial thread, censoring this information to you guys isn't what we're about.
so let's keep this thread on topic and keep our personal opinions to ourselves about whether this should or shouldn't be allowed, because it is.
if you see something that needs correcting then say something about it, don't just let it go unnoticed.
There seems to be huge stigma and a battle on bluelight and elsewhere about fentanyl (patch) use and safety in general. The safest way to use a fentanyl patch is by wearing it on your skin as they are designed. This thread is about all other methods of fentanyl use and extraction and does not advocate such practices, rather provides information on how to do it in the safest manner possible if you are going to.
This thread outlines in detail methods to extract fentanyl from the newer more popular polymer matrix patches. In a subsequent post below I have outlined some concepts for gel-reservoir patch extraction where similar techniques may apply.
Disclaimer: Fentanyl is the most potent available opioid in existence for human use with a strength 100 times that of morphine. Using fentanyl in any form/ROA can be extremely dangerous. You should not think about using fentanyl in any way unless you already have an opiate tolerance and are experienced with potent opiates. Fentanyl has been the cause of many ODs and deaths from people worldwide including experienced bluelighters. When using fentanyl you are playing with fire and should take as many precautions as possible. Have someone ready with a shot of naloxone the first time you try it and experiment with doses, and ideally always have someone with you.
Problems: The main issue with fentanyl is that it is extremely potent and should not be consumed by anyone who isn't opioid experienced and tolerant. There have been many deaths and ODs around fentanyl and aside from the high potency I believe the route cause is the inability to accurately measure doses which I present a solution for.
Smoking gel from the older patches or powdered versions of fentanyl are extremely dangerous because it is difficult to even get a ballpark estimate of how much you are taking. In the case of fentanyl, doses are in mcg that can't be eyeballed, weighed on consumer scales, or estimated with drops of gel due to the non homogeneous distribution of fentanyl within it. A drop of gel or speck of powder could contain 50 mcg or several thousand mcg which can be the difference between life and death.
Misconceptions: as far as polymer matrix patches go they will work extremely poorly if you try to take pieces of a patch and use it bucally or in any way in your mouth. It simply doesn't work or is such a poor ROA the effects are negligible or placebo.
The safest way to use any fentanyl patch is to wear it transdermally as indicated. You can apply heat or take a hot bath to speed up the release if desired. You still need to be careful and opiate tolerant when using fentanyl in any way.
All right, here are step by step instruction on how to extract fentanyl from the modern polymer matrix patches like Mylan brand and other non gel-reservoir patches (which all use this polymer matrix).
Don't let the length of this post intimidate you or stop you from using this process, I wrote it out in detail to explain the reasoning for how I chose each step and so it is extremely clear. My intention was to use this for IV use but as outlined it can apply for accurate dosing with several ROAs you previously and otherwise couldn't use or achieve. It is very simple and takes an hour or two to prepare. I suppose I can go back and write the step by step cliff notes instructions and add them at the end.
Basically the key here is the extraction process and this only works for the Mylan matrix type patches which are what are on the market now since the gel patches are being phased out by doctors. They are thought to be much harder to abuse but the reality is you can do a much more efficient and easier extraction on them, since this can lend itself to some safer practices it is probably is for the better that these patches are dominating the market now.
The basic principle for using alcohol for extraction came from a medical journal article where they did exactly that to test the abuse potential of these patches. I used to be able to read the article in whole but now it seems you need a subscription everywhere to access the entire thing. I believe it is this one. If someone has access to this journal article in full it would be great if you could share it.
They took matrix type patches like the Mylan and soaked them in methanol, ethanol (using normal 40% rum liquor), and I believe isopropyl alcohol. The results were that in an hour with no heat over 97% (I forget the exact figure, I think it was higher around 99% ) of fentanyl was extracted with methanol and over 90% with rum, and the other alcohol used was somewhere in the middle.
For my method I use 70% or 91% isopropyl alcohol for the actual extraction process then 40% vodka (Svedka in my case) to prepare the end solution. The reason for using vodka for the end solution is because it is readily available, decent vodka is well filtered and has relatively minimal other ingredients aside from ethanol and water and anything else isn't particulate matter and doesn't pose a significant risk for IV use, ethanol is proven to be safe to IV when diluted, and perhaps most importantly it will keep the solution sterile and prevent bacterial growth and other contamination allowing it to be stored over an extended period.
So for my method I first rubbed the lettering off the top of the patch with a drop of iso alcohol then dropped the entire patch in a metal measuring cup filled with isopropyl. For my first preparation I just let it sit then evaporated the alcohol and subsequently I used a double boiler configuration to heat the alcohol/patch and later evaporate it quickly. I found this to be extremely effective. I basically just filled a pot with water, put it on the stove then let the measuring cup float on top with the measuring cup handle secured to the pot handle with a zip tie or paperclip.
I experimented with just letting the patch soak like this and found it left some glue residue to be filtered out and then i tried stretching the patches out to allow more surface area which worked but made it more difficult since it was hard to control in the solution and kept getting tangled.
Eventually what I found best was to remove the patch after a few minutes while it was warm sitting in the alcohol and start rubbing the glue side with my fingers. It becomes extremely quick and easy to separate and peel all of the glue off the patch without tearing or warping it with a little practice. it is similar to removing the glue off a notebook label or similar price tag.
MOD NOTE: PLEASE READ THE ENTIRE THREAD BEFORE ATTEMPTING THIS PROCEDURE. SOME PEOPLE BELIEVE THAT THE GLUE CONTAINS A LARGE PORTION OF THE DRUG AND REMOVAL OF IT IS NOT EFFECTIVE
Now with the glue removed put the patch back in the alcohol (with no heat if you prefer which is proven to be very effective), and in my case I used heat to get the most out of the patch. Do not directly heat the alcohol and be careful with it or you will end up with a fiery mess of flaming alcohol solution (I'm sure you've experienced some accidents with lighting high proof alcohol before while drunk- same sort of thing ). That's why I use a double boiler and am careful not to let anything splash out.
I added more iso during the process a couple times as it started to vaporize and the level would lower in the cup so I refilled it. I would let the patch stay heated in the solution for about an hour. This is probably overkill but guarantees you are getting close to 100% of the fentanyl out of the patch. Half an hour with heat should do it or maybe two hours just letting it sit cold would be very effective (over 95% ).
Then remove the patch and if it is already in a double boiler it makes evaporating the rest of the alcohol/water extremely easy since you just keep it going. If you are doing it cold you will want to set up a double boiler to evaporate the alcohol quickly or if you have a lot of time and patience just let it sit out with a piece of paper on top so dust doesn't fall in but it can still evaporate.
Now you have a cup with a barely noticeable dried film, this is how it should be since it is either 2.5, 5, or 10 mg of fent left over (there might be a 75 mcg/hr 7.5mg patch, I forget). If you removed all the glue it is much better and more pure and requires less filtering.
I would next use a 3ml syringe to draw up 2ml of vodka and squirt it in the cup. Using the plunger you can rub it against the surface to get all of the fentanyl residue dissolved. Next I had another 3ml syringe with a micron filter attached (when I wasn't removing the glue I was afraid of it getting in there so I used a micron) and later just a 3ml syringe with the barrel stuffed with cotton. It is always best to use a micron filter if it is available to you but if you remove the glue there should be very little contaminants or anything to worry about and a syringe stuffed with cotton dose a great job. If you are not planning to IV the solution then you definitely don't need to bother with a micron. So after you mix around the 2ml of vodka in the cup dissolving nearly all of the residue, draw it up through a syringe and run it through the filter syringe and into a sterilized cap, cup, or shot glass.
Repeat this process again with another 2ml of vodka to be sure to get everything out of the cup. If using cotton you can run an extra 1/2ml through the syringe to clear it so you end up with close to exactly 4ml of vodka/fentanyl solution.
Edit: After some thinking I realized you can use a lower concentration of vodka while still maintaining the same benefits allowing for more dilution. Instead of using 4ml of vodka, you can mix 1ml of vodka with 3ml of sterile water for a 10% ethanol solution and follow the process exactly as otherwise stated except substitute vodka with this diluted solution. So instead of using 2ml of vodka in each stage, use 2ml of this diluted vodka to achieve the same 4ml of solution with a lesser ethanol concentration which is easier on your body, requires less dilution, and allows you to dilute it even further more easily. End Edit
I chose 4ml because it is then easy to calculate the concentration of fentanyl and easily draw out dosages. If using a 5mg patch like I was then 10 units is close to 50 mcg which makes dosing easy. There is obviously room for error in this process so the 10 units = 50 mcg is a conservative estimate and could be 30-40 mcg. This is a good thing in terms of harm reduction since it is better to over estimate the dose and have a good idea of how much you're taking than underestimate or have very little clue at all if you didn't do this method. 4ml works for all patches since 10 units = 50 mcg for a 50 mcg/hr patch, 10 units = 100 mcg for a 100 mcg/hr patch, and 10 units = 25 mcg for a 25 mcg/hr patch. I like this method since it is simple and easy to remember and 10 units is approximately however many micrograms the original patch dispensed per hour.
If you wish you can filter the 4ml of solution again to be sure it is clear of any dust or particles that may have gotten in or just go straight to storing it. I used 4ml rubber topped vials that I emptied Narcan from (and sterilized thoroughly with alcohol/bleach) which were perfect for this. You can get 10ml vials, micron filters, and any syringes you might need for this from gpzservices.com. Aside from the micron which I later didn't use I got everything I needed from my needle exchange program (including the small vials). You can store the solution in another small container or vial but a sealed one with rubber top to insert needles is ideal.
Intravenous Use: this one is longer since the other ROA methods are based upon the dosing concept here
To dose for IV use simply take a 1ml syringe and draw out however many micrograms you wish, it's best to start with whatever the patch would release in an hour to get a feel for it IVed, so 10 units for 50 mcg or 20 for 100 mcg of fentanyl (from a 50 mcg/hr patch). Then draw up sterile water for IV use to fill the remainder of the syringe and mix it around. To mix I found it easiest to have an air bubble in the barrel then rotate it from one end to the other tapping the air bubble to go from top to bottom. You can also sandwich the ethanol solution for easier mixing by drawing up sterile water first, then the fentanyl solution, then more sterile water and mixing in the syringe as described above.
Then it is time to inject and just prepare for injection as you would anything else. Once you register and release the tourniquet it is advisable to slowly push the plunger down, say 10 units at a time, let the drug hit you and check how you are feeling overall. Be aware of you breathing in particular since fentanyl is very respiratory depressant and that effect can come in before experiencing significant euphoria, relaxation, and other normal opiate effects. Once you feel comfortable and good push the plunger down a bit more and repeat until you finish dosing and stop immediately if you get to a point where you feel your breathing slowing and you think you might have taken too much. If you are ok at that point it may be adequate to stop or if you feel you may ne on the verge of an OD you or a friend can administer naloxone or buprenorphine to throw you out of it. This applies to all ROAs.
This is the main reason I think IV use using this method is a very safe way to use fentanyl. With other ROAs you do not have the ability to gradually dose as well and get instant feedback which can easily prevent an OD. It also allows you to measure conservative doses that are in a safe range, i.e. start with what a patch would deliver in an hour or two transdermally, and repeat and adjust them with accuracy while being able to monitor your body throughout the whole process. You can be as careful as you can smoking some gel or powder but you have no idea how much is in that hit (it could be 2000 mcg+) and you can only take it in all at once. Even if you were able to slowly vaporize/smoke it there is a significant delay between when it hits you that wouldn't allow you to react or stop like you can by IVing it.
Now onto other potential ways to use this solution for other ROAs. These are all ideas that I am confident would be very effective and safer than the typical way fentanyl is [ab]used. If anyone tries these please report back.
IM: Just don't. There is no advantage here and unless you micron filtered the solution it would be inadvisable and in any case there is no good reason to.
Plugging: Prepare the dosage with a syringe the same way you would for IV and dilute it. I don't know how ethanol feels in your ass so you may wish to dilute it more. As always be careful dosing here, I guess you could gradually push the plunger in to spray a small amount of solution at a time then waiting to feel the effects, however that sounds uncomfortable and I have an image in my head of someone bent over with a syringe in their ass for 20 minutes. Seriously, be careful and start small and slow if you can, as goes with inserting anything into your ass.
Intranasal: follow the same procedure for plugging except spray it up your nose.
Sublingual:Draw out a dose with a syringe like you would for IV except you can skip the dilution part. spray the solution onto a cotton ball and stick it under your tongue- similar idea to 6/7's alcohol and buprenorphine sublingual method.
Oral?: I'm not sure how effective this would be and the previous three ROAs seem like great options but I'll throw it out there. Measure a dose with the syringe then spray it in a shot glass and mix with water. I suppose you could just mix with more vodka until you have a normal sized shot of vodka with a kick of fentanyl but I don't advocate mixing alcohol and opiates, especially fentanyl and that sounds like a horrible idea. Imagine people doing repeated shots like that or slipping fentanyl into someone else's shot without them knowing, that's a recipe for disaster. I should stop giving date-rapists and suicidal people ideas. So just mix with water and take the shot.
In summary, the extraction method is nearly 100% efficient and by preparing the fentanyl solution as I described it allows you to accurately measure doses in the double digit microgram range and take them by a variety of ROAs as I have outlined. I believe this is the absolute safest way to dose fentanyl and be sure of how much you are taking. It opens up doors for new safer methods of consumption rather than smoking or taking unknown potentially high doses of fentanyl by other ROAs that have proven to be extremely dangerous and the cause of many ODs and deaths.
I hope this is beneficial to people and they see its value as much as I do and it saves some lives. As always be safe.
I'll edit this if anything is not clear or anyone has any further input. I gladly welcome rational feedback that actually addresses the points in this posts.
Please post any feedback, criticism, ideas, or comments in reaction to this post. Stay safe!
Thank you everyone, especially the bluelight staff/OD mod team, for your support, thoughtfulness, feedback, and patience regarding this sensitive thread and helping to make it better. It will continue to be updated and improved and I appreciate people having an open mind about the topic, those of you who have defended the thread, and the people who have come to appreciate its value who were originally vehemently against the idea.