Opioids include prescription painkillers like oxycodone and hydrocodone, as well as illegal drugs like heroin. What many parents don't realize is that the path from one to the other can start with something as routine as a sports injury or wisdom teeth removal. These drugs are more powerful and often deadly, especially when fentanyl is involved.
West Michigan youth data shows:
3% of high school students report misusing prescription painkillers in the past 30 days
25% of students believe it's NOT risky to use prescription drug without a prescription
45% of people who misused pain relievers in the past year obtained it from a friend of relative (2021 National Survey on Drug and Health)
Street Names
Smack SnowballSnowOxy BoyPrecsVike Tranq Blues
BananasChill PillsTrammies
School Busses OC Roxy

What are Opioids?
Opioids are a class of drugs used to relieve pain. They can be made from the opium poppy or created synthetically in labs. When used exactly as prescribed, they can help manage short-term pain. Teens may misuse prescription opioids by taking too many, using someone else's medication, or crushing and snorting pills for a faster effect.
Common opioids include:
- Oxycodone (OxyContin, Percocet)
- Hydrocodone (Vicodin)
- Codeine
- Morphine
- Heroin (an illegal street opioid)
- Fentanyl (a synthetic opioid. This can also be found in counterfeit pills)

Why it Matters for Teens
The teen brain is especially vulnerable to addiction. Opioids don't just dull pain, they trigger intense feelings of euphoria. Misuse can lead to:
- Slowed breathing and heart rate
- Nausea, confusion and drowsiness
- Withdrawal symptoms (even with short or infrequent use)
- Increased risk of overdose and death
Studies show that:
- Pills shared casually with friend may be counterfeit without anyone knowing
- Fentanyl is now estimated to be present in 60% of counterfeit pills
- Heroin use often begins with the misuse of legal opioids
- Counterfeit pills that look like prescription meds may contain lethal doses of Fentanyl

Just the Facts
Prescription pills are safer when used EXACTLY as prescribed by a doctor.
Everyone should be aware of the risks/side effects they have. The risk increases if misused or not taken as intended, so follow the directions when taking prescription pills.
Eighty percent of people using heroin misused prescription pills.
No one thinks they’ll become addicted to that when they begin misusing prescription pills.
Counterfeit pills can look identical to the real ones.
Never trust your own eyes to know if a pill is real. A single pill can contain enough fentanyl to stop breathing within minutes, so only use medications prescribed by a trusted medical professional and dispensed by a licensed pharmacist.
People have many safe options for managing pain and may not always need a strong pain reliever.
Ask your doctor what options are right for you.
A: Ask the doctor if you can try over the counter medications or for other suggestions to manage their pain before a prescription pain medicine is offered.
A: Youth can access prescription and counterfeit meds from their friends, from unlocked cabinets, and by purchasing them online. It’s a good idea to talk to your kids about not taking any medicines unless prescribed by their doctor.
A: It is defined as taking a medication in a manner or dose other than prescribed, taking someone else’s prescription, or taking medication to get high.
A:
• Make sure your medications are not accessible to your youth by locking them up or safely disposing of unwanted/unused/ expired medications. Most police departments and many larger pharmacies have a medication disposal box available.
• Talk to your family about this issue.
• Model good medication habits.
Resources/Quick Links
- Department of Health & Human Services (DHHS) Hotline
Dial 1-888-535-6136 and press “8” Available 24/7 - SAMSHA (Substance Abuse and Mental Health Services Administration) National Hotline
1-800-662-HELP (4357) Available 24/7 - Online treatment locator
- DEA
- National Institute on Drug Abuse - Opioids
- National Institute on Drug Abuse - Heroin

