How returning to campus increases opioid, fentanyl risks for college students

Andrea Dermott, BBA, PSS

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In Arizona, college students can access free Narcan (naloxone) through campus health centers, public libraries and local pharmacies. At Arizona State University and the University of Arizona, students can get Narcan at no cost through health services or find it in AED cabinets across campus.”

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Sproule: Knowing the signs of opioid addiction may save a life

As students return to campus, the focus often turns to classes, dorm move-ins and reconnecting with friends. But beneath the excitement lies a growing concern that colleges across the country are facing an increase in substance misuse, particularly involving opioids and fentanyl.

What was once a conversation centered around underage drinking now includes a more dangerous topic: synthetic opioids. These substances have become increasingly present in counterfeit pills and recreational drugs, often without the user's knowledge. The result is a disturbing rise in accidental overdoses among college-aged people.

Understanding the danger: Opioids and fentanyl

Opioids, including both prescription medications and illicit drugs, affect the brain’s ability to feel pain and create a short-lived sense of euphoria. Over time, users can develop a tolerance, increasing their risk for dependency and overdose.

Fentanyl takes this risk to a new level. It is a synthetic opioid that is significantly stronger than morphine, and even a small amount can cause respiratory failure. Fentanyl is often mixed with other substances like MDMA, Xanax or Adderall, without the user being aware. This makes casual or experimental drug use far more dangerous than it was in previous years.

Why college students are vulnerable

College students face unique pressures. The transition to independence, social influence, academic stress and mental health challenges all create an environment where substance use behaviors can take root.

The desire to fit into a group using drugs, or to perform well academically, can push students toward risky behaviors. Often they are unaware of the full dangers involved, especially when it comes to fentanyl.

There’s also a significant lack of education around the risks of synthetic opioids. Many students do not realize that a single pill from an unverified source can be lethal. Combined with limited access to resources, this creates a dangerous gap in prevention and response.

Steps toward prevention and support

Colleges and universities must act now. Raising awareness through on-campus education campaigns is a vital first step. Students should know the signs of overdose, understand the risk of counterfeit pills and be trained to use naloxone, a medication that reverses opioid overdose.

Equally important is access to counseling, peer support programs and non-judgmental recovery resources. Institutions should create policies that encourage students to seek help without fear of punishment or stigma.

In Arizona, college students can access free Narcan (naloxone) through campus health centers, public libraries and local pharmacies. At Arizona State University and the University of Arizona, students can get Narcan at no cost through health services or find it in AED cabinets across campus.

Statewide, pharmacists can dispense Narcan without a prescription under a standing order, and community organizations like Sonoran Prevention Works offer free kits at various locations. Some health centers even provide Narcan through vending machines, making access easier than ever.

Parents, community leaders and health care providers all play a role in supporting students through honest conversations and education.

Saving lives starts with a conversation

The return to campus should be a time of growth, not tragedy. If you or someone you know is struggling, reach out. Talk to someone who’s been there. Talk to someone who can help by calling 602-346-9142 or 1-888-NODRUGS.

Editor’s note: Andrea Dermott, BBA, PSS is director of business development at Scottsdale Recovery Center. This information is not intended to be taken as medical advice. No therapeutic or medical claims are either implied or made. Before starting any addiction detox, treatment or recovery program, consult with a health care professional. Do not alter any medical treatment, or the use of medications, without the permission of a licensed medical care provider. This information also is not intended to diagnose, treat, cure or prevent any disease.

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