NPB Recovery
8 min read

Why Fentanyl Users Bend Over (The Fentanyl Fold)

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Table of Content

Nodding Off On Fentanyl

When people take Fentanyl their bodies central nervous system is severely impacted. Fentanyl induces a very strong sedative effect, resulting in the significant loss in motor function control, often resulting in loss of posture, or “Nodding Off”. Nodding Off is a strange and often disturbing side effect of heavy opiates, most notably Fentanyl, where the user “bends” or “folds” at the waist. This loss of motor control reflects the powerful and dangerous depressant effects that Fentanyl puts on the body.

What is Fentanyl Nodding?

Fentanyl nodding or folding is often called “Nodding Off”. Nodding off is a physical condition that is a direct result of the depressant effect Fentanyl has on the human body’s central nervous system. The central nervous system will begin to shut down resulting in the loss of motor control, often this results in the core muscles not engaging properly, resulting in a forward bend or fold, and sometimes a backwards lean. People will also display a rocking or teetering motion as they struggle to regain balance, this motion reflects the bodies inability to stay alert while under the influence of Fentanyl.

Why Do Fentanyl Users Nod Off & Bend Over?

Nodding Off, sometimes referred to as “Fentanyl Fold” is a result of the body's drastically weakened core muscles due to the loss of motor function control from the strong depressant effects of Fentanyl and other strong Opiates. Motor Function refers to our ability to control our bodies movement, like walking, reaching and grabbing an item, and simply standing upright. Most of the time we see individuals “Folding” or “Bending” forward, but sometimes people may start to “Lean” backwards. This is why some other forms of abused opiates that are normally mixed into drinks, are sometimes referred to as “Lean”. This involuntary bending or folding forward, and sometimes backwards is the physical evidence of the potent sedative effects that Fentanyl will cause.

Fentanyl Nodding Explained

Fentanyl bending over, or “Nodding Off” often also includes “wobbling” or “teetering” which can often appear as a rocking motion. This rocking can range from mild to quite severe as individuals struggle to regain balance as their bodies succumb to the extreme sedative effects of Fentanyl on the central nervous system. While in the grip of Fentanyl, users will struggle to regain control of their own bodies, this lack of control can sometimes result in panic for the user, and often the people around them, especially if the user is in public. It's important to remember that if you see someone that appears to be “locked” in a bent over stance, and is struggling to right themselves to a proper posture, they may be on the verge of overdosing, as their bodies begin to shut down. As long as it is safe to do so contact emergency services or if you have “Narcan” or other opiate overdose preventatives be ready to administer if the person loses consciousness or stops breathing.

The Fentanyl Fold

“Fentanyl Fold” describes the much more dramatic bending that occurs when people take Fentanyl in comparison to other opiates. This more drastic bend or fold is evidence of Fentanyls potent effect on the human body compared to other similar drugs. Fentanyl can be up to 100 times stronger than other opiates like heroin, oxycodone, or morphine. This extreme potency is one of the main reasons that fentanyl is as dangerous as it is. Even if users are used to the depressant effects of other opiates, Fentanyl has a high risk of “out performing” other drugs. This extreme strength is why we see a more dramatic “bend or fold” and high rate of overdose with Fentanyl users.

What Causes Fentanyl Fold?

Simply put “Fentanyl Fold” is caused by the extreme potency the drug affects the body's central nervous system, exerting a depressant effect. This depressant effect is dramatically stronger with Fentanyl, resulting in much more rapid and dramatic physical symptoms, such as “Fentanyl Fold” or severe “Nodding Off”. With the depressant effect on the central nervous system people will see a loss of motor function coupled with extreme drowsiness, it is this combination specifically that is the reason for such intense folding.

Risks of Nodding Off & Fentanyl Folding

The physical dangers associated with fentanyl use are significant, particularly when users experience prolonged bending or folding postures. These positions can lead to serious injuries from falls or even suffocation if individuals collapse in unsafe or constricted spaces. Additionally, nodding off under the drug’s influence poses a severe risk of respiratory depression, where breathing becomes dangerously slow or stops altogether. The risk of choking is also elevated, especially if users are semi-conscious and unable to respond to their surroundings.

What to Watch For

It’s important to identify warning signs that could indicate a fentanyl overdose. Physical indicators like extended periods of nodding off or folding over, especially when the person is unresponsive or difficult to rouse, are red flags that demand urgent medical intervention. Prompt action in these situations can be the difference between life and death, as these signs often signal the onset of critical respiratory failure or other life-threatening complications like stroke or heart attack.

Harm Reduction

Being able to identify and understand the behaviours that come with Fentanyl sure is important in order to mitigate risk. Education and awareness can help people step in and provide help before a dangerous situation becomes fatal. Life saving intervention such as Narcan or Naloxone can reverse the effects of an overdose when administered in a timely manner. Fentanyl test strips can be used by addicts to test their drugs to make sure that they are Fentanyl free, by reducing the risk for unintentional exposure. When addicts have access to these resources their risk for overdose related injury or death is greatly reduced. 

Conclusion

Fentanyl nodding, bending, and folding, dramatically illustrates the profound effects this potent opioid has on the body and mind. These behaviors, marked by extreme sedation and loss of motor control, serve as critical warning signs of fentanyl’s dangerous influence. By understanding the causes and risks associated with these symptoms, we can better recognize individuals who may need immediate help and take steps to prevent potentially fatal outcomes. Awareness, combined with tools like naloxone, narcan, testing kits and education about the risks, is key to addressing the devastating impact of fentanyl use.

If you are someone you know is on Fentanyl, especially if you notice them folding, it is critical to seek help from a Fentanyl Rehab Center.

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