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12,250 samples completed from 40 states. Last updated Wednesday, April 23, 2025.
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603306

From Roanoke City, Virginia on April 14, 2025

Assumed to be heroin; fentanyl

This is a messy brew of 5 major substances:

  • acetaminophen
  • caffeine
  • lidocaine
  • heroin
  • fentanyl

But we found lots of contaminants too, with traces of levamisole + cocaine + 4-ANPP + ethyl 4-ANPP + acetylcodeine + 6-monoacetylmorphine (6-MAM) + bis(2,2,6,6-tetramethyl-4-piperidyl) sebacate. Trace substances in small quantities are usually harmless, but can sometimes cause health problems. Unexpected sensations may be due to these.

Fentanyl is potent and the amount changes by batch. If you weren't expecting it, consider getting test strips online or from a harm reduction program. Carry naloxone (Narcan) to reverse overdoses. Don't use alone so someone can help if you go out.

There are a lot of different substances in this sample. We don't know the harms that some of these can cause. Be careful and be prepared for unexpected reactions.

Looks = black, white, shiny, fine, powder

Need free supplies and advice to keep you safe? Find your nearest harm reduction program at harmreduction.org

Major substances in graph:

Peak: 6.43 = acetaminophen

Peak: 7.04 = caffeine

Peak: 7.18 = lidocaine

Peak: 9.99 = heroin

Peak: 10.44 = fentanyl

Method(s): GCMS

Record for Sample 603306 last updated April 23, 2025