{"id":20436,"date":"2026-02-21T18:59:20","date_gmt":"2026-02-21T17:59:20","guid":{"rendered":"https:\/\/drugprevent.org.uk\/ppp\/?p=20436"},"modified":"2026-02-22T08:54:58","modified_gmt":"2026-02-22T07:54:58","slug":"btmps-in-fentanyl-what-parents-need-to-know-about-this-emerging-chemical","status":"publish","type":"post","link":"https:\/\/drugprevent.org.uk\/ppp\/2026\/02\/btmps-in-fentanyl-what-parents-need-to-know-about-this-emerging-chemical\/","title":{"rendered":"BTMPS in Fentanyl: What Parents Need to Know About This Emerging Chemical"},"content":{"rendered":"<div class=\"article-banner \">\n<div class=\"container\">\n<div class=\"box d-table w-100\">\n<div class=\"d-table-cell align-middle h-100 left articleBoxTitle\"><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt; text-align: justify;\">by Maurizio Guerrero, Educational Content Editor; Pat Aussem, L.P.C., M.A.C., Vice President, Consumer Clinical Content Development<\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"content\">\n<div class=\"container\">\n<div class=\"row\">\n<div class=\"col-12 col-md-12 col-lg-3 sidebar-widget right widgets-holder sidebar-has-content loaded\">\n<div class=\"widgets\">\n<div class=\"page-overview-widget js-page-overview-widget fade-in\">\n<div class=\"overview-headers\">\n<div class=\"d-table-cell align-top\">\n<div class=\"tab-content\">\n<div id=\"written-by\" class=\"tab-pane fade in show active\">\n<div class=\"row mb-4\">\n<div class=\"col-12 col-md-7\">\n<div class=\"d-table-cell align-top\">\n<p class=\"smaller\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #0000ff;\">Published\u00a0November 2025<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sponsor-widget fade-in\" style=\"text-align: justify;\">\n<div class=\"top\"><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\"><img loading=\"lazy\" decoding=\"async\" class=\"\" src=\"https:\/\/cdn-01.drugfree.org\/web\/prod\/wp-content\/uploads\/2025\/01\/Logo_Horizontal_FullColor_RGB%402x.png\" alt=\"sponsor\" width=\"204\" height=\"109\" \/><\/span><\/div>\n<div class=\"bottom\">\n<div class=\"small\">\n<p><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">This article was developed in partnership with the Opioid Response Network (ORN). ORN provides education and training, known as technical assistance, via local, experienced consultants in prevention, treatment, recovery and harm reduction. Anyone can submit a request for no-cost technical assistance at OpioidResponseNetwork.org.<\/span><\/p>\n<\/div>\n<div class=\"d-table-cell\">\n<div class=\"icon\"><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Opioids have been involved in most overdoses in the U.S. over the past several years. These include heroin, morphine, prescription opioids and synthetic opioids like fentanyl. While you may wish that your loved one not use opioids at all, if they do, here are some harm reduction strategies for opioid use that you can share with them to reduce their risk of illness and death.<\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"related-readings-widget fade-in animated-boxes positioned\" style=\"text-align: justify;\">\n<div class=\"item mb-4\">\n<div class=\"title mb-2\"><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Naloxone: Frequently Asked Questions<\/span><\/div>\n<p><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Learn more about the opioid overdose reversal medication naloxone (also known by the brand name Narcan).<\/span><\/p>\n<\/div>\n<div class=\"item mb-4\">\n<div class=\"title mb-2\"><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Xylazine<\/span><\/div>\n<p><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Overdoses linked to xylazine are spreading. Read on to learn how to protect yourself and your loved one.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"col-12 col-md-12 col-lg-9 left article-content\">\n<div class=\"text-block-module left-indent right-indent \" style=\"text-align: justify;\">\n<p><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">You may have heard about dangerous substances mixed with fentanyl, like xylazine and medetomidine. Now there\u2019s a new worry: BTMPS. This industrial chemical is normally used to make plastic products, but it\u2019s been showing up in fentanyl across many cities since late 2024.<\/span><\/p>\n<p><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Like other additives, BTMPS makes fentanyl even more dangerous and harder to treat during overdoses. It has also been found in some meth and cocaine samples, but this is rare. Unlike other additives, BTMPS doesn\u2019t make people high or sleepy on its own.<\/span><\/p>\n<p><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">This article explains what we know about BTMPS and how it affects people who use drugs.<\/span><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">\u00a0<\/span><\/p>\n<\/div>\n<div class=\"text-block-module left-indent right-indent \" style=\"text-align: justify;\" data-block-type=\"header\">\n<h2 id=\"What is BTMPS?\" class=\"text-block-module__heading epsilon\"><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">What is BTMPS?<\/span><\/h2>\n<\/div>\n<p><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">\u00a0BTMPS is a white powder that\u2019s sold under the brand name Tinuvin\u00ae 770. Companies use it to protect plastic from sun damage. They add BTMPS to plastics and other materials to stop them from breaking down when exposed to heat and sunlight.<\/span><\/p>\n<div class=\"text-block-module left-indent right-indent \" style=\"text-align: justify;\">\n<p><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">BTMPS is not approved for use in people or animals. It\u2019s also not regulated in the U.S. Unlike other substances added to illegal drugs (like xylazine and medetomidine), BTMPS doesn\u2019t get people high.&lt;sup&gt;[1]&lt;\/sup&gt;<\/span><\/p>\n<p><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">This chemical has mostly been found in fentanyl. Sometimes it shows up in stimulants like meth and cocaine too.&lt;sup&gt;[2]&lt;\/sup&gt;<\/span><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">\u00a0<\/span><\/p>\n<\/div>\n<div class=\"text-block-module left-indent right-indent \" style=\"text-align: justify;\" data-block-type=\"header\">\n<h2 id=\"Where Has BTMPS Been Found?\" class=\"text-block-module__heading epsilon\"><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Where Has BTMPS Been Found?<\/span><\/h2>\n<\/div>\n<p><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">\u00a0BTMPS first appeared in Philadelphia fentanyl samples in June 2024. By November, researchers found it in more than half of the samples they tested there. Around the same time, it started showing up in Los Angeles fentanyl samples.<\/span><\/p>\n<div class=\"text-block-module left-indent right-indent \" style=\"text-align: justify;\">\n<p><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">By the end of 2024, BTMPS was in 6 out of every 10 fentanyl samples tested in these cities.<\/span><br \/>\n<span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Researchers also tested drug equipment from Delaware, Maryland, Nevada, Washington, Puerto Rico, and parts of California. They found BTMPS in 3 out of every 10 fentanyl samples from these places.<span class=\"supSpan\"><sup>[3]<\/sup><\/span><\/span><\/p>\n<p><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">By late 2024, BTMPS had been detected in fentanyl samples in almost every state.<span class=\"supSpan\"><sup>[4]<\/sup><\/span><\/span><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">\u00a0<\/span><\/p>\n<\/div>\n<div class=\"text-block-module left-indent right-indent \" style=\"text-align: justify;\" data-block-type=\"header\">\n<h2 id=\"Why is BTMPS Mixed with Fentanyl?\" class=\"text-block-module__heading epsilon\"><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Why is BTMPS Mixed with Fentanyl?<\/span><\/h2>\n<\/div>\n<div class=\"text-block-module left-indent right-indent \" style=\"text-align: justify;\">\n<p><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Since BTMPS doesn\u2019t make people high, experts wonder why it\u2019s being added to fentanyl and other drugs.<\/span><br \/>\n<span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">One reason might be that BTMPS, like xylazine and medetomidine, lowers blood pressure. This can create a calming effect that adds to fentanyl\u2019s effects.<\/span><\/p>\n<p><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Other experts think it might be used as a cheap filler. Drug makers could use BTMPS to stretch their fentanyl supply, making more product while spending less money. This dilution might also make fentanyl less potent.<\/span><\/p>\n<p><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Another theory is that manufacturers add BTMPS to keep fentanyl stable longer, using its sun-protection properties to make the drug last longer.<span class=\"supSpan\"><sup>[5]<\/sup><\/span><\/span><\/p>\n<p><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Most experts agree that BTMPS is probably added during production, not later. This is because it\u2019s found all across the country, not just in specific regions like xylazine.<span class=\"supSpan\"><sup>[6]<\/sup><\/span><\/span><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">\u00a0<\/span><\/p>\n<\/div>\n<div class=\"text-block-module left-indent right-indent \" style=\"text-align: justify;\" data-block-type=\"header\">\n<h2 id=\"What Are the Effects of BTMPS?\" class=\"text-block-module__heading epsilon\"><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">What Are the Effects of BTMPS?<\/span><\/h2>\n<\/div>\n<p><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">\u00a0We don\u2019t know much about how BTMPS affects humans because there\u2019s very little research. However, studies on rats showed that BTMPS reduced nicotine use and lessened withdrawal symptoms from morphine and cocaine.<span class=\"supSpan\"><sup>[7]<\/sup><\/span><\/span><\/p>\n<div class=\"text-block-module left-indent right-indent \" style=\"text-align: justify;\">\n<p><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">The rat studies also showed serious health problems from BTMPS exposure, including:<\/span><\/p>\n<ul>\n<li><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Heart defects<\/span><\/li>\n<li><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Severe eye damage<\/span><\/li>\n<li><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Death<\/span><\/li>\n<\/ul>\n<p><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">The safety information for BTMPS warns that it can cause:<\/span><\/p>\n<ul>\n<li><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Serious eye damage<\/span><\/li>\n<li><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Skin irritation<\/span><\/li>\n<li><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Harm to unborn babies<\/span><\/li>\n<\/ul>\n<p><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">People who have used drugs containing BTMPS report that these substances don\u2019t work as well as drugs without BTMPS.<\/span><\/p>\n<p><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Users have reported these symptoms after taking substances with BTMPS:<\/span><\/p>\n<ul>\n<li><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Blurry vision<\/span><\/li>\n<li><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Burning eyes<\/span><\/li>\n<li><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Ringing in the ears<\/span><\/li>\n<li><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Nausea<\/span><\/li>\n<li><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Coughing<\/span><\/li>\n<li><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Burning feeling when injected<\/span><\/li>\n<li><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Chemical smell (like plastic or bug spray)<span class=\"supSpan\"><sup>[8]<\/sup><\/span><\/span><\/li>\n<\/ul>\n<\/div>\n<div class=\"text-block-module left-indent right-indent \" style=\"text-align: justify;\" data-block-type=\"header\">\n<h2 id=\"What Are the Risks?\" class=\"text-block-module__heading epsilon\"><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">What Are the Risks?<\/span><\/h2>\n<\/div>\n<p><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">\u00a0Harm reduction experts worry that people who regularly use fentanyl with high amounts of BTMPS might develop a lower tolerance to regular fentanyl. This could increase their risk of overdose if they later use fentanyl without BTMPS.<\/span><\/p>\n<div class=\"text-block-module left-indent right-indent \" style=\"text-align: justify;\">\n<p><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Animal studies suggest BTMPS might cause:<\/span><\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Heart problems like low blood pressure and weak heart contractions<\/span><\/li>\n<li><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Brain and nerve problems like muscle weakness and droopy eyelids<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><span class=\"supSpan\" style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\"><sup>[9]<\/sup><\/span><\/p>\n<p><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">BTMPS blocks calcium channels in the body, which makes overdoses harder to reverse. Doctors need to give patients medicine to raise their blood pressure and heart rate, but BTMPS makes this difficult. Treatment might be even less effective for patients who already take calcium channel blockers for high blood pressure or heart disease.<span class=\"supSpan\"><sup>[10]<\/sup><\/span><\/span><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">\u00a0<\/span><\/p>\n<\/div>\n<div class=\"text-block-module left-indent right-indent \" style=\"text-align: justify;\" data-block-type=\"header\">\n<h2 id=\"How to Protect Your Loved One from BTMPS\" class=\"text-block-module__heading epsilon\"><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">How to Protect Your Loved One from BTMPS<\/span><\/h2>\n<\/div>\n<p><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">\u00a0Even though BTMPS doesn\u2019t directly stop breathing like fentanyl does, it\u2019s usually found with fentanyl. This means naloxone (Narcan) should still be given right away during suspected overdoses.<\/span><\/p>\n<div class=\"text-block-module left-indent right-indent \">\n<p style=\"text-align: justify;\"><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Ask your loved one to carry naloxone and make sure they know how to use it; you can learn more about this here.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">It is also very important that they avoid using substances alone and always have someone watching out for them. If that is not possible, encourage them to consider services like Never Use Alone, a nationwide 24\/7\/365 toll-free service that connects people who use substances with a trained operator who will supervise that the person uses safely.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Doctors should provide standard overdose treatment plus extra care for problems that BTMPS might cause.<\/span><br \/>\n<span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">There are no test strips for BTMPS like there are for fentanyl and xylazine. Healthcare providers and medical examiners don\u2019t routinely test for BTMPS either. This means they wouldn\u2019t know if someone had taken BTMPS unless they specifically looked for it.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">BTMPS can be identified with special machines called portable spectrometers that some community drug testing programs use. If drug checking services are available in your area, harm reduction professionals suggest having substances tested regularly. So, ask your loved one to use these services when they are accessible.<\/span><\/p>\n<p style=\"text-align: justify;\"><strong><span style=\"color: #0000ff; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Source: https:\/\/drugfree.org\/article\/btmps-in-fentanyl-what-parents-need-to-know-about-this-emerging-chemical\/<\/span><\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>by Maurizio Guerrero, Educational Content Editor; Pat Aussem, L.P.C., M.A.C., Vice President, Consumer Clinical Content Development Published\u00a0November 2025 This article was developed in partnership with the Opioid Response Network (ORN). ORN provides education and training, known as technical assistance, via local, experienced consultants in prevention, treatment, recovery and harm reduction. Anyone can submit a request [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[122,142,46,40,19],"tags":[],"class_list":["post-20436","post","type-post","status-publish","format-standard","hentry","category-fentanyl","category-latest-news","category-parents","category-prevention-research","category-usa"],"_links":{"self":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/posts\/20436","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/comments?post=20436"}],"version-history":[{"count":2,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/posts\/20436\/revisions"}],"predecessor-version":[{"id":20438,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/posts\/20436\/revisions\/20438"}],"wp:attachment":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/media?parent=20436"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/categories?post=20436"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/tags?post=20436"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}