Counterfeiting drugs is not only illegal, but it is also a major public health concern. Counterfeit drugs often contain the correct ingredients in incorrect quantities; however, they may also contain either a wrong active ingredient which may even be toxic or no active substance at all.
Increasing access to the Internet coupled with new methods of manufacturing and distributing illegal pharmaceuticals have created new challenges to safeguarding the legitimate pharmaceutical supply chain. Thousands of websites openly sell unapproved and/or counterfeit drugs, as well as prescription drugs without requiring a valid prescription, all in violation of federal and state laws.
What is green M 15 Pill?
The green round pill with the imprint 15 M or M15 has been identified as Oxycodone Hydrochloride 15 mg. It is supplied by Mallinckrodt Pharmaceuticals. Oxycodone is used in the treatment of chronic pain and belongs to a class of drugs called opioid agonists. A class of drugs is a group of medications that work in a similar way.
Given its purpose as a pain reliever, Oxycodone provides euphoric effects similar to other opioids. Oxycodone works by affecting the Opioid receptors in the brain and nervous system. The drug blocks pain signals and causes the release of Dopamine, which in turn produces feelings of pleasure and euphoria.
Many people who abuse oxycodone start out taking a prescribed amount but as their body develops a tolerance to the drug, they need a higher dose to maintain the same relief or high. The transition from use to abuse to addiction can be a quick and dangerous road. Oxycodone is a powerful drug and offers much-needed relief to many people struggling with painful or terminal conditions; as such, it can be hard to stay in control.
This euphoria has led to the creation of a black market which is being exploited by criminal elements and fake drugs manufacturers.
Reports indicate that some drug dealers are using fentanyl to produce fake M 15 green pill. This is because it takes very little to produce a high with fentanyl, making it a cheaper option. This is especially risky when people taking drugs don’t realize they might contain fentanyl as a cheap but dangerous additive. They might be taking stronger opioids than their bodies are used to and can be more likely to overdose. Fentanyl is a powerful synthetic opioid that is similar to morphine but is 50 to 100 times more potent
Statistics show fentanyl is popping up in more substances and illicit drugs around the world. The Drug Enforcement Administration has reported a notable increase in seizures of methamphetamine and cocaine that include fentanyl.
Federal officials believe that some of the mixing of substances at the drug trafficking level may be unintentional, especially when dealers are selling more than one drug. Synthetic opioids contributed to more than 36,000 overdose deaths nationwide in 2019, according to the National Center for Health Statistics. Deaths involving fentanyl made up more than half of the 2,320 drug-related deaths in 2019 in North Carolina.
How to Spot A Fake M 15 Pill
As a consumer, you may not have access to most of the test equipment used by regulatory bodies to verify the identity of a drug product. The following tips will serve as a guide to purchasing genuine M 15 Pill and help you avoid fakes;
Visual inspection as stated by the World Health Organization (WHO) (1999) still remains the first step in identifying potential fake drug irrespective of the analytical methods used. This is because such observation serves as a lead to identifying fake products even in the absence of the knowledge of the physical characteristics of a genuine drug product. You are expected to examine carefully both the package and its content before purchase or use.
Visual inspection of the Package
- Examine the package and check if it appears suspicious or different from what you previously know.
- Check if the security seal has been tampered with by looking for breaks or tears in the sealing tape and seals.
- Look for unusual fonts, font sizes, print color, and spelling errors.
- Check the legibility of the information on both the primary and secondary packages.
- Check if the batch number, expiry date and manufacturer’s address on the secondary package are the same with that on the primary package.
- Check if the manufacturer’s address is traceable, that is, if it contains the exact location of the company and not just the country address.
- Check if the registration number (FDA number as the case is for products marketed or sold in United States) is properly printed or if it appears to be tampered with.
Visual inspection of the Dosage form
At this stage, you are meant to Check for differences in the physical appearance (color uniformity, size, shape, consistency etc.) of the drug. As stated by WHO, commonly encountered physical defects that should be looked out for in tablets include:
- Excessive powder and/or pieces of tablets at the bottom of the container (from abraded, crushed or broken tablets);
- Cracks or chips in the tablets, swelling, mottling, discolouration, fusion of tablets;
- Appearance of crystal on the walls of the container or on the tablet.
- Hardening or softening, cracking, swelling, mottling or discolouration of capsule shell should also be looked out for.
The source of the drug also determines if you are buying a fake M 15 pill or not. Buying fake M 15 pill exposes you to a lot of risk. Filling your prescription in a reputable pharmacy greatly reduces your chances of buying fake drugs while buying from illiterate and unqualified vendors who hawk drugs in buses, motor parks and in the streets increases your chances of buying fake drugs.
This is another way of identifying real M 15 pill. If the price is far cheaper than what is expected, then you have to think twice. However, this may not always be true especially for some products (fake innovator/generic brands) which may be sold at the same price as the genuine one.
Unexpected side effect
Counterfeit M 15 pill most of the time contains substances other than the appropriate Active Pharmaceutical Ingredient (API). They may contain incorrect substances, improper dosage or hazardous substances like Fentanyl which produce unusual side effects, worsening medical condition after taking it. The medication should be stopped once any of the above is noticed.
Fentanyl testing is one of the most reliable ways of telling a fake from a real M 15 pill. A new University of Maryland study found fentanyl tops the list of drugs detected in overdose patients at two Baltimore hospital emergency departments. The finding suggests that hospitals and medical systems throughout the United States consider adding fentanyl, a potent synthetic opioid linked to most fatal overdoses in Maryland, to their routine drug testing panels. That is the conclusion of researchers at the University of Maryland School of Medicine (UMSOM) and the Center for Substance Abuse Research (CESAR) at the University of Maryland, College Park. Currently, fentanyl is not routinely included in these panels nationwide. The procedure described below can help law enforcement agents and public health officials to pick out fentanyl laced powders and pills .
- Crush pill or pour powder into a clean bowl or test tube
- Add ¼ inch of clean water to the powder in the tube or bowl and mix properly
- Dip the end of the test strip into the residue for 15 seconds, remove, and lay on a clean flat surface
- Check strip after 5 minutes, (manufacturer’s directions) results may be visible sooner: One line means fentanyl (positive) Two lines means no fentanyl (negative). NOTE: If the strip does not either have one or two lines, the test is invalid.
According to the Pharmaceutical Research and Manufacturers of America, consumers who purchase medications online should avoid the following: sites that are located outside of the U.S. that do not indicate any physical address; sites that do not have a license by the relevant State Boards of Pharmacy; sites without a licensed pharmacist to answer questions; and websites that do not require a prescription.
Consumers who wish to purchase drugs over the Internet should look for websites that have the Verified Internet Pharmacy Practice Sites seal. These sites, which are created by the National Association of Boards of Pharmacy, are licensed pharmacies selling FDA-approved medications to discourage the sale of counterfeit drugs from illegitimate online sources