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How Long Does Fentanyl Stay in Your System? (2025 Guide)

Fentanyl is a powerful synthetic opioid involved in a large percentage of overdoses across the United States. Because fentanyl is extremely potent and often mixed into counterfeit pills or other substances, many people want to know how long it stays in the body and how long it can be detected on a drug test.

On average, fentanyl remains detectable for 2 to 4 days. Some tests can detect fentanyl and its metabolites for much longer depending on individual factors and the type of test.

If you are concerned a loved one may be using fentanyl, review our companion article: How to Tell if a Loved One Is Using Fentanyl: Signs Families Miss.

Fentanyl Detection Times by Test Type

Fentanyl’s primary metabolite, norfentanyl, can remain detectable longer than fentanyl itself. Here are the average detection windows:

Test Type Detection Window
Urine 1 to 4 days
Blood Up to 12 hours
Saliva 1 to 3 days
Hair Up to 90 days

Fentanyl Half Life

The half life of fentanyl ranges from 3 to 12 hours. This means the body eliminates half of the drug within that timeframe. Metabolites such as norfentanyl remain longer and are commonly identified in drug screenings.

  • IV or smoked fentanyl: shorter half life
  • Pills or powder: absorbed more slowly
  • Transdermal patches: approximately 17 hour half life

Factors That Affect How Long Fentanyl Stays in Your System

  • Frequency of use
  • Dosage
  • Body fat level (fentanyl is fat soluble)
  • Metabolism
  • Liver and kidney function
  • Hydration

How Long Do the Effects of Fentanyl Last?

Although the high is short lasting, the risks remain long after the drug’s effects fade.

  • Peak effects: minutes
  • Duration: 30 to 90 minutes
  • After effects: drowsiness, slowed breathing, confusion

Risks of Fentanyl Misuse

Even extremely small amounts of fentanyl can cause life threatening respiratory depression. Because many counterfeit pills contain fentanyl without the user’s knowledge, the overdose risk is extremely high.

  • Unconsciousness
  • Respiratory depression
  • Risk of overdose from tiny amounts
  • Rapid dependence and withdrawal
  • Confusion or disorientation

If you suspect fentanyl use, read: Signs Families Miss.

Signs of Fentanyl Misuse

  • Pinpoint pupils
  • Nodding off or drifting into unconsciousness
  • Shallow breathing
  • Burned foil or powder residue
  • Sudden mood swings
  • Withdrawing from loved ones

Treatment for Fentanyl Addiction

Fentanyl dependence can develop quickly, but recovery is possible with a structured, evidence based program. At The Heights Treatment, we support adults with comprehensive treatment designed to stabilize, restore, and rebuild functioning.

Our treatment options include:

Additional resources:

If you or your loved one needs help, call (832) 979 3625 or visit The Heights Treatment to schedule a confidential intake.


Sources


Amanda Stevens, BS

Amanda Stevens is a highly respected figure in the field of medical content writing, with a specific focus on eating disorders and addiction treatment. Amanda earned a Bachelor of Science degree in Social Work from Purdue University, graduating Magna Cum Laude, which serves as a strong educational foundation for her contributions.