
What is the Drug Called “Blues?”
“Blues” are a dangerous type of counterfeit pill that have become increasingly common and deadly in recent years. These pills often contain fentanyl, a synthetic opioid, making them especially potent and hazardous to users.
Understanding the Blues Drug
“Blues” typically refer to counterfeit pills designed to look like prescription opioids—most often oxycodone M30 tablets. These illicit pills are frequently laced with fentanyl, a synthetic opioid up to 100 times more potent than morphine. The pills may look legitimate, but their unpredictable potency makes them extremely dangerous and prone to causing fatal overdoses.
Common street names for blues include:
- M30s
- Mexican oxy
- Percs
- Roxies
- Blue footballs
- Blueberries
- M Boxes
According to the FBI, the proliferation of fentanyl-laced counterfeit pills like these has driven a surge in overdose deaths across the country. The presence of ultrapotent derivatives such as carfentanil has further exacerbated the public health threat.

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If you or someone you love is struggling with opioid use or counterfeit pill addiction, our team is here to help. All calls are confidential and come with no obligation.
Prescription Drug Addiction
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Comprehensive treatment for addiction to substances like cocaine, methamphetamines, and others, providing you with the tools and care needed for recovery.
Controlled Substance Addiction
Controlled Substance Addiction
Comprehensive treatment for addiction to substances like cocaine, methamphetamines, and others, providing you with the tools and care needed for recovery.
Alcohol Addiction
Alcohol Addiction
Comprehensive treatment for addiction to substances like cocaine, methamphetamines, and others, providing you with the tools and care needed for recovery.

Understanding Fentanyl
Fentanyl is a powerful synthetic opioid used medically for severe pain management. It is available by prescription in controlled doses, but illicit versions are often mixed with other substances and sold illegally, posing extreme health risks.
Medical Uses of Fentanyl
- Pain management: Available as patches, lozenges, and injections.
- Anesthesia: Frequently used during surgical procedures.
Prescription vs. Illicit Use
When administered under medical supervision, fentanyl is effective for pain control. However, the vast majority of fentanyl-related deaths are tied to illegally manufactured fentanyl, which is often sold as counterfeit pills or mixed with other drugs like heroin or cocaine.

Government Response to the Fentanyl Crisis
DEA’s “One Pill Can Kill” Campaign
The Drug Enforcement Administration (DEA) launched this initiative to educate the public about the risks of counterfeit pills containing fentanyl. It highlights that even one fake pill can be lethal, reinforcing the urgency of public awareness and prevention.

What Do “Blues” Look Like?
These pills are:
- Small, round, and blue
- Imprinted with “M30”
- Nearly identical to legitimate oxycodone tablets
Despite their appearance, these are often illegally manufactured and laced with fentanyl, making them extremely dangerous.

How Blues Affect the Body
The effects of fentanyl-laced “blues” are swift and severe. Users often experience a rapid onset of euphoria, followed by a cascade of potentially life-threatening side effects.
Common Effects and Side Effects:
- Euphoria and sedation
- Drowsiness or unconsciousness
- Nausea and vomiting
- Constipation
- Confusion and cognitive impairment
- Dizziness and respiratory depression
- Intense itching and sweating
Why They are So Dangerous:
The inconsistent dosing in each counterfeit pill makes it impossible to know how much fentanyl is present, increasing the risk of accidental overdose, even for experienced users.
Overdose Response: What to Do
If you suspect an overdose:
- Call 911 immediately
- Administer Naloxone (Narcan) if available
- Keep the person awake and breathing
- Follow dispatcher instructions
Even if naloxone is successful, professional medical care is essential to avoid complications.
Long-Term Effects of Fentanyl Use
Chronic use of fentanyl, especially through counterfeit pills like blues, can result in:
- Addiction and dependency
- Severe respiratory issues
- Cognitive and neurological decline
- Worsening mental health
- Organ damage
Seeking professional help is critical for addressing these long-term consequences.
Recognizing the Signs of Use
Behavioral Clues:
- Mood swings, irritability
- Withdrawal from friends or responsibilities
- Secrecy or changes in social circles
Physical Signs:
- Constricted pupils
- Unusual drowsiness
- Skin itching or weight loss
- Poor hygiene
Withdrawal Symptoms:
- Anxiety, muscle aches, and sweating
- Flu-like symptoms when not using
Recognizing these signs early can help someone get the support they need.

The Role of Blues in the Opioid Epidemic
Counterfeit pills like blues have fueled the escalation of the opioid crisis, particularly due to their deceptive appearance and high fentanyl content. Tackling this epidemic requires a coordinated approach—prevention, education, and treatment.
Detoxing from Blues: Why Professional Care Is Crucial
Detoxing from fentanyl can be extremely dangerous without medical supervision. Symptoms can be severe and may include:
- Intense cravings
- Anxiety and insomnia
- Muscle pain and nausea
- Respiratory complications
Our Approach at Luxury Rehabs Los Angeles
At Luxury Rehabs Los Angeles, we provide personalized, compassionate care for individuals seeking recovery from fentanyl and counterfeit pill addiction.
Our Fentanyl Detox & Treatment Program Includes:
- Individualized treatment plans based on personal needs
- Medically supervised detox with FDA-approved Medication-Assisted Treatment (MAT)
- 24/7 medical monitoring for safety and comfort
- Holistic support services including counseling, nutrition, fitness, and mental health therapy

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