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Understanding Fake Oxycodone: Risks and Dangers

Clinically Reviewed by: Charee Marquez, LMFT

In the shadow of the opioid crisis, the proliferation of counterfeit prescription drugs, including counterfeit pills, has emerged as a deadly threat, claiming countless lives through drug overdose deaths. These counterfeit pills, often indistinguishable from legitimate prescription medications, flood the illicit drug market, posing significant risks to individuals seeking relief from pain or other medical conditions. From counterfeit oxycodone pills laced with illicit fentanyl to fake prescription opioids masquerading as the real thing, the consequences of ingesting these counterfeit medications are dire. As criminal drug networks continue to exploit vulnerabilities in the supply chain, the need for awareness, education, and harm reduction strategies becomes increasingly urgent. In this landscape of uncertainty and danger, initiatives such as drug checking services and the distribution of naloxone are critical lifelines, offering hope and saving lives amidst the perilous tide of counterfeit drugs.

What Is Oxycodone M30?

Oxycodone hydrochloride M30 pills are a specific formulation of oxycodone, which is a potent opioid pain medication. The “M30” imprint typically indicates the dosage strength and formulation of the medication. In this case, “M30” is commonly associated with a round, blue pill that contains 30 milligrams of oxycodone hydrochloride.

Oxycodone hydrochloride is the active ingredient in these pills. It works by binding to opioid receptors in the brain and spinal cord, blocking pain signals and producing feelings of pain relief and euphoria. As an opioid medication, oxycodone is prescribed for the management of moderate to severe pain when other treatments are inadequate.


Oxy M30 Street Names

Some common street names for oxycodone include:

  1. Oxy
  2. Oxycotton
  3. Oxy 30s
  4. Roxy
  5. Roxies
  6. Blues
  7. Hillbilly Heroin
  8. Killers
  9. Percs (short for Percocet, a brand name containing oxycodone)
  10. OC (short for OxyContin, a brand-name extended-release form of oxycodone)
  11. Kickers
  12. O.C.’s
  13. Oxy Blues
  14. Blue (referring to the color of some oxycodone pills, like M30)
  15. Beans

Oxy M30 Types and Dosages

There is a medication with the imprint “M30” identified as oxycodone hydrochloride 30 mg. The imprint “M30” corresponds to a round, blue pill.

Oxycodone M30 Dosage:

  • The M30 oxycodone tablet is formulated to contain 30 mg of oxycodone hydrochloride.
  • Oxycodone is an opioid analgesic used for the management of moderate to severe pain.

Important Note:

  • Dosages and formulations of medications can change, and it’s crucial to rely on the prescription information provided by your healthcare provider or the information on the medication packaging.
  • Use medications only as prescribed by a qualified healthcare professional and follow their instructions carefully.

How Does Oxy M30 Work on the Brain and Body?

Oxycodone is an opioid analgesic, and it works by interacting with specific receptors in the brain and body, particularly the central nervous system. Here is how oxycodone works:

  1. Opioid Receptor Interaction:
    • Oxycodone primarily binds to and activates opioid receptors in the brain and spinal cord. The main types of opioid receptors are mu (μ), kappa (κ), and delta (δ). The mu receptors are particularly involved in the analgesic (pain-relieving) effects of opioids.
  2. Modulation of Neurotransmitters:
    • When oxycodone binds to mu opioid receptors, it modulates the release of neurotransmitters, including gamma-aminobutyric acid (GABA) and dopamine.
    • GABA is an inhibitory neurotransmitter, and its release contributes to the sedative and calming effects of opioids.
    • Dopamine is associated with the brain’s reward system, and its release can lead to feelings of euphoria and pleasure.
  3. Pain Relief:
    • By activating mu opioid receptors, oxycodone inhibits the transmission of pain signals in the spinal cord and alters the perception of pain in the brain. This is how it provides analgesia and relief from moderate to severe pain.
  4. Central Nervous System Depression:
    • Opioids like oxycodone have central nervous system (CNS) depressant effects. They can cause sedation, drowsiness, and a general slowing of physiological processes.
  5. Respiratory Depression:
    • One of the potential side effects of opioids is respiratory depression, where breathing becomes slow and shallow. This is a significant concern, especially in cases of overdose.

Oxy M30 Prescription Opioids Classification

Oxycodone is classified as a controlled substance in the United States under the Controlled Substances Act (CSA). The classification is based on the potential for abuse, dependence, and accepted medical use. The specific classification for oxycodone is as follows:

  • Oxycodone:
    • Schedule II controlled substance.

Oxy M30 Storage and Disposal


  • Store oxycodone in a secure place, away from the reach of children and pets.
  • Keep it at room temperature, away from moisture and heat.
  • Store it in its original packaging or container.


  • Dispose of unused or expired oxycodone properly to prevent accidental ingestion or misuse.
  • Follow local regulations for medication disposal or use a drug take-back program.
  • If no take-back program is available, mix the medication with an undesirable substance (e.g., coffee grounds) in a sealed bag and throw it in the trash.
  • Do not flush oxycodone down the toilet unless specifically instructed to do so.

Always follow specific instructions provided by your healthcare provider or local regulations for the safe storage and disposal of medications like oxycodone. If you have questions, consult with your pharmacist or healthcare professional.

What Is a Fake Oxycodone M30?

Fake M30s are counterfeit pills designed to mimic the appearance of genuine M30 oxycodone tablets, often referred to as fake pills. These counterfeit pills are often manufactured illegally using various substances, including fentanyl, a potent synthetic opioid that is significantly stronger than oxycodone. By replicating the appearance of legitimate medications, counterfeiters aim to deceive individuals into believing they are purchasing genuine oxycodone pills, thus increasing the risk of overdose and other adverse effects.

In recent years, the illegal distribution of counterfeit M30 oxycodone pills has become a significant concern for law enforcement, particularly the Drug Enforcement Agency (DEA). These fake pills, often sold on the streets or through online platforms disguised as legitimate businesses, pose a serious threat to unsuspecting individuals.

Key points on Counterfeit OxyM30

  1. Counterfeit Pills:

  • Fake M30s are illegally produced and sold as counterfeit versions of legitimate prescription pills, specifically oxycodone 30 mg tablets. These pills may look convincing but can contain varying amounts of other substances, including fentanyl or other potent opioids.

  1. Risk of Fentanyl:

  • Fentanyl, a synthetic opioid that is significantly more potent than oxycodone, is often found in counterfeit pills. The presence of fentanyl increases the risk of overdose and can be life-threatening, especially for individuals who are unaware of its inclusion.

  1. Inconsistent Composition:

  • The composition of counterfeit pills can vary widely, and users may not be aware of the exact substances they are ingesting. This unpredictability poses a significant danger to health.

  1. Overdose Risk:

  • The potency of fake M30s, particularly if laced with fentanyl, significantly increases the risk of overdose. Even a small amount of fentanyl can be lethal.

  1. Legal Consequences:

  • Illicit production and distribution of counterfeit pills are illegal activities. Law enforcement agencies actively work to combat the illegal drug trade, including the sale of fake medications.

  1. Seek Professional Help:

  • If someone is suspected of having ingested fake M30s or is experiencing symptoms of overdose, seek immediate medical attention. The use of naloxone (Narcan) can reverse opioid overdose effects, but professional medical assistance is crucial.

  1. Public Awareness:

  • Public health campaigns and educational initiatives aim to raise awareness about the dangers of counterfeit pills and the risks associated with buying medications outside of legitimate medical channels.

It’s essential to emphasize that obtaining prescription medications from unverified sources, especially on the illicit market, poses serious health risks.

What Does Fake M30s Look Like?

These characteristics may include:

  1. Imprint: Fake M30 pills may feature the distinctive “M” imprint on one side and “30” on the other, similar to genuine OxyContin tablets. However, the imprint may be slightly different in size, shape, or clarity.

  2. Color: Counterfeit M30 pills may be colored light blue, similar to genuine OxyContin tablets. However, the shade of blue may vary, and counterfeit pills may appear darker or lighter than authentic medication.

  3. Shape and Size: Fake M30 pills may be shaped and sized similarly to genuine OxyContin tablets, with a round shape and standard size. However, variations in shape and size are common among counterfeit pills.

  4. Texture and Coating: Counterfeit M30 pills may feature a smooth texture and glossy coating, resembling genuine OxyContin tablets. However, the quality of the coating may vary, and counterfeit pills may exhibit inconsistencies or imperfections.

  5. Packaging: In some cases, counterfeit M30 pills may be packaged in blister packs or pill bottles designed to mimic pharmaceutical packaging. However, the packaging may lack authenticity markers such as lot numbers, expiration dates, or manufacturer information.

It’s important to note that counterfeit pills can be difficult to distinguish from genuine medication based on appearance alone. Individuals should exercise caution when obtaining prescription medications and consult a healthcare professional or pharmacist if they have any concerns about the authenticity of their medication. Additionally, individuals should only obtain prescription medications from licensed healthcare providers or reputable pharmacies to minimize the risk of counterfeit drugs.

Some key facts:

  1. DEA Lab Findings:

    • According to DEA lab testing, a startling statistic emerges: 4 out of every 10 pills containing fentanyl carry a potentially lethal dose.
  2. Seizures in 2021:

    • In 2021 alone, the DEA confiscated over 20.4 million counterfeit pills and a staggering 15,000 pounds of fentanyl, underscoring the gravity of the counterfeit drug crisis.
  3. Ease of Accessibility:

    • Fake prescription pills, including M30, are disturbingly accessible and often find their way into the market through social media and e-commerce platforms.
  4. Legal Ramifications:

    • A recent incident on August 19th, 2022, resulted in a woman being charged with possession with intent to distribute over 36 kilos of fake M30 pills containing fentanyl. The legal consequences for such offenses include a minimum 10-year sentence and a maximum of life imprisonment.

Illicit Production of Fake OxyM30

Illegal manufacturers of fake M30 oxycodone typically source bulk quantities of fentanyl from China and parts of Central and Southern America. The fentanyl is then combined with other chemicals and pressed into pills using illicit pill presses. These presses contain moldings that replicate the original indents of authentic oxycodone M30 pills. However, these illegal moldings often bear imperfections, providing a potential giveaway that a pill is counterfeit, contributing to the broader issue of illicit drug use.

Where Are Counterfeit Oxy M30 Purchased in the Illicit Drug Market?

Fake M30s, or counterfeit oxycodone 30 mg pills, can be obtained through illicit channels, particularly on the black market for illicit drugs. The sources of these counterfeit pills can vary, and individuals involved in the production and distribution of fake medications often operate in clandestine and illegal networks. Here are some common ways fake M30s may be obtained:

  1. Illegal Manufacturing:

  • Counterfeit medications are often produced in clandestine laboratories by individuals with knowledge of pharmaceutical processes. These labs may be located in various regions, including within or outside the country where the pills are sold.

  1. Online Black Market:

  • The internet and dark web are known platforms where individuals may attempt to buy and sell counterfeit medications, including fake M30s. Online transactions pose risks as buyers may not have accurate information about the product’s composition.

  1. Street-Level Distribution:

  • Fake M30s can be distributed at the street level through illicit drug dealers. Individuals involved in street-level drug distribution may obtain these counterfeit pills from higher-level traffickers or producers.

  1. Cross-Border Trafficking:

  • Illicit drug trafficking networks may be involved in the movement of counterfeit medications across borders. This can involve organized crime groups that engage in the production and distribution of various illegal substances.

  1. Local Supply Chains:

  • Counterfeit pills may also enter local drug markets through various supply chains. This can involve local distributors who source the fake medications from larger networks.

  1. Domestic Production:

  • In some cases, counterfeit medications, including fake M30s, may be produced within the country where they are sold. Domestic production may involve individuals with access to pharmaceutical equipment and knowledge.

It’s important to note that obtaining medications from unofficial sources, including the black market or online platforms with questionable authenticity, poses significant risks to health and safety.

Side Effects and Risks of Fake Oxy M30

Short-Term Side Effects:

  1. Respiratory Depression: Fake Oxy M30s, particularly those containing potent opioids like fentanyl, can cause severe respiratory depression. This effect can lead to shallow or slowed breathing, oxygen deprivation, and, in extreme cases, respiratory arrest.

  2. Central Nervous System Depression: Consumption of fake Oxy M30s can depress the central nervous system, resulting in symptoms such as drowsiness, confusion, impaired coordination, and sedation.

  3. Cardiovascular Effects: Short-term cardiovascular effects may include decreased heart rate, low blood pressure, and fainting, potentially increasing the risk of cardiovascular complications.

  4. Gastrointestinal Disturbances: Individuals may experience nausea, vomiting, constipation, or other gastrointestinal disturbances shortly after ingesting fake Oxy M30s.

  5. Mental Health Effects: Fake Oxy M30s can exacerbate or trigger mental health issues, including anxiety, depression, mood swings, and cognitive impairment.

  6. Drug Alcohol Interaction: Fake Oxy M30s can have dangerous interactions with alcohol, exacerbating central nervous system depression and increasing the risk of severe respiratory depression and overdose.

Long-Term Side Effects:

  1. Physical Dependence: Prolonged use of fake Oxy M30s can lead to physical dependence on opioids, making it challenging to discontinue use without experiencing withdrawal symptoms.

  2. Addiction: Chronic use of counterfeit oxycodone pills can increase the risk of opioid addiction, characterized by compulsive drug-seeking behavior despite negative consequences.

  3. Tolerance: Individuals may develop tolerance to the effects of fake Oxy M30s over time, requiring higher doses to achieve the desired effects. This escalation in dosage can increase the risk of overdose and other adverse outcomes.

  4. Organ Damage: Long-term use of fake Oxy M30s can lead to organ damage, particularly to the liver, kidneys, and gastrointestinal system. Chronic opioid use may also contribute to respiratory problems and cardiovascular complications.

  5. Psychological Effects: Ongoing opioid use can have profound psychological effects, including impaired cognitive function, memory problems, mood disorders, and changes in behavior.

Dangers of Counterfeit Pills

The consumption of fake M30s poses numerous dangers and risks to individuals, including:

  1. Overdose: Counterfeit oxycodone pills containing fentanyl or other potent opioids can lead to overdose and death, particularly among individuals who believe they are taking legitimate prescription drugs.

  2. Unknown Ingredients: Fake M30s may contain various substances, including dangerous adulterants and fillers, whose composition and potency are unknown. Ingesting these unknown substances can result in unpredictable and potentially harmful effects.

  3. Dependency and Addiction: The use of counterfeit oxycodone pills, whether knowingly or unknowingly, can lead to the development of opioid dependency and addiction, further exacerbating the ongoing opioid epidemic.

What to Do if Someone Overdoses on M30 to Prevent Overdose Deaths?

If you suspect that someone is experiencing an overdose, it is crucial to act quickly. Here are the steps to take if you believe someone has overdosed:

  1. Call Emergency Services:

    • Dial emergency services immediately. In the United States, the emergency number is 911. Provide your location, describe the situation, and follow any instructions given by the dispatcher.
  2. Stay Calm:

    • Try to remain as calm as possible. Clear communication with emergency services is vital, so provide accurate information about the person’s condition.
  3. Check for Signs of Overdose:

    • Look for signs of overdose, which may include:
      • Unresponsiveness or difficulty waking the person.
      • Shallow or no breathing.
      • Blue or pale skin, especially around the lips or fingertips.
      • Seizures or convulsions.
      • Slow or erratic pulse.
  4. Administer Naloxone (if available):

    • If you have access to naloxone (Narcan or a similar product), administer it according to the instructions. Naloxone can reverse the effects of opioid overdose, but it is not a substitute for emergency medical care.
  5. Perform CPR (if necessary):

    • If the person is not breathing, start CPR (cardiopulmonary resuscitation) if you are trained to do so. Push hard and fast in the center of the chest at a rate of 100-120 compressions per minute.
  6. Stay with the Person:

    • Stay with the person until emergency services arrive. Monitor their breathing and pulse, and be prepared to provide additional information to paramedics.
  7. Provide Information to Emergency Responders:

    • Inform emergency responders of any drugs the person may have taken, if known. Be honest and provide as much information as possible to assist with their care.

Remember, calling for professional help is crucial in overdose situations. Naloxone can temporarily reverse opioid overdose effects, but it’s not a substitute for emergency medical care. Even if the person appears to recover, they should still be evaluated by healthcare professionals to address any potential complications.

Is Fake Oxycodone Addictive?

Counterfeit oxycodone pills can indeed be addictive, just like authentic oxycodone. They often contain other substances, sometimes even more potent opioids like fentanyl, which can significantly increase the risk of addiction and overdose. Additionally, the inconsistency in the composition of counterfeit pills makes them particularly dangerous, as users may not know what they are ingesting or in what dosage. If you or someone you know is struggling with substance abuse, it’s crucial to seek professional help and support.


The Unseen Consequences

The consequences of ingesting fake Oxycodone can be catastrophic. Users may experience an initial euphoric sensation, but this is quickly followed by a slew of adverse effects, ranging from severe respiratory depression to cardiac arrest. The potency of the added synthetic opioids leaves no room for error, and even a slight miscalculation can prove fatal.

2. Lethal Implications for the Vulnerable:

  • For those navigating the path of addiction recovery, the consumption of fake oxycodone can have lethal consequences. Awareness is our strongest tool in preventing the devastating impact of these potentially fatal counterfeit pills.

3. The Silent Menace:

  • Counterfeit oxycodone pills often mimic the appearance of legitimate medications, making them challenging to distinguish. This silent menace is stealthily infiltrating communities, preying on vulnerable individuals who may be unaware of the danger they face.

Urgent Message

We are committed to helping individuals break free from the chains of addiction. We urge our readers to be vigilant and cautious when it comes to any medication, especially Oxycodone. Your life is valuable, and we want to provide you with the support and information you need to make informed decisions.

Spreading the Message

1. Community Advocacy:

  • Engage in community advocacy efforts to spread the message about the dangers of fake oxycodone. Collective awareness can create a united front against this perilous threat.

2. Informing Healthcare Professionals:

  • Disseminate information among healthcare professionals to enhance their ability to educate patients about the risks associated with counterfeit oxycodone and guide them toward safe and effective treatment options.

3. Online Presence and Education:

  • Leverage online platforms to extend the reach of awareness campaigns. Educate individuals about the telltale signs of fake oxycodone and the critical importance of seeking treatment through legitimate channels.

Protecting Against Fake M30s

To safeguard against the dangers of counterfeit oxycodone pills like fake M30s, individuals can take several precautionary measures:

  1. Obtain Medications From Legitimate Sources: Only obtain prescription medications, including oxycodone, from licensed healthcare providers or reputable pharmacies. Avoid purchasing medications from illicit sources, including online pharmacies or street dealers.

  2. Verify Pill Characteristics: Familiarize yourself with the physical characteristics of genuine oxycodone pills, such as color, shape, size, and imprint markings. Be cautious of pills that appear inconsistent or suspicious in appearance.

  3. Utilize Pill Identification Tools: Use online pill identification tools or mobile applications to verify the authenticity of medications based on their imprint markings and physical appearance. Report any discrepancies or concerns to healthcare professionals or authorities.

  4. Practice Harm Reduction Strategies: If you suspect you have ingested counterfeit oxycodone pills or are experiencing adverse effects, seek immediate medical attention. Additionally, consider carrying naloxone, a medication used to reverse opioid overdose, and familiarize yourself with its administration in case of emergency.

Importance of Seeking Help

If you or someone you know is grappling with Opiates, it’s crucial to understand why seeking professional help is paramount:

  • Comprehensive Treatment: Professional treatment programs are designed to address the multifaceted nature of addiction. They encompass medical, psychological, and holistic therapies to provide a well-rounded approach to recovery.
  • Safe Detoxification: Medical detoxification is a vital component of addiction treatment. Attempting to quit blues drugs abruptly can be dangerous due to the risk of severe withdrawal symptoms. Under the guidance of medical professionals, detox can be conducted safely and with minimal discomfort.
  • Therapeutic Intervention: Therapy and counseling are instrumental in helping individuals explore the root causes of their addiction. These interventions equip individuals with the coping skills necessary for long-term recovery.
  • Peer and Professional Support: Access to support groups and guidance from experienced professionals significantly enhance the chances of successful recovery. Knowing that you are not alone in your journey can be immensely reassuring.


As the epidemic of counterfeit pills continues to ravage communities and claim lives, the imperative to address this crisis with urgency and resolve has never been greater. By enhancing awareness, implementing harm reduction strategies, and disrupting criminal drug networks, we can stem the tide of counterfeit medications and prevent further drug overdose deaths. Through collaboration with trusted medical professionals, licensed pharmacists, and law enforcement agencies, we can empower individuals to make informed choices about their health and safety, sparing them from the lethal risks posed by counterfeit drugs. Together, let us strive to safeguard our communities, save lives, and ensure that only safe medications reach those in need. For in the fight against counterfeit pills, every pill counts, and every life saved is a victory against the forces of harm and deception.

FAQs on Fake Oxycodone

Why do people sell fake oxycodone?

Sellers of fake oxycodone pills may do so for various reasons, including financial gain and exploiting individuals’ addiction to opioids. The illegal manufacturing and distribution of counterfeit pills are often driven by profit motives.

How prevalent is the issue of fake oxycodone?

The prevalence of fake oxycodone varies by region and over time. However, reports of counterfeit opioid pills, including oxycodone, have been increasing in recent years, contributing to the opioid crisis.

What should I do if I suspect I have fake oxycodone?

If you suspect you have fake oxycodone or if you experience unusual symptoms after taking a pill, seek medical help immediately. It’s essential to dispose of any suspicious pills safely and avoid taking them in the future.

How can I protect myself from fake oxycodone?

To protect yourself from counterfeit oxycodone, obtain prescriptions from reputable healthcare providers and pharmacies. Avoid purchasing prescription medications from unauthorized sources, such as street dealers or online pharmacies without proper verification.

What legal consequences are associated with selling or distributing fake oxycodone?

Selling or distributing fake oxycodone is illegal and can result in severe legal consequences, including fines, imprisonment, and other criminal penalties. Law enforcement agencies actively investigate and prosecute individuals involved in the production and distribution of counterfeit drugs.

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