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Wednesday, November 11, 2026Nov 11

New twist in addiction crisis: Deadly painkiller impostors

This undated photo provided by the Cuyahoga County Medical Examiner’s Office shows fentanyl pills. Authorities say they've arrested Ryan Gaston, a man in a Cleveland suburb after seizing more than 900 fentanyl pills marked liked tablets of the less-potent opiate oxycodone. The Cuyahoga County medical examiner said that lookalike pills were likely to blame for some of the county's 19 fentanyl-related overdose deaths in January 2016. (Cuyahoga County Medical Examiner’s Office via AP)
This undated photo provided by the Cuyahoga County Medical Examiner’s Office shows fentanyl pills. Authorities say they've arrested Ryan Gaston, a man in a Cleveland suburb after seizing more than 900 fentanyl pills marked liked tablets of the less-potent opiate oxycodone. The Cuyahoga County medical examiner said that lookalike pills were likely to blame for some of the county's 19 fentanyl-related overdose deaths in January 2016. (Cuyahoga County Medical Examiner’s Office via AP) This undated photo provided by the Cuyahoga County Medical Examiner’s Office shows fentanyl pills. Authorities say they've arrested Ryan Gaston, a man in a Cleveland suburb after seizing more than 900 fentanyl pills marked liked tablets of the less-potent opiate oxycodone. The Cuyahoga County medical examiner said that lookalike pills were likely to blame for some of the county's 19 fentanyl-related overdose deaths in January 2016. (Cuyahoga County Medical Examiner’s Office via AP)

COLUMBUS, Ohio (AP) – Authorities are sounding the alarm about a new and deadly twist in the country’s drug-addiction crisis in the form of a potent painkiller disguised as other medications.

Tennessee officials say they’ve seen two dozen cases in recent months of pills marked as the less potent opiates oxycodone or Percocet that turned out to contain fentanyl, a far more powerful drug. One official likened the danger to users playing Russian roulette each time they buy a pill on the street.

In San Francisco, the health department blamed several overdoses last summer on lookalike Xanax containing fentanyl, while Canada has issued warnings about multiple recent cases of lookalike oxycodone pills containing fentanyl.

And in suburban Cleveland, federal agents arrested a man this month after seizing more than 900 fentanyl pills marked like oxycodone tablets.

“These pills are truly a fatal overdose waiting to happen,” said Carole Rendon, acting U.S. attorney in Cleveland.