Opioids are a class of drugs that include the illegal drug heroin, synthetic opioids such as fentanyl, and pain relievers available legally by prescription, such as oxycodone (OxyContin®), hydrocodone (Vicodin®), codeine, morphine, and many others. 

Vermont's past year prescription opioid misuse is slightly lower than the U.S. average, while heroin use is slightly higher

U.S. and Vermont opioid rates: all opioids 3.1%, 2.7%; heroin 0.2%, 0.4%; prescription misuse 3%, 2.6%,, respectively.

Source: State Level Data National Survey on Drug Use and Health 2022-2023

  • The percentage of Vermonters reporting prescription pain reliever misuse is going down significantly in Vermont, particularly for 18-25 year olds.
  • While past year heroin use remains under 1% for people 12 and older (as it does for all states), Vermonters in the 18-25 year-old age group have among the highest use rates in the country.
  • A report from the Substance Abuse & Mental Health Services Administration found that in any given year almost 80% of people who are new to using heroin in the U.S. had misused prescription pain relievers.
  • Vermont prescription drug misuse has slowly gone down and access to treatment for those dependent on opioids has increased (similar to the national trend).

Learn more on the Opioid Overdose Dashboard.

Health risks of opioid use

short-term and long-term physical and mental effects
  • Dependence and addiction
  • Increased sensitivity to pain
  • Constipation
  • Nausea, vomiting, and dry mouth
  • Sleepiness and dizziness
  • Confusion
  • Depression
  • Slowed heart rate
  • Difficulty breathing
  • Death

Reducing health risks of opioid use

Opioids that have been prescribed to you:

  • Don't drink alcohol while using opioids
  • Stop using as soon as your pain is manageable
  • Never share your prescription opioids
  • Store opioids in a secure place and safely get rid of unused medication

Learn more at RxAware.

Reduce the risk of overdose:

  • Avoid using alone
  • Use new syringes
  • Test for fentanyl
  • Start with a small amount
  • Carry Narcan® (naloxone) nasal spray and know how to use it
  • Call 911 in case of overdose

Learn more at KnowOD.

Contact Us

Substance Use Programs (DSU)

Vermont Department of Health
280 State Drive
Waterbury, VT 05671-8340

802-651-1550
[email protected]

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