NEED HELP NOW? Call 911 for emergencies. Call or text 988 for mental health or substance use crises. Local 24/7 support: 262-657-7188.

262-658-8166

6103 39th Avenue, Kenosha, WI 53142

262-658-8166

6103 39th Avenue, Kenosha, WI 53142

NEED HELP NOW? Call 911 for emergencies. Call or text 988 for mental health or substance use crises. Local 24/7 support: 262-657-7188.

NEED HELP NOW? Call 911 for emergencies. Call or text 988 for mental health or substance use crises. Local 24/7 support: 262-657-7188.

Fentanyl & Xylazine2026-07-29T10:23:05-05:00
Substance Information

Fentanyl & Xylazine

If you read one page in this library, make it this one. Fentanyl is a synthetic opioid strong enough that a lethal amount fits on a pencil tip, and it shows up where nobody expects it — in counterfeit pills and mixed into other substances. Xylazine (“tranq”) is a non-opioid sedative increasingly found alongside it. Free test strips and naloxone exist for exactly this reason, and both are available here — no questions, no judgment, 24/7.

The two-minute version

Fentanyl

A synthetic opioid many times stronger than heroin or morphine. Tiny amounts can be lethal, and it cannot be seen, smelled, or tasted in a substance.

Xylazine

A veterinary sedative — not an opioid — appearing in the illicit supply. It deepens sedation, slows breathing further, and causes severe skin wounds.

The exposure problem

People are exposed without knowing it: counterfeit pills that look like prescriptions, and powders mixed unevenly. “I know what I’m taking” is the assumption that kills.

What actually helps

Naloxone within reach. Test strips before use. Never using alone. Starting low after any break. All supplies free at the vending machine and front desk.

What these substances are

Fentanyl is a synthetic opioid developed for severe medical pain.

In the illicit supply, it appears as a cheap, potent additive — pressed into counterfeit pills made to look identical to prescription medications, and mixed into heroin, cocaine, methamphetamine, and other substances. Because mixing is uneven, one portion of the same batch can be survivable and another lethal.

  • Xylazine is a sedative approved only for veterinary use.

  • It is not an opioid, which matters for one big reason: naloxone does not reverse it.

  • It extends and deepens sedation, suppresses breathing on top of what opioids already do, and is associated with serious skin wounds that can develop regardless of how a substance was used.

Together, they are why overdose response and testing matter more now than they ever have.

What to do — and what’s different now

Respond
  • Call 911 immediately

  • Give naloxone if available. If there’s no response in 2–3 minutes, give a second dose if you have one.

  • Stay with the person. Place them on their side.

What’s different with xylazine

Naloxone still matters — opioids are almost always present, and naloxone reverses that part. But a person may remain deeply sedated even after naloxone restores their breathing. That is not naloxone failing. Watch their breathing, keep them on their side, and wait with them for EMS — do not assume they’re fine because they’re breathing, and do not assume naloxone didn’t work because they’re not waking up.

Never hesitate to call: Fear of getting in trouble should never delay a 911 call. Make the call every time.

Test before use — and know what a result means

Fentanyl and xylazine test strips detect whether those substances are present in a sample. They are free at the Public Health Vending Machine and the front desk, and they take minutes to use.

What a positive means

It’s in there. You can choose not to use it, use less, never use it alone, and have naloxone ready.

What a negative does not mean

Guaranteed safety. Mixing is uneven — the part you tested is not necessarily the part you use. A negative lowers risk; it does not erase it.

About wounds — without the lecture

Xylazine is associated with serious skin wounds that can appear anywhere on the body — not just where a substance was injected — and they can worsen quickly without care. If you have a wound that is deep, growing, dark, or not healing: get medical care now, not after it gets worse. Earlier care means simpler treatment, and no provider you see through Hope Council’s connections will lecture you on the way in.

If you’re not sure where to go, call 262-658-8166 and staff will help you figure it out — no judgment, no conditions.

Worth a conversation if…

  • You’re afraid of overdosing, or you’ve overdosed before.
  • You’ve encountered counterfeit pills, or a batch that felt different.
  • Someone near you has overdosed.
  • You’re using alone.
  • You have wounds that aren’t healing.
  • You want supplies without being pressured about treatment.
That last one is worth repeating: wanting supplies without a treatment conversation is completely fine here. The conversation is available if you ever want it. The supplies are yours either way.

What’s available right now

Supplies, free, 24/7

Naloxone, fentanyl and xylazine test strips, and safer-use supplies — the Public Health Vending Machine never closes, and the front desk asks no questions.

Support at any stage

No-cost peer support from people with lived experience, recovery options, and treatment navigation — whenever, and only if, you want it.

For loved ones

What to do after an overdose, how to support someone at risk, and naloxone training for your household.What to do after an overdose, how to support someone at risk, and naloxone training for your household.What to do after an overdose, how to support someone at risk, and naloxone training for your household.

Training for groups

Free naloxone and overdose prevention training for workplaces, organizations, and community groups.

Common Questions

Does naloxone work if xylazine is involved?2026-07-09T16:04:18-05:00

Give it anyway — always. Opioids are almost always present, and naloxone reverses the opioid part, which is what restores breathing. The person may stay sedated after; keep them on their side, watch their breathing, and stay until EMS arrives.

Are test strips really free? Do I have to give my name?2026-07-09T16:04:42-05:00

Free, and no. The vending machine is anonymous and open 24/7; the front desk hands supplies across with no questions during business hours.

How dangerous is fentanyl, really?2026-07-09T16:05:04-05:00

A lethal amount fits on a pencil tip, and it is undetectable by sight, smell, or taste. That is not a scare tactic — it is the reason test strips and naloxone are free.

I have a wound. Where do I go?2026-07-09T17:27:57-05:00

Get medical care early — deep, growing, dark, or non-healing wounds will not improve on their own. If you don’t know where to go, call 262-658-8166 and staff will help you find care without judgment.

Health content on this page aligns with current CDC and NIDA guidance on fentanyl, xylazine, and overdose response. Reviewed by Hope Council staff. July 23rd, 2026

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