Opioids
Dextromoramide (Palfium)
Street names: Palfium, Dextromoramide tartrate
Overdose? Act now. Call emergency services — say "unresponsive, not breathing". Give naloxone for opioid-like signs. Hotlines
⚡What it does
- Short, intense opioid euphoria
- Pain relief
⚠Key risks
- 'Short-acting heroin' — extreme redosing compulsion
- Withdrawn because of abuse and fatal overdoses
- Crushing and injecting tablets is especially damaging
✚Overdose signs
- Slow breathing
- Pinpoint pupils
- Unresponsive
Category comparison — Opioids
| Substance | Class | Top risks | Street price |
|---|---|---|---|
| Dextromoramide (Palfium) | Withdrawn in most countries; Schedule I | 'Short-acting heroin' — extreme redosing compulsion; Withdrawn because of abuse and fatal overdoses | Rare |
| Heroin | Schedule I | Extremely addictive — physical dependence in weeks; Overdose: breathing slows or stops | ~$10–$40 per bag |
| Fentanyl | Schedule II | Respiratory depression; Addiction in days | ~$20–$40 per counterfeit pill |
| Fentanyl HCl (powder) | Schedule II / analogue prosecutions | Lab-purity powder is far stronger than street mixes; Weighing errors are fatal | ~$60–$120/gram wholesale equivalent |
| Acetylfentanyl | Schedule I | ~5–15× weaker than fentanyl but still deadly at gram-level mistakes; Frequent cause of cluster overdoses | ~$25–$60/g where found |
| Furanylfentanyl (Fu-F) | Schedule I | Linked to hundreds of fatal overdoses 2016–2018; Potency similar to fentanyl | ~$20–$50/g |
Street prices are regional estimates. Potency and cuts vary constantly.
?Frequently asked questions
What does Dextromoramide (Palfium) look like?
Tablets (historically 5–10 mg); illicit stock circulates in parts of Europe and Asia
What are the signs of a Dextromoramide (Palfium) overdose?
Slow breathing; Pinpoint pupils; Unresponsive Call emergency services immediately and give naloxone if available — it reverses opioid overdoses.
How addictive is it?
'Short-acting heroin' — extreme redosing compulsion Dependence can develop with regular use.