Prescribe Change Allegany County’s mission is to create awareness and educate the citizens of Allegany County, Maryland about the growing crisis of opioid prescription drugs, and heroin misuse and abuse in our community.




An opioid (sometimes called opiate) drug is a prescription drug that is used to relieve pain.  They are derived from the poppy plant and are prescribed under the more commonly known names of codeine, morphine, hydrocodone and oxycodone, as well as others.


Many do not realize that the same ingredient used to make these prescription medications is chemically altered into the illegal drug heroin.


Often times, heroin addiction starts by taking opioid prescription medications.  A person can easily become addicted to one of these painkillers in just one prescription.  The body builds a tolerance to the medication, requiring the individual to take more and more of it to experience the same level of relief.  Over time, the person is taking more than prescribed and becomes dependent on the medication in a different way.  They no longer need it to feel better, but to avoid feeling sick from the addiction.


If a person becomes addicted to a prescription opioid and can no longer obtain prescriptions legally, they may turn to heroin as a replacement.


Sadly, an injury, accident, or surgery, where a prescription opioid is used for pain management, can lead to a lifelong illness and addiction if not carefully managed.


For more information on opioid addiction, visit

Krokodil (Desomorphine)

Desomorphine, known by the street name krokodil, is an opioid by-product of codeine mixed with other toxic chemicals, and is very similar to heroin. This drug is 8- 10 times more potent than morphine. Like heroin and other opioids, it has a sedative effect, is highly addictive, and dangerous. Withdrawal from krokodil is much worse than heroin and could last for a month.


Krokodil gets its name from the fact that the acidic drug causes an addict’s skin to become green, scaly and bumpy like a crocodile’s. If the drug misses a vein and is injected into flesh, that flesh will develop abscesses. It is common for addicts to develop gangrene and require amputations. The flesh on some body parts affected by krokodil injections will rot off completely, leaving bare bone.



Fentanyl is manufactured legally as a prescription pain medication often used for cancer patients and is administered by means of injection, patch, lozenges or lollipops. This drug is an opioid that is 50-100 times more potent than morphine, and 50 times more potent than heroin.


Fentanyl is also illegally produced and sold in the following forms: as a powder; spiked on blotter paper; mixed with or substituted for heroin; or as tablets that mimic other less potent opioids. The potency greatly increases the risk of overdose, especially if a person who uses drugs is unaware that a powder or pill contains Fentanyl.


High doses of opioids, especially potent opioids such as Fentanyl, can cause breathing to stop completely, which can lead to death.


Carfentanil is a synthetic opioid and is so powerful that it's used to sedate large animals such as elephants and rhinos. It is so strong that just a few granules the size of table salt can be lethal. The Drug Enforcement Agency says it’s 10,000 times more potent than morphine and 100 times deadlier than Fentanyl.


Fentanyl & Carfentanil is being laced in heroin, marijuana and cocaine, and is being pressed into illegally manufactured pills.

Heroin Information

Click Here for a Downloadable PDF with More Information

Fentanyl Information

Carfentanil Information



Listen and watch for our information about the prescription drug and heroin crisis in Allegany County on our billboards, radio ads, in the newspaper and at the movies.  Contact us for more information at 301.759.5050. Look for our Prescribe Change Allegany County ambassadors at the following events:

Community Naloxone Training

July 17th @ 4:30pm

- To become trained in Naloxone -

Must register in advance. Call 301-759-5050 for details.


Re-certification available at the dates listed above, between 3pm-4pm. Re-certification takes about 10 minutes.

Opioid Crisis Free Movie Viewing

June 21st @ 6:00pm

- Embassy Theater • 49 Baltimore Street -


The Embassy Film Guild will present a motion picture about Jim Carroll’s struggles with heroin addition on June 21 at 6 p.m, at the Embassy Theatre, 49 Baltimore St. The movie will be preceded by a presentation by the Allegany County Health Department Behavioral Health Services regarding resources available for treatment.


Following the film, at approximately 8 p.m., the health department’s Overdose Response Program will conduct Naloxone training. The life-saving medication can quickly restore the breathing of a person who has overdosed on heroin or prescription opiod pain medication like oxycodone, hydrododone, morphine, fentanyl or methadone. Individuals who wish to participate must be 18 years of age or older and be a Maryland resident. The training will last approximately one hour.


There is no charge for the film or Naloxone training. Donations to the Embassy Film Guild, which will be used to pay for event expenses, will be accepted. The organization seeks to promote film as an art form to area residents through the screening of different genres. (Article courtesy of the Cumberland Times News)

Bobbing for Change Wing Contest

June 17th @ 4:45pm • Ali Ghan Shrine Club


Prescribe Change Allegany County to participate in 7th Annual Thomas Cumberland Tri-State Wing-Off brought to you by Western Maryland Jaycees.


Partners and supporters of Prescribe Change Allegany County will participate in a Bobbing for Change Wing Contest at the Tri-State Wing-Off on Saturday, June 17th. The event will take place at the Ali Ghan Shrine Club at 4:45pm on the main stage at the Wing-Off.


The classic Blue Cheese versus Ranch contest will play out via contestants bobbing for wings in kiddie pools of competing dressings. No hands are allowed as they vie to see which team can collect the most wings in the 2 minute time period.


Those who have volunteered to participate are community leaders and Prescribe Change partners committed to creating awareness about the issue of opioid prescription pills and heroin plaguing our community:


· Chris Fraley, Cumberland City Police

· Tammy Fraley, Allegany County Board of Education

· Stu Czapski , Executive Director, Allegany County Chamber of Commerce

· Chris Delaney, Behavioral Health, Allegany County Health Department

· Rebecca Meyers, Behavioral Health, Allegany County Health Department

· Bill Valentine, Allegany County Commissioner


Additional Prescribe Change partners will be at the Wingoff to answer questions and provide information on safe disposal of medications and access to treatment.


Prescribe Change Allegany County’s mission is to create awareness and educate the citizens of Allegany County, Maryland about the growing crisis of opioid prescription drugs and heroin misuse and abuse in our community.


Download Naloxone Training Application

The "Good Samaritan Law" went into effect October 1, 2014.  The law establishes that, "a person who, in good faith, seeks, provides, or assists with the provision of medical assistance for a person experiencing an alcohol- or drug-related medical emergency (such as an overdose) may be immune from criminal prosecution for specific violations if the evidence was obtained solely as a result of the person reaching out for medical assistance.  The bill also protects the person experiencing the medical emergency under the same conditions from prosecution for specific violations."



Prescribe Change Allegany County

Allegany County Health Department

12501-12503 Willowbrook Road

PO Box 1745

Cumberland, Maryland 21501-1745

(301) 759-5050