The overprescribing of these pain medications for any ailment has caused detrimental effects to patients. Patients have been turned into addicts, and when addicts are faced with a choice to withdrawal from pills or stay high and try heroin, the choice is usually staying high and trying heroin. Many overdoses happen when people switch from pain pills to street heroin because they are unaware of the cut or the strength of the heroin. Other overdoses happen when addicts are unaware of the Fentanyl used to amplify the effects of the illegal street drug. Recent years in urban areas where suburban addicts obtain their drugs, there has been fentanyl and methadone detected in the heroin.