Amid 'epidemic' youth vaping, SC bill aims to crack down on sales of illegal e cigs SC Daily Gazette Health Alert: nitazenes, a class of highly potent synthetic opioids, are being detected in Missouri. They are appearing in counterfeit pills, powders and vapes often without users knowing. How dangerous are they? Fentanyl vaping devices found in Midstate school Counterfeit pills and vapes may contain powerful synthetic opioids like Nitazenes or Fentanyl. Don't risk it Fentanyl In Vapes: A Growing Concern Vaping is often marketed as a safer alternative to smoking, but it still poses health risks, including lung damage, addiction, and exposure to harmful