Addiction & Mental Health Resources

Introduction

More than 100,000 Americans died of a drug overdose in 2021, the worst year on record. The newest wave of the overdose crisis involves man-made chemicals, including animal tranquilizers, that are being combined with fentanyl to make street drugs that are deadlier and more addictive. With access to an undisguised fentanyl dealer, Beyond Fentanyl looks at how drugs like “benzo dope” and “tranq” are ravaging North American communities and how U.S. policy affected the latest flood of synthetic street drugs. [Taken from YT description]

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Quotes

“For the last decade, both Canada and the U.S. have been ravaged by an overdose crisis largely fueld by the synthetic opioid fentanyl. The pandamic made it worse by disrupting the drug supply and cutting people off from harm reduction services but the crisis is now reaching another turning point. Chemicals made in labs are infiltrating the drug supply and being combined with fentanyl to make something more dangerous, and nowhere is this more evident than in British Columbia.”

“To make the fentanyl’s effects last longer, other suppliers have been cutting it with ultra potent chemicals. One, called Etizolam, is from a family of sedatives called Benzodiazepines. This cocktail is being sold as ‘benzo dope‘, a drug that’s deadlier and more addictive than the sum of its parts.”

“I don’t know if any of my three kids have died in the last 20 minutes, that’s reality. I know they have not died 24 hours ago because the police have not told me to identify a body, but that thought goes through my mind every day for all three of my kids.”

“Data exclusively shared with Vice News shows powerful substances showing up in the U.S. illegal supply. A new stimulant that can kill you is being sold as Molly and Ecstasy in nine U.S. states (Dimethylpentylone). A synthetic cannabinoid that can put you in a coma or kill you has been found in 13 states (MDMB-4en-PINACA). A synthetic opioid 20 times stronger than fentanly is being sold as dope in 20 states (N-Pyrrolidino Etonitazene).”

“Early on the opioid crisis was linked to prescription opioid tablets that then evolved into the heroin period. That heroin period then evolved into what was considered the third wave or the fentanyl wave. I think it’s very clear now that we’ve entered this poly drug wave, when you have fentanyl being mixed with other stimulants or benzodiazepines or other drugs.”

“Xylazine is a tranquilizer most commonly used on horses but it’s now being used to make the effects of fentanyl last longer. Like benzos, it knocks out users for hours at a time and doesn’t respond to Naloxone, which makes identifying it in the supply all the more important.”

“Fentanyl cut with Xylazine is called tranq or tranq dope. Its impact in Philadelphia is most evident in Kensington. The neighborhood’s commonly called an Open-Air Drug Market because people buy sell and use drugs like tranq right on the street.” See Also: Inside America’s Largest Open-Air Drug Market

“Five years ago, Sarah Laurel founded Savage Sisters, an organization that runs sober living homes, needle exchanges and Naloxone trainings.”

“One reason synthetic drugs are taking up so much space in the drug supply here might surprise you – U.S. foreign policy. From 2014 to 2019, much of North America’s fentanyl supply came from one place. But in 2019, China, under pressure from the Trump Administration, banned fentanyl. Seizures of fentanyl in the U.S. supply dropped that year, only it didn’t last long. Companies in China pivoted from selling fentanyl to marketing substances that mimic its effects, as well as the compounds that make it up. Those compounds were bought by Mexican cartels who are now manufacturing fentanyl and trafficking it back into the U.S.”

Fentanyl

• Detecting Fentanyl. Saving Lives.
• Fentanyl: America’s Grim New Opioid Addiction
• Fentanyl: One Pill Kills
• Fentanyl Accounts for A Majority of Fatal Overdoses. But ERs Aren’t Testing For It
• Fentanyl Facts (CDC)
• Fentanyl Plus Stimulants Drives ‘Fourth Wave’ of Overdose Epidemic in The U.S.
• How The Fentanyl Crisis’ Fourth Wave Has Hit Every Corner of the US
• Inside a Free Fentanyl and Heroin Clinic
• Responding to a Fentanyl Overdose: What California First Responders Need to Know
• Straight Talk: Street Fentanyl [PDF]
• The Impact of The Deadly Fentanyl ‘Plague’ On One American City
• Why Fentanyl Is So Incredibly Dangerous