NOT FIT FOR HUMAN CONSUMPTION

100 Times Stronger Than Fentanyl

FENTANYL AND BEYOND

Fentanyl use and distribution has exploded in Canada over the last couple of years, and it’s going to get worse before it gets better, and fentanyl seems to be just the tip of the iceberg.

Fentanyl’s analogues, or variations, have increased in number and potency over the last year, along with Carfentanil, and non-fentanyl opioids like W-18, and U-47700 that have emerged as of late.

Increasing access to naloxone, safe injection sites, and increased opioid reporting and early-warning systems will help, but won’t stop the market for the drug from increasing.

The practice of drug producers and traffickers cutting their product with supplemental substances is not new. But the use of fentanyl and other opioids to do so is not only uncommonly deadly, it can also clearly trace its roots to the “the national crisis of prescription painkiller abuse, and associated medical prescribing practices.”

 

“Anchored between domestic criminal entities and those based in China, the Internet – via the surface web and the dark web – continues to serve as the main gateway for a thriving, open illicit opioid marketplace in Canada.”

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TOXIC “POISONING” OR “OVERDOSE?”

The Language Of Addiction

The intent of our words makes all the difference of understanding our own stigma’s.

The stigma of addiction and the lack of organized advocacy for affected people have been the biggest barriers to creating change for so very many here in Canada and around the world.

But what about the language used by those professionals supposedly in the know? The accidental “overdose” of fentanyl  laced drugs requires us revisit the language surrounding this exploding epidemic and health crisis.

Aren’t we using the wrong language here to describe the toxic lacing of illicit drugs, to a level of potency that makes the use of them so dangerous, so poisonous, that unbeknownst to them, what was a typical dose for an addict, now becomes deadly?

“When a patient has over-consumed alcohol, we call it alcohol poisoning, we don’t write about it as an alcohol overdose,” – Dr. Edward Xie

While people tend to imagine that overdoses primarily occur when drug users are alone, in fact, at least half of them happen in the presence of others. In England, for example, 80% of users who overdosed did so while with others and 54% had also witnessed others who had OD’d. A study in New York similarly found that 57% of over 1,000 crack and heroin users had personally witnessed at least one overdose. A Rhode Island study revealed that 35% of opioid users had overdosed at least once themselves and two-thirds had seen someone else do so.

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