Fentanyl

The term "opioid epidemic" is outdated to the point where the message conveyed is inaccurate. Also, every time the phrase is used most people will automatically think "pills." But pills are now a minor contributor to overdose deaths; it is illegal street drugs – especially illicit fentanyl – that’s (by far) driving the surge in overdoses. Substituting the term "fentanyl epidemic" would instead shift the blame to where it belongs, while going a long way toward halting the demonization of vitally important medicines. Words matter.
The story of what we call the "opioid epidemic" has been distorted by lies and deception, resulting in incalculable harm done to both pain patients and those who abuse drugs. The last thing we need is more anti-opioid propaganda. Unfortunately, an article in Healthline provides just this
New data have been published on drug overdose deaths in 2020. Although you won't find it anywhere obvious, prescription opioid analgesics remain only a minor (and stable) contributor to the record 93,000 people who died from drug overdoses last year.
Dr. Jeffrey Singer of the Cato Institute and a member of the board of scientific advisors at ACSH has written a piece that should deliver a devastating blow to those who maintain the fallacy that prescription opioids are responsible for the so-called "opioid crisis." Although this trend is seen nationwide, nowhere is this more evident than in Massachusetts, where fentanyl is found in the blood of 91% of overdose victims — six times that of drugs like hydrocodone or oxycodone. A must-read.
A recent NPR article discussed the business of fentanyl synthesis in China. But it's not just fentanyl. There is a cottage industry in making and selling some of the chemicals that are used to synthesize the drug. What would happen if some of the chemicals that are used to synthesize the drug were banned? Would this shut down its production?
Purdue Pharma will pay an $8 billion fine and shut down. Finally, justice has been served, though far too late for the thousands of addicted or dead Americans whose problems began with OxyContin.
We're a decade into the "opioid crisis" and some people still cannot understand that prescription pain pills are, at worst, minor contributors. Yet the war against prescription analgesics goes on. This time it's Elizabeth Warren (and colleagues) who just don't get it. The Massachusetts Senator is pushing the DEA to allow partial refills of pills to reduce overdose deaths. What a ridiculous idea.
Is sticking your finger down your throat a pleasant experience? How about sticking it down there and leaving it for three weeks? You probably wouldn't want to be awake for that, but a shortage of IV hospital drugs is causing some real problems for intubated patients on ventilators. And guess what drug they're out of? Fentanyl(!). And if you read on you'll get that, plus a bubble bath with Kim Jong-un, all in one idiotic article.
Methamphetamine has made an unprecedented comeback, surpassing even fentanyl in drug overdose deaths in certain parts of the U.S. It hasn't shown up by accident; it's an offshoot of the misinformed anti-opioid movement. But it took two different government screwups to cause this latest mess: one that gave us pure, cheap meth and another that gave addicts the reason to use it. Nice going.
From JAMA Pediatrics to Yahoo Finance, our work continues to be cited and published all over the world. Check out where we recently appeared.
Dr. Singh, ACSH friend and former Chief Medical Officer for the Office of the Assistant Secretary for HHS, published a paper on the adulterants found in street drugs. What was in there? A lot of junk.
Here is yet more evidence that fentanyl, rather than prescription drugs, is fueling the opioid crisis. It's time to add illegal drug cartels to the list of defendants.