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Fentanyl, a stealth killer

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Re: Fentanyl, a stealth killer

#3
Just because fentanyl has a shit therapeutic index doesn't mean it has a high body count (it gets used just fine even in tandem with other depressants in clinical circumstances...) - I would say the problem is more in the hands of the tough-on-crime lawmakers who seem to lack, at least in my neck of the woods, remorse.

Also, look up sufentanil, and once you feel you're ready, carfentanil..

Also, yes, yes, fentanyl is made because of its potency and therefore cheapness, but a napkin-back calculation shows: 17 $ / g codeine * 100 g codeine / 70 g morphine in a conversion tek * 3 g morphine / 2 g heroin = ~$37 g/heroin, if you were a pretty good chemist, and could legally source precursors (pyridine HCL, acetic anhydride..), which is probably a lot better than the stepped on shit you would get for even 60 bucks a gram (although you can get 60 dollar grams on AlphaBay iirc). That's near a dollar a dose for an opiate-naive user and a day's worth for the 60-year old junkie down the street.

Also, the high/euphoria from fentanyl is much shorter lasting (hence its appropriate use in surgery) - I could see this encouraging heroin users to use more under the idea that they've simply increased their tolerance..

Also, Prince died with traces of U-47700 in his system.

Re: Fentanyl, a stealth killer

#4
post #2

There would be far, far fewer deaths from overdose if all drugs were legal. There may be more addicts if they were legal, I don't know - but there would be a lot fewer deaths.

I'm not against legalization, but have you done the research to back this up? We have plenty of alcohol-related deaths (both indirect (traffic, etc), and direct (alcohol poisoning).

Re: Fentanyl, a stealth killer

#5
post #4
post #2

There would be far, far fewer deaths from overdose if all drugs were legal. There may be more addicts if they were legal, I don't know - but there would be a lot fewer deaths.

I'm not against legalization, but have you done the research to back this up? We have plenty of alcohol-related deaths (both indirect (traffic, etc), and direct (alcohol poisoning).

http://www.thelancet.com/journals/lancet/article/PIIS0140-67...

> Overall, alcohol was the most harmful drug (overall harm score 72), with heroin (55) and crack cocaine (54) in second and third places.

Re: Fentanyl, a stealth killer

#6
Chapter 2 is titled ‘Kissed by Jesus’, if that helps anyone avoid the longread.

// edit whoops yeah I'm wrong, my replier is correct. Nevertheless... Chapter 1 was stumbling into a long resume of the boy's high school experiences and I was getting bored, so when the title of chapter 2 was "Kissed by Jesus" I ended early. The first portion of the article is really good, but the long backstory and gateway-drug-ism in the article got old.

Re: Fentanyl, a stealth killer

#7
post #2

There would be far, far fewer deaths from overdose if all drugs were legal. There may be more addicts if they were legal, I don't know - but there would be a lot fewer deaths.

>There would be far, far fewer deaths from overdose if all drugs were legal.

2/3rds of all overdoses are opiate related.

The biggest impactor to preventing overdose death is the drug Naloxone which is an opioid blocker.

Putting naloxone in the hands of at risk drug users, and as standard kit for police officers/EMTS, is the most effective way to save lives.

Re: Fentanyl, a stealth killer

#8
post #6

Chapter 2 is titled ‘Kissed by Jesus’, if that helps anyone avoid the longread. // edit whoops yeah I'm wrong, my replier is correct. Nevertheless... Chapter 1 was stumbling into a long resume of the boy's high school experiences and I was getting bored, so when the title of chapter 2 was "Kissed by Jesus" I ended early. The first portion of the article is really good, but the long backstory and gateway-drug-ism in t…

There is nothing religious in this. The quote was describing the feelings when they were on the drug.

Re: Fentanyl, a stealth killer

#9
post #7
post #2

There would be far, far fewer deaths from overdose if all drugs were legal. There may be more addicts if they were legal, I don't know - but there would be a lot fewer deaths.

>There would be far, far fewer deaths from overdose if all drugs were legal. 2/3rds of all overdoses are opiate related. The biggest impactor to preventing overdose death is the drug Naloxone which is an opioid blocker. Putting naloxone in the hands of at risk drug users, and as standard kit for police officers/EMTS, is the most effective way to save lives.

Many (if not like more than half, I forget the statistic..) of those overdose deaths result from combining a GABAergic like alcohol or especially benzodiazepines with an opioid.

Re: Fentanyl, a stealth killer

#10
post #4
post #2

There would be far, far fewer deaths from overdose if all drugs were legal. There may be more addicts if they were legal, I don't know - but there would be a lot fewer deaths.

I'm not against legalization, but have you done the research to back this up? We have plenty of alcohol-related deaths (both indirect (traffic, etc), and direct (alcohol poisoning).

Have a look at the figures for Portugal pre and post 2001.the Cato Institute did a pretty good write up a few years ago.
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