The evolving overdose crisis in the United States is making another lethal turn, federal disease trackers reported Wednesday: Increasingly, people dying from opioids are also using stimulants such as cocaine and methamphetamine.
over several days in Kalamazoo, Mich., in April. But while contaminated cocaine — whether it’s done accidentally or intentionally by dealers — is a real concern, researchers who study the illicit drug market say they believe most deaths involve users knowingly consuming the drug alongside fentanyl.
And in a recent survey of more than 500 drug users in North Carolina and West Virginia, the overwhelming number reported intentionally using fentanyl with meth, said Jon E. Zibbell, a senior scientist at the nonprofit research institute RTI International. They reported using the drug to counteract the powerful sedation of fentanyl, he said.
“Fentanyl is so sedative that people are having a hard time staying awake,” Zibbell said. “So people are using stimulants alongside fentanyl just to be able to do life.”Zibbell stressed that fentanyl is the agent chiefly complicit in causing deaths, noting that while cocaine and meth can contribute to stimulant use disorder, “these illicit stimulants just aren’t as big purveyors of death compared with illicit fentanyl, not even close.”cocaine-and-heroin combinations known as “speedballs.
“Fentanyl and meth are the dominant illicit drugs now,” Banta-Green said. “That’s what users are dying from.”
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