The rising crisis of illicit fentanyl use, overdose, and potential therapeutic strategies

Y Han, W Yan, Y Zheng, MZ Khan, K Yuan… - Translational psychiatry, 2019 - nature.com
Fentanyl is a powerful opioid anesthetic and analgesic, the use of which has caused an
increasing public health threat in the United States and elsewhere. Fentanyl was initially …

Abuse of fentanyl: An emerging problem to face

K Kuczyńska, P Grzonkowski, Ł Kacprzak… - Forensic science …, 2018 - Elsevier
Fentanyl is a potent synthetic opioid used as a narcotic analgesic supplement in general
and regional anesthesia as well as in management of persistent, severe chronic pain …

Evaluation of a fentanyl drug checking service for clients of a supervised injection facility, Vancouver, Canada

M Karamouzian, C Dohoo, S Forsting, R McNeil… - Harm reduction …, 2018 - Springer
Abstract Background British Columbia, Canada, is experiencing a public health emergency
related to opioid overdoses driven by consumption of street drugs contaminated with illicitly …

Use of rapid fentanyl test strips among young adults who use drugs

MS Krieger, WC Goedel, JA Buxton, M Lysyshyn… - International Journal of …, 2018 - Elsevier
Background The overdose epidemic has been exacerbated by a dramatic increase in
deaths involving illicitly manufactured fentanyl (IMF). Drug checking is a novel strategy to …

The opioid death crisis in Canada: crucial lessons for public health

B Fischer, M Pang, M Tyndall - The Lancet Public Health, 2019 - thelancet.com
A chief coroner investigation in British Columbia, Canada, identified an “inordinately high
number” of drug-related deaths related to a “very real and very serious” drug problem, and …

Retention in opioid agonist treatment: a rapid review and meta-analysis comparing observational studies and randomized controlled trials

J Klimas, MA Hamilton, L Gorfinkel, A Adam… - Systematic reviews, 2021 - Springer
Background Although oral opioid agonist therapies (OATs), buprenorphine and methadone,
are effective first-line treatments, OAT remains largely underutilized due to low retention …

Perspectives on rapid fentanyl test strips as a harm reduction practice among young adults who use drugs: a qualitative study

JE Goldman, KM Waye, KA Periera, MS Krieger… - Harm reduction …, 2019 - Springer
Background In 2016, drug overdose deaths exceeded 64,000 in the United States, driven by
a sixfold increase in deaths attributable to illicitly manufactured fentanyl. Rapid fentanyl test …

Protracted renal clearance of fentanyl in persons with opioid use disorder

AS Huhn, JG Hobelmann, GA Oyler… - Drug and alcohol …, 2020 - Elsevier
Introduction The illicit opioid supply in the US is increasingly adulterated with fentanyl. As
such, persons with opioid use disorder (OUD) may be regularly exposed to fentanyl …

[HTML][HTML] Prevalence of fentanyl in methamphetamine and cocaine samples collected by community-based drug checking services

KD Wagner, P Fiuty, K Page, EC Tracy… - Drug and Alcohol …, 2023 - Elsevier
Background Overdose deaths involving stimulants and opioids simultaneously have raised
the specter of widespread contamination of the stimulant supply with fentanyl. Methods We …

Safer opioid supply: qualitative program evaluation

M Haines, P O'Byrne - Harm Reduction Journal, 2023 - Springer
Background As the overdose crisis in Canada continues to escalate in severity, novel
interventions and programs are required. Safer Supply programs offer pharmaceutical-grade …