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A guide to fentanyl – Meet the fentanyls

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...Agency (NCA) and Public Health England (PHE). So, it’s time (and some would argue, long overdue) to get up to speed with the fentanyls. Fentanyls are opioids, with fentanyl (Duragesic)...

More action needed to avert US-style fentanyl crisis, says ACMD

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...of fentanyl and fentanyl analogues are systematic screening of all drug poisoning death toxicology samples to include analysis for fentanyl, and the commissioning of research to look at diversion and...

National Crime Agency issues fentanyl warning

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...north east of England. Fentanyl and its analogue carfentanyl are thought to have contributed to recent deaths among drug users in the Yorkshire, Cleveland and Humber areas. Fentanyl is a...

There’s something in the heroin

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Claire Gilbert, Tony Margetts, Gilda Nunez, Bryony Sedgwick and Tim Allison describe their response to the emergence of fentanyl and carfentanil in their local area. Hull and the East Riding...

A glimpse of the future?

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...fentanyl. The rise of fentanyl in North America points to a huge incoming problem for us in Europe. As was the case in the US, opioid prescriptions in the UK...

Shared perspectives

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...opioids like fentanyl and carfentanyl. The already high number of overdose deaths here suddenly climbed steeply from just over 400 in 2014 to 1,600 in 2018, in a province with...

Harm reduction on a knife edge

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...interventions’, including an over-reliance on urine testing. ‘Significant numbers of drug-related deaths this year, including several believed to be linked to fentanyl’ have not prompted a relevant response. ‘The focus...

MDMA back in vogue as NPS numbers continue to rise

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...of which have been detected since 2009. Eleven of these were fentanyls, which can be highly potent and ‘may be sold as heroin to unsuspecting users, posing a risk of...

A prescription for pain

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...well as his opioids he also takes regular diazepam, although over the years the dose of this has come down. He is currently on a 100mcg fentanyl patch, co-codamol and...

Record drug deaths for England and Wales

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...‘most opioids’ have remained steady, fentanyl-related deaths have continued to rise – to 75, from 58 in 2016 – while deaths related to cocaine have now increased for six consecutive...

Cry For Help

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...up to a London hospital at the end of 2007, where they switched me onto IV fentanyl, because the morphine had exacerbated my condition, making me even more ill. I’d...

Straight to the point – NNEF conference

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...stay informed of the latest drug trends. CGL’s medical director, Dr Prun Bijral, explained some important (yet still widely misunderstood) risks of fentanyl – that potency varied widely, leading to...

Seizures of cocaine at ‘record levels’ in Europe

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...presentations in Europe. EU seizures of heroin also increased in 2017, while the following year saw 11 new synthetic opioids detected, six of which were fentanyl derivatives. ‘With only very...

Trump declares opioid crisis ‘a public health emergency’

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...reported heroin use, the administration says, with the rising death rate in part the result of ‘the proliferation of illegally made fentanyl’. An interim report from the President’s Commission on...

A different pain

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...the study were strong opiates such as morphine, fentanyl, and tramadol; weaker opiates such as dihydrocodeine and codeine-based compounds such as co-codamol; and non-opiates, mainly non-steroidal anti-inflammatory drugs such as...

Harm reduction worldwide has ‘stalled’, warns HRI

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...encompasses the principles of harm reduction’, says the report, albeit to ‘differing extents’ in the US and Canada. The emergence of fentanyl in Europe, meanwhile, should ‘instil greater urgency in...

UK among biggest consumers in ‘buoyant’ cocaine market

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...‘Highly potent’ new synthetic opioids, particularly those derived from fentanyl, are increasingly being detected, it adds. There were more than 9,000 overdose deaths – mainly related to heroin and other...

Trump calls for death penalty for drug dealers

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...illicit online opioid sales and strengthening penalties for selling fentanyl and other substances that are ‘lethal in trace amounts’. The initiative would also work to ensure that ‘first responders are...

What a long strange trip it’s been

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...for disaster’. The Welsh Government announces its own plans for minimum pricing, and the National Crime Agency (NCA) issues a warning about fentanyl use in the UK as America’s opioid...

Height of ecstasy

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...practice it can be hard to crush dense tablets in festival settings and if the drug in question is highly potent (such as a SCRA or a fentanyl) even dabbing...

At the cutting edge

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...struck by the fact that, while previous increases had been ‘statistically significant’, rates since 2015 are only increasing slightly and remain ‘broadly stable’. Fentanyl-related deaths continue to rise, however, and...

Opiates and cocaine ‘bigger global health threat than ever’

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...deaths. As well as the worsening problem with fentanyl in the US, tramadol is now becoming ‘a growing concern’ in parts of Asia and Africa, says the report. Global seizures...

Hit Hot Topics: The word on the streets

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...Drugs (EuroNPUD) called for plain language to galvanise the pace of a harm reduction response to drugs such as fentanyl, whose dangers were well known and documented. This was an...

Less pain, more gain

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...continues for more than 12 weeks – is thought to affect around 18 per cent of the UK population. GPs have traditionally prescribed opiate medications such as morphine, fentanyl, buprenorphine...

Overdose deaths up across Europe

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...fentanyls (DDN, June, page 8). While previous years’ European drug reports have highlighted the exponential increases in NPS being detected for the first time via the EU Early Warning System...

Another record high for England and Wales drug deaths

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...fentanyl have remained stable. Drug-related poisoning rates have been on a ‘steep upward trend’ since 2012, says ONS, in line with trajectories in Scotland and Northern Europe.  The age at...

Highest number of drug deaths in quarter of a century

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...announced that the number of UK deaths related to the powerful opioid fentanyl or its analogues has reached almost 60 in the last eight months alone. The highest rate of...

DDN June 2017

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...best to engage with and protect a growing population of rough sleepers despite diminishing resources. Turn to page 8 for a comprehensive briefing on fentanyl – a drug with many...

In the Picture

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...with drug-related deaths,’ she said. ‘If fentanyl arrives it will be a catastrophe.’ The network had been identifying regional issues, such as fluctuations in heroin purity in the north and...

Review of the year

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...National Crime Agency issues a warning about the powerful synthetic opioid fentanyl and its analogues, which worryingly appear to be making inroads into the UK drug market. MAY The closure...

Take part in the Global Drug Survey

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...With the rise of fentanyl analogues and other depressant drugs, GDS aims to get a better insight into how they are being used and who is using them. That way...

Drug-related deaths highest since records began

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...for seven years in a row and almost doubled between 2015 and 2018 – to 637. Fentanyl deaths, however, remained stable at 74. There were also 125 deaths involving NPS,...

Naloxone overdose reversal medication

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...and respiratory system and allows the person to breath normally again. If someone is experiencing an overdose from opiates – such as heroin, fentanyl, methadone and morphine – having a...

Commissioning: What’s the Name of the Game?

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...young people are returning to opiate use after a generation away, and the growing threat of more fentanyl deaths looms. Drug and alcohol use accompanies deprivation all too readily, and...

The Right Fix?

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...a brave person to bet that the gradual arrival of fentanyl and other research chemical opioids won’t completely change the equation and push safe injecting sites up the agenda, but...

State of the sector: Time to talk

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...fentanyl and the increase in drug-related deaths from it.’ Katy MacLeod has expertise from her work in training and development at the Scottish Drugs Forum (SDF) and also as director...