What is the drug of choice in your area?

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Where I live, the drug of choice is almost exclusively heroin. I am well versed in the treatment of heroin overdoses and the resources for those who use, as we have several per day on average. I've never dealt with a patient on bath salts, meth, crack, etc. , at least to my knowledge. I'm getting ready to relocate to a different region and i'm realizing I may have to educate myself on other presentations for other substances!

Specializes in ER, progressive care.

Meth, cocaine, alcohol and kush.

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Alcohol, spice, and crack are the standouts, I would say.

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Flakka was big in south Florida a few months ago. As well as Coke, alcohol

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Spice, heroin, meth, pot, and pills

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Specializes in Emergency Department.

Newest fun: heroin + carfentanil (elephant tranquillizer).:no:

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Specializes in Emergency/Trauma/Critical Care Nursing.
Newest fun: heroin + carfentanil (elephant tranquillizer).:no:

Where in the heck does one even get elephant tranquilizer??? I get that the horse tranquilizers are stolen from vets offices, but who keeps large quantities of elephant meds besides the zoo?? People are crazy!

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Specializes in Emergency Department.

No one is sure yet, but the police think it's coming from China. And the worst part is naloxone doesn't always reverse it...or it takes boatloads to reverse it.

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Specializes in Flight, ER, Transport, ICU/Critical Care.

Carfentanil (synthetic opioid elephant/big game narc tranquilizer) is 10,000x (TEN THOUSAND) more potent on a milligram/milligram basis than morphine.

So if you had 1mg of carfentanil in 1ml and injected that into a liter (1000 ml) bag of NS — remember that 1ml is 10,000x stronger than morphine — so, each milliliter in that liter bag now contains the opioid equivalent of —

10mg morphine per ml (or cc). Wow.

:eek:

As for obtaining it — I'd bet on some diversion. Some synthesizing. After all it's not like someone would have to steal a crate if it.

Cha-Ching! Big money in synthesizing this one. But, it seems best measured via dropper or by the ounce.

I cant get a link to post but there have been a outbreak of deaths in the Cincinnati/Central OH area that they are linking to this drug.

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