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Tag: xylazine

  • Florida Republican files bill to decriminalize drug testing tools

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    Florida Rep. Michelle Salzman, a Republican from Pensacola, has filed a bill for consideration in 2026 that would aim to help curb drug overdose deaths by decriminalizing drug-checking equipment.

    Drug-checking or testing equipment, such as test strips, can be used to help detect the presence of potentially dangerous substances in a batch of drugs. Under Florida law, however, most testing equipment technically falls under the definition of “drug paraphernalia,” which is unlawful to use or possess with the intent to use. 

    Salzman’s bill, filed Wednesday, would build on a law passed by Florida lawmakers in 2023 that decriminalized the use of fentanyl test strips only. Fentanyl, a synthetic opioid roughly 50 times more potent than heroin, has driven a surge in drug overdose deaths in recent years, both alone and in combination with other drugs. According to the CDC, fentanyl was involved in nearly 50,000 overdose deaths nationwide in 2024, down from 76,282 deaths in 2023.

    “The Legislature recognizes that drug-testing products, including test strips, reagent kits, and related products, are evidence-based harm reduction strategies that do not encourage drug use, but, instead, prevent overdose and death by allowing individuals and communities to identify the presence of dangerous controlled substances and adulterants,” Salzman’s bill reads.

    While overdose deaths, including fentanyl-involved deaths, declined in Florida and nationwide last year, other risky substances such as xylazine — a non-opioid tranquilizer also known as “tranq” — have also entered the illicit drug market. As a central nervous system depressant, xylazine can exacerbate the life-threatening effects of other depressants, such as fentanyl.

    A U.S. Drug Enforcement Administration report notes that xylazine has been involved in a growing number of drug overdose deaths, and is most often found laced (unbeknownst to the user) into drugs sold as fentanyl, cocaine and heroin. Xylazine use has also been linked to effects such as dizziness, low heart rate and necrotic skin wounds severe enough to require amputation.

    Under Florida law, only drug testing equipment capable of detecting fentanyl is currently lawful to possess, distribute and use. That is, the decriminalization of fentanyl test strips by lawmakers in 2023 didn’t apply to drug-checking tools capable of detecting non-fentanyl substances like xylazine. 

    Salzman’s proposal would amend Florida law to change that by clarifying that unlawful “drug paraphernalia” does not apply to “test strips, reagent kits, or any other narcotic-drug-testing products” used solely to detect whether a drug contains fentanyl, fentanyl analogues (e.g. carfentanil), xylazine, cocaine, amphetamines, cathinones, “or any other controlled substance or adulterant.”

    If approved, Florida would join at least 30 states that have already legalized the possession of drug-checking equipment broadly, according to the Network for Public Health Law. An additional 11 states, including Florida, explicitly allow for the use of fentanyl drug-checking equipment only.

    Under Florida law, the possession or advertisement of drug paraphernalia is a first-degree misdemeanor, punishable by up to one year in jail and a fine of up to $1,000. Giving drug paraphernalia to a minor under 18 is a second-degree felony, punishable by up to 15 years in prison, a fine of up to $10,000 or both.

    Why was this unlawful in the first place?

    Almost as a default, most states passed anti-drug paraphernalia laws decades ago based on a model created by the DEA in 1979. That model included drug testing equipment in its definition of unlawful drug paraphernalia.

    A growing number of states, however, have moved to amend those paraphernalia laws in recent years in response to the U.S. overdose crisis and a recognition that the use of drug-checking equipment can be a safe and cost-effective way to save lives.

    What’s next

    The bill from Salzman — a pro-gun Republican who has demonstrated markedly less concern for deaths by firearm or those caused by Israeli troops overseas — has been filed for consideration by the Florida Legislature during the 2026 state legislative session. Next year’s legislative session begins Jan. 13, 2026, and is scheduled to last 60 days, through March 13.

    The bill will have to be approved by a majority of members in smaller legislative committees, then receive majority approval from both the Florida House and Senate. The bill would take effect July 1, 2026, if approved.


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    Carfentanil, a powerful and potentially deadly tranquilizer, is often mixed into cocaine, meth, or counterfeit pills, says prevention nonprofit

    Project leaders plan to distribute test strips at bars downtown and during events deemed high-risk, like music festivals



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    McKenna Schueler
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  • State senators respond to fentanyl and retail theft crises with new legislation

    State senators respond to fentanyl and retail theft crises with new legislation

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    A bipartisan group of lawmakers in the California senate on Monday announced a package of legislation to address the growing fentanyl crisis and untamed outbreak of organized retail thefts.

    Sen. Mike McGuire (D-Healdsburg), who was sworn in as president pro tempore last month, recited sobering statistics to reporters as he introduced proposals he said will remedy the issues through a more rehabilitative approach.

    “There are more than 12,000 drug overdose deaths a year in California. More than half of those deaths are fentanyl-related,” McGuire said. “Black and Latino communities have seen a 200% increase in overdose deaths since 2017. Native Americans had a 150% increase in overdose deaths in the same period. The Hoopa Valley tribe faces a fentanyl death rate eight times greater than the state average.”

    The senate’s action comes after Assembly leaders this month presented their plans to remedy the issues, an indication that the drug and theft crises will be priorities this legislative session — and in California’s 2024 election.

    The set of 14 bills announced by McGuire and other Democrat and Republican Senate leaders takes a sweeping approach. The legislation, if passed and signed by the governor, would increase access to treatment, enhance addiction services for those in the criminal justice system and penalize criminal trafficking of xylazine, or “tranq,” a horse tranquilizer laced in fentanyl.

    Among those bills is SB 1144, authored by Sen. Nancy Skinner (D-Berkeley), which will tighten regulations to help prevent stolen goods from being sold online.

    Tinisch Hollins, executive director of the nonprofit Californians for Safety and Justice, called the package a “thoughtful approach to nuanced challenges.”

    Hollins said the package is needed “in an environment where special interests are gaslighting Californians with destructive and ineffective rollbacks.”

    She was referring to law enforcement agencies that have lobbied for changes to Proposition 47, a contentious ballot measure that reduced certain retail theft and drug offense charges to misdemeanors.

    Contra Costa County Dist. Atty. Diana Becton called for a strategic approach that strays from a one-size-fits-all approach to public safety.

    “I have seen firsthand the need to reimagine our approach to criminal justice,” she said. “To reexamine and reproach it through a lens of racial and socioeconomic disparity, with an eye to restorative justice programs and rehabilitation programs for nonviolent offenses.”

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    Anabel Sosa

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  • Everything We Know About Elon Musk’s Drug Use

    Everything We Know About Elon Musk’s Drug Use

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    Elon Musk has once again found himself in hot water after The Wall Street Journal confirmed that the CEO often uses illegal drugs, including cocaine, LSD, magic mushrooms, ecstasy, and ketamine. Here is everything The Onion currently knows about the controversial billionaire’s recreational drug use.

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  • 2023 is already San Francisco's deadliest year for drug overdoses

    2023 is already San Francisco's deadliest year for drug overdoses

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    The year isn’t over, but San Francisco has already hit a grim milestone: 2023 is the deadliest on record for fatal drug overdoses.

    More than 750 people died in accidental drug overdoses during the first 11 months of 2023, according to a report released this week from the city and county office of the chief medical examiner. That surpassed the 726 seen during the last recorded high, in 2020 — which was a horrific rise from the year before.

    “We have seen record numbers of deaths due to overdose in San Francisco in 2023, or are likely to,” Hillary Kunins, director of behavioral and mental health at the San Francisco Department of Public Health, said at a press conference Thursday.

    More than 80% of the overdose deaths in 2023 involved fentanyl, the data show. Black San Franciscans continued to make up a disproportionate share of the victims.

    Even as state and local leaders have shifted their response to the growing drug crisis, focusing in recent months on increased law enforcement crackdowns, health officials remain dedicated to a multifaceted approach to saving lives.

    This week, city officials announced a partnership with the National Institute of Drug Abuse that will test wastewater for certain drugs, including fentanyl, methamphetamine and cocaine, as well as naloxone, the opioid reversal medication most commonly known by its brand name, Narcan.

    “In an era when fentanyl is claiming lives at an unprecedented rate, we need all information available to us to give us a more complete picture and guide our response,” said Jeffrey Hom, director of population behavior health for the Public Health Department. He is hopeful the data will provide “a more complete picture of the trends in drug use … allowing us to act faster when emerging substances, like xylazine, are increasing in the local drug supply.”

    Xylazine, commonly known as “tranq,” has become a new concern for health officials and will be tested in wastewater under the program. The flesh-rotting drug has been linked to fatal overdoses in San Francisco and Los Angeles, and has sparked concerns that it could worsen the overdose crisis.

    San Francisco officials reported that 30 of the overdose deaths so far in 2023 involved xylazine.

    But fentanyl, the synthetic opioid that is 50 times more potent than heroin, continues to drive overdose deaths in San Francisco, a trend mirrored in Los Angeles and across the nation, in big cities and smaller metro areas.

    In San Francisco, Black people and those experiencing homelessness died at the highest rates from drug overdoses, the report found. Almost a third of the people who died of overdose this year were Black, although Black people make up only about 7% of the city’s population.

    Similarly, almost 30% of those who died of overdose in San Francisco did not have a fixed address, the report found. Of those who did have an address, the highest percentage — 21% — lived in the Tenderloin, the neighborhood that has become ground zero for the city’s exploding homelessness crisis.

    The 2023 spike comes after drug overdoses in San Francisco fell slightly in the previous two years. Analysis from the San Francisco Chronicle, which tracks the city’s overdoses, found that if current trends continue, another 68 deaths could be added to the count by the end of the year.

    Public health officials say they plan to continue working to expand treatment options for people with substance-use disorders, including medication-assisted treatment, increased awareness and supplies of naloxone and exploration of innovative solutions, such as contingency management programs, to help people get — and stay — off deadly drugs.

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    Grace Toohey

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  • U.S. sees rise in overdoses involving xylazine

    U.S. sees rise in overdoses involving xylazine

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    U.S. sees rise in overdoses involving xylazine – CBS News


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    Officials are seeing a rise in cases in which xylazine, an animal tranquilizer, is being mixed with fentanyl. The drug cocktail often leads to deadly results. Jericka Duncan has more.

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  • Xylazine, animal tranquilizer found mixed with opioids, puts officials on high alert in Georgia

    Xylazine, animal tranquilizer found mixed with opioids, puts officials on high alert in Georgia

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    Xylazine, animal tranquilizer found mixed with opioids, puts officials on high alert in Georgia – CBS News


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    The Georgia Department of Health reports deadly overdoses involving xylazine have jumped 1120% since 2020, as the White House declares the fentanyl-xylazine combo an “emerging threat.” Jericka Duncan reports from Marietta, Georgia.

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  • Babies in Danger From Ingesting Opioids Laced With Animal Tranquilizer

    Babies in Danger From Ingesting Opioids Laced With Animal Tranquilizer

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    By Alan Mozes 

    HealthDay Reporter

    WEDNESDAY, Dec. 28, 2022 (HealthDay News) — When a toddler or an infant accidentally ingests a prescription opioid medication, the immediate results can prove deadly, experts warn.

    But another new worrisome dynamic is afoot in the United States, a just-published study reveals: pediatric poisonings from a particularly lethal combo — a potent synthetic opioid known as fentanyl and a powerful veterinary sedative called xylazine.

    “Infants or toddlers exposed to fentanyl are at risk of death,” even without the added threat of xylazine, said lead author Dr. Stephanie Deutsch, medical director of the Nemours CARE Program at Nemours Children’s Health in Wilmington, Del.

    In both children and adults, fentanyl quickly slows both breathing and heart rate while also triggering an altered mental state.

    And within the world of overdose deaths, that risk is increasingly common, the new study authors pointed out. While fentanyl exposure alone accounted for 14% of overdose deaths in the United States in 2010, that figure shot up to almost 60% by 2017.

    The good news: When children or adults with fentanyl poisoning are offered quick access to the opioid overdose reversal medication naloxone, it’s often possible to prevent a potentially deadly cardiorespiratory arrest, Deutsch said.

    The bad news: Xylazine is not an opioid, and there is no known antidote or medication to reverse its effects, she said.

    While xylazine can provide significant pain relief and muscle relaxation when used to treat large animals (such as cattle and horses), an adult or child who is exposed to xylazine-opioid combos can experience severe respiratory and central nervous system depression and cardiovascular effects that do not respond to naloxone, Deutsch noted.

    On the street, the xylazine-opioid combo is commonly sold as “anastesia de caballo” (horse tranquilizer), “tranq” or “sleep cut,” Deutsch and her Nemours colleague and co-author Dr. Allan De Jong noted.

    The combo is increasingly sought-after by recreational drug users seeking a prolonged and euphoric high, in spite of the risks.

    A database of fatal drug overdoses in 38 states and Washington, D.C., cited by Deutsch and De Jong shows that quest has been gaining traction.

    Since 2019, adult overdose deaths involving opioids laced with xylazine — a drug that’s been around since 1962, but never approved for human use — have been on the rise.

    Opioid-xylazine poisoning among infants and toddlers are another matter entirely, the study authors stressed.

    By definition, such children are unwitting victims, poisoned due to the carelessness or poor choices of adult caretakers who bring the deadly combo into the home.

    Three recent cases cited in the new study emphasize the point in horrific detail.

    One involved a 15-month-old boy who went into cardiac arrest after turning limp and blue in a car seat following exposure to the lethal drug pairing, presumably via his mother, who had nearly died a week earlier from a similar exposure.

    Another involved a 7-month-old boy who collapsed after exposure to a parental stash.

    And a third involved a 19-month-old boy who went into cardiac arrest while strapped into a car seat, likely because of parental exposure.

    On the one hand, said Deutsch, “infants and toddlers are prone to accidental, exploratory ingestions and exposures based on their developmental curiosity and hand-mouth behaviors,” facilitated by ready proximity to a parental supply. Most pediatric fentanyl-xylazine overdoses are accidental, she added.

    But there are also instances in which caregivers willfully administer the drug combo to an infant or child, in order “to modify behaviors.”

    In all three cases cited in the study, the children survived after emergency room treatment. “(But) some infants have died from xylazine exposure,” Deutsch noted.

    So what can be done?

    “Families and caregivers should always ensure that medications and any other objects that could be harmful to children should be kept in elevated locations — preferably in locked cabinets,” said Dr. Danielle Orsagh-Yentis. She is an assistant professor in the department of pediatrics at Vanderbilt University in Nashville, Tenn., who reviewed the new study findings.

    “If someone believes his or her child may have ingested a substance like this, he or she should contact the poison center immediately,” she added.

    Deutsch agreed that caregivers should take steps to keep the opioid/tranquilizer out of children’s reach.

    From a broader perspective, Deutsch suggested that risk of pediatric poisoning could be reduced by making sure that adults who have a known substance abuse disorder are referred to treatment programs and get help to manage their addictions.

    The findings were published online Dec. 23 in the journal Pediatrics.

    More information

    There’s more about parental drug misuse and the risk it poses to children at the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA).

     

    SOURCES: Stephanie Anne Deutsch, MD, MS, FAAP, medical director, Nemours CARE Program, Nemours Children’s Health, Wilmington, Del.; Danielle Orsagh-Yentis, MD, assistant professor, pediatrics, pediatric gastroenterology, hepatology, and nutrition, Vanderbilt University, Nashville, Tenn.; Pediatrics, Dec. 23, 2022, online

     

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