general risk assessment for different types of drugs

freejohn7125

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May 23, 2023
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I would love to get some takes on how to calculate risk of dangerous adulterants (i.e. fent) being added to different substances.

from my limited research so far I've gotten the impression that:

- the media and govt ('one pill can kill') generally overstates both the likelihood and the magnitude of potential risk in fentanyl being added to *all kinds* of drugs
- fent is much more likely to be present in *downers* and far less likely to be an issue with stimulants (meth, amphetamines, methylphenidate etc.). this is because the effects of fent are unlikely to be confused with those of stimulants.
- regardless, there is some risk of fentanyl 'cross contaminating' with stimulants if manufacturers aren't careful about cleaning scales / presses etc. or make some other mistake. how real is this risk?
- however, fent is most commonly intentionally added to drugs for cost savings reasons (i.e. fent is easier/cheaper to get than whatever drug it's substituting in for). fent is unlikely to be added to drugs that are already relatively cheap to manufacture or obtain.
- *unless*: fent is used to increase the high of a drug with the hope of increasing demand: is this a thing?
- regardless, if fent is unwittingly consumed, the extent to which a dose may be fatal is largely overstated. drug manufacturers/distributers do not want to kill their customers.
- certain ROAs (intravenous, insufflation, smoking??) pose more risk than consuming orally, as digestion slows the rate at which a substance enters the blood stream.
- in addition to test strips, another harm reduction strategy is to consume a new substance in small increments and evaluate effects before increasing dosage
 
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