Researchers say the internet is a surprisingly common method of obtaining fentanyl, an opioid that is now responsible for more overdose deaths than heroin or prescription painkillers.
The drug user in Texas said he first began using opioids when a doctor prescribed him hydrocodone for a badezimmer cough he had as a teenager. He progressed to prescription painkillers, and then, when they became too expensive, to heroin. The heroin left him broke and with abscesses on his skin.
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Motivations for suppliers to add fentanyl to street opioids are probably profit-oriented with an eye towards future sustainability. By dose-equivalency, fentanyl is orders of magnitude cheaper to produce than heroin [39] and entirely synthetic, protected from the vicissitudes of climate and plant diseases.
Point-of-use testing, more commonly associated with dance drugs such as 3,4-methylenedioxymethamphetamine (copyright), has also become possible with fentanyl test strips. Although they can reliably detect fentanyl rein drug solutions [33] and users have shown interest in trying them [34] they are extremely sensitive, and do not quantify the fentanyl present or distinguish between analogues of differing potency [35]. Along with most sensory methods of identifying fentanyl, using test strips is generally only feasible after purchase and learning that a particular source sold a drug containing fentanyl on one occasion does not necessarily predict that this will be the case next time.
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The use of cryptomarkets requires sophisticated online access, a reliable mailing address and bitcoin currency [43]. Unlike the immediacy of hand-to-hand sales, cryptomarkets mail their products to customers, so dependent opioid users would need either to stockpile drugs, plan their purchases and consumption very carefully or face periods of withdrawal between deliveries.
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Street-based heroin users in many national contexts commonly discuss current drug availability, potency, adulteration and other characteristics of interest in their quest to obtain drugs. Both information and rumours spread more or less efficiently depending upon the type of drug distribution involved. A study of heroin sales rein two US cities found that rein a street market with multiple competing sellers, buyers were able to gather and act upon information about drug quality on a given day more quickly and easily than buyers whose dealers operated by cellphone contact [36].
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