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This disguised sale complicates our ability to determine whether users like these drugs or not, but also suggests that those supplying them are relying on demand for the named drug to sell their products, i.e. heroin, OxyContin
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Together, these supply shocks may have spurred the introduction of fentanyl-as-substitute rein 2013, which occurred hinein the US Northeast and Midwest regions formerly supplied by Colombian-sourced heroin. Despite a recovery in total opium production in 2015 to above 2009 levels, fentanyl and other synthetic substitutes persist.
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Fentanyl self-testing outside supervised injection settings to prevent opioid overdose: do we know enough to promote it?
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Michael Gilbert, an independent researcher World health organization has studied darknet drug markets, said that not only do individual users buy drugs on the darknet, so do dealers World health organization go on to resell the drug rein their local area.
Current drug users rein affected regions of the United States, copyright and Europe appear largely to lack both concrete knowledge of fentanyl’s presence rein the drugs they buy and access to fentanyl-free alternatives.
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More data are needed rein all these areas, particularly as the epidemic evolves, but existing evidence points to heroin supply shocks and shortages, changing prescription opioid availability and/or reduced costs and risks to suppliers as explanations.
Where studied, the data show an unusual feature of the sale of fentanyl in both North America and parts of Europe: it is generally sold as ‘heroin’, as if fentanyl itself were an insignificant adulterant or not present at all [18–21]. Sometimes the ambiguous term ‘China White’ is used, which can refer to either heroin, historically from Southeast Asia, or a synthetic replacement.
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Unfortunately, it is often through overdose deaths that the presence of fentanyl hinein the drug supply becomes known, as was the case rein the United States Fentanylpulver Straßenpreis online rein 1979, when its illicit manufacture welches first determined [3].