Heroin uncertainties: Exploring users' perceptions of fentanyl-adulterated and-substituted 'heroin'

D Ciccarone, J Ondocsin, SG Mars - International Journal of Drug Policy, 2017 - Elsevier
Background The US is experiencing an unprecedented opioid overdose epidemic fostered
in recent years by regional contamination of the heroin supply with the fentanyl family of …

Being “hooked up” during a sharp increase in the availability of illicitly manufactured fentanyl: adaptations of drug using practices among people who use drugs …

C McKnight, DC Des Jarlais - International Journal of Drug Policy, 2018 - Elsevier
Illicitly manufactured fentanyl (IMF), a category of synthetic opioids 50–100 times more
potent than morphine, is increasingly being added to heroin and other drugs in the United …

[HTML][HTML] Consuming illicit opioids during a drug overdose epidemic: Illicit fentanyls, drug discernment, and the radical transformation of the illicit opioid market

SED Clarke, AH Kral, JE Zibbell - International Journal of Drug Policy, 2022 - Elsevier
Abstract Background North America continues to face an opioid overdose epidemic, driven
by persistent increases in illicit fentanyls and fluctuations in potency leading to uncertainty …

[PDF][PDF] Fentanyl in the US heroin supply: a rapidly changing risk environment

D Ciccarone - 2017 - escholarship.org
The supply of heroin into the US has changed with new source-forms and market strategies.
Of particular concern is the rampant and persistent adulteration of heroin with synthetic …

Sold as heroin: perceptions and use of an evolving drug in Baltimore, MD

SG Mars, J Ondocsin, D Ciccarone - Journal of psychoactive drugs, 2018 - Taylor & Francis
Since 2001, heroin-related overdose deaths in the United States have risen six-fold, a rise
unaccounted for by the expanding user population. Has heroin become a more dangerous …

[HTML][HTML] Exposure to fentanyl-contaminated heroin and overdose risk among illicit opioid users in Rhode Island: A mixed methods study

JJ Carroll, BDL Marshall, JD Rich, TC Green - International Journal of Drug …, 2017 - Elsevier
Background Illicit fentanyl use has become wide spread in the US, causing high rates of
overdose deaths among people who use drugs. This study describes patterns and …

Characterizing fentanyl-related overdoses and implications for overdose response: Findings from a rapid ethnographic study in Vancouver, Canada

S Mayer, J Boyd, A Collins, MC Kennedy… - Drug and alcohol …, 2018 - Elsevier
Abstract Background North America is experiencing an opioid overdose epidemic, fuelled by
the proliferation of fentanyl, related analogues, and fentanyl-adulterated opioids. British …

Fentanyl-contaminated drugs and non-fatal overdose among people who inject drugs in Baltimore, MD

JN Park, BW Weir, ST Allen, P Chaulk… - Harm reduction journal, 2018 - Springer
Background The opioid crisis remains a major public health issue in the US and beyond.
Despite rapid rises in fentanyl-related mortality nationally, little is known about the role of …

Street fentanyl use: Experiences, preferences, and concordance between self-reports and urine toxicology

R Daniulaityte, RR Carlson, MP Juhascik… - International Journal of …, 2019 - Elsevier
Abstract Background Conducted in Dayton, Ohio, the study aims to characterize user
knowledge and experiences with non-pharmaceutical fentanyl-type drugs (NPFs) and …

Prevalence and correlates of fentanyl-contaminated heroin exposure among young adults who use prescription opioids non-medically

A Macmadu, JJ Carroll, SE Hadland, TC Green… - Addictive …, 2017 - Elsevier
Background The rate of overdose deaths caused by fentanyl-contaminated heroin (FCH)
use is increasing rapidly in the United States. We examined risk factors for exposure to FCH …