The drug, a tranquilizer for animals including horses and cattle, is hard for clinicians to identify, and users may not even know they have taken it.
Receive email when new articles are published onXylazine, a tranquilizer for animals including horses and cattle, has increasingly been found in the illegal drug supply chain in Canada. The drug is most often found mixed with fentanyl, and often, users don't know they're ingesting it.
that the paper isn't meant to sound an alarm and that he doesn't want clinicians overly distracted from the work of addressing the primary concern, which is opioid use and connecting patients with resources, particularly addiction specialists. But because information has been scant and varied, he said, he wanted clinicians to know the core realities.
Hayley Thompson, project manager for Toronto's Drug Checking Service, said that about 10% of the fentanyl samples they check are laced with xylazine. She added that it's important to note that xylazine is just one of the contaminants mixed into the illicit drug supply. The Drug Checking Service has five collection sites where people can drop off a sample of their drug — an amount "about the size of a typical matchhead," said Thompson — to see the composition and then make consumption choices. Patients who are reluctant to offer a sample can have a cooker or filter tested instead.
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