'We probably will see it again,' Illinois' Peoria County Coroner Jamie Harwood said about the new synthetic opiate isotonitazene.
may be contributing to the addition crisis, showing signs of penetrating new markets, according to those who have followed it.Illinois and Indiana
, where it was mixed with cocaine. It was also found during a drug raid late last year in Canada's eastern seaboard, according to reports. The drug comes in a white or off-white powder form or pressed into counterfeit opioid pills. Dr. Lakshmi Sammarco, the Hamilton County, Ohio, coroner, said she is aware of the relatively new drug and plans to get a standard test for it so that it can be added to toxicity screens for those who die from overdose in the county."We will probably look back at some overdose deaths to see whether it was present."
Illinois' Peoria County Coroner Jamie Harwood said this week that isotonitazene was detected in an overdose death from December 2019 in his county after a toxicology screen came back with no matches to known opioids. He knew from the individual's background and the apparent circumstances of death that the person had a history of substance use disorder.
Derivatives of the drug have been sold online and appear to be entering the United States from the international community, said Dr. Mina"Mike" Kalfas, a Northern Kentucky addiction specialist.opioid first identified in the 1950s that is explicitly illegal, Sammarco said. The new one isn't yet on the U.S. Drug Enforcement Administration's controlled substances list. That means it's not illegal.
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