🚨New Public Alert: New Potent Synthetic Opioid—N-Desethyl Isotonitazene—Proliferating Among Recreational Drug Supply in USA
“N-desethyl isotonitazene is an active opioid agonist and is approximately 20x more potent than fentanyl.” ⬇️
🔗: https://t.co/8pAJYOS4Xx
@ThommyTox@Dallas_Holladay I typically reserve ketamine for situations where I’ve really loaded up GABA A but I haven’t quite achieved the level of sedation the patient needs. Def stay in sub-d doses (made that mistake once). Idk if this is the way. May start using earlier.
#thankyou@blakebriggsmd (@EMBoardBombs): excellent common sense column on how much time and $ is wasted on Urine Drug Screens in the ED
1/
https://t.co/SJn4dC93px
@RyanMarino @tomashemstad Seriously. It’s not like I was trying to work on mechanistic probes for CHS while they were still watching Reefer Madness on repeat or anything