The Atlantic

The Hard-to-Trace Ingredient Behind Skyrocketing Cocaine Deaths

Often laced into popular illicit drugs, synthetic opioids are killing more people than heroin or OxyContin.
Source: Cliff Owen / AP

Updated on May 3, 2018

In the United States, more people are dying because of synthetic drugs like fentanyl than because of heroin or prescribed painkillers. While, to many, the opioid crisis has been synonymous with heroin and prescription pills, a report published Tuesday in JAMA Psychiatry builds the case that the class of synthetic drug is increasingly making its way into other drugs like cocaine and leading to overdoses. From 2010 to 2016, more and more overdose deaths have been found to be caused, at least in part, by drugs like fentanyl.

In a the study used was reported on late last year with the shocking headlines that synthetic opioids like fentanyl have as the source of opioid deaths. But, according to Wilson Compton, one of the new report’s authors, his study zeroes in on a particularly insidious aspect of the drug: the increased risk it poses to people who seek out drugs like cocaine and Xanax and end up with fentanyl-laced products that could kill them in as fast as a few minutes. For example, in 2016, of the people in the United States who were declared dead from overdosing on benzodiazepines—drugs like Xanax and valium—had also ingested fentanyl or something like it.

You’re reading a preview, subscribe to read more.

More from The Atlantic

The Atlantic7 min readAmerican Government
Could South Carolina Change Everything?
For more than four decades, South Carolina has been the decisive contest in the Republican presidential primaries—the state most likely to anoint the GOP’s eventual nominee. On Saturday, South Carolina seems poised to play that role again. Since the
The Atlantic4 min read
Hayao Miyazaki’s Anti-war Fantasia
Once, in a windowless conference room, I got into an argument with a minor Japanese-government official about Hayao Miyazaki. This was in 2017, three years after the director had announced his latest retirement from filmmaking. His final project was
The Atlantic5 min readAmerican Government
What Nikki Haley Is Trying to Prove
This is an edition of The Atlantic Daily, a newsletter that guides you through the biggest stories of the day, helps you discover new ideas, and recommends the best in culture. Sign up for it here. Nikki Haley faces terrible odds in her home state of

Related Books & Audiobooks