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cover of episode Fake Pharmaceuticals Laced with Fentanyl Are a Global Health Crisis

Fake Pharmaceuticals Laced with Fentanyl Are a Global Health Crisis

2025/1/30
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Bonnie Halpern-Felsher
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Dan Ciccarone
E
Ed Ternan
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Leslie McClurg
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Leslie McClurg: 我主持了这个关于芬太尼假药危机的讨论节目,采访了专家和一位失去儿子的家长。假药丸看起来非常逼真,即使是专家也很难分辨真假,其中70%含有致命剂量的芬太尼。 尽管去年青少年的药物过量死亡人数有所下降,但与疫情前相比,因阿片类药物过量死亡的青少年人数仍然翻了一番。我们讨论了这个问题的原因、影响以及如何预防。 Dan Ciccarone: 我与人合著了一篇关于芬太尼假药普遍性的文章。芬太尼假药正在全球蔓延,并且以药丸形式出现的芬太尼已经超过了粉末形式。这些药丸看起来非常逼真,人们误以为是合法药物,例如阿德拉尔或安定,从而造成严重后果。毒贩将芬太尼掺入其他药物的原因尚不清楚,但他们是为了满足需求,而对止痛药的需求仍然很大。 虽然药物过量死亡人数有所下降,但假药丸导致的死亡人数仍在上升,尤其是在年轻人和非裔美国人中。我们需要对毒品进行分级,将假药归为高危类别,并对青少年进行相应的教育。芬太尼试纸只能检测药物中是否含有芬太尼,不能保证药物的安全性,且其准确性受药物成分均匀度影响。 Bonnie Halpern-Felsher: 青少年和年轻人并非故意购买假药,而是因为寻求帮助缓解ADHD、疼痛或压力,误以为购买的是真正的处方药。他们通过社交媒体或不可靠的渠道购买药物,而这些药物中含有芬太尼。 大多数因芬太尼过量死亡的青少年并非吸毒成瘾者,他们只是偶尔服用止痛药或抗焦虑药。我们需要与年轻人和家长进行沟通,教育他们认识到这种风险,并采取伤害减少的方法,例如随身携带纳洛酮和芬太尼试纸。 Ed Ternan: 我儿子Charlie误服了含有芬太尼的假佩可塞特而死亡,这促使我创立了非营利组织“Charlie之歌”来提高人们的意识。 父母应该与孩子进行持续的对话,而不是一次性的谈话,共同学习关于毒品的信息。在对青少年进行毒品教育时,不应强调法律后果,而应关注安全和健康。

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Shownotes Transcript

Counterfeit pharmaceutical pills laced with drugs like fentanyl are a new global crisis according to a recent article in the journal Lancet. The fake prescription pills are often the same color and size as the original, making them virtually indistinguishable. In 2023 the DEA found that 70% of counterfeit pharmaceutical pills contained a potentially deadly dose of fentanyl. And while drug overdoses among young people were down last year compared to 2023, the number of young people dying of opioid overdoses is still double what it was before the pandemic. We’ll talk to a parent whose son died of an accidental fentanyl overdose and with addiction experts about the crisis and what can be done to prevent it.

Guests:

Daniel Ciccarone, professor of Family & Community Medicine, UCSF

Ed Ternan, founder, Charlie's Song, a nonprofit focused on fentanyl education and awareness

Bonnie Halpern-Felsher, professor of pediatrics and adolescent medicine, Stanford University