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Credit: Los Angeles Times. Young men in plain T-shirts draw near and call out their wares: Pills. But if you wave them away and go just a few feet farther, you can walk into a pharmacy where you might get something just as dangerous. A Los Angeles Times investigation has found that pharmacies in several northwestern Mexican cities are selling counterfeit prescription pills laced with stronger and deadlier drugs and passing them off as legitimate pharmaceuticals. Hands in blue gloves pour liquid from a container into a tube. Testing on an Adderall pill came back positive for methamphetamine in Cabo San Lucas. Many are nearly indistinguishable from their legitimate counterparts. A team led by UCLA researchers recorded similar results in a study last week, but this phenomenon has otherwise gone largely unnoticed. The new findings could represent a dangerous shift in the fentanyl crisis. Until now, it was unclear that the powerful synthetic opioid had made its way into pharmacy supply chains. Even though Mexican drugstores are known for selling a wide range of medications over the counter — many of which require a prescription in the United States — experts generally believed those pills were at least what store owners said they were. But how often that happens is impossible to tell. A street with shops. While more than 91, people died of overdoses in the U. Fewer than two dozen of those, according to the data, were from opioids, compared with more than 68, opioid overdose deaths in the U. Carlos Briano, a spokesperson for the U. Multiple local and national government agencies in Mexico also ignored requests for comment. McKinsey, was found unresponsive at home in Buckeye. A small baggie containing blue pills and aluminum foil were found in his wallet. David Trone D-Md. State Sen. Fentanyl has been infiltrating the illicit drug supply for roughly a decade, since traffickers seized on the synthetic drug as a cheaper alternative to traditional opiates — and one with a higher profit margin. The U. Centers for Disease Control and Prevention has described fentanyl as up to 50 times stronger than heroin. A dose as small as 2 milligrams can be fatal. Light blue pills. Fentanyl-laced fake oxycodone pills. Then, it began appearing in counterfeit pills made to look like the real thing. Getting one of those pills still required a willingness to engage in illicit street deals. But to many users, the faux pharmaceuticals seemed safer than drugs that required shooting or snorting. Accordingly, street pills found a much larger market than powders. If those pills can now be purchased in legitimate pharmacies, that market becomes larger still. Were you or someone you know harmed by pills in Mexico? We want to hear from readers about their experience. Let us know by filling out this brief form. Stroll past the picturesque stores and yacht-lined docks of Cabo San Lucas. A harbor with yachts and buildings on hills in the background. Cabo San Lucas. Some have sandwich board signs on the sidewalk advertising pills. In Cabo San Lucas, one shop near a large dockside shopping mall featured a few racks of toys inches away from stacked boxes of medication. Illustration of three pills. They asked how strong the pills were. None of the pharmacists inquired further. Invariably, the tablets were kept in some hidden spot. Though bottles of less tightly controlled medications like Xanax or Viagra or Ultram were often on display in glass cases, more powerful and more closely regulated substances like oxycodone — whether real or fake — were secreted away. Pharmacies such as these accept payment in most any format — credit card, pesos or dollars. At one store in Tijuana, all the drugs turned out to be legitimate — or at least they did not contain fentanyl. A pill on a piece of paper. Testing on an Adderall pill came back positive for meth in Cabo San Lucas. Among the three cities, several stores declined to sell the pills individually, and two refused to sell them without a prescription. Though roughly a third of the 40 pharmacies targeted in the study would not sell high-powered prescription drugs over the counter, the majority did. With their more precise equipment, the researchers were able to get more granular results — and to determine that three of the oxycodone samples were positive for heroin. They, like The Times, also found that all of the counterfeit pills came from stores in areas frequented by tourists, in locations that often featured English-language medication advertisements. A silhouetted person walks by a pharmacy. A pharmacy in Cabo San Lucas. State Department, meanwhile, noted two drug-related deaths of Americans in Mexico that year. Cabo San Lucas is a major draw for American tourists. But cartels knew they could make more money by producing it themselves. In the years that followed, the amount of fentanyl seized by U. Customs and Border Protection more than tripled, from 4, pounds in to 14, pounds last year. But pharmacy owners are most likely not buying directly from the criminal organizations. When reporters visited last month, at least a few drugstore workers seemed aware their over-the-counter offerings were unusually potent. He was differentiating between two pills he presented when asked for oxycodone: the one he pointed out, which later tested positive for fentanyl, and one that came up negative. Given the shortcomings in Mexican death data, spotting those deaths could be difficult — which means cartels will have little reason to curb their pill trade. Over the course of a year, we recently lost , sons, daughters, moms, and dads to drug overdoses. Millions are suffering from mental illness, exacerbated by the pandemic. Together, we must take action to save lives. For more resources click here. February 02, Some pharmacies in Mexico passing off fentanyl, meth as legitimate pharmaceuticals. Are you, or someone you know, struggling with a mental health or substance use disorder? You are not alone.

Some Mexican pharmacies are selling full bottles of Adderall. But it’s actually meth.

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Mexican pharmacies offer prescription medications at lower prices than pharmacies in the United States. The price difference is so great that some Americans travel to Mexico to take advantage of the savings. In addition, some prescription medications in the U. As more and more Americans struggle to cover the cost of prescription medications, a trip to Mexico is an attractive solution, especially for those who live along the southern border. This article discusses how to use a Mexican pharmacy. It also explains the legality of buying medications in Mexico and the rules regarding crossing the border with pharmaceuticals. Please note that the rules often change without notice, so it's important to stay informed. But there are limits. The U. Customs and Border Protection CBP will generally prohibit a supply for more than 90 days to come across the border. However, if you have medications that are considered a controlled substance including some cough medicines, tranquilizers, sleeping pills, antidepressants, or stimulants, you may only bring up to 50 dosage units across the border without a prescription. Beyond that amount, you will need a prescription from a licensed U. And here is a key point: A prescription from a Mexican doctor is no longer acceptable. In addition, you must state, in writing, that the medication is for your personal use. Essentially, you are agreeing that you are not going to be selling the drugs or giving them to someone else. All medications must be declared upon arrival at the border. And they must be in their original containers. Medications that are not approved by the FDA may not be allowed. Note that it is illegal to fail to declare imported medications with CBP agents properly. The FDA prohibits the importation of 'unapproved new drugs' for the purpose of distribution and sale. This category includes any drugs failing to meet FDA safety and effectiveness standards. This also includes foreign-made versions of U. These are the drugs that are often cheaper than those in the U. The rules may be relaxed under certain conditions, including:. This does not mean that the FDA will allow individuals to import medications from Mexico at will. It does, however, give law-abiding Americans some options if they can't get or can't afford medications in the U. The CBP website provides an updated list of prohibited and restricted items. The FDA also has a guide for importing drugs originally intended for foreign markets. Be aware that the rules the CBP agents follow change often and without notice, so it's important to contact the CBP for timely information. Imported drugs from a Mexican pharmacy can carry some serious risks. The FDA is only responsible for drugs marketed and sold in the U. This is especially true with drugs that are available only by prescription in the United States but sold over the counter in Mexico. Safety risks of importing medications can include:. Always check with the CBP for updated requirements. Customs officials will generally want a letter from the individual patient stating that the drug from a Mexican pharmacy is intended for personal use to treat a serious medical condition. You will also need to provide the name and address of the U. The medication should be in its original container with a doctor's instructions printed on the bottle, in English, and generally containing no more than a three month supply. There are limits to bringing prescriptions purchased at a Mexican pharmacy into the United States. You may do so if you have a serious medical condition, there are no effective treatments available in the U. Even then, there are restrictions. For example, you will be limited to a three-month supply. Personal importation. CFR—code of federal regulations Title Customs and Border Protection. Traveling with medication. Prohibited and restricted items. Human drug imports. Drug supply chain integrity. Counterfeit medicine. Embassy and Consulates in Mexico. Health alert: Counterfeit pharmaceuticals March 17, By Marian Anne Eure Marian Eure, RN, is a registered nurse with more than 25 years of experience in adult health care, health promotion, and health education. Use limited data to select advertising. Create profiles for personalised advertising. Use profiles to select personalised advertising. Create profiles to personalise content. Use profiles to select personalised content. Measure advertising performance. Measure content performance. Understand audiences through statistics or combinations of data from different sources. Develop and improve services. Use limited data to select content. List of Partners vendors. Patient Rights. Managing Medical Costs. By Marian Anne Eure. Medically reviewed by Mary Choy, PharmD. Fact checked by Khara Scheppmann. Table of Contents View All. Table of Contents. Prescriptions From Mexico. Safety Risks. Required Documentation. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. See Our Editorial Process. Meet Our Medical Expert Board. Share Feedback. Was this page helpful? Thanks for your feedback! What is your feedback? Related Articles. You may accept or manage your choices by clicking below, including your right to object where legitimate interest is used, or at any time in the privacy policy page. These choices will be signaled to our partners and will not affect browsing data.

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