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Nicole Lee works as a paid consultant to the alcohol and other drug sector. She has previously been awarded grants by state and federal governments, NHMRC and other public funding bodies for alcohol and other drug research. She is a Board member of The Loop Australia. National Institutes of Health. Earlier this month, drugs sold as cocaine in Melbourne were found to be contaminated with a powerful group of opioids, known as nitazenes. These new synthetic drugs were also the suspected cause of four people being hospitalised in Sydney in May. And in April, nitazenes were found in drugs used by around 20 people who overdosed in outer Sydney. Nitazenes are a group of synthetic opioids. Nitazenes were developed in the s to expand options for pain management, but the research was abandoned because they were too dangerous. Other common opioids include heroin , morphine and fentanyl , which are used for medical and non-medical purposes. Nitazenes vary in potency and purity but can be ten times stronger than fentanyl, and up to times more potent than heroin. This means some people may take nitazenes without knowing it. Because these drugs are so strong they can be especially dangerous for people who are not used to taking opioids. If someone has taken too much heroin, it takes an hour or more before they stop breathing, but nitazenes can take just a few minutes. Opioids interfere with the part of the brain that controls breathing. Someone overdosing on opioids may have a strong pulse but their breathing will be shallow or stop. Taking nitazenes in combination with another illicit drug can make them even more dangerous. Places like the United States , the United Kingdom and Ireland have seen concerning increases in overdoses related to nitazenes in recent years, so experts in Australia are worried we may follow suit. And given nitazenes have been found in Australia in drugs sold as cocaine , MDMA and ketamine , more people may be at risk of overdose. Although only a relatively small proportion of the population use cocaine, use has increased significantly in the past 20 years in Australia. In —23, 4. In , 2. Ketamine has also increased in popularity as a recreational drug. In —23, 1. Some 4. Most people who use these sorts of drugs do so only occasionally, but harms from nitazenes are a concern even for people who use these drugs just once. People using drugs such as cocaine, MDMA or ketamine can get them checked at a drug checking service. However, drug checking services are currently only available in the Australian Capital Territory and Queensland. Victoria is due to get a service by the end of this year. Australians can also buy nitazene test strips , which can detect the presence of nitazenes in a drug sample. While cross-reactivity is often a problem for drug test strips, in recent testing, nitazene strips were found not to cross-react to a panel of other common substances outside the nitazene class. If you regularly use these types of drugs you can keep naloxone on hand. Naloxone reverses the effects of opioids by temporarily blocking the opioid receptors in the brain. If you or someone you know has trouble breathing or any unwanted symptoms after taking a drug, call triple zero immediately, even if you have administered naloxone. They could expand harm reduction services, such as drug checking and supervised injecting services, and ensure we have ample stocks of naloxone. Edition: Available editions Europe. Become an author Sign up as a reader Sign in. So what are nitazenes, why are they so dangerous, and how can we minimise the harms they cause? Events More events.
High tide: why are cocaine bricks washing up on Sydney beaches?
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Police are investigating the deaths of a year-old man at Glebe in the early hours of Friday 30 August and a year-old woman at Newtown about 8. The state health department on Friday warned people who use illicit drugs to carry naloxone — the life-saving medication used to treat opioid overdoses. Experts said opioids were increasingly being mixed with other stimulants in Australia. In light of this detection, people who use drugs such as cocaine, methamphetamine, MDMA or opioids should carry naloxone. The drug is available anonymously and without a prescription. Naloxone is highly effective at blocking opioids such as heroin and oxycodone from attaching to receptors in the brain. The effect is temporary and after administrating naloxone it is vital to call triple zero for an ambulance, NSW Health said. The NSW overdose deaths come after four people were found dead in Melbourne with opioids detected in their bodies in July. The Victorian health department had previously issued a drug alert for cocaine laced with protonitazene — a novel synthetic opioid that is up to times more potent than heroin. She said people needed to be aware of the risks and be prepared to take simple steps to prevent harm, including never taking drugs alone as well as carrying naloxone. Opioids could slow your respiration, reducing the drive to breathe, which is what caused overdoses, she said. When someone took opioids regularly with a known dose, they did have some tolerance to the effects, which was somewhat protective, she said. People who use illicit drugs are being encouraged to carry naloxone — the life-saving medication used to treat opioid overdoses. Cocaine users die of heroin overdoses after consuming tainted drugs at Sydney house party. Researchers urge more Australian pharmacies to stock anti-opioid overdose drug naloxone. Read more. Synthetic opioid detected in bodies of four people found dead in Melbourne home. Reuse this content. Most viewed.
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