Pubdate: Wed, 07 Jun 2006 Source: Bluefield Daily Telegraph (WV) Copyright: 2006 Bluefield Daily Telegraph Contact: http://www.bdtonline.com Details: http://www.mapinc.org/media/1483 Bookmark: http://www.mapinc.org/find?232 (Chronic Pain) Bookmark: http://www.mapinc.org/heroin.htm (Heroin) Bookmark: http://www.mapinc.org/oxycontin.htm (Oxycontin/Oxycodone) FENTANYL: A DEADLY ADDICTION Abuse In Southwest Virginia Is Growing News of growing abuse of the prescription painkiller fentanyl brings another deadly battle to the region's war on drugs. In 2005, fentanyl was the fourth leading cause of overdose deaths in Southwest Virginia, while only three to four years earlier "it wasn't even a blip on the screen," Tazewell County Commonwealth Attorney Dennis Lee said. The first distribution case in Tazewell County for fentanyl came in 2002. Since then, there has been no indication of the drug's decline. In recent months, two more individuals in Tazewell County have been indicted for possession and distribution of the painkiller. The use of the drug has been on the increase since intense media attention brought the Oxycontin plague into the spotlight. Lee believes fentanyl is being used by hard-core addicts who have moved on to fentanyl from Oxycontin because it may be easier to obtain. But, when abused, it appears to be even deadlier than it's predecessor. Fentanyl is 80 times more powerful than morphine. And, unlike morphine and heroin which are dosed in milligrams, fentanyl is prescribed in micrograms -- 1/100th of a milligram. Even more alarming than the knowledge of the drug's use is how many addicts are abusing the method by which it may be prescribed. Fentanyl is prescribed in a Duragesic patch -- a skin patch that releases the drug by a time-release method. "People in the drug community will poke holes in it and squeeze out the gel in the patch and then shoot it up or cut it open into 'chicklets,' square pieces, and chew those up or put those under their tongues," Lee said. Medical examiners have also reported overdose cases in which victims were discovered with numerous fentanyl patches on their bodies. In recent weeks, the painkiller has made national headlines with the news of more than 100 deaths in eight states from heroin users who used a deadly mix of fentanyl and heroin. Like so many drugs, fentanyl can be of great medicinal value for patients who have been prescribed the drug by their doctors and use it appropriately. Yet those who abuse it may find the consequences are lethal. "It is very easy to overdose on this drug," Lee said, relating how a toxicologist once told him, "if you have a person who abuses fentanyl on a regular basis, you probably have a person not long for the world." Sad, but true. Lee does not believe fentanyl is, of yet, being used experimentally by teens -- this is one trend we hope continues. And we commend those in the justice system who are working to arrest and prosecute those charged with distributing the potent painkiller. This battle in the drug war is truly a matter of life and death. - --- MAP posted-by: Beth Wehrman