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In reply to the discussion: Drug Counselors Overdose at Addiction Facility [View all]mr_lebowski
(33,643 posts)Not many formulations of oxy these days lend themselves to IV use, but the blue instant-release 30mg Oxys aka 'roxies' are cherished for their easy fixability, from what I've gathered. IR Dilaudid's are also extremely easy to prep for IV use. Just because there's 'baggies' and 'needles', that doesn't 100% define 'heroin'.
On top of that, some of the "heroin" on streets these days either has 'added', or has as its only actual active ingredient ... fentanyl. Which is normally an Rx opioid, delivered in time-release patches. It's very dangerous because Fenanyl is like 100x the strength of morphine BY WEIGHT (dosages are in micrograms, not milligrams) and hence requires very precision weighing equipment to 'divvy-up' properly. On top of that, the people adding the fentanyl to the smack ... don't know what the potency of the smack is, nor what it was cut w/before it reached them.
Not that this is all that 'relevant'. The 'line' between Diamorphine (Heroin) and Hydromorphone and Oxycodone and Oxymorphone and Hydrocodone ... is a very, very thin one. It's like trying to make serious distinctions between advil, naproxen and aspirin ...
As for 'what's going on there' ... it's very common for recovering addicts with some 'clean time' ... to become drug counselors. But ... it's common for recovering addicts to relapse. So, you put newly-or-not-even-yet 'recovering' addicts ... around longer-term recovering addicts ... and it's not at all shocking that sometimes ... bad stuff ends up happening.