Abstract

More people are combining illicit fentanyl with methamphetamine or cocaine. A decrease in drug‐overdose deaths, the first decline since 1990, is attributed to a decrease in deaths involving prescription opioids, but at the same time, deaths due to illicit fentanyl and stimulants — methamphetamine and cocaine — are increasing. In an effort to ascertain those trends, researchers supported by drug‐testing laboratory Millennial Health went back and looked in detail at urine drug testing (UDT) data they reported in 2019, which included a 798% increase in positive rates for illicit fentanyl and among all results positive for methamphetamine, and an 1850% increase for illicit fentanyl among all results positive for cocaine.

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