the past was prologue

our history is your future

its odd that they use the word ‘mixing’ as if the use of benzos like etizolam (which is not licensed for use in canada) was intended.

from Toward the Heart/BCCDC (Dec 23, 2020)

the fact is, these novel benzologues entered this market for the same basic reason that fentanyl did (when it flooded the market, almost entirely replacing heroin, 2015-16): profit.

apparently, its hard to make any money off poor people who are always getting poorer. so we see a very potent non-opioid in a large % of the supply. however, the supply itself changes through time. in fact, it changes in step with the cheque cycle most months. the upshot of this is after (for example) a couple weeks of using down with a high benzo content, your tolerance for opioids is diminished to whatever extent, meaning that you’re going down hard when the supply shifts and contains more fent.

month by month, the supply is inching away from opioids. in Toronto, the % of xylazine, a veterinary tranquilizer, is astonishing. on the west coast, drug checking finds novel benzodiazipines – ie they are custom-made.

in June, I tried to find out what – besides benzos – drug checking was seeing in the down. yes, i said. “active” contaminants and bunk.

  • 4-ANPP
  • acetaminophen
  • ascorbic acid
  • benzocaine
  • cocaine base
  • creatine
  • dextromethorphan
  • dimethyl sultone
  • heroin
  • hci lactose methamphetamine
  • HCI microcrystalline cellulose
  • phenacetin
  • plaster
  • polyethylene glycol
  • propionanilide
  • starch
  • sucrose
  • sugar (uncertain)
  • water
  • xylitol

this is a wrench in safe supply prescribing. you may think you use fentanyl but you also use benzos and a bunch of other random shit. so by shifting to safe supply, you’re withdrawing off all that, which can be terrible, and really dangerous (but not dopesick), and you can be prescribed legit benzos to make it smoother, and you should. whatever you think you use is inaccurate, and whatever a doctor says you use – well, that doctor is wrong.

can someone shift to a prescribed supply when theyve been consuming unknown sludge for however long? i think so, but we have to acknowledge the reality of the sludge to get anywhere. did anyone want all that shit in the first place?

on the other side you have the prescribed opioid without all that other stuff. but to get there i think health systems and prescribers need to get a lot more flexible. you’re not replacing a drug, but a drug market.

and if this is successful, that market will slowly react and there will be a tipping point when enough people are on prescribed supply, and those people will have a lot more money.

i wonder what will happen then