Yes, there has been a huge increase in the number of accidental fentanyl poisonings. I think this is now the leading cause of accidental death among young people, surpassing even vehicle crashes. Mexican drug cartels have been manufacturing counterfeit prescription painkillers and replacing active ingredients with fentanyl. They have bad quality control and sometimes just put in too much. Fentanyl is so potent that there is only a tiny difference between a recreational dose and a lethal dose, even for opioid addicts who have built up a tolerance.

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