xylazine

Episode 90: Navigating Shifting Chemical Landscapes with Claire Zagorski

March 1, 2025 Narcotica Episodes, Harm Reduction, News, Overdose Crisis 1:10:53 0 Comments

The endless whac-a-mole of the drug war, banning one chemical as soon as three more become popular, can never be won. That just isn’t how chemistry or human nature works. But that hasn’t stopped profiteers and special interest groups from pushing the same old strategies, none of which has resulted in significantly lowering overdose deaths or making communities healthier.

It has, however, resulted in strange new drugs arriving on the street, which means harm reduction has had to evolve and respond every time something new comes along. How do we navigate all this change? By following the same principles harm reduction was founded on in the first place: meeting people where they are and reminding them their health matters.

On this episode, Narcotica cohosts Aaron Ferguson and Troy Farah speak with Claire Zagorski, MSc, LP, a licensed paramedic, and a graduate research assistant and PhD student in translational science at The University of Texas at Austin. She studies illicit drug supply contamination and composition, and drug checking implementation.

If you liked this episode, here are others you might enjoy:
Episode 74: Cannabis And Capitalism — Preventing Another Big Tobacco with Shaleen Title
Episode 47: Can Harm Reduction and Cops Coexist?
Episode 73: Oh No! Not Naltrexone! with Nancy Curran

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. We just opened a shop where you can order Narcotica merch: narcocast.myshopify.com Help keep this podcast ad-free! Your support is appreciated!

We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!
Producers: Christopher Moraff, Troy Farah, Aaron Ferguson
Music: Glass Boy / Nomad1
Intro voice: Jenny Schaye
Image: via Flickr

Episode 87: Drug Testing Equals Empowerment with Dr. Nabarun Dasgupta and Charlton Roverson

July 31, 2024 Narcotica Episodes, Harm Reduction 1:06:30 0 Comments

On today’s episode, we’re going to talk about drug testing but not the tedious ways in which you should (probably) do it. There are plenty of great guides out there which we’ll link to one or two in the show notes. Instead, we’re going to discuss how drug testing equals empowerment. It’s more than just knowing what you may or may not be taking. It’s about stepping in where the government has failed and finding autonomy.

Narcotica co-hosts Aaron Ferguson and Troy Farah spoke with Charlton Roverson, the Eastern Regional Coordinator with the North Carolina Harm Reduction Coalition in Fayetteville and Dr. Nabarun Dasgupta, a pharmaco-epidemiologist and scientist at University of North Carolina at Chapel Hill who helps run the UNC Street Drug Analysis Lab. More info at https://www.streetsafe.supply/

Here are some drug testing guides:

Bunk Police: https://bunkpolice.com/

Reagent testing instructions from DanceSafe: https://dancesafe.org/testing-kit-instructions/

CDC guide to fentanyl test strips: https://www.cdc.gov/stop-overdose/safety/index.html

If you liked this episode, here are others you might enjoy:
Episode 55: Street Sampling Synthetics, from Carfentanil to Xylazine with Alex Krotulski
Episode 82: Drug War Activism and the Future of Harm Reduction with Louise Vincent
Episode 84: How Drug Seizures Damage Public Health with Drs. Bradley Ray, Jennifer J. Carroll and Brandon del Pozo

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. We just opened a shop where you can order Narcotica merch: narcocast.myshopify.com Help keep this podcast ad-free! Your support is appreciated!

We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!
Producers: Christopher Moraff, Troy Farah, Zachary Siegel, Aaron Ferguson
Music: Glass Boy / Nomad1
Image: Images via The Noun Project // edit: Troy Farah
Intro voice: Jenny Schaye

Episode 86: Why Naloxone Still Matters with Nancy D. Campbell

April 28, 2024 Narcotica Big Pharma, Episodes, Opioids 1:15:04 0 Comments

Naloxone is a miracle drug. Calling any drug a miracle can be problematic, but admittedly there are a few of them, in my opinion: penicillin, insulin, mifepristone and misoprostol, thorazine, viagra (cough, cough) and yes, naloxone. I think it qualifies as a miracle drug, something that works so well it is astonishing.

So many people fought so hard and for so long to have access to naloxone. It wasn’t always so available like it is in some places today. But the way that we are treating opioid overdose antagonists is changing. Many companies have price-gouged their way into profiting and exploiting a vulnerable population. They are bringing in naloxone analogs that they claim are more effective, without much evidence, but they do have serious side effects. And because the drug supply is only getting more and more unpredictable, with many non opioids entering the mix like xylazine and benzo analogs, naloxone may not help with overdoses of this kind. How can we navigate this shifting landscape?

Narcotica co-hosts Chris Moraff and Troy Farah speak with Nancy D. Campbell, author of the books Discovering Addiction and OD: Naloxone and the Politics of Overdose. She is a historian of science who studies addiction research and treatment at RPI, Rensselaer Polytechnic Institute in Troy, New York, including at the U.S Narcotic Farm in Lexington, Kentucky.

Learn more about Nancy D. Campbell here.

Read “OD: Naloxone and the Politics of Overdose” here: https://doi.org/10.7551/mitpress/12054.001.0001

If you liked this episode, here are others you might enjoy:
Episode 36: Moral Hazards and Naloxone, A Toxicologist’s Perspective with Ryan Marino
Episode 65: Restoring Trust in Doctors Amidst The Overdose Crisis with Dr. Ben Cocchiaro and Dr. Ashish Thakrar
Episode 73: Oh No! Not Naltrexone! with Nancy Curran

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. We just opened a shop where you can order Narcotica merch: narcocast.myshopify.com Help keep this podcast ad-free! Your support is appreciated!

We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!
Producers: Christopher Moraff, Troy Farah, Zachary Siegel, Aaron Ferguson
Music: Glass Boy / Nomad1
Image: Image via VCU Capital News Service / Flickr // edit: Troy Farah
Intro voice: Jenny Schaye

Episode 82: Drug War Activism and the Future of Harm Reduction with Louise Vincent

April 20, 2023 Narcotica Episodes, Opioids 01:12:18 0 Comments

The Drug War is more brutal than ever. Overdose deaths are still shattering records, there’s talk of war with the cartels, increased penalties are just making things worse, there’s little money for harm reduction programs or addiction treatment, yet plenty of cash for prisons, cops and the DEA, weird new drugs are appearing that no one knows how to handle and on and on. Meanwhile, the harm reduction movement is going through some massive changes, some good, some bad. But what we know for sure is that it’s critical for people to come together, stand up and demand a stop to the destructive force that is prohibition.

On this episode, the crew interviews Louise Vincent, director of the NC Survivors Union in North Carolina and on the leadership team of the National Drug User Union, an organization of former and active drug users who have come together to provide services for a community that is under-represented and underserved. Narcotica’s Chris Moraff, Zach Siegel and Troy Farah talk with Louise about xylazine, drug testing, using portable oxygen tanks to reverse cocaine overdoses (yes, really!), methadone access, the importance of drug user unions, why drug sellers are a community service, what it was like being on Last Week Tonight and so much more.

We’ve been trying to get Louise on for over a year and are really excited to share this episode with everyone. Thanks for listening. Expect more new episodes from us soon.

Learn more about NC Survivors Union at http://ncurbansurvivorunion.org/

Learn more about Louise’s story here: https://drugpolicy.org/drugsellers/louise

If you liked this episode, here are others you might enjoy:
Episode 62: Policing Pleasure — The Intersection of Sex Work and Drug Use with Tamika Spellman and Caty Simon
Episode 56: Drug Use During Disaster with Aaron Ferguson
Episode 67: Methadone in the Time of Covid with Danielle Russell

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. We just opened a shop where you can order Narcotica merch: narcocast.myshopify.com Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!
Producers: Christopher Moraff, Troy Farah, Zachary Siegel, Aaron Ferguson
Music: Glass Boy / Nomad1
Image: Vocal NY via Flickr // edit: Troy Farah
Intro voice: Jenny Schaye

Episode 55: Street Sampling Synthetics, from Carfentanil to Xylazine with Alex Krotulski

April 23, 2021 Narcotica Episodes 00:44:56 0 Comments

Amid a wave of synthetic drugs in recent years, Kensington, Pennsylvania has emerged as the locus for a different kind of experimentation, through a new generation of freelance entrepreneurs. Their bathtub chemistry is often guided by trial and error—leaving doctors, public health officials and harm reductionists struggling to understand the latest side effects.

Last year, a concerned toxicologist from the nonprofit Center for Forensic Science Research & Education (CFSRE) at the Fredric Rieders Family Foundation, the academic and research arm of NMS Labs outside Philadelphia, conceived of a new testing program. It employs sophisticated mass spectrometry to reveal the composition of retail-level street drugs.

Alex Krotulski, an associate director of the CFSRE, spoke to Narcotica co-host Chris Moraff about everything from synthetic cannabinoids like 5F-APB to carfentanil to xylazine.

You can follow Alex Krotulski on Twitter: @alexkrotulski and read Chris’s report on this subject in Filter Magazine.

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah
Music: Glass Boy / Suhov
Intro voice: Jenny Schaye
Image: edit: Troy Farah