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>And I’ve heard reports in Mexico that pharmacy drugs have had it as well. Okay, in that case though, that's purely a Mexico failing to regulate problem. FDA r

>And I’ve heard reports in Mexico that pharmacy drugs have had it as well. Okay, in that case though, that's purely a Mexico failing to regulate problem. FDA requires audits, certs, testing, and tracking of all stages of drug production and delivery specifically so that tainted or contaminated batches can have things like recalls or advisories released about them. I'd be interested to know more about the producers of the pharmaceuticals in question, or whether compounding pharmacies are unable to sufficiently control their environment given the potency of fentanyl such that what little contamination is making it past their attempts to prevent cross contamination are leading to lethal complications. It can be handled. Whether or not you enforce the requirements for it to be handled is a political question.

yieldcrv 4y ago
> Okay, in that case though, that's purely a Mexico failing to regulate problem. The point was more of a pointing out the prevalence and the realism of the danger, many Americans do medical tourism, alongside the issue with the street drug issue in the USA. If you're relying on a "it can't happen here" approach to that specific issue, I think that is also naive. It is the number one killer 18-45 in US right now. All aspects need to be addressed simultaneously. The accuracy of your observation I think is a football punted in the wrong direction.
- salawat 4y ago
  Mind, I'm just talking "legitimate" pharmaceutical dispensaries. Their entire reason for existing is to safely deal with things like this. Street labs, by their nature, are unencumbered by the same systems and incentive structures that result in generally safe dispensaries. Part of medical tourism is the risk taking inherent thereto. Part of being an FDA approved drug is regular audits and compliance of your supply chain, plus regular mandatory inventory QC, with enforceable consequences for failure to comply. It's expensive, but it means (generally) a high quality product with known behavior at the condumer end. That goes out the door if you aren't regularly looking for failure states because your regulator takes a "hands off" or paper pusher approach. I'm not saying failure can't happen in the U.S. it certsinly can. Just that there are relatively fewer sources where we don't have the capability to tighten down amongst law abiding dispensaries. Black Market sources are purely an at your own risk affair.

yieldcrv 4y ago

> Okay, in that case though, that's purely a Mexico failing to regulate problem. The point was more of a pointing out the prevalence and the realism of the danger, many Americans do medical tourism, alongside the issue with the street drug issue in the USA. If you're relying on a "it can't happen here" approach to that specific issue, I think that is also naive. It is the number one killer 18-45 in US right now. All aspects need to be addressed simultaneously. The accuracy of your observation I think is a football punted in the wrong direction.

salawat 4y ago
Mind, I'm just talking "legitimate" pharmaceutical dispensaries. Their entire reason for existing is to safely deal with things like this. Street labs, by their nature, are unencumbered by the same systems and incentive structures that result in generally safe dispensaries. Part of medical tourism is the risk taking inherent thereto. Part of being an FDA approved drug is regular audits and compliance of your supply chain, plus regular mandatory inventory QC, with enforceable consequences for failure to comply. It's expensive, but it means (generally) a high quality product with known behavior at the condumer end. That goes out the door if you aren't regularly looking for failure states because your regulator takes a "hands off" or paper pusher approach. I'm not saying failure can't happen in the U.S. it certsinly can. Just that there are relatively fewer sources where we don't have the capability to tighten down amongst law abiding dispensaries. Black Market sources are purely an at your own risk affair.