{"id":73434,"date":"2025-12-17T16:20:08","date_gmt":"2025-12-17T16:20:08","guid":{"rendered":"https:\/\/www.newsbeep.com\/us-ny\/73434\/"},"modified":"2025-12-17T16:20:08","modified_gmt":"2025-12-17T16:20:08","slug":"potent-animal-sedative-is-replacing-tranq-in-street-drugs","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/us-ny\/73434\/","title":{"rendered":"Potent animal sedative is replacing tranq in street drugs"},"content":{"rendered":"<p>There\u2019s a new beast on the streets \u2014 and it\u2019s nothing to bark at. <\/p>\n<p>A powerful animal tranquilizer is increasingly saturating the US drug supply, fueling mass overdose outbreaks in hotspots like <a href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/74\/wr\/mm7415a1.htm\" target=\"_blank\" rel=\"noopener nofollow\">Chicago<\/a> and <a href=\"https:\/\/www.substanceusephilly.com\/medetomidine\" target=\"_blank\" rel=\"noopener nofollow\">Philadelphia<\/a>.<\/p>\n<p>It was <a href=\"https:\/\/www.nyc.gov\/assets\/doh\/downloads\/pdf\/han\/advisory\/2024\/han-advisory-20.pdf\" target=\"_blank\" rel=\"noopener nofollow\">detected in New York<\/a> last year, setting off alarm bells among public health officials. They warn that while its effects can mimic opioids such as fentanyl, there\u2019s a dangerous catch: It doesn\u2019t respond to conventional overdose-reversal treatments.<\/p>\n<p>The drug can cause life-threatening withdrawal symptoms that often require intensive care.  Stephen Yang<\/p>\n<p>The drug, medetomidine, is a sedative used by veterinarians to relax muscles and relieve pain, often during surgery. It works by slowing the release of adrenaline in the brain and body.<\/p>\n<p>It\u2019s similar to xylazine, or tranq \u2014 a veterinary painkiller and muscle relaxant commonly cut into street drugs since about 2020 \u2014 but it\u2019s even more dangerous. Experts say it can be up to 20 times more potent, meaning small amounts can be highly addictive.<\/p>\n<p>Adding to the threat, medetomidine is cheap and easy to obtain, readily available online through suppliers of veterinary medicines and research chemicals. <\/p>\n<p>Cartels and street-level dealers \u201care mixing these lethal synthetics into their drug supply \u2026 to increase addiction, to increase their customer base, to make more money,\u201d Frank A. Tarentino III, special agent in charge of the Drug Enforcement Agency\u2019s New York Division, <a href=\"https:\/\/nypost.com\/2024\/07\/27\/us-news\/synthetic-opioid-stronger-than-fentanyl-new-deadly-animal-sedative-found-in-nyc-drug-supply\/\" target=\"_blank\" rel=\"noopener nofollow\">told The Post last year<\/a>. <\/p>\n<p>\u201cThen you introduce a more powerful fentanyl like carfentanil, or medetomidine, which is more powerful and more dangerous than xylazine, then you\u2019re talking about even greater catastrophic overdoses and poisonings than we\u2019re already seeing.\u201d <\/p>\n<p>Medetomidine was <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11537807\/#F1\" target=\"_blank\" rel=\"noopener nofollow\">first detected in the US illicit drug supply<\/a> in 2021. By July 2024, it had been found in drug samples and biospecimens of people using illicit opioids in at least <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11537807\/figure\/F1\/\" target=\"_blank\" rel=\"noopener nofollow\">18 states and Washington, DC<\/a>. <\/p>\n<p>Medetomidine is often mixed into other illicit drugs, like fentanyl, making them more addictive and deadly. NexGen<\/p>\n<p>Since then, experts say the drug\u2019s footprint has almost certainly expanded \u2014 and so has its body count. <\/p>\n<p>When people use medetomidine, it slows their heart rate and causes heavy sedation that can last for hours and even lead to coma. Users often experience side effects such as dizziness, extreme fatigue, shortness of breath, nausea, blurred vision and confusion. <\/p>\n<p>But the real nightmare begins when the drug wears off. <\/p>\n<p>Withdrawal can be so severe that many patients require intensive care. Life-threatening symptoms include dangerously high spikes in heart rate and blood pressure \u2014 high enough to cause brain damage \u2014 along with uncontrollable vomiting, tremors and profuse sweating. <\/p>\n<p>\u201cOur ICUs have been overwhelmed,\u201d Dr. Daniel del Portal, an emergency room physician and hospital administrator at Temple Health in Philadelphia, <a href=\"https:\/\/www.nytimes.com\/2025\/12\/15\/health\/medetomidine-withdrawal-symptoms-treatment.html\" target=\"_blank\" rel=\"noopener nofollow\">told The New York Times<\/a>.  <\/p>\n<p>Medetomidine is now showing up more frequently than xylazine in the city\u2019s drug supply, a surge that del Portal said doctors, emergency medical workers and outreach teams have come to call \u201cthe withdrawal crisis.\u201d<\/p>\n<p>In the first nine months of 2025 alone, Philadelphia hospitals recorded 7,252 emergency department visits for withdrawal, compared with 2,787 in all of 2023, according to city public health records.<\/p>\n<p>Opioid overdose-reversal drugs like Narcan won\u2019t wake someone sedated by medetomidine, but they can help restore breathing. JIM LO SCALZO\/EPA-EFE\/Shutterstock<\/p>\n<p>Withdrawals aren\u2019t the only concern.<\/p>\n<p>When people overdose on medetomidine, they often don\u2019t respond to opioid-reversal drugs like naloxone \u2014 commonly known as Narcan \u2014 the way fentanyl users do, making overdoses far harder to reverse.  <\/p>\n<p>In cases where patients overdose on a mix of opioids and medetomidine, naloxone can help restart breathing but does not counteract the sedative effects of medetomidine. As a result, patients may remain unconscious. <\/p>\n<p>\u201cFrom our clinical experience, after patients start to breathe normally, providing additional doses of naloxone does not seem to help and even risks prompting opioid withdrawal symptoms,\u201d <a href=\"https:\/\/www.jefferson.edu\/academics\/colleges-schools-institutes\/skmc\/departments\/emergency-medicine\/faculty-staff\/faculty\/london.html\" target=\"_blank\" rel=\"noopener nofollow\">Dr. Kory London<\/a>, an associate professor of emergency medicine at Thomas Jefferson University, and <a href=\"https:\/\/www.jefferson.edu\/content\/dam\/academic\/nursing\/documents\/bios\/karenalexander.pdf\" target=\"_blank\" rel=\"noopener nofollow\">Dr. Karen Alexander<\/a>, an adjunct professor at the school\u2019s College of Nursing, <a href=\"https:\/\/theconversation.com\/medetomidine-is-replacing-xylazine-in-philly-street-fentanyl-creating-new-hurdles-for-health-care-providers-and-drug-users-251753\" target=\"_blank\" rel=\"noopener nofollow\">wrote in The Conversation<\/a>. <\/p>\n<p>\u201cNaloxone is still recommended for a person showing signs of opioid overdose \u2014 such as excess sedation, shallow or absent breathing and small pupils,\u201d they added. \u201cBut if the patient starts breathing but does not immediately wake up, additional doses of naloxone should be avoided.\u201d <\/p>\n<p>If a suspected overdose victim doesn\u2019t respond to naloxone because of medetomidine, health officials recommend \u201crescue breathing,\u201d or mouth-to-mouth resuscitation, while waiting for emergency responders to arrive.<\/p>\n","protected":false},"excerpt":{"rendered":"There\u2019s a new beast on the streets \u2014 and it\u2019s nothing to bark at. A powerful animal tranquilizer&hellip;\n","protected":false},"author":2,"featured_media":73435,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[23552,6277,2953,9,11,10,339,3610,37200,37201,58,37202],"class_list":["post-73434","post","type-post","status-publish","format-standard","has-post-thumbnail","category-new-york","tag-drug-overdoses","tag-fentanyl","tag-health","tag-new-york","tag-new-york-headlines","tag-new-york-news","tag-philadelphia","tag-public-health","tag-synthetic-drugs","tag-tranq","tag-us-news","tag-withdrawal"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/posts\/73434","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/comments?post=73434"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/posts\/73434\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/media\/73435"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/media?parent=73434"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/categories?post=73434"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/tags?post=73434"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}