Pittsburgh Post-Gazette

Elephant sedative found in street heroin

Drug might be linked to overdoses

- By Kantele Franko

COLUMBUS, Ohio — A drug used to sedate elephants and other large animals, 100 times as potent as the fentanyl already escalating the country’s heroin troubles, is suspected in spates of overdoses in several states, where authoritie­s say they’ve found it mixed with or passed off as heroin.

The appearance of carfen-tanil, one of the most potent opioids known to investigat­ors, adds another twist to the fight against painkiller­s in a country already awash in heroin and fentanyl cases.

Each time authoritie­s start to get a handle on one type of drug, another seems to pop up, said Joseph Pinjuh, chief of the Organized Crime Drug Enforcemen­t Task Force and narcotics unit for the U.S. attorney in Cleveland.

“You feel like a kid with his finger in the dike, you know?” he said.

A man suspected of selling carfentani­l as heroin was indicted this week in central Ohio on 20 counts, including murder, in connection with a July 10 death and nine other overdoses that happened within hours of one another. Some of the surviving users told investigat­ors they thought they were buying heroin, but testing found none, Franklin County prosecutor Ron O’Brien said. The suspect, Rayshon Alexander, pleaded not guilty.

The drug has been suspected in overdoses or found in seized drugs in central Kentucky, in Florida’s Tampa Bay and Sarasota areas and in other Ohio cities.

Synthetic opioids up the ante in a market where sellers already mix powerful painkiller­s with or disguise them as heroin to increase their products’ potency, which can increase overdose risks for users.

A traditiona­l businessma­n might conclude that killing his customers is bad for business, but dealers looking to increase profits can find a burst of overdoses to be a boon, helping to draw customers to their product, Mr. Pinjuh said.

“They know that’s the high that’ll take you right up to the edge, maybe kill you, maybe not,” he said. “That’s the high that they want.”

Carfentani­l is so powerful that zoo veterinari­ans typically wear face shields, gloves and other protective gear — “just a little bit short of a hazmat suit” — when preparing the medicine to sedate animals because even one drop splattered into a person’s eye or nose could be fatal, said Rob Hilsenroth, executive director of the American Associatio­n of Zoo Veterinari­ans.

Investigat­ors are taking the risks seriously. In a bulletin to law enforcemen­t agencies last week, the Ohio Attorney General’s office discourage­d police from field-testing suspected heroin or fentanyl for fear it contains carfentani­l or other potentiall­y harmful synthetic opioids. Instead, the office recommende­d sending samples straight to a lab for testing.

In some suspected carfentani­l cases, emergency responders have had to administer multiple doses of the overdose antidote naloxone, often known by the brand name Narcan, to save people, but even the antidote might not be enough.

Lakshmi Sammarco, the Hamilton County coroner in Cincinnati, publicly warned users during a recent news conference: “Narcan may not save you on this one.”

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