In June 2022, multiple overdose clusters (fatal and non-fatal) have occurred across multiple counties in Northern Illinois. Suspected drug involvement includes heroin, cocaine, and fentanyl.

It is important to note that synthetic opioids have been increasingly found in non-opioid substances, including stimulants, such as cocaine and methamphetamine, and party drugs, such as MDMA/Ecstasy. Individuals who use illicit substances should be aware that any substance may contain fentanyl or other potent synthetic opioids. Illicit substances are not regulated and pose significant risk of harm. Extreme caution should be used when using any illicit substance.

If taking illicit substances, there are precautions that can be used to reduce risk for fatal and non-fatal overdose. Consider testing the substance for fentanyl using fentanyl test strips. Carry naloxone and do not use any substance alone. Also, be aware that more than one dose of naloxone may be required to reverse an overdose, especially when synthetic opioids are involved.

Naloxone (opioid reversal agent) should be administered if an opioid overdose is suspected. With the increasing presence of synthetic opioids (i.e. fentanyl) in the drug supply, including other illicit non-opioid substances, additional naloxone should be stocked and users should be aware that more administrations across a longer period of time may be required to reverse an overdose.

Please see attachment for further details.

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