Dr Cole Pueringer Presents on Sympathomimetic and Serotonin Toxicity
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Xylazine, Illicit Drug Combo: Deadly Cocktail on the Rise
Emergency physicians must keep multiple things in mind when treating patients presenting with suspected xylazine exposure. First and foremost, it may be difficult to diagnose, as routine urine drug screens do not detect xylazine. Xylazine can be detected by chromatography-mass spectrometry testing. If exposure is suspected, naloxone should be administered to reverse any opiate co-ingestion. Physicians suspecting xylazine exposure are encouraged to report it to the FDA’s MedWatch Adverse Event Reporting Program.
