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Heroin Toxicity Differential Diagnoses

  • Author: Rania Habal, MD; Chief Editor: Asim Tarabar, MD  more...
 
Updated: Jul 08, 2016
 
 

Diagnostic Considerations

Fentanyl, which is 20 to 40 times more potent than heroin, may be mixed with heroin but is increasingly sold by itself. In recent years, illicitly produced, nonpharmaceutical fentanyl and fentanyl analogs (eg, acetyl fentanyl), which can be can be snorted, injected, or swallowed, have emerged in the illicit drug market, and in some areas have displaced heroin. Because of fentanyl's faster onset of action and greater potency, the drug is responsible for growing numbers of fatal overdoses.[23, 24]

Differential Diagnoses

 
 
Contributor Information and Disclosures
Author

Rania Habal, MD Assistant Professor, Department of Emergency Medicine, New York Medical College

Rania Habal, MD is a member of the following medical societies: American Academy of Emergency Medicine

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Daniel R Ouellette, MD, FCCP Associate Professor of Medicine, Wayne State University School of Medicine; Chair of the Clinical Competency Committee, Pulmonary and Critical Care Fellowship Program, Senior Staff and Attending Physician, Division of Pulmonary and Critical Care Medicine, Henry Ford Health System; Chair, Guideline Oversight Committee, American College of Chest Physicians

Daniel R Ouellette, MD, FCCP is a member of the following medical societies: American College of Chest Physicians, Society of Critical Care Medicine, American Thoracic Society

Disclosure: Nothing to disclose.

Chief Editor

Asim Tarabar, MD Assistant Professor, Director, Medical Toxicology, Department of Emergency Medicine, Yale University School of Medicine; Consulting Staff, Department of Emergency Medicine, Yale-New Haven Hospital

Disclosure: Nothing to disclose.

Additional Contributors

Laurie Robin Grier, MD Medical Director of MICU, Professor of Medicine, Emergency Medicine, Anesthesiology and Obstetrics/Gynecology, Fellowship Director for Critical Care Medicine, Section of Pulmonary and Critical Care Medicine, Louisiana State University Health Science Center at Shreveport

Laurie Robin Grier, MD is a member of the following medical societies: American College of Chest Physicians, American College of Physicians, American Society for Parenteral and Enteral Nutrition, Society of Critical Care Medicine

Disclosure: Nothing to disclose.

References
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