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Emerging Concern: Lidocaine Adulterated “Purple Fentanyl” in the Midwest

Year: 2026

Type: article

Abstract: Current American College of Emergency Physicians opioid overdose guidelines suggest considering the possibility that a patient may be "not overdosing on an opioid, but rather some other substance."13 However, these guidelines do not specifically address the growing concern of adulterants in illicit opioids.As a future direction, we recommend updating opioid overdose management guidelines to include awareness of potential adulterants such as lidocaine.Increased awareness of this hidden risk is essential for improving harm reduction and clinical response as the illicit drug landscape continues to evolve.

Source: Kansas Journal of Medicine

DOI: 10.17161/kjm.vol19.24641

Authors: Satneet Singh, Melissa Perchellet, Sophie Troupe, Roopa Sethi

Institutions: University of Kansas, The University of Kansas Health System, University of Kansas Medical Center

Language: English

Topic: Opioid Use Disorder Treatment

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7154850754

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