Xylazine
- Xylazine, also referred to as “tranq,” is a non-opioid veterinary tranquilizer increasingly associated with overdose deaths in the United States. It is a central nervous system depressant and can cause respiratory depression. When used in combination with opioids such as fentanyl, it can have a synergistic effect and increase risk of overdose.
- Although xylaxine’s exact prevalence in U.S. drug supply is not known, recent data suggest its distribution is largest in the Northeast and spreading toward the west. To date, the vast majority of xylazine-involved deaths also involve fentanyl.
- Read more from the RCORP-TA Best Practice of the Month, "Xylazine in Unregulated Drug Supply and Health Considerations". Click below for various other resources on this topic.
General/Misc
- This Google Drive folder has a compilation of information on Xylazine such as studies, veterinary pharmacology information, info sheets, etc.
- The House and Senate have introduced legislation to study Xylazine and other emerging substances
Webinars
- Learning Thursdays: Xylazine – a webinar where Dr. Ramsey, Chief of Medical Services at OASAS, leads a discussion about xylazine (A PDF of the Power Point that accompanies this webinar is in the Google Drive folder mentioned above).
- Xylazine effects on wounds: Why and how we care – a webinar where Rebecca A. Hosey, from the Harm Reduction Nurses Association, provides an overview on xylazine-associated wounds and wound care.
One Pagers and Articles
Journal Articles
- Coish, R., and Hardial, J. Successful Buprenorphine/Naloxone Low-dose Induction in Pregnancy: A Case Report. Journal of Addiction Medicine. August 2, 2022. doi: 10.1097/ADM.0000000000001042. Successful Buprenorphine/Naloxone Low-dose Induction in Pregnancy: A Case Report.
- Characterization of Xylazine Test Strips for Use in Drug Checking (PDF)
- Congress introduces legislation to confront Xylazine
Other Publications
- Crumpler, R. Collaborative Care Improves Outcomes for Those Who Are Pregnant and Addicted. NC Health News. Published November 3, 2022. Collaborative care improves outcomes for those who are pregnant and addicted.
- Facher, L. Fentanyl Isn’t Just Causing Overdoses. It’s Making It Harder to Start Addiction Treatment. STATNews. Published Nov. 16, 2022. Fentanyl isn’t just causing overdoses. It’s making it harder to start addiction treatment.
- Washington Post--Xylazine Fentanyl Drug Mix Leading to More Overdose Deaths
- New wound care resource for Xylazine
- Letter from FDA to stakeholders containing details related to Xylazine exposure in humans
- New Xylazine handouts that can be put in the Naloxone kits via Rhode Island
Learning Opportunities
Research
Research