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Ow my liver
(slrpnk.net)
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this post was submitted on 17 Jul 2025
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We like to talk about drugs like there's this clear delineation between something that is and isn't medicine... but it really comes down to the situation and the dosage.
For much of history and in most places, liquor was the most effective painkiller available. More recently, fentanyl started as a synthetic, medical grade painkiller. It's still widely used across hospitals for that. Before synthetics, it was opium (otherwise known as heroin), derived from poppy plants.
Heroin is made from opium. It's not the same.
It’s derived from petrochemicals but it works on the same receptors. And 50 years ago people were screeching about heroin, a completely unnatural man made synthesized drug far more potent than opium (which is roughly 10% morphine, heroin being around 2-3x stronger than pure morphine), in much the same way they are screeching about fentanyl now. “It’s a scourge, it kills people, it’s destructive” etc
All of those things can be true and fentanyl is absolutely far more dangerous given its potency (though giving someone with 0 opioid tolerance heroin isn’t necessarily safe either).
The real enemy is addiction, and the real real enemy there is a lack of resources and empathy. A lack of supports, a lack of housing, a lack of meaningful jobs and supportive welfare, a lack of healthcare, a lack of a society that doesn’t focus on punitive incarceration efforts over rehabilitative treatment and equitable respect
But keep focusing on the fentanyl boogeyman. Or tranq. That’s the problem. Just get that off the streets and it’ll all go away
With Fentanyl it’s different. It can be lethal the first time you try it. We might say addiction is one problem but lack of regulation and predictability in dosage is also a problem. Much of what’s dangerous about illicit drugs is not knowing quite what you are getting.
Heroin addiction can also be immediate, so I’d say the mere availability of the drug is a problem. It’s not just that sometimes an addiction develops and then there’s a problem.
I agree with most of what you said, just not this one part. It’s an antiquated point of view from rosier times with less dangerous drugs on the street.
addiction is never, ever immediate. dependency is only one part of addiction.
ragebutt is pretty on point here. you are correct though that the lethality of fentanyl is unique and does pose a significant problem in our society. i don't think ragebutt is giving that enough credit.
A lot of people got sold what they thought were prescription pain pills, but were actually fentanyl. Some died the first time they took. No amount of empathy is solving that, you need the drug and dealers off the streets.
Not just painkiller, a bit of alcohol will kill tons of nasties, so it was often the case that lightly fermented drinks are safer and healthier than many water sources.
Very true. The difference between medicine and poison is often just dosage.