Episode #79 High Truths on Drugs and Addiction with Dr. Lewis Nelson on Myth Busting on FentanylEpisode #79 High Truths on Drugs and Addiction with Dr. Lewis Nelson on Myth Busting on Fentanyl
High Truths on Drugs and Addiction
Dr. Lewis Nelson myth busts alleged fentanyl overdose cases in passive handlers. He explains the nocebo effect, opposite the placebo effect. It is true that 2 grains of fentanyl can kill, but it have to be 2 grain of pure fentanyl and it has to be consumed. Touching fentanyl does not kill - people who deal drugs as well as healthcare workers touch fentanyl regularly and do not overdose. "Dose makes the Poison" is the hallmark of medical toxicology. Lewis S. Nelson, MD is Professor and Chair of the Department of Emergency Medicine, Chief of Service of the University Hospital Emergency Department, and Chief of the Division of Medical Toxicology at Rutgers New Jersey Medical School, all in Newark, NJ. He is also a Senior Consultant to the New Jersey Poison Information & Education System. He is board certified in emergency medicine, medical toxicology, and addiction medicine. Dr. Nelson is an editor of the medical toxicology textbook Goldfrank’s Toxicologic Emergencies and on the editorial boards of several peer-reviewed journals. He is a member of the board of the American Board of Emergency Medicine and several other academic organizations and is Past President of American College of Medical Toxicology. Dr. Nelson serves as a long-standing consultant to CDC, DHS, and FDA. Some of his areas of interest include non-opioid pain relief strategies, opioid overdose and management, addiction and withdrawal management, and health policy focused on issues related to medication safety and substance use.
1:45:07•27 Jun 2022
Fentanyl Myths Busted: Dr. Lewis Nelson Sets the Record Straight
“Dose makes the Poison is the hallmark of medical toxicology.”
Ever wondered if just touching fentanyl could be fatal? Dr. Lewis Nelson, a leading expert in emergency medicine and medical toxicology, is here to clear up the confusion. In this episode of 'High Truths on Drugs and Addiction', hosted by Dr. Roneet Lev, Dr. Nelson tackles the myths surrounding fentanyl overdose and the nocebo effect, which is the opposite of the placebo effect.
He explains that while two grains of pure fentanyl can indeed be deadly, the substance must be ingested to pose such a risk. Simply handling fentanyl, whether you're a healthcare worker or someone who deals with drugs, won't lead to an overdose. Dr. Nelson's expertise doesn't stop there. He dives into the often-misunderstood concept that 'dose makes the poison', a cornerstone of medical toxicology.
He also discusses how the CDC reports prescription opioid deaths, the dangers lurking in synthetic cannabinoids, and why naloxone has its limitations. If you've ever been puzzled by the mixed messages about fentanyl and other opioids, this episode offers a much-needed dose of clarity. Perfect for anyone grappling with addiction issues or supporting someone who is, this episode blends hard facts with accessible explanations. Dr.
Nelson's insights are not just educational but also empowering, helping listeners navigate the often murky waters of drug information. So if you're ready to separate fact from fiction when it comes to fentanyl, this episode is a must-listen.
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