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Local prevention panel hears lab warning on fentanyl-laced counterfeit pills, testing gaps
Summary
At a Nov. 10 Brevard County TIP meeting, a Genesys Reference Labs toxicologist warned that counterfeit pills and quasi‑legal products (kratom, Delta‑8, tianeptine) often contain fentanyl or other undetected substances and that common point‑of‑care drug screens miss many of them.
Scott Legacy of Genesys Reference Labs told members of a Brevard County prevention planning group on Nov. 10 that the local drug supply has shifted from prescription opioids to illicit fentanyl and increasingly complex polysubstance mixes, and that many popular retail products can contain potentially lethal amounts of fentanyl.
Legacy walked the group through the evolution of opioid-related deaths, saying prescription opioid volume peaked around 2011 even as deaths continued to rise, then heroin and later fentanyl became the principal drivers of fatal overdoses. He cited a 2019 Massachusetts study finding that just 1.3% of overdose toxicology results matched patients’ PDMP prescription records, evidence he said suggests illicit supply—not…
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