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We are witnessing the systematic contamination of the illicit drug supply with substances that belong in veterinary clinics and chemical laboratories — not in the bloodstreams of human beings. The opioid crisis, which we thought we understood, has entered a new and far more dangerous phase. The margin for error has been eliminated.

CRITICAL PUBLIC SAFETY WARNING

Do not take any pill that was not prescribed to you directly by a licensed physician and dispensed by a licensed pharmacy. There is no exception to this rule that is worth your life. Counterfeit pills are indistinguishable from legitimate medications to the naked eye — and they are killing people.

Standard fentanyl test strips will not detect cychlorphine. If you or someone you know uses drugs, carrying multiple doses of Narcan is essential — a single dose may not be enough. Call 911 immediately in the event of any suspected overdose. Do not wait to see if the person recovers.

In public settings — concerts, festivals, parties, nightlife — never accept pills, powders, or any substance from someone you do not know. Cychlorphine can be mixed into cocaine, pressed into counterfeit pills, or sold as a powder. It has no smell. No color. No warning label. It can kill before you even realize anything is wrong.

WHAT YOU CAN DO

Community organizations like Code Tenderloin in San Francisco are already on the front lines, doubling the amount of Narcan distributed each night and working to educate communities about what they are facing. But community organizations cannot do this alone.

The federal government must act urgently to schedule cychlorphine, fund advanced detection technology, and ensure that updated overdose reversal protocols reach every first responder, emergency department, and harm-reduction worker in the country.

In the meantime, the most powerful thing ordinary Americans can do is stay informed and stay vigilant. Share this report. Talk to your family. Talk to your kids. The illicit drug supply in this country is more unpredictable and more deadly than it has ever been, and the people most at risk are often the ones who have no idea what they are actually consuming.

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