this post was submitted on 09 Oct 2025
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FYI, fentanyl is used in US hospitals as the cheapest opiate. Excess OD deaths from fentanyl tend are only ever caused by it being "accidentally present" in another drug. Paying the Taliban to grow opium for US export (they can still prevent local sales) could be a viable path to affordable US healthcare without fentanyl. Much US supply of fentanyl is stolen from legal hospital supplies.
If there was a real national emergency for fentanyl from Canada, a war on hospitals providing 100x the fentanyl that is seized on Canadian border to tax them an extra 25% is going to get them back to using morphine/oxy whatever that costs.
Fentanyl is not the cheapest opiate in US hospitals, and is not used as a substitute for morphine or oxycodone. It's primarily used for anesthesia, where oxycodone/hydrocodone/morphine/hydromorphone are used in the units as pain killers taken orally. Injectable hydromorphone is cheaper and more commonly used for acute pain than fentanyl.
Source: work in a hospital pharmacy
Ok thank you. I've known patients who lived for a month receiving constant fentanyl that month.
Opiates for anasthesia? surprising. What previous "gas"/process did it replace?
It's part of general anesthesia, along with other drugs such as midazolam, propofol, ketamine, etomidate, etc. It augments anesthesia gases such as sevoflurane/desflurane/isoflurane, though we're getting outside my realm of expertise; I'm not an anesthesiologist so I can't specify why a certain combination of drugs might be used vs another.