Quote:
Originally Posted by Woke Locc
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Would this level be independently fatal for a habitual user?
Asking an expert.
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According to the manufacturer's literature, you get around 3.2ng/mL cMax from a 100mcg patch. So imagine him on 4 of the strongest fentanyl patches.
These patches are weak. I know from experience that that dose is substantially weaker than 30mg of methadone, which a naive individual could survive, even a skinny White model girl. If he had any habit at all, he would have survived. If he didn't, it's just-high-enough a dose to be murky. The combination of respiratory depression with suffocation means the Fent may have been the difference between surviving this excessive force and not, though.
For my money, it is weird he's got pure fentanyl in his system and no heroin/etc. Are people trading in pure fentanyl, now, knowingly? i guess it could be. The tox report reads like an intelligence/natsecurity edit to me, though. We're all still pretending things are all exactly as they seem though, so you can just write all that off with "tinfoil" and pretend I've never known anything.
Without any other downers in his system, and with a decent dose of meth to offset the downs, Big Doubt he died of fentanyl. Unless perhaps he was in
withdrawal from methamphetamine. The only other variable I can't account for is time-to-tox-screen; there is such a thing as postmortem metabolism and I am not pretending it's a tiny dose. It's just that -- it takes a HUGE dose of opiates to overdose without assistance from the benzo or booze end of things. Fent does metabolise fast tho and if they didn't get his blood quick, and if the blood test is untampered-with, it's not an impossible scenario that he was under the influence of double the recorded dose.
In the end, so far as a court of law goes I'd call it reasonable doubt as to cause of death. But the whole thing stinks bad and the knee on the neck was obviously gross shit. Anyone calling the tox report a "case closed" for OD is selling something.
-her, neuroscientist molecular pharmacologist and sensual polymath