No… they didn’t. Fentanyl misinformation is now an international phenomenon. Paging @ryanmarino.bsky.social

It’s absolute bullshit to say you can’t help people until they stop using. We can and do work on safety, housing, health, and dignity while people use.

If your solution to homelessness doesn’t center on providing housing… you are deeply unserious.

We have seen this strategy used before — I shared a while back a cop in Philadelphia doing this (I reported him and never got a response). Countless people on video giving naloxone to people who are awake. This takes it a step further and is absolutely disgusting. sfstandard.com/2025/09/11/s...

Duolingo is on to me….

imagine spending your life in such a state of fear and paranoia that you consider it reasonable to believe people are poisoning door handles with fentanyl traps, that this is a thing that occurs and you have to watch out for

If you're anxious & awake, it's not opioid OD. You're definitely not overdosing on an opioid if you are capable of driving.... [besides the fact you can't OD on fentanyl by touching it & this ER dr doesn't know what opioid overdose looks like & doesn't know that fentanyl is an opioid]

I want to point out that this is not the first WTFentanyl incident in Chillicothe, Ohio. These episodes beget more episodes. www.wmur.com/article/repo...

You cannot overdose on fentanyl by touching powder on a doorknob. Period. But if you think you are overdosing, you should not drive your car…which you also shouldn’t do if you are having symptoms that are not consistent with fentanyl like this person did. “Responding to Narcan” is placebo effect.

This shit is completely made up. Completely.

I spent all weekend glued to this book by @equalityalec.bsky.social — it is an ESSENTIAL read for anyone in drug policy or harm reduction spaces. I have learned so much that my brain actually might explode and I have so much work to do now

I administered Naloxone (Narcan) many times as a paramedic. I NEVER gave it to anyone who was awake. That is not what it is for!

For the upteenth time — you are NOT having a fentanyl overdose if you feel hot, panicked, drive yourself to the hospital, receive naloxone while awake, get dizzy. If she really felt like she was going to pass out while driving, it’s incredibly irresponsible to continue driving.

AAAAHAHAHAHAHAHAHAHAAAAAA HELL YEAH

I’m starting to post more over on IG - feel free to follow there! www.instagram.com/stephenhrnrp

A friend of mine who was 96 passed away last week. I was thinking about how nice it was to finally have a friend who wasn’t 20-40 die. A death where I could say “she lived an amazing and long life!” And smile about it.

This.

I no longer say that every overdose is a policy failure. Every overdose is a policy *decision*.

When politicians show up at your #ioad event… remind them that almost every policy approach to overdose has made it worse and that’s by design.

There is no standard lethal dose of cocaine. Overdose risk depends on many factors… route (snorted, smoked, injected), body weight, tolerance, health status, and what other substances are on board. Someone can die from a few hundred mg while some use multiple grams daily for years without issue.

Out with some of the team planting flags in Boston for #ioad - remembering our dead friends and why we are doing this work.

We have officially made it to the Buzzfeed-style lists chapter of the fascist takeover!

featured by the @adcouncil.bsky.social and @nationalcouncil.bsky.social for Start With Hope campaign — got chance to talk about wellness beyond abstinence and SafeSpot’s greatest strength is we help people feel a sense of value for being themselves. Here is the full ad: youtu.be/Fm1vb-Q6-nU?...

THREAD. A recent poll shows that people in the United States suffer from mass delusion about crime. The results are alarming for Democrats. It should be a massive scandal for mainstream news, and it's a pillar of the authoritarian zeitgeist.

Trump’s team has delayed & is considering canceling $140M in grants to fund fentanyl overdose response efforts. The last time a major national interruption of addiction care occurred (in 2020 under Trump) deaths skyrocketed. How can you interpret this any other way than they want Americans to die?

Regulating the drug supply makes complete sense right up until you realise prohibition ensures some classes of people can always been persecuted by law enforcement. The "risk of drugs" is like a broken tail light on the backs of the most marginalised

Thanks for chatting with me in line at Starbucks @schiff.senate.gov 💪🏼

This is from a single sample, sold as fentanyl, from the drug supply in Lynn, MA. This is what it looks like for government to surrender its regulatory power to the market. This is what we are subjecting our friends and family too instead of oxy or heroin. This is a policy CHOICE.

None of these are overdose symptoms. This is panic causing hyperventilation. When you over-breathe, you blow off too much CO₂. First, tingling in your hands and feet, then dizziness/fainting. Your body responds by tightening airways to slow breathing, which feels like you can’t breathe/are choking.

very much vouching for the service that Safe Spot provides. If you're using drugs alone, or know anyone who does... put that number in your phone. also, sharpie it on bathroom stalls, spray paint it under bridges, get it out there. it makes a difference. 1-800-972-0590

We have a 24/7, holidays, weekends, nights… free hotline where you can call in from anywhere in the USA (including Puerto Rico!) and within 15 seconds be connected with a peer who will hang out with you for 10-30 mins while you use just in case. we only activate EMS 0.1% of the time. 1-800-972-0590

Survivors: we fight and win together. You are never forgotten. ✊✊✊

This is not the way.

The lack of basic medical literacy by the media is really sad.

AMERSA is accepting nominations for 6 open positions starting Nov 2025 on our Board of Directors. If you are interested in learning more about governance and serving alongside colleagues on an engaged and influential Board, apply here: amersa.org/amersa-board... by August 15th.

We have a new paper out : “Stigmatizing content about xylazine in web-based news continues to proliferate, highlighting the need for collaborative efforts between the journalistic, medical, and public health sectors to challenge these narratives.” Read here: journals.lww.com/journaladdic...

Again… I ask the left to stop focusing on right wing drug use. It’s literately the most normal thing about them.

This delivery device looks awfully familiar!

Back in the parade marching days 👨‍🚒

Look who’s in Maine! #SafeSpot

Idk if we do Friday follows anymore. That was the thing to do back at the bird place so gonna try it here… Follow @jonnybosborne.bsky.social @foxylustygrover.bsky.social @natedg.bsky.social @stephen-murray.com @rebeccamatthews.bsky.social

This is especially true now. Imagine how many continue to suffer.

I love getting a care package from @clairezagorski.bsky.social !! Magnets for SafeSpot and stickers.

Magnets are now listed! 🧲 The number is SafeSpot, which will stay on the phone with you if you’re using drugs alone, and alert your local EMS if you stop responding. It’s free and anonymous. (Tagging in @stephen-murray.com in case there are questions 😊) pinpenmerger.etsy.com

Had a great time speaking at the #ASAM pre-conference on stimulants for 550 people and hosting a workshop the first day about harm reduction. Good to see us pushing the needle forward on this topic. Thanks for having me and I love all of my friends!

If you’re going to be at #RxSummit this week, go check out this musical benefit! My friends at SHIELD are putting it on. tinyurl.com/Team-KY-Stor...

At the Grayken/BMC Together For Hope Conference—I interacted with the native BMC populace.

Something that is constantly missing from the conversation on drugs: not everyone is suffering. Drugs are pretty awesome. This whole drugs are bad narrative is a bunch of Prohibitionist nonsense. All drugs have purpose, strengths and limitations.

Me attempting to fly while speaking at @brownpublichealth.bsky.social - thanks for having me!

lol @safabric.bsky.social I am lurking around every corner… jk I never leave my house