Collateral Damage: Neurological Correlates of Non-Fatal Overdose in the Era of Fentanyl-Xylazine

Commentary
by
Todaro, Dustin R. et al

Release Date

2024

Geography

USA

Language of Resource

English

Full Text Available

Yes

Open Access / OK to Reproduce

Yes

Peer Reviewed

Yes

Objective

Findings/Key points

The authors review their study findings and the potential pathophysiological mechanisms underlying the acute and delayed hippocampal injury in nonfatal opioid overdose. They also discuss the implications for the risk of overdose and brain injury with the increased prevalence of fentanyl and xylazine contamination of the illicit opioid supply. Lastly, considerations are highlighted for clinical management of the underappreciated neurological injury and cognitive dysfunction in OUD patients.

Design/methods

Structural magnetic resonance imaging (MRI) and voxel-based morphometry in patients with a history of OD vs. a non-OD group were compared. 

Keywords

About PWUD
Clinical guidance
Illegal drugs
Mental health
Overdose
Opioids
Xylazine