Latest reporting
Luzerne County Just Said Out Loud What the National Data Has Shown for Years: Cocaine Is an Opioid Problem Now
Twelve of Luzerne County, PA's overdose deaths in 2026 involved cocaine contaminated with fentanyl — echoing national data showing nearly four in five cocaine deaths now involve an opioid.
Twelve People Bought Cocaine in Luzerne County This Summer. It Was Fentanyl.
Luzerne County, Pennsylvania issued a public warning after 12 overdose deaths in three months tied to cocaine contaminated with fentanyl — and officials say most victims had no idea an opioid was in the bag.
There's No Suboxone for Meth. The Reason Is in the Chemistry, Not the Funding.
There is still no FDA-approved medication for methamphetamine use disorder. The reason is biological, not political — and the drug's chemistry has changed in ways that make recovery harder.
Through eight lenses
Science
Monoamine release/reuptake (DA, NE, serotonin) — cocaine blocks; meth releases.
Biology
Hyperthermia, cardiac strain, neurotoxicity (dopamine terminals with chronic high-dose meth), dental effects ("meth mouth" from dry-mouth + acidic diet, not the drug directly).
There's No Suboxone for Meth. The Reason Is in the Chemistry, Not the Funding.
Sep 9There's Still No Pill for Cocaine. The Treatment That Works Pays You Instead — and Most States Won't Cover It.
Sep 4One in Four Bags of Cocaine Now Carries Fentanyl. There's Still No Medicine for What's Underneath It.
Aug 1
Psychology
The "euphoria gap" after the acute phase, stimulant psychosis in heavy meth use, ADHD/stimulant diagnosis intersection.
Policy
Schedule II (meth, cocaine, Rx stimulants); DEA production quotas; Adderall shortage backstory.
Trends
Stimulant-involved deaths hit 57,500 in 2022, ~70% co-involving fentanyl — the fourth wave.
Treatment
NO FDA-approved medication for stimulant UD; contingency management has the strongest evidence (RCTs 2–4× retention); CBT, community reinforcement, matrix model.
Harm Reduction
Sleep, hydration, avoiding mixing with depressants, safer-use supplies, drug checking.