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	{"id":110482,"date":"2025-10-10T11:05:34","date_gmt":"2025-10-10T15:05:34","guid":{"rendered":"https:\/\/www.phsd.ca\/?p=110482"},"modified":"2025-10-10T11:05:34","modified_gmt":"2025-10-10T15:05:34","slug":"drug-alert-confirmed-presence-of-two-new-substances-in-ontario","status":"publish","type":"post","link":"https:\/\/dev-phsd.madhatter.co\/community-drug-strategy\/drug-alert-confirmed-presence-of-two-new-substances-in-ontario\/","title":{"rendered":"Drug alert: confirmed presence of two new substances in Ontario"},"content":{"rendered":"<p><a href=\"https:\/\/drugchecking.community\/report\/september-20-october-3-2025\/\">Toronto\u2019s Drug Checking Service<\/a> has identified two new substances circulating in the Ontario drug supply: N-Propionitrile chlorphine (also known as cychlorphine) and Deschlorodemethyldiazepam.<\/p>\n<h2><strong>Key information<\/strong><\/h2>\n<ul>\n<li>N-Propionitrile chlorphine (also known as cychlorphine) is an opioid that is as strong as or stronger than fentanyl and is not approved for pharmaceutical use.<\/li>\n<li>Deschlorodemethyldiazepam is a benzodiazepine that is not approved for pharmaceutical use.<\/li>\n<\/ul>\n<p>The use of these substances significantly increases the risk of poisoning. Multiple doses of naloxone may be needed to help reverse a poisoning. Street drugs may be cut or mixed with other substances such as fentanyl or carfentanil, benzos (benzodiazepines), xylazine, and medetomidine. Even a very small amount of these substances can cause a poisoning.<\/p>\n<h2><strong>How to prevent poisonings<\/strong><\/h2>\n<p>A poisoning occurs when a person uses a substance, and their body cannot handle its effects. A person can pass out, stop breathing, or experience a seizure. Poisonings can be fatal or non-fatal.<\/p>\n<ul>\n<li><strong>Carry a naloxone kit<\/strong>. It can help reverse an opioid poisoning. <a href=\"https:\/\/dev-phsd.madhatter.co\/community-drug-strategy\/app\/uploads\/2022\/05\/Preventing-Opioid-ODs-Poster_EN-scaled.jpg\">Know how to use it (PDF).<\/a>\n<ul>\n<li>Pick up a free naloxone kit at <a href=\"https:\/\/dev-phsd.madhatter.co\/community-drug-strategy\/wp\/clinics-classes-events\/point-harm-reduction-supplies-services\/\">The Point<\/a>, R\u00e9seau ACCESS Network, or ask your local hospital or pharmacy. Visit <a href=\"http:\/\/www.ontario.ca\/page\/get-naloxone-kits-free\">ontario.ca\/page\/get-naloxone-kits-free<\/a>.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Avoid mixing substances.<\/strong> This includes alcohol, prescription, over the counter, and street drugs.<\/li>\n<li><strong>Start with a lower dose and go slow.<\/strong><\/li>\n<li><strong>Avoid using drugs when you are alone.<\/strong>\n<ul>\n<li>Have a trusted person nearby or use a virtual safe consumption service like the <a href=\"https:\/\/www.nors.ca\/\">National Overdose Response Service<\/a> at 1.888.688.6677 or the <a href=\"https:\/\/www.brave.coop\/overdose-detection-app\">Brave App<\/a>. These services provide 24\/7 confidential and nonjudgmental support, whenever and wherever you use drugs.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2><strong>How to respond to poisonings<\/strong><\/h2>\n<ul>\n<li><strong>Call 911.<\/strong> Stay with the person. Monitor their breathing until help arrives.<\/li>\n<li><strong>GIVE NALOXONE.<\/strong> It won\u2019t cause harm if opioids aren\u2019t involved. The person may not wake up right away due to sedation. More doses may be needed.<\/li>\n<li>If the person is unconscious, place them in the recovery position.<\/li>\n<\/ul>\n<h2><strong>How to recognize poisonings <\/strong><\/h2>\n<p>Different substances affect the body in different ways. Depending on the type of substance consumed, symptoms of a poisoning may look different.<\/p>\n<h3><strong>Opioid poisoning symptoms:<\/strong><\/h3>\n<ul>\n<li>bluish, purple, or greyish skin, lips, or nails (depending on skin tone)<\/li>\n<li>dizziness, confusion, or inability to stay awake<\/li>\n<li>choking, gurgling, or snoring sounds<\/li>\n<li>slow, weak, or no breathing<\/li>\n<\/ul>\n<h3><strong>Benzodiazepines (benzos) toxicity poisoning symptoms <\/strong><\/h3>\n<p>A poisoning due to benzodiazepines (benzos) toxicity may last for hours and look like:<\/p>\n<ul>\n<li>extreme sleepiness or passing out<\/li>\n<li>poor balance or movement control<\/li>\n<li>slurred speech<\/li>\n<li>blackouts and memory loss<\/li>\n<\/ul>\n<p>Share this warning to help raise awareness and reduce the risk of drug poisonings.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Toronto\u2019s Drug Checking Service has identified two new substances circulating in the Ontario drug supply: N-Propionitrile chlorphine (also known as cychlorphine) and Deschlorodemethyldiazepam. Key information N-Propionitrile chlorphine (also known as cychlorphine) is an opioid that is as strong as or stronger than fentanyl and is not approved for pharmaceutical use. Deschlorodemethyldiazepam is a benzodiazepine that [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[4,5,8],"tags":[],"class_list":["post-110482","post","type-post","status-publish","format-standard","hentry","category-alerts","category-cds-alert","category-news"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.1 (Yoast SEO v28.1) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Drug alert: confirmed presence of two new substances in Ontario - Greater Sudbury Community Drug Strategy<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dev-phsd.madhatter.co\/community-drug-strategy\/drug-alert-confirmed-presence-of-two-new-substances-in-ontario\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Drug alert: confirmed presence of two new substances in Ontario\" \/>\n<meta property=\"og:description\" content=\"Toronto\u2019s Drug Checking Service has identified two new substances circulating in the Ontario drug supply: N-Propionitrile chlorphine (also known as cychlorphine) and Deschlorodemethyldiazepam. Key information N-Propionitrile chlorphine (also known as cychlorphine) is an opioid that is as strong as or stronger than fentanyl and is not approved for pharmaceutical use. 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