'This case highlights that fentanyl-laced Norco is spreading to other regions, prompting emergency physicians to remain vigilant in their care. 'In cases where there is a reasonable suspicion of opioid or opioid-like ingestion, emergency providers should contact their local poison control center, medical toxicologist or public health department,' said Dr. Since more than 100 psychoactive substances, including six fentanyl analogs, were banned by China in 2015, novel synthetic opioids such as U-47700 and W-18 have entered the market, replacing more established and outlawed drugs. Norco and Vicodin generics are similar and can lead to hydrocodone addiction and. Many novel psychoactive substances are produced in China, then enter the U.S. Norco and Vicodin are both hydrocodone-containing opioid pain relievers. Additional cases were identified in the San Francisco area. Her blood tested positive for significant amounts of fentanyl and U-47700, a synthetic opioid, neither of which is an ingredient in brand-name Norco.įrom March to April, 2016, 12 fentanyl-related fatalities and 40 additional cases of toxicity were reported in Sacramento and Yolo counties in North California due to fake Norco pills containing fentanyl. The fake pills have the manufacturer's imprint and looks-wise differ only in color from the real pills (beige versus white). She expressed concern to the emergency department staff that her usual medications did not affect her this way and showed them the pills she had taken. Armenian's patient became unconscious 30 minutes after taking the fake Norco and was brought to the emergency department. (Brand-name Norco contains acetaminophen and hydrocodone, an opiate.) Dr. Armenian presents the case of a 41-year-old woman who treats her chronic back pain with regular doses of acetaminophen/hydrocodone she buys on the street as Norco. These deaths in our area combined with an emergency patient who was concerned about pill appearance and exceedingly sleepy after her usual dose of medication led to our investigation.'ĭr. 'This new street drug's toxicity led to an unexpected cluster of fentanyl deaths in California this spring.

'Street Norco is almost indistinguishable from brand-name Norco in appearance but can be lethal,' said lead study author Patil Armenian, MD, of the University of California San Francisco-Fresno, in Fresno, Calif.

Norco street value