Counterfeit Norco Poisoning Outbreak - San Francisco Bay Area, California, March 25-April 5, 2016
Overview
Affiliations
On March 28, 2016, two patients were evaluated at the Contra Costa Regional Medical Center emergency department (ED) in Contra Costa County, California, for nausea, vomiting, central nervous system depression, and respiratory depression, 30 minutes after ingesting what appeared to be Norco, a prescription opioid pain medication that contains acetaminophen and hydrocodone. The patients purchased the drug from a friend a few days earlier. The two cases of drug intoxication were reported to a Contra Costa County Health Department public health official who subsequently notified the California State Health Department.
Friedman J, Godvin M, Molina C, Romero R, Borquez A, Avra T Drug Alcohol Depend. 2023; 249:110819.
PMID: 37348270 PMC: 10368172. DOI: 10.1016/j.drugalcdep.2023.110819.
Friedman J, Godvin M, Molina C, Romero R, Borquez A, Avra T medRxiv. 2023; .
PMID: 36747647 PMC: 9901047. DOI: 10.1101/2023.01.27.23285123.
Dasgupta N, Wang Y, Bae J, Kinlaw A, Chidgey B, Cooper T Clin J Pain. 2021; 37(8):565-574.
PMID: 34116543 PMC: 8270512. DOI: 10.1097/AJP.0000000000000948.
Validation of the Opioid Overdose Risk Behavior Scale, version 2 (ORBS-2).
Elliott L, Crasta D, Khan M, Roth A, Green T, Kolodny A Drug Alcohol Depend. 2021; 223:108721.
PMID: 33895681 PMC: 8113089. DOI: 10.1016/j.drugalcdep.2021.108721.
Determination of Fentanyl Analog Exposure Using Dried Blood Spots with LC-MS-MS.
Seymour C, Shaner R, Feyereisen M, Wharton R, Kaplan P, Hamelin E J Anal Toxicol. 2018; 43(4):266-276.
PMID: 30462229 PMC: 11304352. DOI: 10.1093/jat/bky096.