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The Conversation
Kavita Babu, Professor of Emergency Medicine, UMass Chan Medical School

What is xylazine? A medical toxicologist explains how it increases overdose risk, and why Narcan can still save a life

Although xylazine is not an opioid, naloxone can reverse the effects of the fentanyl and heroin it is often mixed with. AP Photo/Jae C. Hong

The U.S. Drug Enforcement Administration issued a warning on Mar. 21, 2023, about an increase in trafficking of fentanyl adulterated with xylazine, which can increase the risk of overdosing on an already deadly drug. Xylazine is increasingly appearing within the U.S. supply of illicit opioids like fentanyl and heroin. The agency noted that it has seized mixtures of xylazine and fentanyl in 48 of 50 states.

Xylazine, commonly referred to as tranq, is a drug adulterant – a substance intentionally added to a drug product to enhance its effects. Illicit drugmakers may include xylazine to prolong opioid highs or prevent withdrawal symptoms.

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