Cross post (I posted this in the Tom Petty thread, but wanted to drop it here too...) - and sorry for the bump bit didn't want to start yet another opiates thread and this was the most recent one I could find...
Self-quote:
Quite the death stack... 3 types of fentanyl! I didn't even know they existed. Also note the use of 'doctors' plural - is it likely one physician would prescribe all of these? Or was Tom possibly shopping around...?
"Tom Petty's autopsy results are in, and they show the singer died from an accidental drug overdose as a result of taking a variety of medications.
The L.A. County Coroner says a number of Tom's organs failed due to "mixed drug toxicity."
Tom's autopsy report shows the singer was on several pain meds, including Fentanyl patches, oxycodone (Oxycontin), temazepam (Restoril), alprazolam (Xanax), citalopram (Celexa), acetyl fentanyl and despropionyl fentanyl. The reason doctors prescribed the meds was because of a number of medical problems, including emphysema, knee problems and a fractured hip."
http://www.tmz.com/2018/01/19/tom-petty-autopsy-results-cause-of-death-drug-overdose/
Didn't read the tom petty thread yet and having seen the tox-screen, but I'd venture to guess he got the acetyl fentanyl and despropionylfentanyl from dealers, not doctors.
When "regular" fentanyl got popular and harder to get, companies in China began producing different forms of it that weren't scheduled yet and could be imported "legally" til the govt caught on (like if morphine sulphate was illegal and you imported/possessed morphine hydrochloride instead).
I'm sure tom petty is no stranger to heroin, and the other 2 fentanyl were likely either what he thought was "china white" powder heroin, or he bought extra "black market" oxycodone that was fentanyl.
It's hard to measure fentanyl doses, as its measured in mcg's, not mg's. Dosing for post-op pain is .5-1.5mg/kg ..220lb bber would get 50-150mcg. They gave me 600mcg after my 1st hip surgery, enough to very possibly kill 3 people or get 6 people high & nodding off lol... Itd be hard even for me to eyeball a 500mcg/half-mg dose, & my (or anybody's) scales may not accurately measure the doses.
fentanyl doses, as its measured in mcg's, not mg's. Dosing for post-op pain is .5-1.5mg/kg ..220lb bber would get 50-150mcg. They gave me fentanyl doses, as its measured in mcg's, not mg's. Dosing for post-op pain is .5-1.5mg/kg ..220lb bber would get 50-150mcg. They gave me:hhh;hh;jjjh