iiinova — where your digital self keeps evolving

Reposted by Stephen Murray, MPH, NRP

seven possums in an AFI hoodie @volare.bsky.social · 22/02/2026

This. So. Much. This. #AbolishTheDEA

Stephen Murray, MPH, NRP @stephen-murray.com · 22/02/2026

If we want to actually do something about the cartels, we can start by ending the War on Drugs. We already ran this experiment with the mob during Prohibition. Turns out banning things just made organized crime richer. A regulated drug market is safer for everyone.

0319

Reposted by Stephen Murray, MPH, NRP

Phil Mandelbaum @philmandelbaum.bsky.social · 07/12/2025

The War on Drugs was never about… drugs. Drug use is not a poor problem, or a Black problem. It’s a mental health problem. And a policy problem. NEW: ‘Junkie to Judge’ @marybethoconnor.bsky.social on Drug Use, Addiction, Criminalization, Recovery, and Community 🔗 bit.ly/junkietojudge

512561

Reposted by Stephen Murray, MPH, NRP

Stephen Murray, MPH, NRP @stephen-murray.com · 26/11/2025

My first byline in @latimes.com op-ed! www.latimes.com/opinion/stor...

714826

Reposted by Stephen Murray, MPH, NRP

Ryan Marino, MD @ryanmarino.bsky.social · 27/11/2025

You’re an inspiration

021

Stephen Murray, MPH, NRP @stephen-murray.com · 26/11/2025

My first byline in @latimes.com op-ed! www.latimes.com/opinion/stor...

714826

Stephen Murray, MPH, NRP @stephen-murray.com · 21/11/2025

Come give me a follow over here! www.instagram.com/stephenhrnrp...

021

Reposted by Stephen Murray, MPH, NRP

Ryan Marino, MD @ryanmarino.bsky.social · 18/11/2025

FDA is approving a new form of nalmefene for “prophylaxis” for “opioid exposure,” specifically citing fentanyl. “Fentanyl exposure” is not a thing. Fent has to be intentionally ingested to cause OD. It’s being made by a “blockchain-focused digital finance company” whose “biotech arm” is only this…

Tharimmune, Inc.
@TharimmuneInc

The FDA has reviewed and concurred with Tharimmune's quantitative modeling plan for
TH104, supporting further development of our lead prophylactic candidate for respiratory depression caused by fentanyl and ultrapotent opioids.

Full release: prnewswire.com/news-releases/..

Tharimmune Receives
Positive FDA Feedback for
TH104 Prophylaxis Program
Against Respiratory
Depression from Fentanyl and Ultrapotent Opioids

34520181

Stephen Murray, MPH, NRP @stephen-murray.com · 16/11/2025

Welp, nice to see the public opinion finally shifting on this. Some of us didn’t need to see 2 full years of children dying to say something…. I literally had friends/family unfriend me and write nasty notes over this. Wonder where they’re at on this now!

2171

Reposted by Stephen Murray, MPH, NRP

AMERSA @amersa.org · 01/11/2025

Have insights on emerging substances, treatments, or tech in substance use care? Submit an episode proposal for AMERSA’s upcoming Frontiers in Substance Use Care podcast series! Proposals due December 7, 2025 🔗 Learn more → amersa.org/2026-amersa-...

031

Stephen Murray, MPH, NRP @stephen-murray.com · 29/10/2025

Here we go again! Typical dangerous misinformation in this article. The symptoms experienced: “shaky hands, dizziness, and hot flashes.” None of these are symptoms of fentanyl overdose. This article also reinforces myths around Halloween candy fentanyl toward the end.

0217

Stephen Murray, MPH, NRP @stephen-murray.com · 26/10/2025

“In case no one has told you lately, you have value. Your contributions to this world have value. Your life has value. What you do for yourself and the people around you matters.” #overdose #recovery #recover #recovered #drugpolicy #harmreduction #harmreductionsaveslives #harmreductionislove

0133

Stephen Murray, MPH, NRP @stephen-murray.com · 26/10/2025

Come free-sub to my Substack! substack.com/@stephenhrnr...

152

Reposted by Stephen Murray, MPH, NRP

Mark Jachym @harmredux37.bsky.social · 17/10/2025

@clairezagorski.bsky.social @ryanmarino.bsky.social @stephen-murray.com Now we are expected to believe than officer needed Narcan from a dope bag hitting the outside of his car at 90mph? This may be the all time BS “exposure”claim in history! www.masslive.com/news/2025/10...

masslive.com

Mass. man sentenced for high-speed chase that sent trooper to hospital

The trooper had to be revived with Narcan after his cruiser was hit by discarded narcotics, police said.

032

Stephen Murray, MPH, NRP @stephen-murray.com · 05/10/2025

“Detectives say traffickers are intentionally making fentanyl in candy-like forms to attract children and young adults in an effort to drive addiction.” Drugs attract young adults because drugs are awesome, offer an escape from violent end stage capitalism, fill mental health treatment voids…

3162

Reposted by Stephen Murray, MPH, NRP

Drug Policy Alliance @drugpolicy.org · 03/10/2025

Stephen Murray’s journey to stability began with support, not punishment. Forcing people into treatment can worsen outcomes and increase overdose risk. With high costs and long waitlists, many struggle to get help. That’s why he calls for accessible care grounded in healing, dignity, and safety

When I decided to stop using, what carried me was the belief that I could stop because I wanted to with the support of my family, friends, and care providers -- not because someone forced me.

Forced treatment discharges people to the same environment, with a new wound: a loss of autonomy at the hands of those who claimed they are helping. In addition, according to the Massachusetts Department of Public Health, individuals with substance use disorder leaving forced treatment are 41% more likely to overdose within 30 days.

As the leader of a hotline where we keep people safe while they are using, I have seen how kindness and unconditional support change behavior in ways punishment never could.

You can't heal trauma in a traumatic environment, and you can't build trust by locking someone behind bars. If we want to save lives, we need to stop clinging to coercion and start making care accessible and free that honors people's dignity, autonomy, and right to be safe.

-Stephen Murray

0126

Reposted by Stephen Murray, MPH, NRP

Narcotica Podcast @narcocast.bsky.social · 01/10/2025

👀

011

Stephen Murray, MPH, NRP @stephen-murray.com · 30/09/2025

Something to keep an eye on — product moving through FDA fast track for “treatment of acute methamphamine intoxication.” Research is funded by NIH/NIDA. Press release is here: www.prnewswire.com/news-release...

141

Stephen Murray, MPH, NRP @stephen-murray.com · 30/09/2025

We seem to be getting a new flood of these stories... I searched all the available info — there is no discussion anywhere of the symptoms the officer allegedly experienced and no bodycam footage on any of the news stories. We can safely say that a wet soggy bag of dope is not going to go airborne.

3164

Stephen Murray, MPH, NRP @stephen-murray.com · 23/09/2025

No… they didn’t. Fentanyl misinformation is now an international phenomenon. Paging @ryanmarino.bsky.social

84°
LFY.coml
ACADIANANS LOCAL NEWS LEADER
• lo buenol
ANUA seno
tenta conmigo
cormigo
uenta
conmigo
MÃS CHIHUAHUA
más de lo bueno
MAS CHIHUAHUA más de lo buenc
cuenta conmi
conmigo
MAS
lo bueno
uenta
conmig.
enta
MAS CHIHUAHUA más de lo bueno
lo be
LOCAL
2 state police officers overdose on fentanyl during drug seizure
by: Julian Resendiz
Posted : 5222, 202510163MM
EL PASO, Texas (Border Report) - Two state police officers in Chihuahua, Mexico, are recovering in a hospital after becoming ill while conducting a drug seizure.
The two unnamed officers entered a home late in Chihuahua City last week to arrest drug suspects

710423

Stephen Murray, MPH, NRP @stephen-murray.com · 15/09/2025

It’s absolute bullshit to say you can’t help people until they stop using. We can and do work on safety, housing, health, and dignity while people use.

3132

Stephen Murray, MPH, NRP @stephen-murray.com · 14/09/2025

If your solution to homelessness doesn’t center on providing housing… you are deeply unserious.

23610

Stephen Murray, MPH, NRP @stephen-murray.com · 13/09/2025

We have seen this strategy used before — I shared a while back a cop in Philadelphia doing this (I reported him and never got a response). Countless people on video giving naloxone to people who are awake. This takes it a step further and is absolutely disgusting. sfstandard.com/2025/09/11/s...

News article:

Amanda Andrade-Rhoades/The Standard
News
Fed up with drug users, street vigilantes are wielding Narcan like a weapon'
Online commenters have called the alleged use of Narcan on unsuspecting victims a
"new strategy for moving bums out of your way." Health experts say it could kill.
By David Sjostedt
Published Sep. 11, 2025 • 6:00am

04925

Reposted by Stephen Murray, MPH, NRP

Anna Phylaxis @quatoria.bsky.social · 07/09/2025

imagine spending your life in such a state of fear and paranoia that you consider it reasonable to believe people are poisoning door handles with fentanyl traps, that this is a thing that occurs and you have to watch out for

823955

Reposted by Stephen Murray, MPH, NRP

Maia Szalavitz @maiasz.bsky.social · 07/09/2025

If you're anxious & awake, it's not opioid OD. You're definitely not overdosing on an opioid if you are capable of driving.... [besides the fact you can't OD on fentanyl by touching it & this ER dr doesn't know what opioid overdose looks like & doesn't know that fentanyl is an opioid]

49219

Reposted by Stephen Murray, MPH, NRP

Ryan Marino, MD @ryanmarino.bsky.social · 07/09/2025

I want to point out that this is not the first WTFentanyl incident in Chillicothe, Ohio. These episodes beget more episodes. www.wmur.com/article/repo...

wmur.com

Fentanyl likely sickened 24 people at Ohio prison, hospital official says

One inmate and 23 staffers at the Ross Correctional Institution, which is about 45 miles south of Columbus, were treated at a nearby hospital.

314520

Reposted by Stephen Murray, MPH, NRP

Ryan Marino, MD @ryanmarino.bsky.social · 07/09/2025

You cannot overdose on fentanyl by touching powder on a doorknob. Period. But if you think you are overdosing, you should not drive your car…which you also shouldn’t do if you are having symptoms that are not consistent with fentanyl like this person did. “Responding to Narcan” is placebo effect.

Symptoms of opioid toxicity:
• Depressed mental status
• Decreased respiratory rate
• Decreased tidal volume (shallow breathing)
• Miotic (constricted) pupils
Nonspecific symptoms like lightheadedness, dizziness palpitations, numbness and tingling, fear, anxiety, abnormal taste, etc are not indicative of opioid toxicity

Indications for Narcan (naloxone):
• Apnea*
• Hypoxemia
• Bradypnea (respiratory rate <12/minute)
• Hypopnea (& hypercapnea)
*apneic or bradypneic patients should receive bag-valve mask ventilation prior to & during naloxone administration because of a risk of ARDS

23651147

Reposted by Stephen Murray, MPH, NRP

Kait Richardson 🥔 @thryse.com · 07/09/2025

This shit is completely made up. Completely.

35810

Stephen Murray, MPH, NRP @stephen-murray.com · 07/09/2025

I spent all weekend glued to this book by @equalityalec.bsky.social — it is an ESSENTIAL read for anyone in drug policy or harm reduction spaces. I have learned so much that my brain actually might explode and I have so much work to do now

1699

Reposted by Stephen Murray, MPH, NRP

ScottCulkin 🇺🇸/🏴󠁧󠁢󠁳󠁣󠁴󠁿/🚒🚑(ret.)/🚴/🥁/⚽ @scottculkin.bsky.social · 07/09/2025

I administered Naloxone (Narcan) many times as a paramedic. I NEVER gave it to anyone who was awake. That is not what it is for!

2276

Stephen Murray, MPH, NRP @stephen-murray.com · 07/09/2025

For the upteenth time — you are NOT having a fentanyl overdose if you feel hot, panicked, drive yourself to the hospital, receive naloxone while awake, get dizzy. If she really felt like she was going to pass out while driving, it’s incredibly irresponsible to continue driving.

CHILLICOTHE, Ohio - A local woman said she narrowly escaped an attempted attack at a gas station after touching a door handle coated in what she believed was fentanyl, leading to her hospitalization for a suspected overdose from skin exposure.
Jess Stonerock detailed the harrowing ordeal in a Facebook post Thursday, describing how she stopped at an Exxon station near the Chillicothe fairgrounds to use the restroom after picking up her sick child from a friend's house. "Once we got into Chillicothe I realized I had to use the restroom asap. So before turning on 207, I decided to just drive half a mile past to the Exxon station by the Chillicothe fairgrounds," Stonerock wrote.
She noticed the station's lights were dimmed but assumed it was still open. After telling her son to lock the doors, she approached the building. "I tried to pull the door, no luck. But I felt 'dirt' on my hands after touching the handle, so I just brushed them off on my pants," she recounted. "My first thought was, 'maybe they have an outside restroom?'

About 10 minutes later, while driving down Route 207, Stonerock began experiencing severe symptoms. "Ten minutes down 207 I started getting hot. I thought it was just my fight or flight senses that had locked in, but I just kept getting hotter, and then dizzier and then I felt like I was gonna pass out right there," she said.
She raced to Adena Hospital. ".
....drug tested by
the doctor in the E.R. and was told fentanyl does not show on their test, only opioids, but he said since I responded so well to the narcan and had the exact symptoms, he was 90% positive it was a fentanyl overdose.
Stonerock was hospitalized and treated with Narcan, sharing photos of her bloody nose, arm rash and other injuries from the episode.
• "We
are home now, terrified but okay physically. God had his hand on us for sure," she added. "Please be aware of your surroundings. I never thought this would happen to me but it did. It can happen to you too."

3447874

Reposted by Stephen Murray, MPH, NRP

Claire Zagorski, PhD, MSc, EMT-P @clairezagorski.bsky.social · 06/09/2025

AAAAHAHAHAHAHAHAHAHAAAAAA HELL YEAH

September 5, 2025
To Whom It May Concern,
This letter is to inform you that effective August 26, 2025, Indivior has discontinued promotion for OP VEER (nalmefene) nasal spray 2.7mg. Indivior has not taken this action due to safety or efficacy issues related to the product. Rather, the decision was based on business reasons and shifting our focus to other parts of our business.
While we will no longer actively market OPVEE®, Indivior will continue to make the product available for healthcare professionals to prescribe, and for public interest entities to order via accessing OpveeDirect.
Our medical team is available to assist you and to answer any medical inquiries you might have.
They can be reached at infoMIU@indivior.com or by calling 1-877-782-6966. Also, to report adverse events related to OPVEE, please call us at 1-877-782-6966 or email us at:
PatientSafetyNA@Indivior.com
Full prescribing information for OPVEE is available at: Combined-USPI Patient-Info_IFU_Clean_ 05July2023.pdf
Thank you for your continued partnership and commitment to providing the best care for your patients and the communities that you serve.
Sincerely,
Ann Wheeler, Pharm D

55114

Stephen Murray, MPH, NRP @stephen-murray.com · 01/09/2025

I’m starting to post more over on IG - feel free to follow there! www.instagram.com/stephenhrnrp

020

Stephen Murray, MPH, NRP @stephen-murray.com · 01/09/2025

A friend of mine who was 96 passed away last week. I was thinking about how nice it was to finally have a friend who wasn’t 20-40 die. A death where I could say “she lived an amazing and long life!” And smile about it.

0170

Reposted by Stephen Murray, MPH, NRP

Claire Zagorski, PhD, MSc, EMT-P @clairezagorski.bsky.social · 31/08/2025

I no longer say that every overdose is a policy failure. Every overdose is a policy *decision*.

315144

Stephen Murray, MPH, NRP @stephen-murray.com · 31/08/2025

When politicians show up at your #ioad event… remind them that almost every policy approach to overdose has made it worse and that’s by design.

Remember that when politicians come to your IOAD event that most of the drug policy approaches that have been done in the name of "ending" overdose have just made the problem worse.
1. Drug seizures - claimed to lower drug use, but we know the opposite is true.
2. Criminalization and incarceration - often framed as
"saving people" by locking them up, but this only lowers tolerance and increases overdose risk at reentry. Add to that the barriers of a criminal record-family separation, housing, employment, healthcare-and you set people up for more chaotic use.
3. Coerced, forced, or involuntary treatment - for the same reasons. In the name of "saving people," we statistically increase their risk of overdose.

4. Reducing opioid prescribing - removing regulated opioids created a vacuum filled by fentanyl. This has killed hundreds of thousands and harmed pain patients who are now pushed to the illicit market or toward suicide.
5. Abstinence-based treatment and recovery - people in treatment are still rarely taught about overdose prevention or the risk of returning to use. Talking about it is seen as
"triggering" or "enabling." The result: so many die within weeks or months of discharge.
So what are solutions that could reduce overdose? Harm reductionists have been screaming these ideas from the rooftops for decades. Providing a regulated supply (not just for people with OUD, as is often the pitch of safe supply efforts). Ending criminalization. Opening overdose prevention centers. Getting police out of pain management decisions between a doctor and patient. Removing barriers to medication access, methadone in particular. Improving mental health care. Building a more kind and just society, one that makes it safe for people to use drugs around one another so that overdose can be spotted and reversed.
Anyway... lots to think about. I miss my friends. Let's do better.

095

Stephen Murray, MPH, NRP @stephen-murray.com · 30/08/2025

There is no standard lethal dose of cocaine. Overdose risk depends on many factors… route (snorted, smoked, injected), body weight, tolerance, health status, and what other substances are on board. Someone can die from a few hundred mg while some use multiple grams daily for years without issue.

Article from CNN about drug seizure stating they got enough cocaine to fatally overdose the entire population of Florida

3185

Stephen Murray, MPH, NRP @stephen-murray.com · 30/08/2025

Out with some of the team planting flags in Boston for #ioad - remembering our dead friends and why we are doing this work.

0141

Stephen Murray, MPH, NRP @stephen-murray.com · 14/08/2025

We have officially made it to the Buzzfeed-style lists chapter of the fascist takeover!

1216

Stephen Murray, MPH, NRP @stephen-murray.com · 11/08/2025

featured by the @adcouncil.bsky.social and @nationalcouncil.bsky.social for Start With Hope campaign — got chance to talk about wellness beyond abstinence and SafeSpot’s greatest strength is we help people feel a sense of value for being themselves. Here is the full ad: youtu.be/Fm1vb-Q6-nU?...

0132

Reposted by Stephen Murray, MPH, NRP

alec karakatsanis @equalityalec.bsky.social · 01/08/2025

THREAD. A recent poll shows that people in the United States suffer from mass delusion about crime. The results are alarming for Democrats. It should be a massive scandal for mainstream news, and it's a pillar of the authoritarian zeitgeist.

217352

Reposted by Stephen Murray, MPH, NRP

Ryan Marino, MD @ryanmarino.bsky.social · 16/07/2025

Trump’s team has delayed & is considering canceling $140M in grants to fund fentanyl overdose response efforts. The last time a major national interruption of addiction care occurred (in 2020 under Trump) deaths skyrocketed. How can you interpret this any other way than they want Americans to die?

911851

Reposted by Stephen Murray, MPH, NRP

nfi @nfi.bsky.social · 13/07/2025

Regulating the drug supply makes complete sense right up until you realise prohibition ensures some classes of people can always been persecuted by law enforcement. The "risk of drugs" is like a broken tail light on the backs of the most marginalised

052

Stephen Murray, MPH, NRP @stephen-murray.com · 11/07/2025

Thanks for chatting with me in line at Starbucks @schiff.senate.gov 💪🏼

0233

Stephen Murray, MPH, NRP @stephen-murray.com · 03/07/2025

This is from a single sample, sold as fentanyl, from the drug supply in Lynn, MA. This is what it looks like for government to surrender its regulatory power to the market. This is what we are subjecting our friends and family too instead of oxy or heroin. This is a policy CHOICE.

Drug checking sample:

Laboratory Detected Substances Fentanyl (10)
Xylazine (8)
4-ANPP (4)
Lidocaine (4)
BTMPS (Tinuvin 770) (3)
6-Monoacetylmorphine (3)
Ethyl-4-ANPP (2)
Bromazolam (2)
Phenethyl-4-ANPP (trace)
Papaverine (trace)
Medetomidine (trace)
Heroin (trace)
Caffeine (trace)
Cocaine (trace)
Methamphetamine (trace)
Acetaminophen (trace)
Morphine (trace)
Type Community Sample
Date 05/2025
State / Group Massachusetts
Location Lynn

13010