Stephen Murray, MPH, NRP

@stephen-murray.com

Husband & dad / Director of SafeSpot Overdose Hotline/ Paramedic from This American Life Ep809 The Call / Adjunct Assistant Clinical Professor Boston University School of Public Health / VIEWS MINE! http://stephen-murray.com

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.

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

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!

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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-...

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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.

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“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…

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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

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.

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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]

Stephen Murray, MPH, NRP@stephen-murray.com · 11mo ago

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?'