Charting the Course of US Overdose and Mental Health Crises
Joined July 2019
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Today in @NEJM w/ @DrScottHadland: Overdose deaths among high schoolers are rising despite fewer teens using illicit drugs.
We explain how physicians, teachers and parents can help teens stay safe despite counterfeit pills making experimentation risky.
nejm.org/doi/full/10.1056/NE…
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“Chill packs” are like naloxone but for breaking the cycle of methamphetamine induced psychosis.
Self administered olanzapine as psychiatric harm reduction to prevent hospitalization.
Our review discusses the concept and evidence: link.springer.com/article/10…
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Out now in @AddictionJrnl:
We find that the fourth wave of the overdose crisis (fentanyl plus stimulants) declined for the first time in 2024, but deaths involving stimulants, deaths involving xylazine, and racial disparities remain growing issues
onlinelibrary.wiley.com/doi/…
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Joseph Friedman, MD, PhD, MPH retweeted
“US overdose mortality saw first drop below the Jalal-Burke exponential growth curve in 2024” by @JosephRFriedman and colleagues (2026) via @ijdrugpolicy…what factors most contributed to the 2024 overdose mortality decline?
Link: sciencedirect.com/science/ar…
#DrugPolicy
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Joseph Friedman, MD, PhD, MPH retweeted
New publication! 🧠
Excited to share our latest paper, for which I am co-first author. This randomized controlled trial provides the first evidence that #buprenorphine can prolong and augment #ketamine’s antisuicidal effects in depression.
doi.org/10.1176/appi.ajp.202…
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Out now in @ijdrugpolicy "US overdose mortality saw first drop below the Jalal-Burke exponential growth curve in 2024"
Open access: kwnsfk27.r.eu-west-1.awstrac…
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Joseph Friedman, MD, PhD, MPH retweeted
Check out our new paper in @AmJPrevMed: #cannabis is the most commonly microdosed substance in the US, nearly 2x more than #psilocybin, and mostly for medical vs recreational reasons
@NSatybaldiyeva
@wkepner
@JosephRFriedman
@eric_leas
doi.org/10.1016/j.amepre.202…
“Microdosing is often discussed in the context of psychedelics … but what surprised us most was that cannabis microdosing was almost twice as common,” said Dr. Kevin Yang of UC San Diego’s School of Medicine, the study’s primary author. ⬇️
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Counterfeit pills confer unique risk by expanding who is vulnerable to fentanyl and synthetic drug overdose.
Many consumers who would never try fentanyl powder may be willing to take a tablet they believe to contain oxycodone or alprazolam.
Full talk: youtu.be/JRcWrhyNgrc?si=13Ic…
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Joseph Friedman, MD, PhD, MPH retweeted
Acabamos de publicar el artículo original en donde analizamos los riesgos a la salud en la región costera binacional de #SanDiego #Tijuana #Rosarito
doi.org/10.1016/j.envc.2026.…
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Joseph Friedman, MD, PhD, MPH retweeted
Great opportunity! Assistant Professor position in Public Health at California State University San Marcos careersmanager.pageuppeople.…
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Joseph Friedman, MD, PhD, MPH retweeted
23 Oct 2024
1/🧵Fact: US doctors reduced #opioid prescribing far more quickly than they increased opioid prescribing in the first place
It's almost never reported by the media.
Let's see the data, then talk about what happened..
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22 Oct 2024
California is “the state with the single highest number of overdoses. Really, the single most important place to tackle the overdose crisis, I would argue, is California. We’re the overdose capital of the world.”
laist.com/news/health/la-cal…
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Joseph Friedman, MD, PhD, MPH retweeted
22 Oct 2024
US overdose deaths are dropping. Is California following? laist.com/news/health/la-cal… with remarks by @RNBluthenthal & @JosephRFriedman More effort to reach Black and Latinx people who are at risk for overdose are needed.
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With emerging signs that fentanyl is becoming more common in Latin America--but limited official mortality records--linked EMS and emergency department data systems offer great potential for overdose outbreak monitoring.
Editorial in @AMJPublicHealth:
ajph.aphapublications.org/do…
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Joseph Friedman, MD, PhD, MPH retweeted
Excellent example of cross-border research led by Dr @JosephRFriedman a resident examining: Illicit Fentanyl Use and Hepatitis C Virus Seroconversion Among People Who Inject Drugs in Tijuana and San Diego: Results From a Binational Cohort Study
#fentanyl
pubmed.ncbi.nlm.nih.gov/3907…
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Joseph Friedman, MD, PhD, MPH retweeted
28 Aug 2024
Xylazine from Philly to Tijuana:Epidemiological Trends and Clinical Management
Today at noon PT! uclahs.zoom.us/meeting/regis…
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21 Aug 2024
Out today in @sdutOpinion, Tara Stamos and my update on the overdose crisis in San Diego.
Death numbers are steadying, but a host of new synthetic drugs are taking root in the region.
sandiegouniontribune.com/202…
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Joseph Friedman, MD, PhD, MPH retweeted
Awesome #OpEd by @JosephRFriedman & Tara Stamos-Buesig from #HarmReduction Coalition of #SanDiego on small gains to reduce #overdose deaths & the need for #drugchecking services to save even more in this era of toxic synthetic drug supplies.
sandiegouniontribune.com/202…
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🆕 #NIDA-supported research in @CIDJournal: Illicit fentanyl use and hepatitis c virus seroconversion among people who inject drugs in Tijuana and San Diego: Results from a binational cohort study. @UCSanDiego loom.ly/NdoDlNw
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