A shot into a cup filled containing blue fentanyl-laced pills.
Addiction, Drugs, Fentanyl, Methamphetamine, Opioids

Stimulant Users Are Caught in Fatal ‘Fourth Wave’ of Opioid Epidemic

The first wave of the long-running and devastating opioid epidemic began in the United States with the abuse of prescription painkillers in the early 2000s. The second wave involved an increase in heroin use, starting around 2010. The third wave began when powerful synthetic opioids such as fentanyl started appearing in the supply around 2015. Now experts are observing a fourth phase of the deadly epidemic.