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Drug Safety & Policy

8 articles

Copy That Doesn’t Prescribe: A U.S. Newsroom Checklist for Barbiturate Deaths

Copy That Doesn’t Prescribe: A U.S. Newsroom Checklist for Barbiturate Deaths

U.S. coverage of pentobarbital and other barbiturate deaths often oscillates between sensational dose arithmetic and bloodless euphemism. This newsroom checklist argues that responsible reporting is a harm-reduction instrument: it can inform clinicians and regulators without supplying a blueprint, stigmatizing grief, or reducing toxicology to a single misleading number.

The Label That Outruns the Lab: Counterfeit Pentobarbital and the Limits of Drug Checking

The Label That Outruns the Lab: Counterfeit Pentobarbital and the Limits of Drug Checking

Products sold as pentobarbital in U.S. illicit markets may contain no pentobarbital at all, or may contain other active substances entirely. This article examines why clinicians, poison centers, and harm-reduction programs cannot treat a labeled 'lethal dose' as a verified fact, and how drug-checking limits, ethical communication, and surveillance policy should shape the public response.

The Quiet Multiplier: Deprescribing as Barbiturate Harm Reduction in Older U.S. Adults

The Quiet Multiplier: Deprescribing as Barbiturate Harm Reduction in Older U.S. Adults

Barbiturate risk in older adults is rarely a single-drug problem. Benzodiazepines, opioids, antihistamines, and alcohol can narrow an already slim margin of safety, while electronic alerts and medication reconciliation miss the cumulative load. This policy-oriented review proposes a deprescribing checklist for clinicians and families.