'Huge risk' as benzodiazepine found in Brandon drug sample: harm reduction advocate - Action News
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Manitoba

'Huge risk' as benzodiazepine found in Brandon drug sample: harm reduction advocate

Manitoba's Prairie Mountain Healthhas issued a drug alert after a street drug sample tested positive for benzodiazepine, which can bedangerous when paired with an opioid like fentanyl but unlike opioids, cannot be treated by naloxone.

Benzodiazepine can be dangerous when paired with opioids like fentanyl, but can't be treated by naloxone

Two women in T-shirts sit at a picnic table under a tree on a sunny day.
Solange Machado, left, is the Brandon co-ordinator with the Manitoba Harm Reduction Network. Destiny Cathcart, right, is co-chair of the organization's peer advisory council. They encourage people not to use street drugs alone, after benzodiazpeine was detected in a drug sample from Brandon. (Chelsea Kemp/CBC)

Manitoba's southwestern health regionhas issued an alert about a potentially dangerous substance recently found in a street drug sample confiscated in Brandon.

Abeige powder that appeared in the city tested positive for fentanyl and bromazolam, Prairie Mountain Health said in a drug alert first posted to social media last week.

Bromazolam is in the benzodiazepine family. Benzodiazepines, or "benzos," are depressantstypically prescribedas asedative. They can bedangerous when paired with an opioid like fentanyl, because the sedation increases the risk of an overdose,according to Health Canada.

"What's most concerning for us is that it's not an opioid so naloxone doesn't work on it," saidConst. Myran Hamm, a public information officer with theBrandon Police Service, referring to the antidote used to treat opioid overdoses.

"That increases the risk for the individual using the substance as well as first responders and anyone who may come into contact with those substances."

When new substances appear in Brandon there is a minimal impact on police operations and responses, said Hamm, but they are cause for concern.

Prairie Mountain Health declined to comment, insteadreferringCBC to the province of Manitoba. A response from the province was not received by deadline.

Bromazolam is "very new" in Brandon, said Solange Machado, the Brandon co-ordiator with the Manitoba Harm Reduction Network, and there are a lot of unknowns about the drug.

"If someone is to have an overdose on this substance, naloxone will not work, which is a huge risk for our people who use drugs," Machado said.

No quick test for benzodiazepine

There's no quick way to tell if benzodiazepine or other substances are present, adding to the risks people who use drugs face, she said. Manitoba Harm Reduction does have test strips available, but thoseare only effective in detecting fentanylin substances.

People can send drugs away for testing by visitinggetyourdrugstested.ca, a free and anonymous Vancouver-based service,but thatcan be a time-consuming process, said Machado.

Since thedrug alert was first issued by Prairie Mountain Health last week, there has been an increase in overdoses in the community, said Destiny Cathcart, co-chair of the Manitoba Harm Reduction Network's Brandon peer advisory council.

Some substance usersare accessing drugs such as methamphetamine, not realizing they may contain benzodiazepine, she said.

A woman with blond hair wearing a black T-shirt stands in front of a tree in a park on a sunny day.
People who use substances are urged to 'check on each other, and don't use alone and don't lock doors,' says Cathcart. (Chelsea Kemp/CBC)

The peer councilworks with the Harm Reduction Network to try to keep peoplewho use drugsand those around them as safe as possible, said Cathcart.

Machado said thatcan include things like handing out harm reduction supplies, providingeducation to reduce stigma, and working to address the community's currentneedsby connecting withpeople who have lived experience with street drugs.

"We're the ones who are using it," Cathcart said. "You know, usually, as soon as we feel something funky with it, we tell Solange or get it tested and figure it out," she said.

In more tragiccases, if a person dies from an overdose, anautopsyreport may identify the substance, she said.

'They have a need'

The council serves as a network of people who can help keep others safe by spreading information about situations such as the latest drug alert through word of mouth.

People who use drugs and work with Manitoba Harm Reduction are part of the community, Machado said, and want to help create a safe and healthy space.

A woman wearing a Manitoba Harm Reduction Network T-shirt stands in a park on a sunny day.
Machado says since naloxone is ineffective for benzodiazepine overdose, it's important for users to ensure they have a way to make an emergency call. (Chelsea Kemp/CBC)

"It's dangerous because benzos are strong and most people don't take them," Cathcart said. "And if you don't take them, like, on a daily occurrence you overdose."

If people are using street drugs, she encourages them to "check on each other, and don't use alone and don't lock doors."

Machado also said since naloxone is ineffective forbenzodiazepineoverdose, it's important for users to ensure they have a way to make an emergency call.

People experiencingan overdosewill appear unresponsive, have blue lips and struggle to breathe.

"I get the question ... 'Why are people using this drug if they know it can have these effects?' And I think it's just because the drug supply and brand is so inconsistent," Machado said. "The availability of people's drug of choice changes day to day."

That means people may end up using a substance they're unfamiliar with, she said.

"They have a need that they need to meet, and they're going to use what's available."

Dangerous substance found in Brandon street drug supply

2 years ago
Duration 3:51
A beige powder found in the city recently tested positive for fentanyl and bromazolam.