Drug injection fades as smoking grows more common, marking sea change in U.S. fentanyl epidemic - Takeaways - MDSpire

Drug injection fades as smoking grows more common, marking sea change in U.S. fentanyl epidemic

  • By

  • Lev Facher

  • February 12, 2026

  • 0 min

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  • 1

    The U.S. has seen a significant shift from injecting opioids to smoking them, particularly since the Covid-19 pandemic.

  • 2

    Harm reduction workers advocate for smoking as a safer alternative, reducing risks of infections and overdose.

  • 3

    The rise in smoking is linked to the dominance of fentanyl and the dangers associated with injecting, such as severe skin wounds.

  • 4

    Research indicates that smoking drugs may reduce overdose risk by up to 30% compared to injecting.

  • 5

    Public health strategies have lagged behind user preferences, with some resistance to distributing smoking supplies.

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