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I am a peer support specialist in the substance use disorder department, in Clay County, FL. We deal with fentanyl addicts every day. I do see less complications with smoking than injecting. However, we try to get them into services at our mental health and substance abuse clinic. We offer them buprenorphine or vivitrol to help with the cravings. Again, harm reduction. The state of FL has a program called CORe and in our county we have a paramedicine program where we work with our fire rescue dept. The EMTs will start someone who calls the number saying they want help, on buprenorphine. It has to be about 48 since last use or in severe withdrawals and they will go to client daily for up to 7 days, while we get them in to see our dr. to continue treatment. We have had great success. These newsletters has been Great info for me, as the Lead Peer Support in our CORe dept.

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