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18,182 samples completed from 41 states. Last updated Friday, December 19, 2025.
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604539

From Asheboro, North Carolina on November 1, 2025

Assumed to be fentanyl, xylazine, medetomidine

This is a messy brew of 5 major substances:

  • dimethyl sulfone (methylsulfonylmethane MSM)
  • methamphetamine
  • medetomidine
  • ethyl 4-ANPP
  • fentanyl

Fentanyl is potent and the amount changes by batch. If you weren't expecting it, consider getting test strips online or from a harm reduction program. Carry naloxone (Narcan) to reverse overdoses. Don't use alone so someone can help if you go out.

There are a lot of different substances in this sample. We don't know the harms that some of these can cause. Be careful and be prepared for unexpected reactions.

Looks = pink, unknown texture

Need free supplies and advice to keep you safe? Find your nearest harm reduction program at harmreduction.org

Major substances in graph:

Peak: 2.21 = dimethyl sulfone (methylsulfonylmethane MSM)

Peak: 3.85 = methamphetamine

Peak: 7.23 = medetomidine

Peak: 9.14 = ethyl 4-ANPP

Peak: 10.09 = fentanyl

Method(s): GCMS

Record for Sample 604539 last updated December 9, 2025