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              <text>Amelia L Persico, 1, 2 Erica L Wegrzyn, 1, 2 Jeffrey Fudin, 1, 2 Michael E Schatman 3, 4  1Stratton VA Medical Center, Albany, NY, USA;  2Remitigate Therapeutics, Delmar, NY, USA;  3Tufts University School of Dental Medicine, Boston, MA, USA;  4Tufts University School of Medicine, Boston, MA, USACorrespondence: Jeffrey Fudin Email jeff@paindr.com The ongoing media maelstrom regarding opioids and classification of an &amp;ldquo;opioid&amp;nbsp;crisis&amp;rdquo; during the initial decade of this millennium has stirred awareness, outrage&amp;nbsp;and action among regulatory and other&amp;nbsp; government agencies, professional clinician&amp;nbsp;organizations, community pharmacy policies, legislators, patient advocacy groups,&amp;nbsp;anti-opioid advocate groups, and others. However, mass media reports often skew&amp;nbsp;or misdirect the aggregate facts in a possible effort to abridge or sensationalize&amp;nbsp;stories.1 Discernable distinctions, for example, are rarely drawn between licit&amp;nbsp;pharmaceutical fentanyl, illicit fentanyl analogues, and certain highly potent&amp;nbsp;analogues approved only for ungulates. The omission of this information has&amp;nbsp;resulted in distorted public information that has far reaching consequences in&amp;nbsp;medicine and policy development, as it leads to misunderstanding and misinterpretation&amp;nbsp;of the facts by politicians, lay people and many clinicians.2 It is particularly&amp;nbsp;relevant today, as pharmaceutical fentanyl is often an essential drug for intubationregularly required for ventilation procedures in declining patients that may succumb&amp;nbsp;to novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). These&amp;nbsp;distinctions are critical in the shifting landscape of the opioid crisis as prescriptions&amp;nbsp;for opioids decrease yet overdose deaths remain alarmingly prevalent and continue&amp;nbsp;to rise. &amp;nbsp; &amp;nbsp;</text>
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              <text>Biotemas</text>
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              <text>Universidade Federal de Santa Catarina</text>
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