Drug Alert
HSHR/STREET CONNECTIONS – Fentanyl And medetomidine
October 2, 2025
A deep green chunk/pebble bought as “down” was tested at Street Connections on September 19, 2025. As local testing only detected fentanyl (on FTIR and test strips), and the client reported that the sedative effects were atypical (longer than expected), the sample was sent for confirmatory testing at Health Canada Drug Analysis Services (DAS). Results from DAS testing (quantitative analysis) were found to contain:
Fentanyl (4.51%), Medetomidine (1.63%), Caffeine (12.4%), and Erythritol (70%). The sample also contained a fentanyl precursor, 4-anilino-N-phenethylpiperidine (4-ANPP) (3.23%).

Fentanyl is considered high potency synthetic opioid, considered to be up to 40 times stronger than heroin.
Medetomidine is a veterinary tranquilizer approved only for use on animals. It is stronger than xylazine. This drug last longer and the person may not wake up for a long time.
Caffeine is a stimulant normally found in coffee, and is often added to “down” samples. However, stimulants like caffeine DO NOT reverse the sedating and respiratory depression effects of opioids or tranquilizers.
This sample contained a mix of fentanyl, and an animal tranquilizer which can cause complex overdose/drug toxicity events that do not respond fully to naloxone. Using high-potency opioids in combination with animal tranquilizers increases the risk of dangerous suppression of vitals (e.g., slowing down of breathing, blood pressure, heart rate). Naloxone cannot reverse the sedative effects of non-opioid substances such as Medetomidine.
If you are concerned about an overdose, call 911 for emergency medical assistance.
In Canada, the Good Samaritan Drug Overdose Act can provide you with some legal protection when you call 911, even if you have consumed drugs yourself.
For more information on drugs analyzed by DAS, see Analyzed Drug Report - Drug Analysis Service | Public Health Infobase - Public Health Agency of Canada
If you use drugs:
Don’t use alone and carry naloxone. Naloxone Finder – Take Home Program | Health | Province of Manitoba
If you are using alone, call the National Overdose Prevention Hotline at 1-888-688-6677 to connect to a safe consumption volunteer who stays on the line for 15-30 minutes while you use the substance. https://www.nors.ca/
Attend Drug Checking services to check for contaminants and take steps to reduce harms from potent or unexpected drugs.
In Winnipeg, drugs can be checked at:
Street Connections: Mon/Wed/Fri 8:30am-3:30pm (closed at noon-hour) at 496 Hargrave
Nine Circles: Tues/Wed/Thurs 10:00am-4:00pm at 705 Broadway
HSHR/Street Connections - Para-Fluorofentanyl, Medetomidine and Bromazolam
September 22, 2025
A pink powder believed bought as “down” was tested at Street Connections on September 15, 2025. The sample was sent for confirmatory testing at Health Canada Drug Analysis Services (DAS), as local testing results only detected para-fluorofentanyl (on FTIR), benzodiazepines on test strips only, and the effects of its use were unexpected. Results from DAS testing (quantitative analysis) were found to contain:
Para-Fluorofentanyl (15.6%), Caffeine (52.1%), and Medetomidine (no percentage available). Bromazolam was found under DAS limit of reporting.
Para-Fluorfentanyl is considered to be up to 2 times stronger than fentanyl
Medetomidine is a veterinary tranquilizer approved only for use on animals. It is stronger than xylazine. This drug lasts longer, and the person may not wake up for a long time.
Caffeine is a stimulant normally found in coffee, and is often added to “down” samples. However, stimulants like caffeine DO NOT reverse the sedating and respiratory depression effects of opioids or tranquilizers.
Bromazolam is a high-potency, short-acting benzodiazepine.

This sample contained a mix of fentanyl analogues, an animal tranquilizer, and a benzodiazepine which can cause complex overdose/drug toxicity events that do not respond fully to naloxone. Using high-potency opioids in combination with benzodiazepine-like substances increases the risk of dangerous suppression of vitals (e.g., slowing down of breathing, blood pressure, heart rate). Naloxone cannot reverse the sedative effects of non-opioid substances such as Medetomidine.
If you use drugs:
Call 911 (or your local emergency response number) if you witness or experience an overdose. The Good Samaritan Overdose Protection Act will protect those involved from drug possession charges or breach of probation/pre-trial release charges.
- Get naloxone and overdose training before using – bring a friend
- Be aware that benzodiazepines don’t respond to naloxone.
- Do not use drugs alone or behind a locked door. Have a designated responder: Stagger use with friends so someone can respond/call 911 if needed.
- If you are using alone consider calling the National Overdose Prevention Hotline at 1−888−688−6677, where you will be connected to a safe consumption volunteer who stays on the line for 15 – 30 minutes while you use the substance.
- Use a less direct route when you take drugs. Injecting a drug is the most direct and dangerous route.
- If you mix drugs, reduce the amount of each drug you take and use opioids before benzos or alcohol. Use the most unpredictable drug first.
- Use one drug at a time, test your drugs every time by doing a smaller than usual test amount first.
- Wait before taking another dose – some drugs take longer to take effect
- The amount of naloxone in a take-home kit may not be enough to reverse very powerful overdoses, such as those caused by fentanyl-like drugs.
- If you inject do not share any injection equipment (needles, cookers, filters, rinse). Sterile drug use supplies are available from many places.