I saw first hand today the staggering agony of unintentional fentanyl/xylazine withdrawal and the instant relief from one injection of it.

It's no wonder that people sign out AMA when inpatient facilities don't provide adequate and prompt relief.

From the patient's perspective, the cure, as temporary as it may be, is one little $5 blue bag away.

Telling the patient to wait until morning when the doctor will be back in to write an appropriate prescription for withdrawal relief just doesn't meet the immediate need when that blue bag is such a tangible option.