There is a new synthetic opioid out there on our streets that is described as four times as powerful as fentanyl. The drug isotoniazene or commonly referred to as “ISO” has been found in different parts of our country and the results are deadly.  By now, most of us have read news stories about how many people have died year to year from primarily fentanyl and heroin as well as the increase of admissions in opiod treatment programs.  Numerous law enforcement agencies including the DEA have reported seizures of ISO in a number of undercover and sting operations.  According to numerous reports this new drug was initially found in Florida but it has spread everywhere throughout the country.  This substance can come in a crystal like form or in a yellowish brown powder.  It has been detected in pill form as well.  What the drug cartels have been doing is acquiring what are called pill presses.  They then take the substance, ISO, and “stamp” it into a pill and sold as something else.  These pills look exactly what they look like when they come from your local pharmacy.  The person using it thinks it’s one substance and sadly finds out that it’s actually ISO or fentanyl.  There is a medication called NARCAN (Naloxone) that is used to reverse the effects of opiate overdoses.  When it comes to ISO, first responders and emergency rooms are reporting that it can take four times the amount of NARCAN to work effectively and save someones life.  For the most part this new drug is being manufactured in China and then snuck into our country through our shipping ports and our southern border. (According to the DEA).