Friday, November 7, 2025

Doctors cast doubt on fentanyl poisoning by touch, after Montgomery County incident – Houston Public Media

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Introduction to Fentanyl Poisoning

Fentanyl is a powerful opioid that can be deadly in small amounts. Recently, two county employees in Montgomery County may have been exposed to fentanyl after being handed a paper that tested positive for the substance. However, doctors are casting doubt on the possibility of fentanyl poisoning from casual contact.

The Incident

On October 28, two county employees were approached by a woman in a parking lot who handed them a flyer. The employees reported feeling symptoms such as shaky hands, dizziness, and hot flashes shortly after. The flyer was brought to the Montgomery County Constable Precinct 4 offices, where it tested positive for fentanyl. The investigation is ongoing, and no one has been arrested.

Symptoms of Fentanyl Exposure

Fentanyl exposure can cause symptoms such as slower breathing, confusion, or a "depression of consciousness," which is a sort of mini coma. However, doctors say that casual contact with fentanyl is unlikely to cause significant symptoms. In fact, a study found that 63% of one-dollar bills tested positive for fentanyl, but holding one of these bills would not produce symptoms.

What Doctors Say

Doctors who spoke with Houston Public Media say that fentanyl poisoning from touch is unlikely. "Any kind of casual contact, brief skin contact, even touching fentanyl or any opioid product for several seconds or several minutes, the way that toxicology would work, it would be almost impossible for it to cause any significant symptoms," said Doctor Neil Gandhi, the assistant medical director of the Houston Methodist emergency department.

Psychosomatic Symptoms

Sometimes, people may experience psychosomatic symptoms after fearing exposure to fentanyl. This can cause them to have symptoms such as a panic attack, which can be mistaken for fentanyl poisoning. Doctor Alexander Lazar, an associate professor and emergency medicine physician with UTHealth System, said that the concern is fairly common but not entirely merited.

Precautions and Awareness

While fentanyl poisoning from casual contact is unlikely, it’s still important to exercise caution when accepting items from unknown individuals in public settings. If you see something suspicious, report it immediately. It’s also important to be aware of the risks of fentanyl exposure and to take precautions to avoid it.

Conclusion

In conclusion, while the incident in Montgomery County is concerning, doctors say that fentanyl poisoning from casual contact is unlikely. It’s still important to be aware of the risks and take precautions to avoid exposure. By understanding the facts about fentanyl poisoning, we can work to prevent unnecessary panic and focus on keeping our communities safe.

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