The Deadly Combination: Fentanyl, Speedballs, and Goofballs in San Francisco SAN FRANCISCO – The devastating effects of fentanyl continue to plague the streets of San Francisco, with the drug being the leading cause of drug-related deaths in the city. However, what is particularly concerning is that fentanyl is now being mixed with stimulants like cocaine or meth to create “speedballs” and “goofballs,” resulting in an even deadlier cocktail. While these terms may not be unfamiliar to those familiar with drug addiction, the addition of fentanyl has taken the dangers to a whole new level. Tom Wolf, currently in recovery from drug addiction, shed light on the prevalence of speedballs on the streets. The theory behind this dangerous combination is that individuals use the stimulant in the hopes of avoiding an overdose or death from fentanyl. Alternatively, some may take speedballs because they enjoy the paradoxical experience of feeling both wired and down at the same time. According to the San Francisco Department of Public Health, deaths related to speedballs are still occurring. Last year alone, the Chief Medical Examiner’s Office reported approximately 400 cases of unintentional drug overdoses involving both fentanyl and a stimulant. Wolf explained that goofballs are created by mixing fentanyl with meth, and the relatively low cost of this deadly high is a contributing factor to its popularity. With fentanyl available on the streets for around five dollars and meth for around ten dollars, individuals can obtain this lethal combination for just fifteen dollars. San Francisco Mayor London Breed has made cracking down on drugs a priority in her 2023 plan. To aid in this effort, reinforcements have been brought in from the California Highway Patrol, the San Francisco Sheriff’s Office, and even the California National Guard. While law enforcement efforts are commendable, Wolf believes that more needs to be done in terms of funding treatment options for addicts. He emphasized the need for a treatment on demand system, where addicts can receive the necessary help and support the same day they seek it. This was an issue that Wolf himself faced when he first embarked on his recovery journey, and it remains an issue today. By investing in more detox beds and drug treatment facilities, San Francisco can provide the vital resources needed to combat the ongoing crisis. As the city grapples with the rising number of fentanyl-related deaths, it is clear that a comprehensive approach is necessary. While law enforcement efforts are vital for reducing the availability of these deadly drugs, long-term solutions lie in providing accessible and effective treatment options for those struggling with addiction. Only by addressing both supply and demand can San Francisco hope to turn the tide and save lives.