The authors note that some persons using opioids also use psychostimulants (amphetamines or similar) or cocaine to reduce sedation and improve workplace performance. They used vital statistics data (with cause of death and occupation information) to identify 69,893 synthetic opioid-involved overdose deaths. Overall, 53.6% of these deaths co-involved stimulants, and by occupation, ranged from 43.4% to 57.5%. The occupations co-involving psychostimulants tended to be physically demanding, such as farming, fishing, mining, construction, or sports. Those co-involving cocaine tended to be less physically demanding, such as business, financial, administration, and health care occupations.

Read more: https://www.cdc.gov/mmwr/volumes/74/wr/mm7410a3.htm?s_cid=mm7410a3_w&asam.org