April 9, 2026
Drug Checking Quarterly Report (Q2 2025): Mid-Atlantic, USA
Partnerships between the Center for Forensic Science Research and Education (CFSRE) and the Philadelphia Department of Public Health (PDPH) and Pennsylvania Groundhogs Group (PAG) were established to accurately assess the drug supply in the Mid-Atlantic region, epi-centered around Philadelphia, PA.

Summary and Notable Findings:

  • 669 samples were tested from October 1 to December 31, 2025.
  • Quantitative results for opioid samples are included in this report for the measured amounts of fentanyl, medetomidine, and combined local anesthetics (lidocaine, procaine, and tetracaine); the former two of which were shown to increase over time.
  • Fentanyl adulteration shifts continued: alpha-2 agonists were common, in favor of medetomidine, and local anesthetics (e.g. lidocaine, procaine, tetracaine) maintained their prevalence.
  • The novel opioid 5,6-Dichloro Desmethylchlorphine (SR-17018) was detected once in Q4 2025, but others have yet to emerge in this region. Nitazene analogues were not detected by GC-MS this quarter and fentanyl analogues (e.g., carfentanil) were detected less frequently than in previous quarters.
  • BTMPS observations continued to decrease as this substance was detected in 16 of 368 tested fentanyl samples and 5 of 34 heroin samples. Surprisingly, hybrid BTMPS-tetramethylfentanyl intermediaries, tetramethyl-4-AP and tetramethylnorfentanyl, were detected in 6 of 34 heroin samples, in which fentanyl was only a very minor component or not detected at all.
DOWNLOAD THE REPORT