Clinicians can play a powerful role by learning to ask the right questions, reviewing medication lists carefully, and offering alternatives for pain and insomnia that lower risk. Caregivers need clear, practical guidance about safe storage, how to spot early signs of overdose, and when to call for help. Public health messaging aimed at older adults should be straightforward and respectful, because stigma and assumptions about who is at risk can delay lifesaving interventions.

This issue connects to larger questions about how our systems support healthy aging, pain care, and social inclusion. There are clinical steps and policy choices that could reduce harm and expand access to treatments such as naloxone and medication-assisted care. Follow the full article to see the data and expert recommendations that explain what’s driving this surge and how communities can respond to protect older people’s well-being and independence.

Overdose deaths from fentanyl mixed with stimulants have skyrocketed among seniors, increasing 9,000% in just eight years. Once thought to affect mainly the young, the opioid epidemic’s fourth wave now engulfs older adults too. Cocaine and methamphetamine are the leading culprits, and experts warn that multi-drug use makes these overdoses especially lethal. Doctors are urged to educate patients and caregivers on prevention and safer pain management.

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