Table 2.

Drug combinations in fatal overdoses in three jurisdictions west of the Mississippi River in 2020, n = 1,270.

	Los Angeles		Harris		Maricopa		Dallas-Fort Worth		Total
	Jan - Apr 2020		Jan-Apr 2020		Jan-Mar 2020		Jan-Jun 2020
Fentanyl	261	49%	68	34 %	239	67%	40	32%	608	48%
Stimulants	366	69%	148	74%	166	46%	79	63 %	759	60 %
Heroin	93	18%	87	43 %	36	10 %	34	27%	250	20 %
Pills	57	11 %	75	37%	50	14%	18	14%	200	16 %
Combinations
Fentanyl only	89	17%	9	4%	140	39 %	23	18%	261	21 %
Stimulants only	174	33 %	94	47 %	76	21 %	47	37%	391	31 %
Fentanyl & stimulants	128	24%	9	4%	61	17%	7	6%	205	16 %
Fentanyl & heroin	8	2%	3	1%	5	1%	0	0%	16	1%
Fentanyl & pills	15	3%	6	3%	18	5%	4	3%	43	3%
Fentanyl, stimulants, and heroin	8	2%	6	3%	7	2%	1	1%	22	2%
Fentanyl, heroin, stimulants, and pills	2	0%	8	4%	0	0%	1	1%	11	1%
Fentanyl, stimulants, and pills	9	2%	6	3%	7	2%	4	3%	26	2%
Fentanyl, heroin, and pills	2	0%	4	2%	1	0%	0	0%	7	1%
Heroin only	26	5%	2	1%	8	2%	12	10 %	48	4%
Heroin and stimulants	39	7%	18	9%	12	3%	18	14%	87	7%
Pills only	17	3%	10	5%	18	5%	7	6%	52	4%
Pills and heroin	6	1%	5	2%	3	1%	1	1%	15	1%
Pills and stimulants	4	1%	7	3%	2	1%	0	0%	13	1%
Stimulants, heroin, and pills	2	0%	14	7%	1	0%	1	1%	18	1%
Total	529	100 %	201	100 %	359	100 %	126	100 %	1270	100 %

Note: Fatal overdoses that involve one or more of the following are included: fentanyl (fentanyl or fentanyl analogs), heroin (heroin or morphine), pills (semi-synthetic opioids, benzodiazepines, or 3,4-methylenedioxymethamphetamine), or stimulants (methamphetamine, cocaine, amphetamines).