In 2018, the opioid epidemic was at its peak with prescription pain killers becoming a gateway drug leading to drug abuse of fentanyl and heroin. After three waves of opioid overdose deaths, which saw drug abusers jump from opiates to fentanyl then heroin, we’re now entering the fourth, which is methamphetamine. As legislation enforces new opioid laws, the opioid epidemic is causing an increase in methamphetamine use.