The dark web, a hidden part of the internet accessible only through specific software, also hosts marketplaces where pentobarbital and other controlled substances are sold illicitly, often accompanied by cryptocurrencies to anonymize transactions. Law enforcement agencies worldwide actively monitor and attempt to shut down these illegal markets, but they remain persistent due to high demand and the lucrative nature of the trade. In countries where euthanasia or assisted dying is legal, such as the Netherlands, Belgium, Canada, and some U.S. states like Oregon, pentobarbital is prescribed under rigorous medical supervision as part of authorized programs. In these contexts, patients can obtain pentobarbital legally, but the process involves strict eligibility assessments, counseling, and oversight to ensure ethical use.
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