The
Next Wave of
Designer Drugs
Spice
and bath salt have been available in head shops and
on-line for several years. The availability of these
drugs increased rapidly over the last year. At Calvary
Center we have been seeing the terrible effects these
drugs can have on patients. Patients that present
influenced by these drugs have extremely elevated heart
rates and delusional thoughts. After several days of
being off these drugs patients have reported tactile
hallucinations (skin-crawling), panic attacks and severe
anxiety. None have ever reported the experience to be
pleasant.
Recent
laws passed by the federal government are finally being
enacted and these two drugs are becoming increasingly
more difficult to obtain. However because of the nature
of supply and demand, a new set of designer drugs may
soon be available in the same manner as spice and bath
salt. It is possible that Dragonfly and Crocodile may be
the next “designer drugs” to invade America.
Dragonfly
Dragonfly
is an extremely powerful hallucinogen. It is similar to
LSD but the effects can last up to 48 hours. Once
administered, it can take up to six hours before effects
are noticed by the user. This increases the potential
for overdose as the user assumes they did not take
enough to feel the effects.
One
description of this drug states that it is like a
mixture of LSD, spice and bath salt combined in one.
This works to make it a very powerful Serotonin agonist.
It appears to have a very strong and long binding
affinity at the receptor site. Users have reported the
experience to be, “Like being dragged to hell and
back,” and “It never seemed like it was going to
end.”
It
has been banned in Sweden, Norway and Denmark. In the
United States two young men died of an overdose in May,
2011. They reportedly made a serious miscalculation and
took 100 times the normal dose. They experienced massive
seizures, vomiting blood and terrifying hallucinations.
Witnesses report still being affected by the event to
this day.
Because
of the duration the drug binds to Serotonin receptors
sites the potential for damage throughout the body is
increased. As neurotransmitters continue to fire
uncontrolled, users can experience intestinal spasms and
even spasms in the blood vessels themselves. In the
short-term, this could cause a release of fluid into the
lungs which eventually causes cardiac arrest. The
long-term effects are unknown, but nothing good can come
from stressing the body’s systems so severely.
Crocodile
Desomorphine
is an opiate analog that has been around since 1932. It
is a derivative of morphine. A surge in desomorphine
occurred in Russia last year due to the availability of
codeine tablets without a prescription. Several
household chemicals are involved to convert the codeine
tablets into desomorphine such as paint thinner, acid,
iodine and phosphorous. This process is similar to
methamphetamine production using pseudoephedrine
tablets. The result is a very impure highly toxic
compound that is reportedly ten times more powerful than
morphine. The drug is then routinely injected with no
further purification process. The desired effect has a
quick onset but effects do not last long. It is not
uncommon for a user to engage in an endless cycle of
cooking and shooting all day long.
This
drug’s street name in Russia is krokodil. It receives
its name due to the effects it has on the injection site
and surrounding tissues. Because of the impurities
severe tissue damage occurs. The injection site and
surrounding tissues soon develop phlebitis and gangrene.
In less severe cases the skin becomes discolored and
scaly (crocodile-like). In more severe cases, the skin
and muscles actually disintegrate and bone is exposed.
Photos of these more severe cases are available online.
I want to warn you that the images can be quite
disturbing. These individuals look more like survivors
of a shark attack rather than drug attics. The amount of
tissue damage is so high that life expectancies are said
to be as low as two to three years.
If
these two drugs do make their way into the mainstream of
America the results will be devastating. We cannot rely
on the government to regulate these new drugs as fast as
chemists can alter them. It seems the more we regulate
and outlaw these drugs, the more lethal the next batch
becomes. It would seem our best plan of action would be
to parallel the former meth campaign. Make the base drug
hard to obtain (such as pseudoephedrine) and flood the
public with education and graphic images.