Monkey Dust

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Monkey Dust is the latest drug to hit the streets in the UK turning users into zombies. Monkey Dust is the street name for Methylenedioxy-α-pyrrolidinohexiophenone or MDPHP. It is a synthetic drug made from bath salts which contain MDPHP. The off-white powder can be swallowed, injected or snorted, and can cost as little as two pounds. Effects of the drug can last several days and only requires doses as little as 3 milligrams to get a hit.

The drug makes users feel empowered, super human, paranoid and subject to eating their own flesh or throwing themselves in front of cars or off buildings. Users give off a sweat smell close to prawns and vinegar and feel no pain. Monkey Dust is also addictive.

Staffordshire Police said it had 950 reports in three months or roughly 10 a day. Ambulance crews reveal a lot of call outs are to revive users from heart attacks or strokes. For drug companies these addictions can be big business.

Across the pond, the total number of U.S. overdose deaths involving heroin from 2002 to 2015 show a 6.2-fold increase in the total number of deaths over the period. Automobiles killed around 32,000 people last year or a little over 2x that of heroin overdoses. When adding non-methadone opioids (illicit fentanyl) overdose that number surged to 20,000, a 33% YoY jump on 2014 and 5.9x 2002.

According to the National Institute on Drug Abuse (NIDA), “Suicide rates in the military were traditionally lower than among civilians in the same age range, but in 2004 the suicide rate in the U.S. Army began to climb, surpassing the civilian rate in 2008. Substance use is involved in many of these suicides. The 2010 report of the Army Suicide Prevention Task Force found that 29 percent of active duty Army suicides from fiscal year (FY) 2005 to FY 2009 involved alcohol or drug use; and in 2009, prescription drugs were involved in almost one third of them.”

As opioid overdoses rise, companies such as Adapt Pharma have seen sharp rises in the sales of products like Narcan (Naloxone) which basically revives victims from the dead. Narcan publicizes its price that is even insured meaning one can overdose and revive with a $10 co-payment.

“94% of insured lives in the US have coverage for NARCAN® Nasal Spray*. According to IMS Health, nearly three quarters (74%) of prescriptions for NARCAN® Nasal Spray have a co-pay of $10 or less**. For those paying cash, ADAPT Pharma has partnered with retail pharmacies to reduce out of pocket costs (Retail is $62.50/dose)…To expand community access, NARCAN® Nasal Spray is available to all qualified group purchasers for $37.50 per 4mg dose ($75 per carton of 2 doses). This pricing is available for all Qualified Group Purchasers, such as first responders (EMS, Fire Department, Police), community organizations and Departments of Health, regardless of size. This pricing represents a 40% discount off the Wholesale Acquisition Cost (WAC) of $125 per carton.”

Price hikes have been a feature of naloxene. As of January 2015, Amphastar’s version of naloxone was up to $41 a dose, according to Fierce Pharma, a pharmaceutical industry news website. That follows a price increase from $17 to $33 a dose back in October 2014, according to data provided by Truven Health Analytics. So not only is volume spiking, so is price. Walgreens has expanded the availability of prescription-free naloxone to 33 states.

West Virginia health officials are responding to opioid overdoses by distributing more than 8,000 kits with Naloxone that can get people breathing again if administered in time. Money for the kits comes from a $1 million federal grant to West Virginia, which has had the nation’s highest rate of overdose deaths at 41.5/100,000 people.

Local emergency medical services agencies in West Virginia administered 4,186 doses of Naloxone in 2016, up from 3,351 the year before and 2,165 two years ago and that data doesn’t include uses by hospital emergency departments, urgent care centers, first responders and family members.

There is a conundrum for narcotics suppliers as such synthetic drugs cause new markets enabling bigger highs from cheaper DIY ingredients. On the flip side, pharma companies stand to cash in  from our ability to poison ourselves with designer drugs. Monkey magic from monkey dust.

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