Flakka
(The Zombie Drug)
Introduction
Flakka is a highly addictive and dangerous drug, otherwise known as alpha-PVP (alpha-pyrrolidinopentiophenone.) It is an amphetamine-like stimulant that belongs to the cathinone drug class. Cathinones are man-made, or synthetic drugs containing cathinone, a naturally occurring stimulant found in the khat plant. Flakka is illegal; it is classified as a Schedule 1 synthetic drug by the U.S. Drug Enforcement Administration (DEA).
Flakka originally became popular as a new synthetic drug in South Florida with people looking for a cheap high. Flakka is the latest in a selection of synthetic drugs used in the United States. The illegal substance can sell on the streets for as little as five dollars a hit. Flakka use has also been reported in other parts of the United States.
The designer drug flakka comes in crystal form, and it is typically pink or white. The synthetic drug may be eaten, injected, snorted, or vaporized in e-cigarettes. Vaporizing flakka sends the drug quickly into the bloodstream. This method of ingestion can make it particularly easy to overdose on flakka.
Recently, the abuse of synthetic drugs
has re-emerged as a significant worldwide issue. Synthetic drugs are illicitly
created to produce substances that differ slightly from legal drugs. However,
they still retain their pharmacological effects. A substance produced in this
way is known as a designer drug.
Other
street names for flakka include:
- Gravel
- Flocka
Flakka (Zombie Drug) vs. Bath Salts
Flakka
is chemically similar to the street drug known as Bath Salt or MDPV. Synthetic
drugs known as bath salts are from the synthetic cathinone class of drugs, like
flakka. Synthetic cathinones are central nervous system stimulants. They mimic
the stimulant effects similar to those resulting from illegal drugs. These
include cocaine, methamphetamine (crystal meth), and MDMA (molly or ecstasy).
Other street names for bath salts include:
- Bliss, Blue Silk, Cloud Nine, Drone, Meow, Ocean Burst, Red Dove, Snow Leopard
When sold legally, synthetic cathinones drugs often market as the following:
- Bath salts
- Research
chemicals
- Plant food
- Glass
cleaner
Synthetic cathinones are also labeled as ‘not for human consumption.’ These labels help hide the real reason for the product's existence, so the drugs distribute easily. Bath salts come in powder form, which is typically packaged in gelatin capsules. Bath salts are commonly ingested by sniffing or snorting. They can also be taken orally, smoked, or placed into a solution and injected into the veins.
Bath
salts are produced in East Asia. They are distributed wholesale throughout
Europe, North America, Australia, and other parts of the world.
The
synthetic stimulants sell at the following:
- Smoke shops
- Convenience
stores
- Adult book
stores
- Gas stations
- Websites on
the internet
Bath salts are used to achieve feelings of euphoria and alertness. Dangerous side effects are also associated with the abuse of synthetic cathinones like bath salts and flakka.
Adverse effects include:
- Overdose and
death
- Confusion, Acute psychosis, Agitation
- High blood pressure
- Aggressive,
self-destructive, and violent behavior
- Increased heart rate, Hypertension, Hyperthermia
- Breakdown of muscle fibers, Teeth grinding
- Increased
sweating
- Headaches
- Palpitations
- Seizures
- Paranoia
- Hallucinations
- Delusions
- Kidney
damage or kidney failure
Flakka Effects and “High”
Flakka
is an addictive drug that people use to obtain a cheap, quick, and euphoric
high. The cathinones found in flakka stimulate the release of dopamine.
Dopamine is the neurotransmitter involved in the pleasure and reward center of
the brain, which gives off that euphoric feeling.
The
cathinones also inhibit the reuptake of epinephrine, norepinephrine, and
serotonin in the central nervous system. This inhibition causes an
increase in the hormones that elevate mood. This is because the "comedown" after drug ingestion
causes feelings of depression and being down.
As
cathinones are hydrophobic molecules, they can cross cell membranes and the
blood-brain barrier. This allows them to interact with the monoamine
transporters in the synaptic cleft between neurons.
The
euphoric high from flakka abuse can last from hours to days, depending on the
dosage. Sometimes the effects of flakka can linger for weeks after it has been
ingested.
SYMPTOMS OF FLAKKA ABUSE & ADDICTION
Although
people use flakka to achieve a euphoric high, the drug's symptoms and side
effects can escalate quickly.
Like
other stimulants of this type, flakka can cause excited delirium, otherwise
known as agitated delirium. This condition occurs when there’s an excessive
influx of sympathetic activation.
Excited delirium can involve:
- Frightening
delusions
- Violent aggression, Extreme agitation
- Paranoid psychosis, Hyperstimulation
- Paranoia, Hallucinations
- Confusion, Seizures
- Myoclonus
(involuntary muscle jerks)
- Increased heart rate, Hypertension
- Hyperthermia, Increased sweating
- Prolonged
dilation of the pupil of the eye
Flakka can also lead to various other altered mental states. When experiencing excited delirium, some people react with violent behavior and self-injury. Flakka has been linked to several deaths by suicide, as well as heart attacks. The drug can also raise body temperature dangerously high, leading to kidney damage or failure.
Flakka Withdrawal Symptoms
Synthetic
cathinones like flakka are highly addictive. Users have reported that
the drug use of flakka can trigger intense and uncontrollable urges to
ingest the drug again.
When
someone is addicted to flakka, they can experience withdrawal symptoms without
it.
These
withdrawal symptoms include:
- Depression
- Anxiety
- Tremors
- Insomnia
- Paranoia
Treatment Options for Flakka Addiction
As
flakka is a new drug, there is still a lot to learn about the treatment of the
substance. Little information is known about flakka outside what is reported
from users.
However,
several traditional drug treatment approaches can help someone addicted to flakka
become sober.
Detox
Detox
is the first treatment step for someone who is addicted to flakka. Detox refers
to clearing flakka out from the body so that one’s physical and psychological
health can be assessed and treated. When someone goes through a flakka detox,
they will usually experience withdrawal symptoms such as those listed above. As
little is known about flakka, detoxing in the care of medical professionals is
essential.
Behavioral therapy
Behavioral
therapy can treat addiction to synthetic cathinones like flakka. Examples of
behavioral therapy include cognitive-behavioral therapy, contingency management
and motivational incentives. Motivational incentives offer rewards to
patients who remain substance-free. This type of behavioral therapy is often
aimed at teens.
Mental Health Treatment
As with all substance abuse, those experiencing addiction to flakka should screen for co-occurring mental health conditions such as depression or anxiety. While there are no FDA-approved medications for addiction to flakka, there are medicines available for co-occurring mental health conditions.
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