Author: Chris Mullin

From news reports to shocking videos on YouTube, Flakka is the latest designer drug on the mind of prevention and recovery experts as well as law enforcement. Also known as gravel or “five dollar insanity,” its addictive nature and devastating mental and physical effects have already taken their toll on many communities around the country.

While news reports have centered on bizarre incidents in Florida, Ohio, West Virginia, and Australia, the drug has already made its way to the Pacific Northwest. Law enforcement officials in Spokane have urged residents to be aware of Flakka and to educate themselves on its effects.

Flakka on the Rise in Spokane

Just in the past month, the Spokane Police Department has reported one death related to flakka and a spike in 911 calls related to use of the drug. One a single day, police responded to 20 separate calls likely related to flakka. Many reported seeing people acting strangely. Because the incidents had many aspects in common, law enforcement officials speculate that they were most likely related to flakka use.

Treatment and prevention experts, as well as law enforcement, are looking to get out in front of the problem before it becomes as widespread as in other communities around the country.

What Is Flakka?

Doug James, acting special agent in charge of the DEA’s Seattle office told Q13 Fox News that “Flakka is a combination stimulant and hallucinogen so it’s a cross between methamphetamine and PCP.”  It is a man-made version of the chemical alpha-PVP, which in its natural state is called cathinone and comes from certain plants.

James went on to say that it is chemically related to the infamous bath salts that garnered headlines back in 2015. Labs in China, Pakistan, and elsewhere in Central Asia “cook” the drug for consumption. About its effects, James says: “You are playing Russian Roulette when you use this drug.”

Use started in Florida and Ohio and has since spread to Kentucky, West Virginia, and, more recently, the Washington state. While Australia has seen a number of overdoses among tourists on their Gold Coast, in the US the drug gets consumed mostly by the young, the poor, and the homeless.

Why Was Flakka Created?

Flakka is a synthetic variant of the active ingredient in a natural drug called khat. For centuries, many in the Middle East and East Africa have chewed on khat leaves or brewed them into a tea for their stimulant properties. Most Westerners may remember their use by forces commanded by Somali warlords who fought US troops in East Africa.

Flakka, from a Spanish word that means thin lady, was created to mimic a concentrated form of the active ingredient in khat called cathinone. The design of the chemical compounds causes a strong dopamine injection in the brain, resulting in a power state of “excited delirium.” In some cases, it can temporarily cause the user to have “superhuman” strength.

How Is Flakka Consumed?

Users will often inject or snort themselves with flakka. Recently, however, many have found ways to use it in vaping machines or e cigarettes. This enables them to use it openly and publicly. Remember that the vast majority of people who use vapes or e cigarettes do so either as a safer way to use nicotine or for the taste of non nicotine infused juice.

What Is the Difference Between Flakka and Bath Salts?

While they share a lot in common, flakka and bath salts have significant differences. Both drugs are man-made derivatives of cathinone and act as stimulants. Also, both drugs are manufactured in China and Central Asia for use in Australia, Europe, and North America.

Bath salts, however, do not describe a single drug. The name covers a wide range of products sold commercially, normally at gas stations, whose chemical composition changes each time federal law prohibits a specific type. Bath salts typically use mephedrone, methylone, and/or MDPV.

In response to federal law outlawing bath salts, manufacturers changed the composition to alpha-PVP, the definitive compound in flakka. When federal law made that substance illegal, it moved to the streets. Meanwhile, some bath salts makers have remained one step ahead of the law and can still sell commercially for now.

Because flakka is a street drug in the United States, dealers often try to increase their profits by cutting with other substances, such as phosphorus from matches and other dangerous chemicals.

While the news media often confuse the two substances, it is important to remember that they come from different places and have different properties. Most importantly, both pose tremendous risks both to users and anyone who may be around them.

Is Flakka Legal in the United States?

The US Drug Enforcement Agency lists alpha-PVP as a Schedule 1 drug under the Controlled Substances Act. This means that the law bans every use of the substance and that it has no possible medical application.

Symptoms: Drug Effects and Side Effects

Last winter an individual high on flakka was confronted by police and emergency responders in Charleston, West Virginia. According to the police report, it took eleven police officers and paramedics to subdue the individual. Even then they could not compel him to compliance until he was injected with a powerful sedative.

Charleston firefighter and paramedic Thomas Robinson described the apparent effects as appearing like a combination of bath salts, ecstasy, and cocaine. He said that he has seen or heard reports of users stripping naked, climbing poles for no reason, and attempting to swim across a local river with dangerous currents.

Flakka causes a condition called excited delirium. It causes high levels of dopamine in the brain, but also blocks the natural process to lower dopamine levels in a normal way. Levels of norepinephrine also rise, which causes elevated body temperatures and high heart rate. With flakka, the brain cannot reabsorb these compounds, creating a condition where the user can remain under the damaging influence for a long time.

Users experience hallucinations, racing heartbeat, body temperatures of 105 degrees or more, and hyperthermia. This causes users to often strip off their clothes and act violently and in other unpredictable ways. High body temperatures for an extended period of time can ultimately cause permanent damage to the brain.

Users also experience dangerous psychological effects. These include feelings of extreme paranoia or even the belief that they have been set on fire. One user tried to kick through the door of a Fort Lauderdale police station to escape imaginary pursuers he thought wanted to harm him. A West Virginia user brutalized his neighbor’s pygmy goat while on flakka.

It bears repeating that if anyone suspects that they have found a person on flakka, they should call 911 and not approach the person.

Death usually occurs due to intensely high heart rates seen in users of flakka. The drug can cause serious damage to the heart muscle and lead to heart attack.

The Flakka “Zombie Dance”

Another horrific side effect of flakka creates a bizarre condition often called the “zombie dance.” The high body temperatures will often break down and disintegrate muscle tissue. This causes users to uncontrollably move in jerky ways or even flop on the ground in a manner similar to a grand mal seizure.

Even worse, the disintegrated muscle fibers enter the bloodstream where they can sometimes disrupt kidney function and, in extreme cases, cause failure of that organ.

“Superhuman” Strength

Some news outlet experts have sought to dispel the notion that flakka can cause periods of superhuman strength, but law enforcement reports from areas where the drug is prevalent consistently report otherwise.  While the drug does not directly increase strength, it does elevate the user’s fear and anxiety and causes extreme paranoia.

In such cases, the body’s natural fight-or-flight mechanism can kick in. This will often give users an adrenaline rush that can lead to a temporary boost of physical strength. Add in the paranoia and this strength can turn into violence quickly.

Addiction to Flakka

Studies show that anywhere between 30 and 50 percent of flakka users show signs of dependence and addiction. Users have higher levels of anxiety or depression after use, as well as a greater chance of abusing other substances.

Flakka addiction produces some of the same signs and effects as other drugs. Warning signs of addiction include:

• Inability to quit;
• Choosing flakka use over going to a job, school, or spending time with family and friends who don’t use the drug;
• Continued use even after health problems related to flakka appear;
• Cravings of flakka during periods of non use;
• Using more to get the same effects.

Signs that a loved one may be using flakka or suffering from addiction to it include:

• Agitation and aggression;
• Confusion;
• Excessive sweating or very high temperature;
• Pupil dilation;
• Symptoms of psychosis;
• Bizarre movements that may repeat.

Parents should also learn to spot the typical warning signs of addiction in children. Addiction can occur with flakka and other drugs, but some of the warning signs remain the same. Experts list 15 warning signs that a child may have developed a drug addiction. Parents should be aware of the difference between normal teenage mood changes and serious alterations in behavior patterns.

Flakka use and addiction can not only create health problems for the user, they also put anyone around them at risk. Police say to never approach or confront a user acting strangely while of flakka. Call 911 and let the police handle the individual.

Addictions in general come in a variety of forms. It is important to research and understand the different ways that addiction can materialize when considering treatment.

Treatment of Flakka and Its Effects

Since flakka can cause not only addiction, but also damage to multiple parts of the body, treatment for use and addiction can vary.

Treatment for the addiction itself can consist of different kinds of pharmacological approaches. A physician will likely administer drugs to help reduce cravings, boost abstinence, and treat psychological symptoms such as agitation and any lingering psychosis.

As with all addicts, pharmacological treatments should also be accompanied by therapy and counseling to uncover the underlying psychological issues that led to the addiction.

Treatment of flakka users and addicts should also include a thorough assessment of the user’s heart, brain, muscular system, and kidneys. All of these can suffer damage during use of the drug.

Can Flakka Be Detected in a Drug Test?

Unfortunately, flakka exists in part because illegal drug manufacturers and dealers sought to make and sell a product that could not be easily detected by common drug tests. In addition to those attracted to its low cost of approximately four or five dollars, users may choose this substance to avoid DUI testing with breathalyzers or work-based drug testing.

Flakka tests are nearly impossible to create because manufacturers have had consistent success in tweaking formulas to stay ahead of tests.

Reach Out Today

While addiction is a disease that affects an individual, it also manifests as a condition that can affect an entire family. Families want to help an addicted loved one out of feelings of love and duty, but very few people are equipped to treat and deal with an addict in a way that can lead toward recovery.

In the Spokane region, help is available at the Riverside Recovery Center. For almost 25 years, the expert and caring staff at Riverside Recovery Center have treated addictions of all types. They not only have expertise with problems caused by drugs such as opioids and cocaine, but also the latest “designer drugs” like bath salts and flakka.

We offer a wide range of treatments, from in-patient residential service to intensive outpatient treatment options. Call today to ask about how our services can help you or your loved one.

If you or a loved one suffer from an addiction, the best move you can make is to contact Riverside Recovery Center.  Call us at (509) 328-5354, email us at staff@riversidespokane.com, or come to our facility at 3710 N. Monroe in Spokane.

With news reports focusing on the opioid crisis and new designer drugs, such as flakka and bath salts, one can easily forget that other hard drugs still lurk. One of the most dangerous drugs available is crystal meth in Spokane, Washington.

Crystal meth is a powerful derivative of methamphetamine drugs. These normally take the form of a pill or bitter tasting powder while crystal meth has the appearance of broken glass.

Some may know of crystal meth from old news reports on its use and distribution by motorcycle gangs. Others may know it best from its prominence on the television show Breaking Bad. In any event, crystal meth still destroys lives and should be taken seriously as yet another threat to communities already impacted by other drugs.

Background of Crystal Meth

Meth has a 115-year history of straddling legitimate use and illicit abuse. Pharmaceutical companies explored ways to use this stimulant to treat physical ailments and prevent narcolepsy while militaries promoted the use of related drugs to keep soldiers from experiencing fatigue on long campaigns.

Its Origins

For 5,000 years, Chinese herbal medical experts used the ephedra plant to treat a wide range of conditions. Not until 1885, however, did a Japanese chemist named Nagai Nagayoshi isolate the active ingredient ephedrine. Eight years later, another Japanese chemist used ephedrine as a base to synthesize what now is called methamphetamine.

In the decades before World War I, many stimulants now classified as dangerous and addictive drugs found their way into common usage. Sigmund Freud, for example, encouraged his patients to use cocaine as a medical treatment. Coca Cola initially hit the market as a cocaine-based headache cure. Methamphetamines were used in the same reckless fashion as weight loss agents as well as a treatment for narcolepsy, asthma, and other conditions.

Until after World War I, companies faced significant challenges in making and distributing drugs based on the methamphetamine formula. In 1919, Japanese chemist Akira Ogata pioneered adding phosphorus and iodine to the manufacturing process. His process created a product with a crystalline structure. This would become known as “crystal meth.”

By the 1930s, pharmaceutical companies started to explore the possibilities from the stimulant. An American company started producing Benzadrine as a treatment for asthma and nasal congestion. It also produced a sense of euphoria and other side effects. Its stimulant effects inspired manufacturers to use it as a treatment for sleep disorders.

Use In Wartime

The Allies, Germans, and Japanese all used some form of amphetamines to ward off fatigue during long campaigns. Also, the effects of the drug include a higher willingness to take risks and face danger. Kamikaze pilots especially received high doses of the drug to enhance their willingness to undertake suicide bombing missions. Japan also advised their use by home front industrial workers to enhance concentration and prevent sleepiness on the job.

The German military distributed a cocktail of methamphetamines and cocaine to some of their frontline troops as well. Many German soldiers and airmen used a compound created by physiologist Otto Ranke in 1938 called Pervital, known in slang terms as “tank chocolate.”  Soldiers and airmen used it to stay awake and use even filtered back to German university students.

Role of Motorcycle Gangs

Use during wartime in the US, Germany, Japan, and elsewhere helped to create a culture where stimulant use became more common.

In the postwar period, the use of legal and illicit methamphetamines expanded. Japanese industrial workers continued to use what they called “work pills” as that country rebuilt after World War II. Meanwhile, the counter culture that emerged in the United States in the 1950s and 60s encouraged the recreational use of Benzedrine, called by users “bennies.”

Clearly, a large market for methamphetamine based stimulants existed and some organizations were prepared to step in to serve the demand with more powerful products. The Hells Angels and other motorcycle gangs on the West Coast learned how to “cook” crystal meth and saw it as a new and important source of income.

Chapters of crystal meth making gangs helped to spread its use all over the country and linked it to their outlaw culture. Crystal meth helped gangsters remain awake for long rides and lowered the inhibition to violence during intergang battles.

Evolution of the Product

Part of the popularity of cooking crystal meth lies in the fact that the component substances have traditionally remained legal to buy and easy to acquire. Manufacturing of crystal meth changed during the 1980s and ’90s when manufacturers turned from ephedrine, which often had to be acquired commercially, to pseudoephedrine. Pseudoephedrine is the active ingredient in many cough and cold medicines, which became extremely inexpensive on the US market. Suddenly, convenience stores and pharmacies could not keep cold medicine on the shelves, resulting in most states placing limits on pseudoephedrine purchases.

Cooking of crystal meth also exploded in the 1980s when a “how-to” book hit the market. A Wisconsin chemist named Steve Preisler, but nicknamed “Uncle Fester,” published Secrets of Methamphetamine Manufacture which immediately became a best-seller and remains a popular book to this day. The book taught aspiring drug makers how to use common products such as anti-freeze to isolate and remove the pseudoephedrine from the medicine to transform into crystal meth.

During the administration of President George W. Bush, Congress tried to fight back. New laws required stricter accounting of ephedrine and pseudoephedrine. They also ended the legal use of ephedrine in weight loss. Although this made it tougher for crystal meth cooks to acquire the ingredients, such as cold medicine, the US Drug Enforcement Agency reported that it discovered 11,000 meth labs in 2010 alone.

The new century also saw a shift in the nexus of meth manufacture. Major production moved from the United States to Mexico, where one could still acquire ephedrine legally and easily. At this point, the only barrier to Mexican meth manufacture lay in the porous nature of the long border between the United States and Mexico.

While methamphetamine production and use has not dwindled, it has been typically overshadowed by opioids and other drugs under media scrutiny. Crystal meth does not fall under the category of opioids or opiates because it does not come from natural or synthesized opiate based products. Opioids and opiates, including heroin and prescription pain medications, are also strong depressants whereas crystal meth is a powerful stimulant. Some users will use crystal meth to mitigate some of the depressant effects of opioids or opiates and vice versa.

Most often, however, the drug of choice tends to be what sells for least. As of now, opioids and heroin in many parts of the country sell more cheaply than crystal meth, but the drug market remains very fluid.

The Other Major Threat From Crystal Meth

Alone among most major drug manufacturing processes, the cooking of crystal meth can create serious environmental hazards. Cooking crystal meth requires the combination and use of highly combustible and also extremely toxic chemicals. The process itself can cause these to become unstable.

It takes sophisticated scientific knowledge and precise attention to detail at each step. Most meth labs in the United States are homemade, jury-rigged setups run by people unaware of chemical safety protocols. All too often, the meth producers expose their own or other children to the toxins produced.

Poisons from a meth lab can infuse themselves into carpeting, drywall, and other parts of a structure, rendering it unsafe for any use. In extreme occasions, the meth producer will inadvertently cause an explosion through improper use of the chemical ingredients.

Trends and Usage Figures

According to federal statistics, nationally the use of crystal meth and other related drugs may have fallen slightly. Emergency room visits related to crystal meth and related drugs fell from 125,000 in 2004 to just over 100,000 in 2012. Similar drops were seen in the percentage of people using the drug and seeking treatment for it. In 2005, over eight percent of people seeking treatment sought it for crystal meth and related drugs. By 2011, the figure dropped to just 5.6 percent.

Regionally, however, many areas have a larger problem with crystal meth than others. The Western United States, Midwest, and Appalachian states remain strong markets for the drug. It ranked first in 2012 as the most prevalent problem for those seeking treatment in many areas such as Hawaii and San Diego. Denver and other major Western cities saw it ranked a close second or third.

Clearly, crystal meth remains a powerful threat in the drug production and consumption world despite legal attempts to curtail its US manufacture and media attention to other drugs.

Its Impact in the Spokane Area

Although only a few years ago statistics indicated that national abuse of crystal meth had declined, some recent indicators show that use in the Spokane area and in Washington state overall could be increasing. A University of Washington survey of 25 regional needle exchange programs indicated that 82 percent of needle users surveyed had used some sort of meth in the past three months. That number jumped from just under 70 percent only two years before.

The study also indicated that many heroin users often paired use of that depressant with a stimulant such as crystal meth.

Medical professionals also report a spike in crystal meth use in Spokane and the surrounding area.

In 2017, federal, state, and local law enforcement launched a successful sting on crystal meth production and distribution in the Pacific Northwest. It was revealed that Spokane had emerged as a major hub for Mexican drug cartels moving their crystal meth product into the Pacific Northwest and Canada. This role as a regional distribution center could make it even more difficult for those trying to roll back crystal meth use in the Spokane area.

How Users Ingest It

The most common way to ingest crystal meth is to smoke it in a pipe that users often call a “flute.” While this delivers the most powerful possible effects, it also exposes the user’s mouth to the drug. Often, the producers of crystal meth cannot remove the toxic impurities of the chemicals used in the process.

This means that users expose sensitive parts of their mouth to highly toxic chemicals, typically causing the condition known as “meth mouth.” The chemicals corrode gums and teeth, leaving users with damaged mouths. Smoking also is the fastest way to get addicted to crystal meth.

While no studies have concluded second-hand smoke from crystal meth is harmful, it can by itself cause a person to test positive for the drug.

Symptoms of Usage and Addiction

All methamphetamines work in the same way. They increase the natural levels of the pleasure and euphoria chemical called dopamine in the brain. The drug leads to rapid levels of dopamine saturation in the pleasure areas, which helps to create addiction.

Short-term effects resemble those of other powerful stimulant drugs, such as cocaine.  These include:

• Increased wakefulness and physical activity
• Decreased sleep
• Faster breathing and irregular heartbeat
• Increased blood pressure and body temperature

Long-term consequences and signs of addiction include:

• Extreme weight loss
• Meth mouth, including blackened gums and loss of teeth
• Anxiety and paranoia
• Confusion
• Inability to sleep, sometimes for days at a time
• Violent behavior and hallucinations

Methamphetamines also cause changes in the brain’s processing of dopamine, which can lead to loss of coordination, changed emotional responses, and loss of memory.  Some of these functions may return to normal after prolonged abstinence from the drug.

Those trying to stop using crystal meth or related drugs, especially after developing an addiction and using for long periods of time, should do so under a treatment plan and medical supervision.

Contact Us Today

If you or a loved one need help breaking away from the chains of crystal meth or another powerful addiction, reach out to Riverside Recovery Center today. Our professional staff has experience treating a wide range of addictions, from hard drugs to gambling.

Please call today at (509) 328-5234 or email us at staff@riversidespokane.com

You are not alone. We can help you or your loved one overcome addiction and enjoy a happier and more productive life.