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Krokodil is also known as desomorphine. It’s a derivative or morphine with extremely powerful, quick-acting effects. Like other opioids, it’s main effects are sedation and pain relief. This opioid differs from heroin and other opioid street drugs in that it is “cooked” in a process similar to methamphetamine production. Like heroin use, Krokodil’s use seems to be prompted by the uptick in pain medication prescriptions. It’s recent use isn’t quite as popular in the U.S., however. There is concern that this frightening new drug will gain popularity in America. For now, it’s manufacture and use seems heavily concentrated in Russia.

Krokodil gets its name from the fact that the caustic drug causes an addict’s skin to become green, scaly and bumpy like a crocodile’s. If the drug misses a vein and is injected into flesh, that flesh will develop abscesses. It is common for addicts to develop gangrene and require amputations. The flesh on some body parts affected by krokodil injections will rot off completely, leaving bare bone. Withdrawal is savage, much worse than heroin. Heroin can cause sickness and pain for up to ten days but withdrawal from krokodil can result in a month of unbearable pain. Extremely strong tranquilizers are used during withdrawal so the addict does not pass out from the pain. Doctors dealing with addicts say that this is the strongest level of addiction and the hardest to cure. If a person does manage to get clean from krokodil, they may be left with permanent damage like a speech impediment, vacant gaze and erratic movements.

Desomorphine is the active ingredient in Krokodil. It triggers an enormous high, far more powerful than regular morphine. Therein lies the draw. For heroin addicts, the drug can be manufactured at home cheaply and easily with a frequently superior high. But the effects also wear off far more quickly and, as an opioid, it is highly addictive.

Krokodil is usually administered with a needle.

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