We’ve done several blogs on the street drugs Molly, K2 and Spice, and now it’s time to take a look at Krokodil. Krokodil is a homemade heroin substitute birthed in a rural part of Russia. Its primary ingredient is desomorphine – a morphine derivative once used in Switzerland in the 30s under the brand name Permonid because of its effectiveness and reputation for being short-acting with a quick onset–it’s around 8-10 times more potent than morphine. The street use is far different and much more sinister.
Krokodil is manufactured from what is purported to be a simple synthesis of codeine combined with ingredients such as paint thinner, iodine, and red phosphorus (among other things). Toxic city! And it’s aptly named Krokodil because its use can turn your skin black, green and/or scaly—like a crocodile. David DiSalvo at Forbes wrote that it is “Essentially a corrosive acid with opiate effects, it (sic) destroys body tissue the way battery acid eats through plastic, opening large sores that can go all the way to the bone.” Russia is the largest consumer of heroin in the world, and Krokodil is its street-ready replacement since heroin has become harder and harder to obtain. The extreme poverty in rural Russia and desperation for escape is fueling a dangerous addiction.
So far, krokodil isn’t a real threat to the US, where heroin and other street drugs are easy to come by. However, when two patients in Ohio claimed to be using the drug, and were showing signs they were suffering from the consequences of krokodil use, Dany Thekkemuriyil and Unnikrishnan Pillai, both physicians at SSM St. Mary’s Health Center in Richmond Heights, Mo, reported their findings to the American Journal of Medicine. Right now, the main issue with this particular synthetic drug relies on its prevalence in other countries. Purportedly, the cases in the US that were initially believed to be krokodil have not been confirmed and none tested positively for desomorphane. What we are especially seeing is the International effects of a dangerous street drug borne out of poverty and hosted by severe addiction and despair. It is cause for concern from a global standpoint. This is also a great reminder to remain knowledgeable about what drugs are out there, not to encourage panic, but to arm ourselves with clearer understanding and awareness. The truth is, we need to be more aware of drug use, carry out proper disposal of medications after they are no longer needed, and begin using healthier resources to manage our stress and discomfort. There’s no need to start playing scientist to get away from our feelings.