Page |1 Mephedrone: Characteristics of use and effects as reported to the FRANK helpline June 2010 Page |2 Contents Background and introduction, 3 Mephedrone user reporting, 5 Moving on from Mephedrone, 21 Naphyrone user reporting, 23 Conclusion and recommendations, 26 Appendix 1: Mephedrone user experiences, 27 Appendix 2: Naphyrone user experiences, 33 Page |3 Background and Introduction The essentiagroup have operated the FRANK helpline since it launched in May 2003, and each year of operation we have answered a relatively small volume of contacts relating legal or herbal drugs. However around May 2009 we noticed that we were receiving increased volumes of queries about legal highs; Cathinones in particular, with most queries being about Mephedrone. Originally these calls came from the West Midlands area but by the end of summer 2009 we noted that we were getting calls nationwide about the drug. By autumn 2009 FRANK was receiving contacts about Mephedrone on a daily basis. In November alone FRANK advisors had around 700 conversations with members of the public about the drug. In February 2010 we spoke to more callers about Mephedrone than Cocaine and contacts peaked in March due to high levels of media attention surrounding Mephedrone. In the last 6 months, December 2009 to May 2010, FRANK has had more than 7,000 conversations about Mephedrone. Queries can be roughly divided into two types: 1. People looking to get more information about the drug, including risks, effects, detection times 2. Users reporting effects they have experienced and have enquiries around these effects The first type of call typically comes from friends or family members who are aware that someone close to them has consumed these drugs. In addition, members of the public or professionals such as teachers, social workers, nightclub owners and GPs have come to FRANK for general information on Mephedrone. The second type of contact comes from the Mephedrone users themselves. The person will typically provide detail on any previous drug history, as well as providing their current Mephedrone usage, any poly drug usage, typical dose, frequency of use and effects they have experienced. Part of the reason they are contacting FRANK is to enquire if these effects are normal or to be expected. Given the extremely large number of phone, email and text discussions that FRANK continues to have with Mephedrone and emerging unclassified drug users we are able to build up quite an extensive knowledge in this area. This report will look at the characteristics of use and effects reported to FRANK by Mephedrone users. It is important to note that the information in the report is gathered from calls, emails and texts we have received and may not be indicative of the general using public. It is also Page |4 noteworthy that individuals are more likely to contact FRANK reporting effects that tend to be of a negative nature. The report includes excerpts from email and texts FRANK has received between November 2009 and May 2010*. We hope that you find this report useful and that it will give you an insight that may help with work or studies that you may be conducting in the field of Mephedrone. Samantha McLaughlan Account Director The essentiagroup *These exerts have been taken as verbatim and spelling/grammar/structure have not been changed Page |5 Page |6 Drug names Across all channels, advisors note that Mephedrone has been referenced as a number of street names by people who have contacted FRANK. The most common names quoted are „Bubbles‟ and „Mcat‟. Anecdotal feedback from advisors states that the term Bubbles tends to be used by younger callers curious to find out more information, and the term Mcat by users themselves. Concerned parents often used the terms „Meow Meow‟ in addition to Bubbles or Mcat. See below for street names for Mephedrone that have been referenced in discussions with FRANK: Baby bio Bonzaii Bounce Bubble love Bubbles Bubbly Charge Devil‟s weed Dodgy drone Drone Hoover freshener Ivory wave Legal/Herbal coke Magic plant food Mcap MCat Megatron Meow Meph Miracle high Shake n Vac Sparkle Stardust Occasionally people who contact FRANK cannot differentiate between the chemical and the street names, or get confused with the street names: “Is 'Meow Meow' just another word for M-CAT or is 'Meow meow' a different drug? “Do you know what bubbles are & what is meow meow” “So is Mcat Mephadrone Or is Mcat different. I don't want to touch Mcat if it's related to Mephadrone” “I'm a little confused about Mephadrone. I've heard so many different names for it and what sounds like proper chemical names as well but I have no idea which one is right: 4-methylmeth-cathinone, methcathinone, Mephedrone etc. Are these all different drugs or abbreviated versions of 4-methylmethcathinone?” Page |7 Characteristics of users The most common age group who have contacted FRANK with regards to Mephedrone are those aged 16-24 years. In addition, FRANK also receives a high proportion of contacts from concerned parents, friends, family members etc with regards to Mephedrone use amongst the 16-24 age group. Many of this group are at University and a large proportion live in a separate location from their family. Queries are fairly split between the genders, with slightly more queries from and about male users. We receive calls from all over the UK, and people will reference living both in urban and in rural communities. We have noted however that a number of people have made reference about Mephedrone “hitting their town”, or that “everyone in town is talking about it/taking it”. “I live in a small town which has recently been overcome by this new substance Mcat" “One day this new lad came to the scene, parked up one day and told us about Mephedrone (meow, mkat etc.), this was a few months ago...and now me and all of my friends have tried it, one of them is addicted and its changed him so much, mentally and physically, it actually scares me. I tried it once at a party, and i will admit, i loved it. Thats what we all did at one point, but it went from that, from every other weekend...to every weekend, to every single weekend and even during the week...its BAD. I go out on the weekend now, and i feel like i have to have some to have a good time, cos everyone else is. I know its down to willpower but, is there anything extra i can do to prevent me taking it at all? I mean, sometimes i get randomly depressed, because i know i'll never have that feeling ever again without taking that drug. And whenever im in my town (always) i hear about meow, meow meow meow and i'm sick of it. I just want this shit to be illegal before it harms any of my mates”. Page |8 Motivation to use Information provided to FRANK by Mephedrone users tends to suggest that the majority of people are initially taking the drug because their friends are taking it. Most use takes place in a social setting; primarily house parties or at nightclubs. However, some regular users have made references to going from using with others to using on their own. “Ive taken mcat a few times with my group of friends when we are at a party, i know its wrong, but what started out as a time passer turned into a frequent thing” “My son has admitted to me that he has taken mkat what can i do he says he only takes it socially” FRANK has noted that peer pressure plays a part in many individuals use to use Mephedrone. “I had about 5-6 beers last night and for some reason was talked into takeing a line of mcat” “All the boys in my year at school (year 11) have started taking mcat !! Its disgusting and really worrying. There's even thi s one kid who deals. Its really getting out of hand because a lot of the boys try to copy the more popular ones by taking mcat too” “I need to speak to someone about Mephedrone, it's increasing in my lifestyle and i dont know how to pull myself away from it when all of my friends surround their lives with it. Everytime i go out i end up taking it unless i'm with my boyfriend who is completely against it. I hate that i have taken it, but how is it possible to stop when its all everybody does” “I had a tiny line of mcat while I was out last night with friends drinking it was the first time I tryed it. Will it harm me” “Ok heres the thing last night we had this 18th birthday party and loads of pple were snorting M cap and smoking weed they sed it wa cool and everything but i sed no but i felt bad about it i mean i don't want to get preassured into it any tips on how to handle it? i mean i'm only 15” “What Should i Do All My Mates Are Takin Bubbles and Mcat” Page |9 Purchased-prior to classification Purchased-post classification Most people reported to FRANK that they had purchased Mephedrone online. Others reported that they had purchased in a shop or from a dealer. Most commonly under the following guises: Some users state that they are still able to purchase Mephedrone online, but that they are receiving a different looking substance. Others report that friends stockpiled supplies prior to classification. Some report that since its classification Mephedrone is not as easy to purchase. Others have started to purchase Mephedrone from a dealer. Bath Salts Plant Food Decibel Capsules Reports of pricing tend to suggest that it can be purchased for around £10 to £15 per gram, with maximum prices of £20 a gram being reported. “I think I am finding a larger and larger dependence on the now illegal drug Mephedrone .It started off for me as just a party high to lift me up when out. Now it has been made illegal I am finding it harder and harder to get hold of and is costing me a lot more than I can cope with. Going cold turkey is not an option for me but I never wanted to be involved in illegal drugs and I don't want to move onto some new legal high as I would like to stop taking drugs completely” P a g e | 10 Characteristics of use FRANK receives contacts from individuals who have tried Mephedrone once to individuals who have been using regularly for over 6 months. Quantities of use tend to vary with some users reporting taking a singular dose containing a “very little” amount, whilst others reporting up to 6 grams worth in multiple doses over a weekend. A lot of users who contact FRANK cannot be sure as to how much they have consumed in a single dose or sitting. This may have been due to bulk buying of the drug with friends and unfamiliarity with measurement sizes. The majority of people who have contacted FRANK have made reference to Mephedrone being in powder format. The most popular method of consumption is nasal insufflation, users will make reference to having “lines” or sniffing from a key. Some callers will report oral ingestion in the form of “bombing” the drug i.e. wrapping the drug in a cigarette paper and swallowing with a drink. Others report consuming in capsule format. “Last night I took Mephedrone.... It was only a small amount on the end of a key, I had no problems last night. However I suffer from anxiety and am really anxious about it today” P a g e | 11 Poly drug use Use with alcohol Users report that they have consumed Mephedrone both singularly and mixed with other drugs. Below are the most common poly drug groups reported to FRANK: Some users report a strong association and urge to use Mephedrone following consumption of alcohol. A similar trend has been reported before on FRANK with Cocaine and alcohol. Mephedrone only Mephedrone and cannabis Mephedrone and other stimulants (notably Cocaine and ecstasy) Mephedrone and ketamine “I have a pattern forming where I am taking Mephedrone too often, starting on a friday night and not sleeping till sunday morning. I want to stop, to comedown/hangover is horrible and i am not having a weekend to enjoy - have you any tips/guidance for how I can break the habit. All I can think is to avoid having that first drink on a friday night” “I was at a house party and everyone including some of my friends were doing this new drug 'Mkat' so i thought i would give it a try. Ever since then at the parties ive been at its always been going around and i cannot resist it. I usually do about 3-4 lines that night. I dont do it during the week or anything. Only when im out and drinking i crave it, i dont crave it when im sober. I was wondering how to stop craving it when im out drinking, at parties..etc before it becomes too late and i loose my close friends because of it” P a g e | 12 As an alternative drug FRANK has noted that many people who contacted us had used Mephedrone as a replacement for another classified drug. A number of reasons have been expressed: Mephedrone is cheaper Mephedrone was legal assumption that it must be “safe” (reported prior to classification) Mephedrone was easier to purchase (reported prior to classification) FRANK received reports from people who had previously had dependencies on other drugs, mostly Cocaine, who were now using Mephedrone under the impression that its legal status meant that it posed no harm to them. Likewise we received reports that people were using Mephedrone in order to cut down from illegal drugs like Cocaine. “My friend has recently started to do methadrone when we go out clubbing, she always used to buy two grams of Cocaine and take them with her but now she does this methadrone, she seems to be having the time of her life whens shes out but her eyes roll in the back of her head when shes dancing and it really scares me..she says she gets a better buzz from the meth and it costs her £15 and the gram lasts her the whole night where as Cocaine was costing her £80 a night and would just make her voilent. im really worried about her keep doing it as they go back to peoples houses and do it untiil the next night, i have tried talking to her but shes says she likes it and its legal” “I have a problem with drugs. I used to smoke lots of weed for years but now I have stopped i went though a phase of using k then methedrone. I think i ts all a substitute for weed as a was on that every day for 6 years” P a g e | 13 Other reports Many people will comment to FRANK on the smell of Mephedrone. It would not be uncommon for users to report a pungent, ammonia type smell that emits from them following regular use. “Can i get the smell ov mcat out ov my skin” “Why doe methadrone(McaT) release a distintive smell” “I constantly smell of it. People who have taken mcat know what the smell is. And can recognise it. I have walked past people and thought 'you take mcat' If you don't know what it is though you would probably think I just smell like wee” Immediate Effects (within hours of consumption) Following consumption of a single dose, users have reported the following positive effects, however not all these effects will be experienced by all users: Feeling hyper Talkative Increased feelings of sociability Feel wide awake Euphoric feelings Positive rush Whilst the following negative effects have been reported: Eyes rolling back in head Grinding their teeth Sudden changes in body temperature Itching of the skin Racing heart and/or palpitations Compulsive re-dosing Nausea “Mkat makes me (now i will be blunt) hyper, frantic, insistant, edgy and intense. I forget everything i have done from my night, so it is wasted. I gurn. I get white bits around my mouth. I become horny, and this doesn't do well when you are out and feeling amazingly attractive (when you look awful and your lips are imflamed). I lick my lips alot and my eyes shudder. Last week apparently i attempted to crowd surf off of a speaker in a club in Manchester onto three girls and had to be caught by two of my lad friends. I don't remember this” “Is it normal to get really hot and sweaty then absoutly freezing cold whilst on mcat” “I snorted 1 line of MCAT about 8 hours ago and at the moment my heart is beating really fast and i have the shakes. Should i be concerned” P a g e | 14 “When we take Mcat we sometimes itch and gurn, some people a lot more than others, why is this” FRANK has had varied reports of the duration of the immediate effects. Many people who contact FRANK want to know how long the effects of the Mephedrone will last for as they have been experiencing the effects for many hours. “Do you know how long mkat lasts for I took it at 1 am”* (*text received at 5.15am) It appears to be common amongst some Mephedrone users who contact FRANK to re-dose in a single session. Many users report an overwhelming craving to have more of the drug, sometimes immediately after taking it, and often still want to re dose after experiencing negative effects from the drug. “I used to be able to go out and have a small bit of mkat each sat night. Now that I am used to it and know loads of people who also take it I find that I am taking it more and more, sometimes in the same night, and sometimes through into the next day” “I have recently come across Mephedrone. The first time I took it I enjoyed it and felt very socail. However, since i have suffered panic attacks, heart palpitations, and a compulsion to have more” P a g e | 15 Short term effects (up to a week following consumption) A very common query to FRANK will come from individuals who have used Mephedrone within the last week, quite often they are reporting effects they are experiencing and want to know if these effects are common amongst other users. We have identified the most common psychological, physical and behavioural short term effects as reported to FRANK below, again not all these effects will be experienced by all users and the more serious effects tend to be reported in cases of higher dosages. Psychological effects Feelings of anxiousness Feelings of paranoia Visual/audible hallucinations Depression Suicidal thoughts “Why does mcat make you feel anxious the next day I'm having a massive anxiety attack” “Four nights ago I snorted approximately 1.5g of mephadrone, I am feeling very paranoid and anxious two days after I took it. How do i get rid of these nasty effects? I also felt quite suicidal last night” “I had some mcat at the weekend proberly about 2 thickish lines ts now wednesday and i feel a nervios reck im thinking of seeing my gp bt would like to know if my nervs will calm down or get worse” Physical effects Sleeplessness for several days Difficulty concentrating Nose bleeds and nose burns extending to the throat Flu like symptoms Mouth or throat ulcers Chemical feeling at the back of the mouth Loss of appetite Passing blood in urine Facial contortions Dizziness Headache Difficulty breathing Chest pain/tightness in chest Nausea and vomiting as well as vomiting blood Numb and/or cold extremities Tingling in hands and feet Loss of muscle limb control Involuntary muscle movements Seizures/fits Stomach cramps Blurred vision “Twitching” vision Purple rash around the face Itching of skin Bladder problems P a g e | 16 Example of contacts that users described their physical effects “I know of someone who recently tried MCAT (one key) for the first time, and then again a week later (same dose) Days later they have come down with flu like symptoms, bad throat, bad taste in back of throat, tired, etc” “My husband has consumed a large amount of methadrone and since Saturday experienced muscle spasms, facial contortion, muscle loss of control on limbs, involuntary movements. He has not got any better. How long will this last” “After taking some mcat last Saturday I've been feeling a little odd every now and then, sometimes with a slight increased heartrat” “I've taken the drug mcat in th last 12 hours and hav discomfort in my chest is this normal” “Can Mephedrone cause side effects such as lumping, swelling and itching of the skin If so why” “My friend gave me some Mephedrone to try on Thursday night. I haven't felt right since. Only done a few lines but I feel very dizzy and haven't eaten much since. Is this normal for meph” “Sometimes when i take Mephedrone it causes my vision to go blurry for short spells and twitch. It is imposible to focus on anything, why does this happen and what is the name for this” “I sprinkled mcat onto some weed i smoked in a spliff, is this dangerous for my lungs as there hurting” “Iv been taking mcat most weekends some weekdayS my thumb does not hurt but its not working like its numb and my elbows are very tender is this out to do with the mcat” “My boyfriend took 4-5grams of methadrone AKA Mcat on saturday night and ever since has been ill, hes has bad headaches, hes startd going dizziness, not been to see clear and focus, and seeing and hearing things that arnt there” “Iv been taking a drug called 4-mmc for about 3 weeks solid i have 3 lines a day and im now getting bad side effects eg paranoia, ice cold fingers and feet, hard and fast heart beat and my main concern major anger issues my best freind told me i done somthing wrong and i punched him it just made me so angry im becoming worried as i think im addicted to the drug” “I have recently come across Mephedrone. The first time I took it I enjoyed it and felt very socail. However, since i have suffered panic attacks, heart palpitations, and a compulsion to have more. Even though it causes really bad nose bleeds. I am really concerned about its effects on health - physically and mentally, but i feel trapped” “I took methadrone lastnight cant stop vomiting blood. And very dehydrated whats going on” “Everytime I take Mkat I am sick and its black, what does this mean I haven't been eating” “I took mcat at the week end an have a really bad throat and massive ulsers, can hardly swallow or talk. Is this normal after taking it” “After taking mcat 4 nights ago my throat has got progressively worse, in the way that it is extremely painful to swallow and feels slightly swollen. My glands are all up and my throat is really sore, is there anything i can do to make it better or will P a g e | 17 it just get better on it's own? And do you know why/ how this happens” “I took plant food on saturday night and ever since i have not been able 2 eat i have been sick and panicky i also keep getting really bad pains in my chest and find it hard 2 breath at times. i have been experiencing panick attacks 2” Some users who have rubbed Mephedrone onto their gums have reported swollen lips, sore mouths and mouth ulcers: “I recently took methadrone and unfortunately my top lip has swollen up, this may have been because i placed some of the methadrone on my top gum. It's now been 24 hours and the swelling has reduced, although my lips still remain larger than usual. Do you know why this has happened ? And what can I do to get my lips to go down” “I recently tried the legal drug meow meow, and i was too scared to sniff it so i rubbed it into my gums, now its a few days later iv come down with a severe throat infection, my lips are blisterd an cracked an im finding hard to breathe.. could this be related to taking the meow” “I took some metrodrone m cat meow last night and all of a sudden my lips swelled up un belivalbe there now like ready to pop looks like i have been punched in face even my toung n mouth feels real sore,can you get any symtons of m kat? heard of anything like this before” In addition to this mouth and throat ulcers have also been reported by users who have tried to swallow Mephedrone in a capsule/cigarette paper that has started to dissolve before it has been swallowed properly. P a g e | 18 Behavioural Effects Feeling of being shut down Feelings of being spaced out Feeling “odd”, “strange” or “not themselves” Aggression Mood swings General lack of interest in anything General lack of motivation to do anything “Around 4 days ago, I took MM cat (methadrone?) and still I don't feel right. Feel really hazy and don’t want to do anything or speak to anyone” Medium term effects (up to six months following regular consumption) Some individuals who have contacted FRANK report regular use of Mephedrone, with many stating up to 6 months usage. Many of the effects they report are listed above in the short term effects. What is noticeably different are the intensity of the effects, in particular the psychological effects. As before not all these effects will be experienced by all users and the more serious effects tend to be reported in cases of higher dosages. Septum erosion Feelings of depression Swelling of hands and feet Difficulty in concentration Short term memory loss “I had been consuming around 2 grams a weekend, sometimes more, sometimes less. i havent taken the drug for just over a month and i am now experiencing swelling of my hands and feet and heart palpitations” “I have been taking Mephedrone (mkat) most weekends for the last 3-4 months and recently i have had bad stomache cramps and passing blood when going to the toilet im just wondering is this a common side effect or do i need to consult a doctor” “I was experimenting with mkat and coke irregularly for a couple of months but have not done for 4 weeks. I am experiencing occasional heart P a g e | 19 palpitations , is this unusual or cause for major concern” “Ive been taking mcat for about 5 months now, not majorly but every weekend or so, and at first it was really good, but now my come downs are so bad.. for like 4 hours at a time i feel really depressed and dont even want to live anymor, why have my come downs developed worse” “I have been takeing mcat for the past 6 months. every weekend im up all weekend drinking and snorting this drug i get pains in my chest and real bad pins and needles also the come down lasts for days. even tho its been in the papers and people are dieing off it i am still putting it in my body which i dont understand because i dont want to take it i say everytime i do it this is not happening again but it does im so scared i might have a heart attack and that i am damageing my body real bad . i just want to be able to have a drink and go out like normal 22 Yr old girls do without takein drugs. i have been takein drugs for 8 years now i dont want it to go on any longer” “I had been taking NKat for around 6 months and have stop 3 weeks ago. but since stoppin I have become scared of the dark and find it very hard to get to sleep and stay asleep. Do you know why this could be and how I can get over this” “I then began to take MKAT from around September of last year. Over the past few months I was taking quite a lot of Mkat, probly around 3-4 days a week. I have now started to notice a slight hole in my nose and am getting very worried” “My son is 18, and has been snorting copious amounts of Mephedrone, mmc,for the past 6 months, the one sold as plant food. He has lost many stones in weight. His personality has changed totally, he has become very very aggressive. He smashed up my house 2 days ago, and when I got him outside, he then attacked the front door with an axe. He then went to his mothers house and within 24 hours, was getting very aggressive with her. I think he needs psyciatric help, but he does not. What can I do, I love him so much, but it is not him at the moment. I think that if something is not done in the next few days, weeks someone is going to get seriously hurt” P a g e | 20 Dependency A lot of the queries to FRANK come from Mephedrone users who have identified that they have developed a dependency on the drug. Terminology such as “habit”, “hooked” or “addicted” are common terms which as used by this group; it is worth noting that this terminology is not used as often by people reporting dependency to other stimulants such as Cocaine or ecstasy. Many users identify that they need help and support to stop using the drug. “Every single person i know in my social group have become addicted to mcat. I have also been taking it. I keep saying im not going to do it again as i know its bad for you but when i get offered it i do it even though i know i will regret it. I dont want to be this person any more” “Is thare rehab in dundee sumwhare i can go to escape my bubble habit” “I am in real need of some sensible advice. I am almost certain I am addicted to Mephedrone. I have finished 10g in 2 weeks and ordered another 10g to come by 1pm tomorrow as I cant stand not having any. I do suffer with most of the side effects, blurred vision, headaches, short of breath, blueness in extremities, teeth grinding leading to mouth ulcers, swollen lips, and after a particularly large dose and very little sleep in days I had horrific hallucinations of goblins and witches and spiders. these hallucinations were also audible. My feet often swell and the veins pop on them. I cant concentrate or remember much short term. BUT I CANT STOP TAKING IT. While Im high its wonderful, and i cant stop dosing. its times like now, on a rotten comedown that I know I need to stop. But how? Please, any advice you can offer would be appreciated. I dont want to die from this” “I think I need some help I have just started taking Mephedrone and have become addicted its making me feel amazing but after alittle come down! I don' t know how to give up and need help before I become addicted” “I think I'm addicted to Mephedrone. I went on a week long binge of it, and have been doing it ever since. I haven't been able to get hold of any for a few days and I feel terrible without it. I'm craving it so badly from the minute I'm awake. Tempted to take other things to try and get the same high. I know this is a bad place to be in, but what can I do? I can't stand being sober another day” “Frank im hooked on Mephedrone a.k.a dolly. How can i get of this” “I am starting to feel dependant mentally on meow it is very addictive for me i was taking everyday and on new year i did 6 and a half grams my mates told me i was lucky to still be alive, after that i was still doing it very regulary but i went on a break from it for about 3 weeks and i still had a huge craving for it I dont get nasty if i dont get it i just feel really sad” P a g e | 21 Moving on from MephedroneThe introduction of new unclassified drugs From mid March 2010 FRANK advisors have reported queries with regard to a new unclassified drug called Naphyrone. Many of these queries have been from members of the public who have heard of the drug and wanted some more information. However, like Mephedrone, FRANK is starting to get volumes of users reporting effects from having consumed the drug. P a g e | 22 Drug names Advisors note the following names for this Naphyrone have been referenced by people who have contacted FRANK: NRG1 EWhizz Rave Energy Rave Naphthylpyrovalerone Information to date suggests that most queries come from those aged 16-24, which is consistent with those who contact us about Mephedrone use. Also consistent is the setting where this drug is consumed, with house parties and nightclubs being the most common places mentioned. Targeting former Mephedrone users Individuals who have contacted FRANK have made reference to buying Naphyrone online, some have mentioned that websites they formally purchased Mephedrone from are offering free samples of Naphyrone. Others have mentioned that it has been advertised on the internet as a non cathinone 'plant food'. FRANK advisors note the following as reasons former Mephedrone users have switched to Naphyrone Mephedrone is becoming more difficult to come by Mephedrone is now a classified substance and they are looking for something which is not “Since the ban on Mephedrone, I have quickly got through my remaining supply. Me and my friends are eager to find a replacement for meph. We have got ahold of something called "Naphyrone", aka NRG-1 or naphthylpyrovalerone” “im not new to drugs at all and not even long ago me and my friends would take loads of meow and easily get through 3,4 grams a night and be fine. but as it was illegalised a friend of mine bought some of this other, new stuff which is sold as a research chemical and even said to be a Mephedrone substitute on the internet” P a g e | 23 Naphyrone users report Immediate effects (within hours of consumption) Users report that they feel little of the euphoric feelings that are typically associated with Mephedrone use. However, users have reported other effects similar to Mephedrone but much more powerful. Please note that not all these effects will be experienced by all users and the more serious effects tend to be reported in cases of higher dosages. Intense stimulant effect of buzzing, „feeling wired and alert‟ Extreme talkativeness Sweating Elevated heart rate Pounding headaches Increased feeling of nausea Vomiting Restlessness Nosebleeds Numbness in lips and nose Blurred vision Inability to speak P a g e | 24 “It was like mkat but more intense without euphoria as such - just a very, very intense "turbo boost". “It can take a while to affect youas well, so you take more thinking your ok and by the time you feel like youve had too much its far too late. and its very moreish but because of the strenth of it a gram lasts so much longer than it would with meow. and even the smallest amount can last like 8 hours” And please see below taken from a sample call following a call about Naphyrone: “Caller states that people should be very careful with NRG-1, it's very strong, caller has only had 1/2 a gram between 3 users and he has been up and buzzing for 9 and a half hours already. He is worried that he won't be able to sleep. He said that although he feels good, wired and alert, he thinks that if he took any more that he would collapse or damage his heart 'blow his head off'. Caller has been a Mephedrone user and says that if users take the same amount of NRG-1 as they are used to taking with Mephedrone, it could kill the user. He is also very worried that users may bomb the drug, which would also be very dangerous”. Short term effects (up to a week following consumption) Users have described it using words like „nasty‟ and 'evil' given their extremely unpleasant comedown. They have likened it to other drugs they have consumed and rate Naphyrone as having the worst after effects. Again, not all these effects will be experienced by all users and the more serious effects tend to be reported in cases of higher dosages: Increased feelings of paranoia lasting for several days following consumption Increased feelings of anxiousness lasting for several days following consumption Sleeplessness Feelings of aggression Paranoia Inability to shake an unpleasant feeling Hallucinations Loss of appetite “My friend took some nrg1 on saturday night and he is still suffering from paranoia and voices in his head. When i hold his hand he seems clammy and says he feels cold. Not sleeping very well and talking when he does sleep. Thinks people are talking about hime and neighbours are all monitoring him. It's tuesday now and this is the first time he has taken it - he was a drug user many years ago but is now 40 and wanted a high as the doc said he should nt drink so much( he has a few beers at weekends) so he could loose weight. Is this normal and is there anything that can be done for him” “On thursday night I went clubbing and then a house party. People were taking Methedrone and another drug called NRG1 which is apparently new. I took some and couldn't sleep for a few days, now I can sleep but I am so tired that's P a g e | 25 all I want to do. I'm really worried about what its doing to me and I do n't know what to do. I've not tried anything like this before and had a horrible come down but some of the others there have had hallucinations etc” “I took the new legal drug nrg1 on the weekend and still don't feel myself from doin it. I've taken a variety if drugs in the past and never had affects l ike this. Its now wednesday and I'm abit worried about how long these I'm going to feel like this” “I tried NRG1 on Saturday night fortunatily the effects have worn off. However I feel exceptionally melancolly with not the clearest if heads. I haven't had a good nights sleep since and unable to eat a good meal with stomach tightness. Guessing these are the reasons I am feeling glum. Is this a familiar tale” “ I snorted 0.5 of a gram of NRG-1 not knowing It was so new no one knew of it. Come down from hell lasted 36 hours. Monday today and still feeling very anxious and paranoid, never felt this lonely before in my life when no one knows when it will stop” P a g e | 26 Conclusion and Recommendations Based on the contacts the FRANK helpline has received we can see that that Mephedrone has surged in popularity, in particular from November 2009 onwards and amongst the 16- 24 year old age group. Following its classification in mid April 2010 contacts to FRANK about Mephedrone, whilst still substantial, have reached a plateau and we have started to see increasing volumes of contacts about Naphyrone. As the drugs landscape changes so too will contacts to the FRANK helpline. Given the large volumes of individuals we communicate with regarding new and emerging drugs we recognise that we, as a singular body, are in a unique position to assist in collating information and insight that could be used elsewhere within FRANK communications or wider Government. We will continue to provide feedback on emerging drug trends and user experiences. P a g e | 27 Appendix 1: Mephedrone User Experiences “I am not an addict ( yet) but i can see it happening. I go out 3 times a week and each time i will take loads of methadrone i need to stop because the come downs get worse and worse and i get so depressed, want to kill myself, hate myself,cant sleep for days. The most ive ever done in one session was in the space of 48 hours me and 4 friends had about 9 grams of methadrone. I am so scared about the long term consequences of this drug. I got out of bed and collapsed on the floor three times in the space of a week and my whole body was tingling and shaking and i was having a mini seizure, i go to a university where there is a huge drug scene and there are drugs absolutly everywhere. Each time i take it, i always tell myself that i want to stop andnever take drugs again but it just doesnt work, this time I want to stop FOR GOOD. I am so worried about my health ( i never collapsed on the floor shaking) before and i just feel like im wasting//ruining my life. I went to the pub yesteday looking for a quiet night, ended up going to a house party and not sleeping at all, went home at 5 the next day and went to sleep at 12 woke up at 5. please help me how do i stop when everywhere around me all my friends all the nights i go to take drugs. and what are the consequences of methadrone what does it exactly do and more importantly why is it still legal and so easy to get a hold of?” “i have never wrote to yourselfs before...as i do know quite a bit about drugs...and the stuff i feel save taking and the stuff i dont. i have took methedrone (bubble is wot we call it here) many many time. I took a gram or so of the stuff this weekend, (which is a normal amount for me 2 take) but since then i have not been feeling well at all. its not a comedown,,,cos iv experienced many of these and i know its not that! i havent eatn properly since, cannot stop feelin or bein sick, and have stomach cramps...but these feelings only happen like every 30 mins or so...and in between i feel fine. Felling quite weak 2...but iv put that down to the fact iv hardly eaten? i just dont know what 2 do??” “I have been taking mephadrome for about 3 months on and off but i have taken it the last 5 wks every wkend, sometimes i am taking it for 2 full days. When i am coming down of it i am so ill from it and its making me miss college. I say im never going to take it again but when the weekend gets here i cant resist it. It scares me so much because i have got 2 young children and it is taking over my life. Can you please give me some advice on how to help me stop taking it and to give me some extra will power. I am so scared” “I'm at University in my third year. In my first year i tried a bit of weed, MDMA and Es.I had never touched a drug before. I am not a lazy or usually unhealthy person. I play hockey, go to the gym and am very sociable... I love drum and P a g e | 28 bass and electro music, so i am on the 'scene' at uni. On a friday, saturday and sometimes teusday night, instead of some one worrying about having time to go to the shop for alcohol, they are ringing around to see what drugs there are. In my first year, this was MANDY (MDMA) or Pills. In my second year i stayed away from drugs for the vast majority due to rowing training and general shock at trying drugs.” “However this year (due to the people around me and my friends), MKAT (MEPHEDRONE)is getting to be rediculous and i'm scarred. In fact it is only 48 hours since i last took alot of it. On wednesday (AU night) at our student nightclub, even the rugby boys had MKAT and passed it to us in the toilet. Everyone has gone mad.” “It is £15 per gram and a few of my best friends (in an attempt to make extra money to pay off their over drafts) have bought in up to 70 grams of MKAT at a time to sell. So it is rediculously easy to get hold of. Even if i don't buy any i am offered it when drunk in the toilets (and i can't help but think to myself, why not, one key won't do any harm). but now, at hockey training, people are starting to notice that i am out of it and not very focused.” “The issue is, that i am already a naturally hyper person. When out though, i get bored easily, so alcohol or a tiny 'sniff' does the job. I've never tried cocain and MDMA has completely gone off of the scene (not to mention it being so expensive.” “Mkat makes me (now i will be blunt) hyper, frantic, insistant, edgy and intense. I forget everything i have done from my night, so it is wasted. I gurn. I get white bits around my mouth. I become horny, and this doesn't do well when you are out and feeling amazingly attractive (when you look awful and your lips are imflamed). I lick my lips alot and my eyes shudder. Last week apparently i attempted to crowd surf off of a speaker in a club in Manchester onto three girls and had to be caught by two of my lad friends. I don't remember this.” “I am scarred and worried. I don't want to be the boring one who goes home early,and isn't on the chatty level of my friends. I have lost confidence in myself to have fun and see the night through on just alcohol these days. I have tried not taking ti before, which has been nice to say no, but it is only a matter of time before i have a small line. I feel de-motivated with my work and generally paranoid. I get upset after taking it and think the world is coming down on me. I don't know how to say no to it when i have had a drink.” P a g e | 29 “This week is packed full of birthdays and drum and bass raves a few of my friends are playing at. I have a hockey match on saturday but i am worried i will take MKAT on the friday if it is offered. I have asked my friends to encourage me in this decision but they take alot of it too and will likely forget and encourage me to take it. Please help. I discovered Mkat 7 months ago.” “Hi, i want to ask about my experience with Mephedrone two days ago. I experienced the full euphoric state when in my high, including feelings of power and authority, hyperactivity and empathy. When the drug was wearing off, I was in a state of polar moods, i.e. i kept feeling slight euphoric states (coupled with body warmness-body high) for a few seconds which were then almost instantaneously followed by emotions of the opposite spectrum (depressiveanxious mood coupled with cold body sensations). This sensation alarmed me as it resembled a possible state of dependency/addiction. I took two more smaller doses the same day so as to maintain my high, again during the wearing off stages my condition was very polar. My concern is that my calm down during the next day was rather troubling. Every time I remembered aspects of my experience the day before, i initially reproduced a small portion of the euphoric feelings characteristic of my high, followed less than a split second later by very anxious-depressive feelings. This went on the whole day with the anxious-depressive feelings being much much more dominant and as I became more and more anxious about the fact that they were becoming more dominant, the occurrence and severity of the negative emotions increased almost exponentially. Today, the day after the calm-down, i again seem to be in a slightly polar state. This state is less severe and evident than yesterday and to almost no extent alarming, however it does concern me that even two days after I used the drug i find myself reinforcing some cognitions and bodily movements (such as rocking back and forth) which were characteristic of my actual experience and that these are almost always coupled with positive feelings and almost always followed by negative ones as described previously. I understand that part of this polar mood could be purely biological in that the negative emotions i feel following the slight euphoric sensations are possibly due to the fact that these euphoric sensations remind me of how good the actual first experience was (a sort of flashback) and that because the drug is no longer in my system my brain cant maintain this sensation for satisfactory periods therefore the mere fact that it vanishes very quickly leaves me with a pseudoexperience of the complete opposite sensation. This polarity of moods may also be reinforced psychologically in that the flashbacks from the high remind me that i cannot experience these feelings unless under the drug and that they cannot be experienced in real life. This is already a very long question but i must add that my issue, which is the fact that these polar states are still evident, may also partly be explained by the fact that I shouldnt be playing around with such drugs seeing as I have been diagnosed with partial O.C.D and have had past depressive periods in my life which were characterised by polar moods similar to P a g e | 30 those experienced in my calm-down to Mephedrone. This fact made me experience the polar states even more severely and made me worry about it so much that i couldnt be concerned with anything else than my emotions (on the day of the calm-down, this today is much more minimal, i.e. i can do other things without obsessing on my polar states however i am reminded of them every time they occur). To conclude I would really much appreciate it if you could tell me if there is absolutely anything I can do to make these aftereffects disappear more swiftly or at least more easily. I am very much scared that I'm sort of stuck in an awkward state of dependency on this drug.” “I am scared about the effects that drugs have had on me in recent months, I am a couple of weeks away from my 26th Birthday, I am at present trying to kick drugs and have done quite well, though there has been the odd blip! I first smoked cannabis from about the age of 14, in my late teens and early twenty's I smoked quite alot, as I got older it got less and less and I don't really smoke it ever. In my early twenties I experimented with a variety of drugs: speed, ectasy, Cocaine and a little later, Ketamin. I never did any of these drugs on a regular basis and apart from the odd grinding come down, I felt these didn't affect me too bad.” “Last summer a local head shop started selling 'Space E' which is now more widely known as MCAT, when I first discovered it I have to admit that I did quite alot of the stuff, and enjoyed it - since then I laid off taking it but still did on the odd occasion. On New years I had a cocktail of drugs which included MCat, for the first time I was sat there at a party experiencing the most severe paranoia i have ever experienced, I left the party and put it down to too much one night. Since then, every time I go out I experience more paranoia like this, it is getting worse and worse and even when not under the influence of anything. I am worried that it is not just the drugs which have caused me to feel like this though I would guess it is probably the main cause.” “I live in a small town on the Isle of Wight where MCAT is running riot, quite frankly it is destroying lot's of peoples lives. I know that I need to kick all this as my depression, paranoia and suicidal thoughts are getting more severe as the days go by, my problem is, I know I need to stop taking any form of substance, but because all of my friends around me are doing this stuff at party's or whatever, because of my paranoid state, I end up doing some to try and 'fit in' - it always ends in personal disaster! I feel really trapped and know that ultimately I need to move away from my home town - I guess I just need some help and advice please, I am scared that I keep contemplating suicide and equally scared that I can't go for a quiet pint with some mates in the pub without losing it with extreme and I hope, irrational paranoia.” P a g e | 31 “The reason for me emailing. Is just to make people aware of some of the side effects of taking mcat. I first started taking it about 3 months ago. Every weekend. Its cheap and a good buzz and didn't keep me awake for hours like pills or mdma did. Then every now and again me and friends would have it during the week. I had it on a thursday one week. I had my last line about 12. Went to sleep later on. I woke up in the middle of the night for the toilet. Couldn't move my legs. No matter how hard I tried. it was impossible to move them. I was so scared I though I was actually going to be paralysed. I woke my boyfriend up and after about half an hour of trying I could only just move my legs. He had to carry me to the toilet. Get me dressed. Everything. I couldn't move my legs on my own one bit. It was so painful. Even just lying in bed made me want to cry. I went to the doctors that day. Didn't tell him I had taken mcat. Just told him what was wrong with my legs. He diagnosed me with having inflamed muscles and joints. Which shouldn't of happened to me until I was at least 50. So 3 months of taking mcat had made my body age 32 years. He gave me anti-inflamatories and painkillers.” “After a few days my legs were almost back to normal and I had forgot about how much pain I had been in. So that weekend I thought I would be okay if just had a little bit. I only had half a gram (a lot less than I normally did) felt fine. Then the next day. My legs were exactly the same as they were the week before. Not just my legs this time though. I couldn't move my ankles, knees, pelvis, back, right elbow/shoulder and neck. The only bit of my body I could move was my left arm. I was in such excruciating pain. Any little movement made me scream. I couldn't lie on my back because my spine was so messed up. I couldn't lie on my side because my hips were so sore.” “So I can't sleep. I can't walk. I can't feed my self properly. I'm basically like a baby. My boyfriend has had to do everything for me. That was on thursday. Its sunday now and I still can't walk. It takes him an hour to get me out of bed and dressed everyday. I haven't been able to go into work because of it. My mum is considering taking me to the hospital if I don't get better soon. I haven't told her the reason why I'm like this. But its still messed up that something that's legal can do this to your body. I have taken pills, mdma, coke, wizz. Nothing has ever done this to me. I feel worse in the morning. But I would rather feel poo in the morning for a bit than be crippled for weeks. aswell as not being able to work there have been other side effects. Nosebleeds, at least one a day! Loss of appetite, I've lost a stone in a month. I constantly smell of it. People who have taken mcat know what the smell is. And can recognise it. I have walked past people and thought 'you take mcat' If you don't know what it is though you would probably think I just smell like wee. Headaches. Can't sleep at night. In other words its proper messed my body/life up.” P a g e | 32 “I started taking the drug last November, just to try it out with some of my flatmates. It soon got out of hand and led to what i believe was all of us, addicted. By the end of December, we would be taking the drug many days in a row, sometimes staying awake for 5 or 6 days without eating anything at all. Consequently I lost 2 stone, and others lost a lot of weight in a small space of time too.One time, after 5 days of it, we weren't feeling the effects as much. So we thought putting a gram in a very small drink and downing it was a good idea. I started to get really paranoid, thinking everyone was plotting against me. I also started seeing things, such as writing and pictures on the wall, my friends changing colour and I even saw glasses on my friend, who surprisingly, doesn't wear them.I then started to make things up, I kept saying I had raan over my friend who was sat next to me and wouldn't speak to him. I didn't know who another friend was, and thought my halls were a mental hospital and that he was trying to lock me up. At one point I even asked him if he was my dad. 2 of my flatmates were leaving to go home for Christmas, and I wouldn't let them leave, trying to get in the way of the door and collapsing on the floor crying. I thought someone was going to kill me if they left.After all of this, I fell asleep. Four hours later, my friends returned and woke me up. We got talking and I started to talk about a really weird dream I'd had. When they told me my dream (the story above) was real, I didn't believe them. Now everytime someone goes funny like that, it's called a 'Sarah dream'. Even after incidents like that, we still continued to take Mephedrone, after each time saying we would quit, but never stopping.A few months ago, I was so depressed and unhappy with myself that I took an overdose of painkillers. Since then I have never done any drugs, it has made me realise what a ridiculous thing it is to do, and can only hope that anyone taking it will find a better was of shocking themselves into realising how bad it is.” P a g e | 33 Appendix 2: Naphyrone User Experiences “I am a person who was hooked on meow meow. i now attend councilling and getting back on my feet however, recently some of my friends have been mixing in a new drug again not illegal!!!... it is a brown form of powder which gives near enough the same effects of meow meow but more madder and more addictive. my friends are gettin hooked of it. im not sure it what it is called all i know it begins with an N. but something needs to be done about it. is there anything i can do to make the police or somebody aware of this drug and try a stop it.” “About 2 months ago, I started taking Mephedrone, the legal version; wildcat. When it became banned i switched to dealer meph, cut stuff, which was alright, but not the best, now I've been offered the chance to by NRG-1 or naphydrone, just wondering, are the papers making it out worse than it actually is ? The only thing I'm worried about is a heart attack or not being able to sleep, apparently it lasts 12 hours on 0.03g , but i'd be taking about 0.1g at least.”
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