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“What gave rise to China White is a mixture of the original fentanyl with perhaps some residues of heroin and maybe some powder cocaine, then they started referring to it as a more pure product,” Lopez-Ojeda says.
So the name “China White” is actually a misnomer, said Dr. Wilfredo Lopez-Ojeda, a biomedical sciences professor at the University of Central Florida who co-authored the Universal Journal of Clinical Medicine editorial with Dr. Carlos Ramos-Matos.
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Morphine is opium’s active ingredient. Shortly after this refinement process was found and perfected, companies began to market and sell the drug for everything ranging from bronchitis and tuberculosis to “diarrhea, insomnia, psychosis, pneumonia, and alcoholism.
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Dependence and addiction were discovered soon after, but heroin wasn’t banned from medical use until the 1920s. Once medical production ceased, smuggling began. Heroin users could no longer get the drug legally, so they looked to other sources and other countries.
Heroin was no longer a cure-all. Scientists, medical professionals, and politicians were beginning to realize this drug was causing more problems than it was solving.
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α-Methylfentanyl was placed on the Schedule I list in September 1981, only two years after its appearance on the street, but already other analogs were being developed.
Following the appearance of α-methylfentanyl on the market, over ten new analogs of fentanyl have been reported, starting with para-fluorofentanyl, followed by α-methylacetyl fentanyl, then by the highly potent 3-methylfentanyl, and subsequently by many others such as β-hydroxyfentanyl, ohmefentanyl, etc.
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China White users suffer mostly from the designer drug’s side effects, Ramos-Matos sys. People high on the drug who enter the emergency room may seem like they’re overdosing on heroin or another opioid, but the symptoms are more complicated because fentanyl derivatives are far more powerful. Lopez-Ojeda says. “If treatment is not followed through accordingly, people can end up dying.
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This effect, over time, can make heroin users vulnerable to cravings for the substance, so much so that the person begins to obsess over its acquisition and use leading to serious tolerance and addiction.
Heroin use may lead to addictive behavior and when this addictive behavior occurs, heroin uses may begin to find less pleasure in other activities, including those necessary for life such as eating. The drug essentially hijacks the brain’s reward center so that nothing else will compete with the feelings of euphoria it provides.
Drugs like heroin, crystal meth, and morphine pills act on the reward center of the brain, much like a delicious meal, except the response is far greater than any dopamine response that would otherwise occur naturally.
The neurochemical action of China White is very similar to that of heroin, yet fentanyl is roughly 50 times more potent than heroin itself.
As such, White Heroin ( hell dust) is extraordinarily addictive and produces nearly irresistible cravings and severe withdrawal symptoms, among other significant health problems.
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In addition to respiratory depression, China White can also cause gastrointestinal problems, changes in heart rate, fainting, and prolonged fatigue or sedation. Heroin increases a person’s risk of experiencing mood disorders such as depression, anxiety disorders, paranoia, confusion, and personality changes. Heroin (hell dust) has also been known to impair the immune system and produce hallucinations.
China White heroin has also been associated with overdoses that are frequently life-threatening, with thousands of deaths having been reported by the Centers for Disease Control and Prevention in the last few years alone. Some of these fatalities were linked to heroin that had been cut with fentanyl unbeknownst to the user.
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