Desomorphine

From IDWiki
Revision as of 19:22, 2 July 2021 by Aidan (talk | contribs)
(diff) ← Older revision | Latest revision (diff) | Newer revision → (diff)

Background

  • Also called krokodil, krok, Russian magic
  • First reported in Russia in 2003
  • Injected SC or IV, or taken orally
  • Mechanism of action is mu-opioid receptor agonism

Clinical Manifestations

Intoxication and Withdrawal

  • Similar to other opioids

Skin and Soft Tissue Manifestations

  • Can cause a green scaly appearance of the skin after injections, often with ulceration of skin, muscle, and cartilage
  • Can cause gangrene down to bone, resulting in amputations
  • The tissue damage is usually from contamination with paint thinner, lighter fluid, gasoline, lead, zinc, and hydrochloric acid used to prepare the drug