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Krokodil Drug: The Risks, Effects, and Available Treatments

Krokodil, or desomorphine, is an extremely addictive synthetic opioid with a much greater effect than morphine. People often take krokodil drug as a low-cost alternative to heroin. Its manufacturing process, usually with codeine and poisonous chemicals such as gasoline, paint thinner, and iodine, has catastrophic health effects. The “krokodil” term is derived from the scaly, […]


Glass vials with white powder representing krokodil drug dangers and addiction issues in Spokane WA

Krokodil, or desomorphine, is an extremely addictive synthetic opioid with a much greater effect than morphine. People often take krokodil drug as a low-cost alternative to heroin. Its manufacturing process, usually with codeine and poisonous chemicals such as gasoline, paint thinner, and iodine, has catastrophic health effects.

The “krokodil” term is derived from the scaly, green-colored patches that form on the skin of users as a result of severe tissue damage. Below is a summary of how the drug affects the body, brain, and the treatment strategies available.

What is Krokodil?

Desomorphine, which has been chemically synthesized from codeine, is also referred to by its street name, krokodil. It is a heroin substitute and, like its equivalent, has a very high potential for abuse. But krokodil is far more deadly, owing to the poisonous chemicals it is laced with—chemicals like gasoline, thinner, and iodine. These are chemicals never intended for human use, and they pose significant danger.

In 2003, the substance started trending in Russia when the increasing price of heroin made its users seek an alternative substance that was cheaper. Its injectable form soon made its way to other parts of the globe, becoming known by the name krokodil due to its scaly appearance, which disfigures the skin where it is administered.

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How does Krokodil influence the human body?

When one injects krokodil, the drug is in their bloodstream after a few seconds. It creates a massive source of euphoria within minutes. The krokodil drug effect​ is short-lived, lasting 1 to 2 hours.

Because of this, users of krokodil are constantly injecting the drug during the day to prevent withdrawal. The drug is highly addictive because it is potent and has a long duration of action.

Damage to skin and tissue

One of the most frightening consequences of krokodil use is the widespread tissue and skin destruction that it produces. Krokodil is notorious for inducing inflammation, pigmentation, and the development of reptilian, scaly skin at the injection site. Such tissue damage tends to migrate to ulcers, necrosis (tissue death), and gangrene. In extreme cases, it may lead to amputations as a means to halt the infection.

Organ damage and infections

The use of krokodil raises the risk of severe infection, particularly if needles and injecting equipment are shared among drug users. The infections can, at times, spread to other body organs to result in such catastrophic life-threatening diseases as sepsis, or blood poisoning, and pneumonia.

Also, the repeated use of krokodil results in permanent damage to the essential organs such as the liver, kidneys, and the brain.

The damage done to cartilage and bone

Yet another dangerous side effect of krokodil use is bone damage. Bone infection (osteomyelitis) or even bone death (osteonecrosis) is most likely to be caused by krokodil users due to the lack of blood supply to the bones.

Deep tissue injuries can potentially cause severe harm because infections can pass through the bones, thereby causing severe injuries that may need surgery or amputations.

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Fatality of Overdosing and Long-term Health Costs

Because of its strength and the hazardous chemicals used in its manufacture, krokodil is extremely deadly. With even short-term use, there is a danger of overdose. With long-term use, there is an even higher risk of severe harm, including organ failure, brain destruction, and death. Users who persist with krokodil are faced with the very real possibility of deadly consequences, which usually follow within a few years of first use.

Why is Krokodil so Addictive?

The Krokodil drug is highly addictive due to its opioid nature. Krokodil is said to be 10 to 15 times more potent than morphine and induces a harsh yet short-lived euphoria among its users, leading them to consume repeated doses throughout the day. This is a vicious cycle of consumption that eventually results in different levels of physical dependence and addiction.

Effects of Krokodil withdrawal are also extremely intense and can include the following.

  • Anxiety
  • Muscle pains
  • Sweating
  • Insomnia
  • Irritability

Because of the painful withdrawal symptoms, many krokodil users continue to use drugs to avoid these feelings and sink into their addiction even deeper.

Assorted syringes, lighter, spoon, and bagged white powder representing krokodil drug addiction in Spokane WA

The Psychological Consequences of Krokodil Abuse

Krokodil not only causes physical damage to the body, but it also causes significant psychological consequences because of its injectable form of the drug. As a powerful opioid, krokodil affects brain chemistry, which leads to:

  • Mood swings: They span sudden mood changes among the users from extreme euphoria to depression or irritability.
  • Cognitive decline: Manifests in various ways for long-term krokodil users, including memory loss, challenges in concentration, and compromised decision-making.
  • Behavioral change: The drug can make one not just irregular but violent as well, which makes it even more challenging to go ahead with regular functioning in life.

The Risks of Chemical Additives in Krokodil

The chemical additives in krokodil are highly toxic. The additives consist of both unreactive and reactive components.

The most troubling aspect of the krokodil drug is the use of dangerous chemicals in its production. Unlike heroin, which is usually injected raw, krokodil is generally mixed with gasoline, paint thinner, iodine, and hydrochloric acid.

All are highly corrosive, and when injected, they cause extensive damage to the veins, tissues, and organs. Furthermore, since krokodil is usually produced in dirty, unhygienic conditions, every batch stands the risk of being contaminated and poisoned, thereby putting users in an even higher danger.

Treatment of Krokodil Addiction

Krokodil addiction is one of the strongest addictions to overcome, one that has already left its victims physically and mentally scarred. However, this damage can be reversed with proper planning and readily accessible treatment.

Addiction to Krokodil needs to be overcome in phases, detoxification being the first phase, with the aid of medication, where the body is closely monitored as it purges itself of the drug. Detoxification needs to be done to be able to weather withdrawal symptoms safely and ensure patient stability.

After detoxification is done, patients typically receive inpatient treatment to address the physical and psychological impacts of addiction. An entire treatment plan can include the following components.

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To reveal the root causes of the relationship and acquire coping mechanisms.

Group Therapy: To help one another and benefit from others’ experiences, who are similarly afflicted.

Medication-Assisted Treatment (MAT)

Medication-assisted treatment to decrease craving and withdrawal.

Behavioral Therapy

To handle the negative thought patterns and behavior of addiction.

Treatment of Co-morbidity: Mental Health and Addiction: Dual Diagnosis

Since the majority of the users of krokodil suffer from underlying mental illnesses like depression or anxiety, dual diagnosis is needed to ensure successful recovery. We Level Up Washington provides programs specifically aimed at the treatment of addiction and co-occurring mental illness.

Not only does this comprehensive type of therapy ensure that people recover from their physical condition, but it also assists in the healing of their mental condition, laying the foundation for long-term recovery.

  1. Where can one receive krokodil drug addiction treatment in Spokane Valley, Washington?

    If you or someone you care about is struggling with an addiction to Spokane Valley krokodil drugs in Washington, We Level Up Washington is available to offer empathetic and successful treatment services. Our experienced team is dedicated to helping individuals achieve recovery, freeing them from addiction and taking back their lives.

  2. What are the levels of care that We Level Up Washington offers for krokodil addiction treatment?

    We Level Up Washington offers a comprehensive range of treatment options.
    Medical detox: A safe environment in which to address withdrawal symptoms.
    Inpatient rehab: Intensive treatment of drug addiction and mental health problems.
    Out-of-hospital treatment is used to facilitate recovery and prevent relapse.

  3. Does We Level Up Washington provide mental health treatment for disorders resulting from krokodil addiction?

    We Level Up Washington is a leader in dual diagnosis. We have an extensive treatment program that enables us to treat krokodil addiction along with underlying psychological illness, such as depression and anxiety. We help you regain physical and mental health, enhancing your overall quality of life.

Conclusion: The First Step Toward Healing

Krokodil addiction is a serious problem, but it can be safely addressed if approached with the right kind of help. If you or a loved one is addicted to krokodil, get professional help right away. We Level Up Washington provides an extensive treatment program willing to help those addicted and take their life back. Call us today to take your first step towards healing.

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Hotline: (509) 348-4077

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