Comment by dynm
5 years ago
Around a week ago, I came across this link here on HN that suggested that there's a new form of meth:
https://news.ycombinator.com/item?id=28938888
The theory is that new meth is based on a synthesis using a chemical called P2P rather than the old synthesis that used ephedrine. There are claims that this new form of meth is chemically different in some what that started creating schizophrenia around 2017.
However, when I looked into it, there doesn't seem to be much support for this idea. Current meth is more pure than ever before. Some people suggest that the use of lead could be responsible, but not all P2P syntheses use that, and it wasn't common in 2017. Instead, it seems like the explanation is just the obvious one: P2P synthesis has resulted in people doing much, much more meth than ever before.
Much of the effects of any intoxicant are culturally constructed. Alcohol is widely known for causing aggression, but this effect doesn’t seem to exist in cultures without that association. Nor does it exist in double-blind studies, yet the placebo group becomes more aggressive.
You can start with two chemically identical intoxicants, and either by marketing or random path dependencies one gains a reputation in the subculture for making people go crazy. You can bet that large number of people are going to act wild on it.
This is no different than the reputation different types of alcohol have garnered. Gin makes people mean. Whisky makes people emotional. Tequila makes people party like crazy. It’s all ethanol, but those cultural preconceptions become self-fulfilling prophecies.
In many ways that makes these rumor filled, science light, unsubstantiated media stories about “this is the most dangerous drug ever” incredibly irresponsible. The stories themselves create the cultural preconditions around encouraging more self-destructive behavior among users. This isn’t even just drugs. Look at the moral panic over Four Loko. The same cocktail of ethanol and caffeine has been consumed as amaro and coffee by rich women since time immemorial. Yet it never caused moral panic until the “wrong type of people” started consuming it.
I agree that the gin->mean, whisky->emotional, etc, is all bunk. But I'm still convinced there's a link between alcohol and violence. If nothing else, the lowered cognitive function and reduced inhibition would mean more opportunity to be angry, and less self control.
Like, a drunk person might misinterpret someone accidentally bumping into them as aggression. And would be less likely to suppress the urge to respond in kind.
You're describing the stereotype of a mean drunk. In reality, there's also the happy or the sentimental drunk. They might just laugh it off or smile big and hug the person bumping into them.
For sure, alcohol reduces inhibitions. If you're a naturally chip-on-the-shoulder kind of person, alcohol will turn you into a certified jerk. Alcohol can turn other kinds of people into lovable fools as well though.
1 reply →
Reduced inhibition does not support the thesis of increased agression, unless you define aggression to refer to "aggression shown".
But I'd overall turn the 'cultural' aspect a little further even. I think I have observed a couple of times people to consume alcohol in order to be able to transgress cultural norms because the cultural norms themselves are 'parametrised' for the sober-drunk states.
I.e. get into a fight sober? Could be unacceptable even to someone who wants to get into a fight. After 4 beers? May be perfectly fine for your peer group. Same goes to other things, like dancing, approaching strangers, etc.
What I really found interesting for example is, in my abroad term in Canada. The sober Canadian society was overall friendly and polite, definitely friendlier than in my German home. People held up doors for me (a 20 something man, felt really weird and unexpected), you got compliments for what you wore (never happened to me in Germany), etc. pp. But this radically changed in the 'drunken space' where people were a lot more aggressive and fights were much more the norm.
12 replies →
I’m just a sample of one, but I’m way more likely to flip my shit when sober — all my fights or verbal altercations I have in fact been sober.
Granted, I’ve been diagnosed with various mental health disorders related to emotional regulation, so perhaps this is dependent on individual brain function.
1 reply →
I think you're still describing a cultural cause here.
Responding to perceived aggression with your own aggression is not a given. It's a culturally decided response, not an instinctive one.
A good christian is supposed to respond to aggression by "turning the other cheek" and not responding at all. A strict, honor based society might say the only way to respond to aggression is by killing that person.
Western culture falls in between these two. Reduced inhibition simply makes your judgement of the consequences worse so people usually make the choice they want to make (shaped by their culture) and just don't think though what it could mean.
1 reply →
You are probably right in your assertion regarding alcohol, however I suspect it may be possible that there are other compounds unique to various flavors of liquor which may influence the overall effects in various ways. These compounds may not be perceptably psychoactive on their own.
The same goes for strains of marijuana, beyond THC and CBD other psychoactive compounds are inconsistently present with uncertain psychoactive effects (if any). Further there may be complex nonlinear interactions (e.g. two compounds produce no effect but adding a third can change the experience, particularly if you consider reaction products from combustion).
In any case the uncertainty is good for marketing.
> One theory is that much of the meth contains residue of toxic chemicals used in its production, or other contaminants. Even traces of certain chemicals, in a relatively pure drug, might be devastating. The sheer number of users is up, too, and the abundance and low price of P2P meth may enable more continual use among them. That, combined with the drug’s potency today, might accelerate the mental deterioration that ephedrine-based meth can also produce, though usually over a period of months or years, not weeks.
These are the theories mentioned in the article referenced in the comment you replied to. It might be the meth itself. Gin, whiskey, and tequila are different colors, and it's not because they are compositionally identical.
> Look at the moral panic over Four Loko. The same cocktail of ethanol and caffeine has been consumed as amaro and coffee by rich women since time immemorial. Yet it never caused moral panic until the “wrong type of people” started consuming it.
You’re not entirely wrong, but a splash of liqueur into a small cup of coffee is pretty different from dissolving caffeine pills in tall boys of malt liquor.
Substitute "PBR hard coffee," then.
Malt liquor drink, 30mg caffeine. Tastes like Yoo-hoo.
3 replies →
> In many ways that makes these rumor filled, science light, unsubstantiated media stories about “this is the most dangerous drug ever” incredibly irresponsible. The stories themselves create the cultural preconditions around encouraging more self-destructive behavior among users. <
What about krokodile?
What about it?
Desomorphine is not any more inherently dangerous than other opioids (so, still quite dangerous of course).
The synthesis pathway that Krokodil producers used are quite bad and unrefined, but quite surprisingly do work and does appear to produce desomorphine.
The problem was the producers were usually addicts who then injected the reactions solvent mixture, rather than extracting their product.
Did they separate the culture link from a potential genetic link? Maybe the association exists in a culture because it is a real effect, it just differs between groups.
I've heard (purely anecdotal) rumors that North Korea basically runs on Meth. I'm not sure if that is true but I suppose it would explain a lot.
3 replies →
> It’s all ethanol
I used to believe that. It seemed obvious to me and a phd chemist friend of mine that - as you say - the different reputations were a cultural/social creation. The drink itself was just different amounts of ethanol.
Then one day that chemist friend of mine decided to get a bottle of Hornitos Reposado. We usually preferred a good bourbon or weird herbal stuff[1]. We drank most of the bottle, but that wasn't unusual for us at the time[2]. We were intending on a normal evening of video games. MTG, and/or VtES. Instead... we ended up spending the evening having the stupidest, most aggressive, pointless, childish, "macho" argument of our lives. It was shockingly out of character for us. The amount of ethanol consumption wasn't large, and we drank it at a normal rate. Both of us had been a LOT drunker in the past. The only significant difference was our unusual choice of tequila.
While I agree that the cultural preconceptions are probably responsible for most of the effect, there is at least some truth behind the reputations of different types of alcoholic beverages, because the actual drink isn't just ethanol. The different brewing/distilling/aging processes produce different amounts congeners[3][4]; their psychological effects might be small, but small effects amplified through social mechanisms are how "culture" is created.
> In many ways that makes these rumor filled, science light, unsubstantiated media stories about “this is the most dangerous drug ever” incredibly irresponsible.
Hear, hear!
> moral panic over Four Loko ... amaro and coffee
Yah, people have probably started putting whisky (Irish or otherwise) in their coffee the morning after they invented the whisky. Also, you probably have to drink the entire giant can of Four Loko to get the same caffeine in a typical cup of coffee.
> Yet it never caused moral panic until the “wrong type of people” started consuming it.
It's disturbing how often this kind of bs ends up just being a fancy form of racism/sexism/${targeted_group}ism
[1] e.g. Pernod, Herbsaint, Chartreuse
[2] Yes, we were regularly drinking WAY too much. 375ml/day/person minimum. WAY WAY WAY too much...
[3] https://en.wikipedia.org/wiki/Congener_%28beverages%29 "These substances include small amounts of chemicals such as methanol and other alcohols (known as fusel alcohols), acetone, acetaldehyde, esters, tannins, and aldehydes (e.g. furfural)."
[4] Also, the different amounts of sugars means different effects on bloodsugar/insulin/etc. The resulting effects are probably complicated and difficult to explain, but their contribution to the different reputations might be larger than we expect.
I saw a similar post that claimed the new meth caused psychosis and hallucinations, etc. I don’t know much about meth itself but I do know about Adderall. When you take the normal dose (10-30mg) it can cause some euphoria but for the most part it helps you focus, gives energy (makes you more happy, talkative.) But when it is abused (60+mg) it can cause serious psychosis with all kinds of mental side effects. I image than the new meth is just extremely strong and so for people who are used to doing (or seeing others do) a weaker type it would seem to be a completely different drug. At least this is my theory, since as you said there isn’t any evidence there is a new type of meth, just a stronger type.
Yeah it's all very straightforward when you look at usage patterns. Often meth abusers will smoke multiple points across a day (a point = 100mg). As a result they stay awake for days straight, don't eat, and often will engage in enormously risky sexual behavior (this is the dirty secret of AIDS btw...it arose in the context of the "party and play" gay subculture where people would smoke meth or other drugs and have sex for hours and hours and hours straight with many, many different partners...but I digress)
The infamous "meth mouth"? That's caused by not sleeping and by just overall letting one's life go to shit. Amphetamines do suppress saliva production, so they aren't great for teeth, but it's 95% the lack of sleep and other associated behavior patterns.
I've taken pharmaceutical adderall (which is 75% d-amp and 25% l-amp btw), and pharmaceutical dextroamphetamine (100% d-amp), and illicit, presumably cartel-sourced, and presumably very pure d-methamphetamine. When taken orally, d-meth is, in my opinion, simply a superior ADHD drug (it is much more dopaminergic than amphetamine, yet causes less peripheral stimulation, so you get a much more favorable ratio of positive cognitive effects to negative peripheral effects).
However, the moment someone starts taking (especially smoking, since the RoA of any drug makes a massive difference in addiction, doubly so for meth) hundreds of milligrams, it becomes a completely different drug. It becomes super deleterious to health through the sleep deprivation and risky behaviors alone. Furthermore meth has a unique property that amphetamine apparently doesn't, which is that it can become directly neurotoxic in large doses (meth has some serotonin release, like a much, much weaker form of MDMA, whereas amphetamine has virtually none, so it's possible that that's the mechanism). This is why in the research literature there's a lot about methamphetamine "neurotoxicity", but the papers conveniently omit that if taking oral doses comparable to what's given for ADHD, it's not neurotoxic whatsoever (and frankly may be neuroprotective, especially against traumatic brain injury).
So yeah, your analogy to Adderall is spot on. I've often seen people derisively refer to Adderall or other amphetamines by saying "we're basically giving kids meth!". Which is true in a sense, except it's really the other way around: meth is really not very different from Adderall. If someone were to smoke 100mg+ of amphetamine, their body would break down the same way it does in a meth user, except possibly for the direct neurotoxicity effect I mentioned.
Great writeup!
Just adding on: Other key differentiator between recreational and therapeutic amphetamine usage is the pharmacokinetics: Vyvanse is the best in this regard - it’s actually an amphetamine prodrug that gets converted to amphetamine in the bloodstream over the course of ~2 hours, giving a very smooth release. Adderall achieves a similar end (to a lesser degree) by combining equal ratios of four different amphetamine salts with various absorption rates to smooth out the serum concentration curve. Dexedrine and Desoxyn I believe are both single salt compounds, and thus have a slightly higher risk of dependency due to their sharper peaks. Of course, other RoAs like smoking or injecting amphetamines recreationally take the effect to a whole new level with even sharper curves, dramatically raising the chances of addiction and negative side effects.
22 replies →
Meth causes your mouth to produce to less saliva which removes the bacteria moderating ability of your mouth.
Combine that with also constricting the blood vessels of your gums, and you get a great mix of infection of dying tissue.
1 reply →
The 'dirty secret' you refer to (1) is mostly wrong because partying with LSD was popular in the early 80s, not meth, and (2) the gay community is and always has been very up front about risky behaviors and how to minimize the risks. Just because you're unaware of something doesn't make it a secret.
5 replies →
My somewhat large reading about this and some real life knowledge says this is a very true POV.
Amphetamines also cause capillary vasoconstriction which eventually kills off your gums
3 replies →
This "new meth" thing seems like a PR push by government contractors. It's redolent of the UK "skunk" scare (it's not the pot you used to smoke, mommies and daddies - it's special pot that will definitely make your children think they can fly and jump out of windows, and become prostitutes to pay for more.)
What makes you say that?
I'm not 100% sold on it yet, but my city has always been "welcoming" to homeless folks and it has never been a huge problem. Now it looks like an actual zombie apocalypse out there in some parts, and there are periodically meth busts of hundreds of pounds in just random apartments, not even kingpin types.
Combined with the anecdotal evidence from social workers, there's a whole lot of smoke out there that the "new meth" theory might explain.
2 replies →
> government contractors
I’m not sure I follow? I know drug fear-mongering is a favorite tactic of politicians but I’m not sure I understand what government contractors have to do with it. Are you alluding to private prisons? Or perhaps some other piggy-back industry that I’m unaware of?
It sounds like someone just watched Breaking Bad.
1 reply →
> When you take the normal dose (10-30mg) it can cause some euphoria but for the most part it helps you focus, gives energy (makes you more happy, talkative.) But when it is abused (60+mg) it can cause serious psychosis with all kinds of mental side effects.
Background: I'm prescribed 20mg/day of extended release Adderall, via a legitimate ADHD diagnosis. If we take the article's "meth is 2x as potent as Adderall" statement at face value, that would mean I'm taking 10mg equivalent of meth per day.
Now, since part of the reason I take this medication is to remember to take my medication (a joke, yes, but not without its kernel of truth!), I've accidentally double dosed myself before. I've also done the same previously when I was prescribed instant release Adderall. In either case, I've never experienced anything like a euphoric high, but I have experienced the kind of "uselessly driven"/tweaker sort of side of it. And, let me tell you, I do not like it when that happens. Although I'm in no hurry to find out, I honestly find it hard to imagine what the high must actually be like in order for people to voluntarily subject themselves to the negative effects of this drug. And, I don't even exceed the therapeutic range when this happens!
I wish there was some way to actually understand why people abuse meth without actually smoking meth myself, which I'm unwilling to do, for obvious reasons.
This is off the top of my head, so no citations, but d-methamphetamine is something like 30% more potent than d-amphetamine. The fact you're taking Adderall makes the comparison more complicated though because you're not taking d-amp. In general d-amp is 3-4x more cognitively powerful than l-amp. So we can consider l-amp to be about 25% the potency of d-amp, except IIRC the 75:25 d-amp:l-amp ratio of adderall synergizes a bit, so let's say that d-amp is ultimately 2.5-3x as strong as l-amp.
Your 20mg of XR addy is equivalent to 10mg IR and another 10mg taken roughly 4 hours after, but let's forget the XR part and just assume it's a 20 IR for convenience (it doesn't change the math anyway, just the pharmacokinetics).
20mg IR Adderall is 15mg dextroamphetamine and 5mg amphetamine. That's about 17mg dextroamphetamine equivalent. Given my estimate of d-meth being 30% more potent than amphetamine, you're taking an equivalent of about 13mg of d-methamphetamine a day.
> In either case, I've never experienced anything like a euphoric high, but I have experienced the kind of "uselessly driven"/tweaker sort of side of it. And, let me tell you, I do not like it when that happens.
See you're amphetamine tolerant. Give your 20mg dose to an amphetamine naive individual, and they will get the euphoria for the first couple days at least of taking it. The euphoria quickly fades, though.
You are correct that when you overdose and aren't stimulant naive, you often end up with mostly the downsides with little upside. There's not too much value in pushing the body past its "equilibrium" level of stimulation (in your case 20mg XR).
> Although I'm in no hurry to find out, I honestly find it hard to imagine what the high must actually be like in order for people to voluntarily subject themselves to the negative effects of this drug. And, I don't even exceed the therapeutic range when this happens!
> I wish there was some way to actually understand why people abuse meth without actually smoking meth myself, which I'm unwilling to do, for obvious reasons.
Have you ever done MDMA? That makes it easy if you have, because MDMA is like a way gnarlier version of methamphetamine: it's shorter lasting and releases WAY more serotonin while still being very dopaminergic. Methamphetamine, taken in oral doses enough to get you slightly tweaking but not at a crazy level, is kind of like 10% of the sensation of "rolling" (rolling means being quite high on mdma) while feeling like a smoother, less physically tweaky version of Vyvanse, which itself is a smoother, less physically tweaky version of adderall.
(For context, when comparing adderall to dexedrine to vyvanse, adderall is by far the tweakiest due to the l-amp. Personally, I'm a dextrorotatory supremacist so I won't touch the l enantiomer with a 10-foot pole)
If you've never done methylynedioxy-methamphetamine, and you clearly haven't done regular methamphetamine, you likely don't "know" what serotonin feels like, unfortunately. But the TLDR is methamphetamine is a smoother and somewhat more dopaminergic version of amphetamine, with the added bonus of some minor (significant when you're smoking it though) serotonin release as well, whereas amphetamine has almost no interaction with serotonin to the best of my knowledge.
2 replies →
Another factor is just sleep deprivation. It's been shown that sleep deprivation increases the likelihood of mania, hallucinations and psychosis. You force someone to stay awake long enough, they will inevitably act crazy. Amphetamine users tend to go on binges and stay awake for days. Keep taking drugs until they pass out from exhaustion.
It's even more silly a claim because P2P based syntheses have been in common use for many decades. They were especially popular amongst the Hells Angels' chemists. I'm not sure what their final reductive amination step was, but I'd guess Al-Hg amalgam & methylamine.
From what I've read of schizophrenia[1] it is highly inherited and unlikely that any drug would cause it. A sufficient amount of stress is known to trigger or quicken the emergence of schizophrenia in people already predisposed to it.
When it comes to studying this, you have to separate out:
* The high rates of drug abuse by people with mental illness.
* The correlation drug use with other sources of stress. Drug use may not be the source, but a result of the source. (But I think we can all agree drugs probably aren't happening matters.)
* Misdiagnosis of temporary drug-induced psychosis as a permanent, incurable mental health illness.
* Race, sex, age, and location, since this all affect the normal rates of schizophrenia for each population group.
OR:
* Show a significant increases in rates that can't be explained by the above. (If this rate tripled, it's pretty clear something bad is happening.)
Very few studies do this, because it is very difficult and there is little incentive to do high quality research.
1: I'm bipolar which is sometimes considered to be on the same spectrum
Maybe it doesn't cause permanent psychosis but people do become psychotic due to it and need to spend the night cooling off in the psych ED.
You are severely underestimating the power of these drugs. Anyways, most people do and usually find out the hard way.
Really interesting read. Thank you for sharing. For some reason this sort of information about street drugs and science/culture surround it fascinates me.
you might enjoy this then:
https://en.wikipedia.org/wiki/Hamilton%27s_Pharmacopeia
Xylene episode shook me to my core
2 replies →
The author does bring up l-meth. I'm taking them at their word that l-meth is an isomer of d-meth and is created in P2P synthesis, but that seems at least plausible.
It doesn't seem to be common in the legal markets, and especially not at the kind of doses addicts would be exposed to.
From Wikipedia on Levomethamphetamine:
> In larger doses (more than 20 mg/day), it loses its specificity for MAO-B and also inhibits MAO-A, which increases serotonin and norepinephrine levels in the brain.
So there is a difference in response at higher doses. I would expect that addicts could be exposed to much more than 20mg/day, which begs the question of whether we even know what several hundred milligrams a day could do.
That's without getting into method of consumption. I'm not a chemist, but would we expect both isomers to break down under heat the same way? Or is the l-meth potentially being converted to something different than d-meth when smoked?
If the issue is the quantity, I would have expected schizophrenia to be constantly present. There's a fixed upper limit on how much people can do in a day, and overdoses have always existed, so there have always been people teetering on the edge. The amount heavy users use hasn't changed, there's just more heavy users and more users in general.
There doesn't seem to be debate that P2P processes create l-meth and d-meth, and that l-meth was less common in earlier versions.
I also don't think there's a debate that l-meth and d-meth have different effects. They're both used in prescription drugs, and those drugs are not interchangeable. You can't treat ADHD with l-meth, and you can't use d-meth in segiline.
None of that is conclusive. It could still be the quantity, or even something we haven't though of like an interaction between meth and fentanyl (which started its rise around 2015). I just don't think the evidence is so weak that we can discard the potential that l-meth is involved.
> I'm not a chemist, but would we expect both isomers to break down under heat the same way? Or is the l-meth potentially being converted to something different than d-meth when smoked?
Methamphetamine is very, very stable. It stays as methamphetamine when it's vaporized, regardless of whether we're talking d-meth or l-meth.
> There doesn't seem to be debate that P2P processes create l-meth and d-meth, and that l-meth was less common in earlier versions.
Not quite. p2p done naively creates racemic meth, yes, but the modern methods, which have been used for years, purify that to enantiopure d-methamphetamine. They do this by bubbling d-tartaric acid through the racemic mixture, which separates the two enantiomers thus yielding the desired pure d-meth.
Furthermore, historically racemic meth was much more common. AFAIK the infamous "shake and bake" technique creates racemic meth. I do know that there is a pseudofed route that yields d-meth, but I think it's different than shake and bake. So don't quote me on this paragraph, but at a minimum we know that in the last several years, almost all meth seized in the US is highly pure/potent d-methamphetamine. There is less l-meth than ever.
> I just don't think the evidence is so weak that we can discard the potential that l-meth is involved.
On the contrary, the evidence is so weak that we literally can discard that l-meth is involved. First of all l-meth is better studied than you say. I would bet to approve the l-methamphetamine-based vics vapo inhaler they had to at least do animal models with large amounts of pure l-meth.
Second of all, and this is what blows the giant hole in your argument, there is no surge of l-meth. There is less l-meth than there has ever been in the history of methamphetamine.
Thirdly - this ties into the second point - you seem to thikn that getting racemic methamphetamine is something particular to the p2p method. It's not. As a general rule, synthesis of any compound yields the racemic version (if we're talking a compound with two enantiomers). This is definitely true for meth, where almost every method yields racemic meth. AFAIK there's a pseudoephedrine route that yields straight d-meth, but like I mentioned above the current state of the art is just to do a big p2p synth route and then separate out the d enantiomer specifically.
> AFAIK the infamous "shake and bake" technique creates racemic meth
the shake and bake method uses "sudafed"/pseudoephedrine. therefore, it will produce d meth
> This is definitely true for meth, where almost every method yields racemic meth
not quite true, because the main precursor pseudoephedrine already had the correct stereochemistry in place. you would actually have to do effort to racemize that asymmetric carbon. But it is true that if your precursors are racemates or not asymmetric and you are not using some fancy asymmetric catalysis or tedious resoltuion your product will be racemic. An example of a racemic meth synthesis that does not involve P2P is direct amination of allylbenzene.
1 reply →
It seems to me that the Elephant in the room is not the racemic composition of meth, or purity, but composition and nature of the remaining impurities.
Do you know if these are well understood and tracked over time?
1 reply →
> There are claims that this new form of meth is chemically different in some what that started creating schizophrenia around 2017.
You are off by 8+ years ... P2P made meth became mainstream after 2008 because that is when Ephedrine was banned in Mexico [1].
[1.]https://www.justice.gov/archive/ndic/pubs31/31379/meth.htm#:....
OP is debunking the same claim you are.
Extremely good analysis. I was also skeptical of the original podcast.
It’s also possible that the impurities themselves were making it easier on the body(for whatever reason they could signal liver to produce more enzymes that were the ones to break down meth or clear it’s harmful metabolites etc)
P2P synthesis was the standard until it became hard to get (controlled) and that's when ephedrine and pseudoephedrine reduction became popular, despite much higher precursor cost. The reduction pathway is also easier, but because it's so much easier, It's likely much dirtier, since so little care is needed to "succeed." Now that Sudafed and ephedrine Diet pills are controlled, and can't be bought retail by the 1,000 lot, the balance has tilted back to the original precursor.
Thank you for doing the research and writeup.