← Back to context

Comment by kens

5 years ago

The article mentions the ban in 2006 of over-the-counter sales of Sudafed (pseudoephedrine). One of my favorite satirical articles is "A simple and convenient synthesis of pseudoephedrine from N-methylamphetamine". (The joke being that Sudafed is now hard to purchase while meth is readily available.)

https://www.improbable.com/airchives/paperair/volume19/v19i3...

In the below podcast an author of a book about recent meth developments talks about the ban of Sudafed entirely in Mexico lead to a change in the market toward fentanyl.

Author and journalist Sam Quinones talks about his book, The Least of Us, with EconTalk host Russ Roberts. Quinones focuses on the devastation caused by methamphetamine and fentanyl, the latest evolution of innovation in the supply of mind-altering drugs in the United States. The latest versions of meth, he argues, are more emotionally damaging than before and have played a central role in the expansion of the homeless in tent encampments in American cities. The conversation includes an exploration of the rising number of overdose deaths in the United States and what role community and other institutions might play in reducing the death toll.

https://www.econtalk.org/sam-quinones-on-meth-fentanyl-and-t...

  • Good article. A similar thing happened here when the Australian Federal Police enacted an operation in Cambodia and similar areas to shut down the production of safrole, extracted from the root of the Sassafras tree (also the flavouring in root beer and sarsparilla). Ecstasy became much harder to get on the street and pushed users towards harder drugs like meth and heroin (resulting in a large number of addictions and increase in overall crime).

The ironic thing is the sheer drop in price is probably due in part to the P2P route taking over. It's a more involved process than Sudafed meth, but it's easier to scale, since you aren't bottlenecked by the pharmaceutical supply.

Once you establish the facility and pipeline, you can crank out industrial amounts of crank. The precursors are cheap and used in huge quantities by legitimate labs.

If only they'd legalize, tax, and regulate the meth...

We could get our real cold symptom treatments back as true OTCs and stop wasting so much time chasing petty criminals.

It would also help identify drug addicts and get them help before problems become bad.

  • If they did that, the consumption would only go up, resulting in even more overdoses. That’s what happened in Portugal, after drug decriminalization — drug consumption there went up significantly (with exception of heroin, which went down, but it also went down in other European countries at the same time which did not decriminalize it). Full on legalization will increase consumption even higher.

    Of course, one might argue that it’s fine, because it’s the drug users themselves who would suffer from this. But, considering the current push to get people vaccinated against their will, for their own good, I don’t expect this argument to work for drugs either… who am I kidding, of course people should have a right to use as much drugs as they want, but should have no right to get a job if they are not vaccinated, it’s 2021 after all.

In Canada you can still buy that over the counter. You get id-ed and they keep a record of your purchases, but since it's now generic pills it is now much cheaper than it was before

  • I grew up in Germany in a household that never used nasal decongestants, probably out of some fear that they might be dangerous.

    When in Canada a doctor told me to buy some pseudoephedrine pills to treat a clotted ear and I found the experience so nice, that when back in Germany I walked into a pharmacy to get some.

    The looks...

    • Japan is similarly puritanical about stimulants. Might have something to do with the way those drugs were used in those countries during the war…

  • It is the same in the US, but the FDA calls it "behind the counter". OTC means you grab it off a shelf yourself, BTC means the pharmacy checks your ID, and gives it to you, but still no prescription required.

    https://www.fda.gov/drugs/information-drug-class/legal-requi...

    • OTC just means "Over the counter" or "without a prescription". A good way to test this is to see if your health insurance in the US will pay for it - most won't pay for OTC drugs.

      Behind the counter just means there is less chance of folks stealing it and more control over who buys it and the amounts they buy.

      There is generally a good amount of things you can get at the pharmacy that are like this: Most of the time, they are simply ordered if someone wants them because there isn't enough demand to keep it on the shelf. Most require no ID either: Sweet almond oil (for ears) is the example I can think of.

      Related: In some states, they require a prescription for it because their laws are stricter than the federal guidelines.

  • It's the same in the US; you can buy it without a prescription, but you have to have your ID logged.

    • There's also an age minimum. My freshman year of college I had the sniffles and a bad cough. I went to the pharmacy to get some Sudafed but couldn't purchase since I was still 17. Went to the school's health center where the doctor happily prescribed me opioids (the infamous purple drank).

    • A few pharmacies weren't set up to take either a foreign ID or a US passport when the program started.

      I ended up just buying it on Postmates, delivered, no ID check.

      2 replies →

    • That really surprised me once. I was traveling in the states and wanted to buy pseudoephedrine, and the guy asked me for my id, asked me to sign a log book, and then proceeded to unlock a giant safe behind him.

  • New Zealand banned it some years ago and I'm still pissed off. The supposed replacement is clinically useless, and I resent suffering through massive head pain from clogged sinuses every winter, while professional gangs still make money hand over fist from meth.

    I was in Vegas some years back and got some under the laxer US rules, and have enjoyed a few years of having it available, but alas my supply has run dry.

    • Can you order it from an online Australian pharmacy?

      Or know someone here who can ship some over to you?

      They ID you in Oz, but it's fairly easy to get. Pharmacists know the PE stuff is junk!

      I've also found Ritalin works as a decongestant too! (for which I have an ADHD prescription)

  • I didn’t get IDed either of the times I’ve bought a box.

    First time was in 2019: I went to Walmart for something for my ears on flights, after some back and forth the pharmacist recommended me pseudoephedrine.

    Second time was in Sobeys last month (can fly again, yaaay) and I asked for it directly. The pharmacist had some trouble finding it, but sold it to me with no further issue.

    • Chances are that you bought the useless Sudafed PE. The (original) Sudafed is pseudoephedrine. Sudafed PE is phenylephrine. The molecules are similar, but the latter cannot be easily converted to methamphetamine so it is not regulated like the former. Sudafed is an effective nasal decongestant, while Sudafed PE is equivalent to a placebo. [1]

      [1] https://pubmed.ncbi.nlm.nih.gov/19230461/

    • Keep an eye out if you purchased Sudafed PE or Sudafed original. PE is a new product that has old fashion Acetaminophen and is sold just like any other painkiller since that's all it is. It doesn't work well at all compared to the pseudoephedrine found in the behind the counter product.

      1 reply →

    • A bit of a change was that it became pharmacy-only in many (most?all?) provinces. But pharmacies are everywhere, so not a huge deal.

      Sad thing is many products were reformulated with phenylephrine, an uncontrolled similarly structured molecule that's completely junk as a decongestant.