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It is most likely Fentanyl, or some other form of opiate. Prolonged abuse causes them to lose control of their muscles around their core and this is the result.
I used to work near a hot spot for homelessness and drug use in San Francisco and witnessed it everyday. The things these people go through with that addiction are downright horrendous and the "Fentanyl Fold" or "Fent Bent" is actually one of the lesser symptoms. The skin infections, kidney problems, and digestive issues can become pretty severe. I've seen quite a few screaming in agony because their kidneys are messed up and they can't urinate. People with infected swollen hands or feet. You can literally smell them rotting. Too much to list here honestly. It is a terrible drug that does permanent damage to people at best, and is just a slow agonizing death at worst.
Casual reminder that the Sackler family pretty much single-handedly manufactured the American opioid-crisis.
Dopesick this is basically as much of a documentary as "Chernobyl" was. Highly based in real events, but still a dramatizatio so not everything is 100% accurate, but the large lines are.
Sure opioids get used a bit elsewhere as well but I live in the worst part of my city and while there is opioid abuse in Finland, it's mostly "just" buprenorphin addicts. Buprenorphin is to fentanyl what hard cider is to moonshine, more or less. Yes you can technically kill yourself with both and definitely have a problem with the substance and ruin your life, but the stronger one seems to do that quite a bit more.
bits of Richard Sackler's actual deposition, acted out by your choice of the following: Bryan Kranston, Michael Keaton, Richard Kind and Michael K. Williams
"Yes you can technically kill yourself with both and definitely have a problem with the substance and ruin your life, but the stronger one seems to do that quite a bit more."
100% agree. This is a huge part of the issue that I feel many people just don't get. 3mg of this stuff is enough to kill an average sized adult male. That would easily fit under your fingernail with room to spare. 50 - 100 times more potent than morphine. Pretty crazy.
Interesting about buprenorphin in Finland, I had never heard of it. Is it a recent thing there?
Depends on how you define recent I think, but in most senses of the word, no, not that recent.
We had a bit of a heroin problem in the 90's apparently (I wasn't yet in any sort of drug rings as a kid so wouldn't know myself) and the legend is that actual organised crime in Finland got fed up with heroin and the decided it won't be sold in Finland anymore. There still is heroin definitely but it's genuinely fucking rare, especially compared to weed, speed, lsd, etc.
An definitely subutex, which is the buprenorphin. It's only a partial agonist and there's narcan in it as well, so it's impossible/extremely hard to od on it fatally.
In France they cost like 1e a pill here you can sell them for 80. Then you see oxys being sold sometimes, they go for about 1e/mg, so if you buy a mild 10mg it's a tenner but an 80mg pill would be 80e.
The bupre junkies do get nasty though in health and share needles and all that is still a risk for them, but they won't accidentally od unlike someone shooting up heroin or fentanyl
Some of them made movie about their life. Then like 6 years later the "protagonist" of that movie was found dead hanging by an extension cord somewhere in Thailand. Suicide or drug debt no-one knows.
If you don't like seeing people actually inject themselves, with all the "reversing" as well (idk what the term is in English, but junkies sometimes draw back on the needle, so blood shoots back to the syringe and then push again, to flush every little bit of the drug from the syringe).
Reindeerspotting - Escape from Santaland 2010