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  • BDD Moderators: Keif’ Richards | negrogesic

bad coke on street

I came to the conclusion that no one will ever know the chemical makeup of what is in some street drugs.

The pH of the chemical could have a lot to do with a reaction to certain cuts. Coke has an average pH of 9.6 when in solution which makes it alkaline. This could easily cause problems say if the pH was lower than this average which could easily cause tissue damage and vein damage seeing how blood has a pH of about 7.4. Knowing now that the coke is an alkaline substance, could account for the swelling after iv.

I read that since it is so alkaline, that when it is taken into the stomach, which is an acidic environment, that the coke is hydrolyzed making much less active. Crystals it said form when the alkaline meets the acid in the stomach also.

Due to this alkalinity, is why coke causes erosion of the nostrils, sinuses, and the mouth and throat, etc.

I think I will occasionally use pH paper on some and see how the pH varies.



 
Last edited:
I have came to an initial conclusion that the cut is likely:
[FONT=&]Levamisole is an immunomodulatory agent that was used to treat various cancers before being withdrawn from the United States market in 2000 because of adverse effects. Levamisole is currently approved as an antihelminthic agent in veterinary medicine, but is also being used illicitly as a cocaine adulterant. Potential complications associated with use of levamisole-laced cocaine include neutropenia, agranulocytosis, arthralgias, retiform purpura, and skin necrosis. Treatment is primarily supportive, and skin lesions typically resolve with cessation of cocaine use. The incidence of hospitalizations related to use of levamisole-contaminated cocaine continues to increase and clinicians should be aware of the more common clinical manifestations.

[/FONT]
[FONT=&]I did some research into various cuts in cocaine and this seems to be a likely culprit.

I read several places that it is being added to the cocaine before it leave South America.

The article I read "after" we njoticed that the cut was not as soluble in water as cocaine:

The Official Newsletter of the California Poison Control System

Volume 12, Number 3
Summer 2014



Levamisole-contaminated Cocaine


Introduction

In 2003 the Drug Enforcement Agency first detected levamisole in cocaine bricks. In 2008 officials in Alberta, Canada identified a cluster of unexplained cases of agranulocytosis related to cocaine contaminated with levamisole. Levamisole is a veterinary pharmaceutical used primarily to treat worm infestations in livestock. It can be easily purchased worldwide in various forms (tablets, gels, solutions, pastes and powders). Levamisole, the levo enantiomer of tetramisole, was originally developed as an antihelminthic agent. Levamisole is approved by the United States Food and Drug Administration as adjuvant chemotherapy, with 5-fluorouricil, for the treatment of colon cancer. Because it has immunostimulant and immunomodulatory properties, levamisole has also been used for treatment of various autoimmune disorders (rheumatoid arthritis, juvenile rheumatoid arthritis, and nephrotic syndrome) and cancers (breast and lung). Levamisole is thought to increase T-cell activation and proliferation, neutrophil mobility, adherence, and chemotaxis. It is also thought to increase the formation of antibodies to various antigens. Unfortunately, it also acts as a hapten and triggers an immune reaction causing the opsonization and destruction of white blood cells.


Case Presentation

A 49 yo male presented to the emergency department for fever, chills, general malaise, weakness, and black lesions on his ears. His history was only notable for chronic cocaine use. Vital signs revealed: BP 140/90, temperature 38.7 degrees Celsius, HR 120, and Oxygen saturation of 96% on RA. He was somewhat agitated on physical exam and was noted to have necrotic lesions on both of his ears (see representative photo below).

https://www.calpoison.org/hcp/2014/callusvol12no3_pic.png[IMG]
(Photo courtesy of: Buchanan JA, et al. J Med Toxicol 2011; 29:299 – 303.)

His laboratory tests revealed a urine toxicology immunoassay screen positive for cocaine and complete blood count demonstrating agranulocytosis 19cells/mm3. He recovered after antibiotic therapy, treatment with filgastrim (granulocyte colony-stimulating factor, G-CSF) and wound management. His crack pipe was acquired at a later time by the Drug Enforcement Agency and the remnant cocaine also tested positive for levamisole.

[B]Questions[/B]
1) What is levamisole?
2) Why is levamisole is good “cutting” agent?
3) What are the 3 classic clinical presentations of cocaine adulterated with levamisole?

[B]Epidemiology[/B]

Millions people use cocaine each month in the United States. [B]The DEA first detected levamisole in cocaine bricks in 2003. By 2008 30%-44% of cocaine exhibits were adulterated[/B]. By January 2010, per the drug intelligence brief, [B]73.2% of seized cocaine exhibits contained levamisole[/B]. In multiple recent studies across the country the contamination rate has varied from approximately 40% to almost 90%. [B]Contamination has also been recently described in European countries.[/B]

[B]Pathophysiology[/B]

A “cutting” agent is an adulterant used to increase the weight or volume of drug product and often thought to modify or increase drug effect. Addiction is complex and modulated by the dopamine and melanin-concentrating hormone systems in the mesolimbic and nucleus accumbens regions of the brain. In animal models, levamisole increases dopamine in the hypothalamus, striatum and midbrain. It is also thought to increase peripheral sympathetic activity, central neurotransmission, and form amphetamine-like metabolites. Levamisole is an excellent “cutting” agent because it is white, cheap, in powder form, easily purchased, and thought to increase the euphoric effects of cocaine. Studies have shown that there may be a genetic predisposition for the development of agranulocytosis/vasculitis in those individuals who are HLA-B27 positive or have HLA class 1 antigens. Patients may also develop antinuclear antibodies or anti-neutrophilic cytoplasmic antibodies leaving them at risk. Most patients who developed agranulocytosis did so after smoking cocaine, and 50% patients had more than one episode of agranulocytosis.


[B]Diagnosis[/B]

Diagnosis is usually based upon clinical presentation and key physical examination and laboratory findings. Key laboratory tests that can be performed in the hospital setting include complete blood cell count with differential, urine toxicology screen for cocaine metabolite, bone marrow biopsy if indicated clinically as not all patients will have agranulocytosis and/or necrotic lesions simultaneously. There have also been reports of hyponatremia and acute kidney injury; therefore checking a chemistry panel in these patients is also reasonable. Levamisole can be tested for by urine and plasma GC/MS at local public health departments, reference laboratories, and crime labs, but this usually takes a few days to obtain results in most clinical settings. Urine should be positive for cocaine metabolite (benzoylecgonine).

[B]Treatment[/B]

Guidelines for treatment are only based upon clinical experience, case series and case reports as no systematic reviews or specific therapy have been published or universally endorsed. Agranulocytosis can be halted by cessation of cocaine use, G-CSF for severe neutropenia (often not required as counts usually improve by 5-10 days), bone marrow biopsy for clinical uncertainty, and appropriate antibiotics for clinical signs of infection. Cutaneous vasculitis can be treated with cocaine cessation, antibiotics for signs of infection, possibly corticosteroids, and plastic surgery consultation if the necrosis is profound. If a patient presents with leukoencephalopathy thought to be related to cocaine contaminated with levamisole, the individual should be treated with cocaine cessation, corticosteroids, intravenous immunoglobulin (IVIG), plasmapheresis, and possibly hyperbaric oxygen therapy.

[B]Discussion of case questions[/B]

1) What is levamisole?
Answer: Levamisole is a veterinary pharmaceutical used primarily to treat worm infestations in livestock. It has also been used experimentally and historically to treat various autoimmune disorders and cancers in humans. Most recently it has been used as an adulterant in cocaine.

3) What are the 3 classic clinical presentations of levamisole?
Answer: Though few individuals will develop toxicity, physicians and poison control centers must be aware of it as an etiology for patients presenting with unexplained agranulocytosis, vasculitis, or leukoencephalopathy.

2) Why is levamisole is good “cutting” agent?
Answer: Levamisole is an excellent “cutting” agent because it is white, cheap, available in powder form, easily purchased, and thought to increase the euphoric effects of cocaine

I have developed a couple areas on both arms that the swelling has gone down, but now the areas are staring to look as if the oxygen may insufficient to the affected areas, but it looks like I will need to go to the doctor and get some treatment for this frigin " poison!

[/FONT][/COLOR][h=1]Agranulocytosis[/h][FONT=sans-serif]From Wikipedia, the free encyclopedia
[COLOR=#54595D][/COLOR]

[I]Not to be confused with [URL="https://en.wikipedia.org/wiki/Agranulocytes"]agranulocytes[/URL].[/I]
[TABLE="class: infobox, width: 22"]
[TR]
[TH="colspan: 2, align: center"]Agranulocytosis[/TH]
[/TR]
[TR]
[TH="colspan: 2, align: center"]Classification and external resources[/TH]
[/TR]
[TR]
[TH="align: left"][URL="https://en.wikipedia.org/wiki/Specialty_(medicine)"]Specialty[/URL][/TH]
[TD][URL="https://en.wikipedia.org/wiki/Hematology"]Hematology[/URL][/TD]
[/TR]
[TR]
[TH="align: left"][URL="https://en.wikipedia.org/wiki/International_Statistical_Classification_of_Diseases_and_Related_Health_Problems"]ICD[/URL]-[URL="https://en.wikipedia.org/wiki/ICD-10"]10[/URL][/TH]
[TD][URL="http://apps.who.int/classifications/icd10/browse/2016/en#/D70"]D70[/URL][/TD]
[/TR]
[TR]
[TH="align: left"][URL="https://en.wikipedia.org/wiki/International_Statistical_Classification_of_Diseases_and_Related_Health_Problems"]ICD[/URL]-[URL="https://en.wikipedia.org/wiki/List_of_ICD-9_codes"]9-CM[/URL][/TH]
[TD][URL="http://www.icd9data.com/getICD9Code.ashx?icd9=288.0"]288.0[/URL][/TD]
[/TR]
[TR]
[TH="align: left"][URL="https://en.wikipedia.org/wiki/Diseases_Database"]DiseasesDB[/URL][/TH]
[TD][URL="http://www.diseasesdatabase.com/ddb8994.htm"]8994[/URL][/TD]
[/TR]
[TR]
[TH="align: left"][URL="https://en.wikipedia.org/wiki/MedlinePlus"]MedlinePlus[/URL][/TH]
[TD][URL="https://medlineplus.gov/ency/article/001295.htm"]001295[/URL][/TD]
[/TR]
[TR]
[TH="align: left"][URL="https://en.wikipedia.org/wiki/Medical_Subject_Headings"]MeSH[/URL][/TH]
[TD][URL="https://www.nlm.nih.gov/cgi/mesh/2017/MB_cgi?field=uid&term=D000380"]D000380[/URL][/TD]
[/TR]
[TR="class: noprint"]
[TD="colspan: 2, align: center"][RIGHT][[URL="https://www.wikidata.org/wiki/Q396013"]edit on Wikidata[/URL]][/RIGHT]
[/TD]
[/TR]
[/TABLE]
[SIZE=3][B]Agranulocytosis[/B], also known as [B]agranulosis[/B] or [B]granulopenia[/B], is an acute condition involving a severe and dangerous [URL="https://en.wikipedia.org/wiki/Leukopenia"]leukopenia[/URL] (lowered [URL="https://en.wikipedia.org/wiki/White_blood_cell"]white blood cell[/URL] count), most commonly of [URL="https://en.wikipedia.org/wiki/Neutrophils"]neutrophils[/URL] causing a [URL="https://en.wikipedia.org/wiki/Neutropenia"]neutropenia[/URL] in the circulating blood.[SUP][URL="https://en.wikipedia.org/wiki/Agranulocytosis#cite_note-1"][1][/URL][/SUP][SUP][URL="https://en.wikipedia.org/wiki/Agranulocytosis#cite_note-2"][2][/URL][/SUP] It is a severe lack of one major class of infection-fighting white blood cells. People with this condition are at very high risk of serious infections due to their [URL="https://en.wikipedia.org/wiki/Immunodeficiency"]suppressed immune system[/URL].[/SIZE]
[SIZE=3]In agranulocytosis, the concentration of [URL="https://en.wikipedia.org/wiki/Granulocyte"]granulocytes[/URL] (a major class of [URL="https://en.wikipedia.org/wiki/White_blood_cells"]white blood cells[/URL] that includes neutrophils, [URL="https://en.wikipedia.org/wiki/Basophils"]basophils[/URL], and [URL="https://en.wikipedia.org/wiki/Eosinophils"]eosinophils[/URL]) drops below 500 cells/mm³ of blood.[/SIZE]


[/FONT]
[COLOR=#000000][FONT=&][SIZE=3]
I[/SIZE]t looks like some friends and myself [B]and others[/B] in lots of parts of North America and other parts of the globe are having a bad reaction(s) to this shit, unbelievable that the importers would use such a cut!

Believe me one would think that they have missed a shot until other more alarming symptoms start to show up!

[B]Anyone reading this, please pass this info on to others who could become susceptible to this crap!!!!!
[/B]
There is a way to remove levamisole from cocaine I read about on the net, but unfortunately we/I had no idea this was going to happen for damn sure, but the damage is done,

I hope that I can recover from fully and I hope that by making these post that others will be aware of the dangers of this prevailent cutting agent.



[/FONT][/COLOR][/QUOTE]
word, i came in here to say this. levamisole-tainted cocaine is increasingly frequent in the streets.
 
There has got to be a way of cleaning it out. It doesnt dissolve as quickly as coke. How about using cold sterile water the increase the difference in dissolvability and sediment it out? Gotta be better ways but that would help I think
 
We are still working on the cleaning a contaminant like that out, agreed, but we know that acetone dissolves it right with the coke too. I was thinking perhaps the cut being water soluble but would not dissolve well in cold, dry acetone, it does though.

The best way possibly to get something like this out or at least most of it in a desperate situation may be to drop the powder into say a shot glass, and the coke seems to go clear within a couple seconds, but since the cut tends to dissolve slower and fall to bottom, then one could wait say 2-3 seconds, and pour off the top clear layer leaving the cut that dissolves slower at the bottom, it would wasteful but would remove a large majority of the cut. Making the powder very fine before this "cleaning" would likely increase the efficiency of the cut removal in a simple flotation type removal of materials with slightly different rates of going into a solution.

UPDATE:

1) The thing I will remember to do from now on is if this "binge thing" ever happens again, is to pay closer attention to how the powder dissolves when added to water paying closer attention to see if the powder has dissolved with 3-4 seconds at most if it has been made very fine before the making a solution. Do at least an acetone wash on it before any use. Never use that source again>

2) The hurrying and adrenaline going on inside of us, is likely typical of many people going to party for the first time in ages was why this/accident mistake occurred.

UPDATE

The places have healed now, the biggest thing now is that there are going to be scarring at each spot from the entry mark not typical of this ROA At these spots it may be seems that the cut caused oxygen depletion or was so caustic or corrosive that it caused tissue damage in the small areas

Better that losing life or limb though for sure!
 
I know this is an old thread, but can I please post something hilarious?

Mananas stated in a post in this thread that "I'm a writer of profession". It's funny when people just throw their credentials at us as if they mean anything to folks in serious situations like this. It's just funny that someone who thinks he's so great and deems himself a "professional" writer, would begin the very first sentence of his post with a grammatically incorrect sentence.

I'm sorry, but that really made me laugh.

OP, I'm really glad that things didn't turn into a catastrophe for you. As we all know, intravenous Cocaine carries with it risks independent of the risks associated with injecting drugs in general. If you choose to inject Cocaine, it is best to have a plan in place regarding what you will do should a complication like this occur. Hell, it's smart for anyone to have a plan like that in place if they are injecting.

Complications can be anything from minor cellulitis, to abscess, to flesh-eating bacteria. It's best to be realistic about the situation and to mentally prepare yourself for what it will entail to seek out medical help should a serious complication occur.

It is far better to swallow your pride/embarassment and to seek professional medical attention when you are unsure of an injection complication than to lose a limb or your life. I'm speaking in general here, not specifically related to OP.
 
Mananas: you showed that you don't actually know what you're talking about when you said that pure cocaine can't be injected at all without ODing. Cocaine is not active at super low doses and you just adjust dosages for purity.
 
well i thought i was out of the woods from this, but things took a bad turn for my health tonight.
 
I did offer him, as the only one here, the only realistic advice: to get his ass to the emergency room without any hesitation, and that he should have done his homewerk (his research) before starting to do shit like shooting up and thinking that when the Coke you shoot up is good quality stuff this makes shooting up harmless, while in fact you should not, if you have at least one brain-cell, know by yourself that even shooting up pure and totally clean water is damaging your body and do this often enough, the damage will be beyond any healing...!
This is why, no doubt, sensibilisation is even more than just a necessity, in regards to harm reduction the more so, yet, to obtain the education of all people before they go ahead and get themselves into things of such a nature that they in no way can handle the situation anymore or any longer as it is, we must, surely, overcome two main obstacles, namely; the inherent taboo and the stigmatizing character of such things in need of such a sensibilisation, only by at least being able to overcome these two in most people engraved like a text with pending doom in what it's stating, on a deathstone, can we obtain the quintessential goal we are speaking of making it more than just a vision for others to come and lay it's foundation, we are speaking of making it happen, and not later on, but now - right now.
I mean with this, I am normally not a judging person in any way, but I just typed a text to this guy with it's message being one that was intended to be a text serving as sensibilisation directed at him for a future in which he does not repeat his own, really kind of more than merely obvious, mistakes and honestly to obtain the quintessential goal of educating someone a bit about not only that he would never, like some (and yes, me as an example, because I can't speak for anyone else and I happened to seem fit for the example in question), be able to score good quality Coke and in the meanwhile teach him something about if and how you do your research you can come to see all kinds of trends - like geographical qualities being bound to a specific geographic location, that not only the quality was important here but the shooting up itself, that without testing (and you say the same thing, that testing is impossible, while a) testing, wherever possible, is usually as good as without charge, b) self-testers are not expensive and can be purchased online with a lot of ease but even more important, doesn't anyone of you know how to, very cheap and very easy, test his own Coke using household products being c) either washing your Coke with Acetone, cooking out your Coke with either Ammonia or baking soda, and in his case, first look if the Coke has fully dissolved in the water you put it in, and not shooting up and afterwards checking that water once again and come to the conclusion that the Coke in fact was not fully dissolved in the water it was put in (and this last item being one of just something even the most simple mind in the world knows that when he shoots up he should not be this extremely over the top careless and then be surprised shit happens! So, I typed this text, it's still here, you can read it, all components are at least, in simple English and coated by a personal story to make it come across as just me talking to him and not me lecturing him (while oh boy, that ignorant child needs some severe lecturing!), and keeping in mind I was just trying to bring across, in big lines, the messages: if you do research you will find out a lot, like where you can find what drugs in good quality (like Meth in the USA) and what drugs in poor quality (like Coke in the USA), that usually most people who pay the regular price for any drug whatsoever and buy that drug from, what is most common, a typical dealer, you will never actually get a high quality drug, and that besides the geographical location also money and the scene which you are part from also play a role in the kind of quality you will be able to get, and that shooting up by itself (with in mind that it is a process he should understand) is something people do to make a not sufficiently enough intense effect created by using a certain drug more intense and that shooting up would not be a necessity when you actually have quality stuff - hereby suggesting that he should stick to, what is only the one and nothing else but the one logical conclusion while if you do your research in advance you would know this, namely that shooting up is not the answer to an insufficient quality and therefore effect by means of any other route of administration (in this case the most common one: snorting) but that either sticking to the drugs that are qualitative in your specific geographical location or else just keep yourself from using drugs with as wanted result - not another after not very long totally trashed life and lifeless pile of what used to once be a human being, and also not just the where, what and how but also, by a short piece out of how a test-center can alter the quality of drugs (category: history of the why certain changes in the quality of drugs might and have happened, so yes, again something from my close to home history about the change in the quality of drugs because that's an example I knew about so an example I could give without doubting it to be true), with the intention of making clear that it is possible that also in the USA such a change can happen and actually at any given time in some ways (not fully or literally over night) with in mind trying to state that maybe if you would be more conscious about use and be more involved with what are possible factors that can bring about a change that can lead to less harmful drugs and due to this no further need for the kind of harmful ways of using a certain drug, of course: with this no longer need to stick a needle in your vein - and if you get involved in actively pursuing harm reducing changes in the general way of - when nobody takes any course of action then yes, of course, things will just stagnate and things will seemingly be impossible to change, not by any means whatsoever; because if he would even start thinking about taking some course of action in this direction, maybe changes will not arise just like that, but it would make him indirectly learn him how to use drugs in a conscious way and a (as far this is possible regarding drugs) safe, mature and responsible way and he would, just by being mentally stimulated by the idea of a change for the better, come by himself to many (obvious, but obviously not obvious to him at all) insights that would at least change his over the top not done, totally and to the most extreme irresponsible way of handling drugs which, if you go about drugs that way, no need to sugarcoat this fact, you should keep very far away from drugs - for your own sake but even more so, out of your humanistic duty towards others, because going about drugs the way that guy does, is potentially harmful to anyone around him, he seemed to lack any type of responsible acts regarding his drug use, making me fear - because of this uttermost neglect for any kind of thoughtful going about drugs in a way like I've never heard of before - what kind of stupid shit he is capable of doing that could potentially harm others in severe ways or even kill them, like for example: if you start using by way of IV, you learn this from someone who's been doing this for some time, he teaching anyone how to handle drugs and definitely shooting up combined with his lack of knowledge about the drug in question as well or the ways of cleaning and purifying your drug and by how much is left over you have a perfectly fine test-result of how much actual Cocaine was in your substance that was sold to you as Cocaine and in the meanwhile having cleared all the bad stuff out of this for sure pile of garbage he was using, no, getting thought by him about drugs in any way would create just the same ignorant and not only self-destructive but in general destructive personality and shooting up careless like he does will get you killed and more likely sooner than later, also, I see him driving around totally fucked up, in his car, causing severe accidents, also, he is capable of getting diseases by being careless in every aspect of shooting up which also can affect others (like intimate contacts for example, if not for his own good as well), also, how does he dispose of his needles and stuff? Because of his total lack of what for normal people is obvious, that you don't just let needles behind at a random place after having done your shot, which is potentially dangerous to others, is something I just as well, by his general attitude about things especially regarding drugs and drug use, see him do so without even thinking about possible consequences or not even taking into account that you simply do not do such a thing, or also, using the same needles more than once, what kind of water he uses to shoot up (does he at least boils the water he uses to shoot up with and let it cool down before he fills his syringe with it? I seriously doubt it, he didn't even seem to realize that shooting up water is destructive to the body, something I deduct after I had been reading the part in which he said that good quality Coke does not cause harm to his veins whatsoever, what a beyond all imagination of what could be possible total ignorance!!! And I can go on and on with the potential dangers he more likely than not is causing others while he goes along! All of this I was in a more 'hidden' way trying to, at least a little bit, by way of normal conversation, and yes, also some straightforwardly put convictions I had and now even have in a way more severe way, after none of all the harm reduction meant content I put as well as hidden in and within that piece of text and how does he react? - by ridiculing me, laughing at me in a very bad way like I was the one being not reasonable while, due to the here and there straightforwardly put convictions I had and have about his way of doing drugs and acting while handling drugs and while being ignorant in the most possible way about drugs yet doing one of the most dangerous things any user can do: shooting up bad quality Coke and probably in totally the wrong way (though I mus admit, this is something I don't know, but it would just fit every other aspect he acted out very profoundly so when his general way of coping with drugs is one that is just trouble sitting around the corner until it's trouble it's time to go blazurk with either him or either him and/or his surroundings, if this is the case, it's not against simple logic at all, on the contrary, to assume (and by assuming this trying out even more sensibilisation in such a case, which can never cause any harm) that this ignorance and reckless attitude and behavior is the same in the few other aspects about his drug use we don't explicitly know about but when you are this way almost all the way, you probably will be the same way that last part of the way as well, do you understand what I mean by this? If there is a series going from a) to d), and his attitude and behavior showed ignorance and recklessness all the way from a) to c), in that case his attitude and behavior will be one of ignorance and recklessness all the way up to d) as well, that is just a simple logic deduction based on what we know to fill in one blank space we don't specifically know about. While my entire post was well intended and had only one aim, harm reduction and sensibilisation and making him face the facts straight up, he reacts with (what fits his personality totally) a total lack of interest into any suggestions I made with regards to harm reduction, he reacted in an offending and sarcastic way, he was rude ans showed no intention whatsoever of trying to be a more conscious user, even after fucking up his own arm (which to me is no wonder, it's more a miracle to me that not both his arms have fallen off his torso yet). So it's one thing to be ignorant, it's something totally else to, due to your ignorance be a potential hazard to others in not only multiple but really many possible ways that are all very likely to be or become fact, and it's even something more entirely else when someone posts a test filled with hints to make him access the way he goes about drugs in order to obtain the quintessential goal, as I called it at the beginning of this post, of by way of sensibilisation bring about any form of harm reduction that could possibly safe his arm in the future and protect others from the way he acts and goes about drugs and a severe and potentially very lethal way of using a very dangerous and very dirty (for sure in the USA, not according to me, according to scientific studies and geographical analysis of drugs and their quality on a global scale) drug that should not, even when it would not be be a dirty drug, ever be used without caution and especially when shooting up! Well, if you just regard all of this, well intended with the aim on harm reduction, casual text and reply to it in a very arrogant way, then it's time someone starts shitting on you and show you how less this person thinks of him when he's being this way while handling drugs and being arrogant when someone answers with nothing but a well intended harm reduction minded casual text that in no way was rude or offending towards him, while his answer was rude and offensive - if that's how you do things when shooting up, in that case fuck the fact that he is a danger to himself, at that point it's time to think about the danger he potentially and probably in effect as well is to others, which becomes at the point where he is not open to reason more important than this shitty, ignorant guy who seems to think he's Tony fucking Montana and can just go about drugs as careless and reckless as he wants: wrong, you can not, using drugs gives you a ways of how to act and how to handle drugs and drug use in regards to your humanistic duty towards others as in to not be a danger to others as well as yourself - but if you do NOT want to keep that duty in mind, in that case fuck that guy and someone should fucking put him down and let him know that when he keeps up this ignorant yet thinking of himself he knows it all-act he deserves no respect, not in any fucking way at all! On the contrary, I only disrespect people who are not willing to take their own and most of all others their safety in mind, because they toy with stuff that is not in any way to be toyed with! And if nobody stands up to him and everyone just goes 'oh no, how unlucky about your arm', then nothing will change and his fucking arm will be in a hospital disposal bag by the end of some of the following months, and at the end his other arm and so on until even his dick is shot up beyond being able to heal anymore - but even worse, the people he takes down with him. So fuck his reaction, his reaction only deserves a fucking rampage of words towards him, because he's too much of an ego-tripper to even be willing to take safety and harm reduction into account, yet answers it with a sarcastic and offending way of replying to a well intended post - I've been a volunteer in harm reduction programs for over 8 years now, if kids are not willing to listen to the advice given, they get Hell too, and this guy already fucked up, with his arm, well; if you don't want to listen to solid advice, then don't come crying of the consequences you have to take on your shoulders, simply by being careless and reckless - people like that should not allowed to come anywhere near drugs or a syringe of any kind, not even ones without a needle, it's like little babies, you have to take away everything that contains small pieces or they'll swallow it and choke on it. So fuck him, but mark my words, he's an accident regarding not only himself but others as well just almost ready to happen (if not happened already before and we know shit about it, because such a thing of course he would not come and cry about!). If you can't handle drugs in a mature way than someone who can should take up his duty, give this kid a kick up his ass and make sure he is no longer able to pose a danger to himself and most of all others. And if you can't extract that meaning out of my text, you should most definitely do something about your reading between the lines and literary interpretation skills and/or your overall communication skills - or get your brain examined to see if it's not yet totally fried by now by shooting up fucked up cut up garbage in probably the most pathetic and most wrong and dangerous ways possible (see the deduction "from a) to d)". And with this I am through answering piece of shit ignorant questions or remarks because yes, you should have been reading my post without presuming I'm just randomly start talking away about Coke without any purpose when it comes to a conversation in which someone shows all the ignorance and possible general dangers he poses made very clear and injury already taken place, hence his post - why then, would I in that case just randomly go on about Cocaine, and especially with the straightforward and directly at him directed remarks in between should at least be a major clue that a text, when it's every other linea displaying such a straightforward and directly to him directed remark that perhaps the rest of the text is also directed at him with a purpose, and not just randomly, but just trying to look casual instead of being a lecture to which his eyes would be definitely totally blind. I would not been in harm reduction programs as an experience expert if I would not be, by way of empathy, care about the well-being of others especially when it comes to the area in which I'm an experience expert and, not just that, have a vast knowledge about drugs in a chemical, social, geographical, qualitative, and so on and the consequences involved with specific drugs and specific ways of using drugs and certain attitudes about drugs and drug use and a lack of caring about your humanistic duty and the dangers to others that come naturally with such an attitude - I did not show him any disrespect up until the point he dissed me, well, if you're such a fucking problem regarding drugs, drug use and the safety of yourself as well as others and after a first, shallow attempt to try to put some sense into his head and it is replied on by him with disrespect, then, after such a display of ego-tripping and egocentric don't give a fuck about others display of that specific attitude, I'm sorry, but online, I can't do anything else for you, so if you react that way, do not show any compassion, but if you think that someone who's in harm reduction programs for over 8 years, as a volunteer, does not sincerely care and did not sincerely try out a first attempt in reaching out to this individual, if you think that, you are just a dumb fuck, end of the line - only reasonable replies will I further reply to, as if I did not made myself clear after this huge and detailed text, then there's no hope you will ever get by online typing to one another what my intentions where, are and always will be and that I did intend well, if you do not believe that, go fuck yourself. Fucking ignorant probably let drugs fuck up your entire brains stereotypical idiotic wannabe online know-it-alls while you probably never in your life even have been reading one real scientific study about drugs and the very little you think you know is just taken from forums where every idiot types what he want's and so many people just copy such an opinion without thinking the matter through for themselves but just take over someone else his thoughts about something because a) it was online b) it was on a website or forum about drugs and c) it's of course way more easy to let someone else think in your place instead of thinking for yourself. The end.
Can't be bothered to read a wall of that shit but he didn't ask about US coke being shitty compared to where you live, and it seems like you're just dick sizing with your quality of coke and sources. I would recommende the OP to get to a hospital as soon as possible.
 
I'm assuming English is not his first language so that's what I chalk the grammar mistakes up to.
The rest I chalk up to being a douche bag.
Anyone can post that they're an expert on a subject or claim a profession on here and it doesn't make it legit.
Maybe he is the worlds leading cocaine expert and a Pulitizer prize winning author but fuck maybe I'm an expert in jelly fish indigenous to the Carribbean Sea and a federal DEA agent.
 
I gave proof about my profession and offer more, don't call me a liar while I can present you with proof - quite narrow-minded of you: because you don't like me I can't have two great careers that are my two greatest passions in life? Add me on facebook and watch me play piano, read my entries on which there is a copyright claim, I offer prove, if you do not take my offer, then you don't have the right to call me a liar! You're a coward by doing so, it's easy to call someone a liar, but to ignore the prove he gave about one of his professions already!

Secondly, I have Asperger, meaning I have OCD to a large degree and I love Cocaine all the way - so what makes you think that someone with OCD would not figure one of his biggest loves he has totally out until he knows everything about it there is to know? That's totally not logical, since I have OCD it's normal for me to be obsessive about the things I love, and Coke is one of my greatest Loves, so of course I know everything I can about it; I even did go so far as to purchase the most common cuts used in Coke and train myself to detect them by smell and taste alone, cutting up good Coke myself in various degrees to detect even a cut as small as 3%, also I can with uncut or almost uncut Coke tell the difference between three different types of Coke by it's effects and I can explain as to why these differences occur why every cut up Coke is based upon covering it up by imitating Colombian Coke, I know all statistics regarding most things having to do with Coke: the purity of Coke in which country in which period, the history of coke, how many ppl from what ages use it/used it, what the chances are of getting either an official or none official OD, the molecular structure of coke and every chemical reaction you can make happen with cocaine, tell you exactly what these reactions do and why one would do so, how much restant compounds are found in the waters around various cities, why coke is more pure at some place and less in another, with specific details about even the differences between the harbor of rotterdam and antwerpen, the influence of the economical crisis on the cocaine trade having moved from nl to antwerp and back and the changes in purity that brought about and why and so on: ask whatever you want - if you don't, do not say I don't know my share of what one can know about Coke - I made my peace with the other members on this forum earlyer today, but you seem to be behind and still on the site of like a little child wanting to trash everything I say, but since I offer you prove, offered it already a while ago, and you still don"t take it but keep calling me a liar makes you just an idiot, ignoring prove just because you can't handle being wrong, you"re a joke dude!
 
Mananas. Settle down my dude. Here is another opportunity to rise above the conflict. Let it go. Don't provoke anymore, even if you're provoked.

I'm on your side.
 
OP, please update us on your situation! The last we heard is that things took a turn for the worse. You okay bro?
 
Calling someone a douche bag and a liar, for no reason at all and without any cause that has set this in motion is not a joke, but is trash-talk. It's not funny and like I said, it's hurtful - my intellect is the only thing I can appreciate about myself, and my two careers are the only two things I have in my life to be proud about, everything else about me I hate and all other things that make up my life are things I sit thinking about at night, cry and wish I would die; so please, don't trash the only things I have in my life, since it's all I have.
 
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