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Captagon: Abuse, Side Effects & Treatment

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Fenethylline, otherwise known as Captagon, was originally developed in the 1960s as a medical treatment for attention deficit hyperactivity disorder (ADHD) and narcolepsy. It was once highly prescribed due to its efficacy, however its potential for abuse and harmful side effects led to its eventual classification as a controlled substance. 

Despite being banned in most countries, Captagon remains a significant presence in the illegal drug market, particularly in the Middle East, where it has been linked to funding for terrorist organisations and insurgent groups. Continue reading to explore with us how a useful medication became such a dangerous and controversial subject. 

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What is Captagon?

Captagon is a synthetic stimulant composed of fenethylline, a drug that metabolises into amphetamine and theophylline in the body. Amphetamine then stimulates the central nervous system, increasing alertness and energy, while theophylline, a bronchodilator, enhances the stimulant effects.

This medication was initially praised for its therapeutic benefits, and was used to treat conditions such as ADHD, narcolepsy, and, in some cases, depression. Patients reported increased focus, reduced fatigue, and improved mood, which made it a popular prescription drug in the 1960s and 1970s.

The transition of Captagon from a medical drug to a recreational one began in the 1980s when its stimulating effects were discovered by non-medical users. Captagon’s ability to induce euphoria, increase stamina, and reduce the need for sleep made it highly attractive for various groups, including students, professionals, and soldiers. 

Its popularity in the Middle East soared due to its perceived benefits in enhancing physical and mental performance, making it a common choice for individuals in high-stress environments or conflict zones. Similar patterns of use with amphetamines were reported within the German army during the second world war, indicating that the abuse of amphetamines in war-zones has a history that predates Captagon specifically. 

Captagon Abuse

Captagon abuse is predominantly reported in the Middle East, with significant usage in countries like Saudi Arabia, Syria, and Lebanon. The drug is often referred to as the “poor man’s cocaine” due to its affordability and potent effects such as: 

  • Performance Enhancement: Users, including students and professionals, consume Captagon to increase concentration and stamina, enabling them to work or study for extended periods without fatigue.
  • Weight Loss: The drug’s appetite-suppressing properties make it appealing to individuals looking to lose weight quickly.
  • Euphoria: Captagon induces a sense of well-being and euphoria, making it popular among recreational drug users.
  • Combat Readiness: In conflict zones, soldiers and militants use Captagon to stay awake and alert during long periods of combat, often referring to it as a “chemical courage.”

Captagon is typically consumed orally in tablet form, though it can also be crushed and snorted. The tablets often bear a logo (two interlinked Cs), which has become a recognizable symbol of the drug. 

Its distribution is facilitated by sophisticated smuggling networks that operate across borders, making it readily available despite strict legal prohibitions. These networks often involve high-level corruption and organised crime, contributing to the drug’s widespread availability.

Side Effects of Captagon Abuse

Compared to other stimulants like amphetamines and cocaine, Captagon’s effects are more prolonged and intense. Its combination of amphetamine and theophylline produces a unique high that is both mentally stimulating and physically energising. 

However, this also means that the potential for abuse and dependence is significantly higher, and the withdrawal symptoms are more severe.

Short term side effects of use include but are not limited to: 

  • Increased heart rate and blood pressure
  • Insomnia and sleep disturbances
  • Hyperactivity and excessive alertness
  • Reduced appetite
  • Anxiety and agitation

Long term side effects of use include but are not limited to: 

  • Dependence and Addiction: Users develop a tolerance, requiring higher doses to achieve the same effects, leading to physical and psychological dependence.
  • Cardiovascular Issues: Prolonged use can cause severe cardiovascular problems, including heart attacks, hypertension, and arrhythmias.
  • Psychosis: Long-term abuse can result in paranoid delusions, hallucinations, and severe anxiety.
  • Neurological Damage: Extended use can lead to cognitive impairments, memory loss, and brain damage.
  • Mood Swings: Users often experience extreme mood fluctuations, from euphoria to deep depression.
  • Aggressive Behaviour: Chronic use can lead to increased aggression and violent tendencies.

Prevention and Treatment

Preventing and treating Captagon addiction requires a comprehensive and personalised approach. Recognising the signs of Captagon abuse early, such as changes in behaviour, unexplained euphoria, or unusual physical symptoms, can lead to earlier intervention and better outcomes.

For those already struggling with addiction, treatment begins with detoxification. This process should always be medically supervised to manage withdrawal symptoms safely and prevent negative outcomes. Depending on the severity of the addiction, detoxification can be conducted in an inpatient or outpatient setting. 

Inpatient rehabilitation, such as that provided at Clinic Les Alpes, provides a structured environment where patients receive intensive therapy, medical care, and support. Comparatively, outpatient programs offer flexibility for those who need to maintain work or family responsibilities while receiving treatment.

Family support is equally important. Addiction affects not only the individual but also their loved ones. Family therapy and support programs educate families about addiction, help them support their loved one’s recovery, and offer a chance to heal from the impact of substance abuse.

Aftercare and relapse prevention are critical components of successful treatment. Continued therapy sessions help address any underlying psychological issues and provide ongoing support. Developing a comprehensive relapse prevention plan that includes identifying triggers, coping strategies, and a support network is essential for maintaining long-term sobriety.

Aerial photo of the Clinic Les Alpes Facility amidst forested hills

Struggling With Captagon Addiction? We Can Help

If you or a loved one is dealing with Captagon addiction, taking the step to seek help is vital for recovery. Clinic Les Alpes is committed to supporting you on your path to overcoming addiction and restoring a healthier life.

Nestled in the Swiss mountains, our private rehabilitation facility offers breathtaking views of pristine meadows and the serene Lake Geneva. With luxury amenities at your disposal, you can embark on your recovery journey in a comfortable and elegant setting.

Beyond the scenic location, our clinic boasts a world-class team of experts in psychiatry, psychology, addiction treatment, and medicine, complemented by specialists in holistic and body-focused health and wellbeing. Our comprehensive, interdisciplinary approach ensures we address not just the addiction, but all facets of your wellbeing.

To learn more about how Clinic Les Alpes can assist you, please reach out to us. We are eager to collaborate with you to develop a personalized treatment plan that meets your specific goals and needs.

Conclusion

Captagon abuse poses significant health risks and contributes to widespread addiction issues, particularly in the Middle East. Recognizing the signs of abuse and understanding the available treatment options are crucial steps in combating this epidemic. 

By raising awareness and promoting effective treatment, we can help mitigate the devastating impact of Captagon abuse on individuals and communities.

If you or someone you know is struggling with Captagon addiction, seeking professional help is imperative for recovery. Reach out to a healthcare provider or addiction specialist today to start the journey towards a healthier, drug-free life. 

Clinically Reviewed By

Brittany Hunt

Brittany Hunt is an internationally experienced clinician, specialised in treating addictions and co-occurring disorders. Having worked in the public and private sector, she utilises holistic and evidence-based approaches designed to empower the patients in their recovery journeys. A graduate of The University of Auckland, she has a Bachelor of Health Sciences majoring in Mental Health and Addictions, a diploma in Psychology and Counselling and a Post-Graduate degree in Health Sciences, majoring in Addictions. She is a fully registered practitioner under the Drug and Alcohol Association of Aotearoa New Zealand (DAPAANZ).

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