Super meth, also known as p2p methamphetamine, has become increasingly popular over the past decade due to its purity and the intense, long-lasting highs experienced by those who use it.

The popularity of this meth variant has become a significant public health concern and is linked to numerous adverse physical and psychological health effects, ranging from extreme aggression to paranoia. Unfortunately, without efforts from law enforcement, public health organizations, and drug rehab centers, super meth's grip on society will only grow.

What Is Super Meth?

Super meth is produced with a much more readily available chemical precursor than ephedrine. This version of meth utilizes phenyl-2-propanone, or P2P, which is commonly used for several legal industrial applications, instead of ephedrine, a plant-derived compound used as a decongestant and stimulant. Also known as phenylacetone, this compound has long been used to create nasal decongestants like Benzedrex (propylhexedrine) and to create cleaning agents and stain removers.

Less Expensive, Higher Yields

Because of the chemical simplicity of phenyl-2-propanone, manufacturers use several processes to make this illicit drug. And because the ingredients used to make super meth are so inexpensive and readily available, a 50% yield of P2P (500mL produced per 1kg of phenylacetic acid) is considered cost-effective. However, other methods can produce as much as 90% yield, with relatively little heat and no special equipment to achieve the chemical reaction.

P2P meth production is less expensive, easier to create, and purer than previous iterations of methamphetamine. Mexican cartels have seen profits skyrocket as they produce enough super meth to crash the established market value and close down small meth labs across the United States.

How Is Super Meth Different?

The chemical makeup of any methamphetamine includes two separate isomerisms (variants) of the main chemical compound: d-methamphetamine and l-methamphetamine. The d-meth causes euphoric psychoactive effects, while the l-meth typically increases heart rate but does little to provide a high. Meth purity, then, is a measure of the ratio between the d-meth and l-meth within a sample. In recent drug seizures, l-methamphetamine is almost completely absent in P2P meth.

Higher Purity, Higher Potency

With as much as 93% purity (up from an average of 39% purity in 2008), super meth is dangerously potent, even in small amounts. Law enforcement agencies and the United States DEA note higher overdose death rates with super meth than ephedrine-derived meth. Likewise, super meth is considerably more addictive, providing more intense highs in less time that reportedly last up to 24 hours with a single dose.

Greater Risk of Physical and Psychological Effects

Alongside the more intense and longer-lasting high, super meth causes more severe physical and mental effects. These effects include increased blood pressure and respiratory rate, elevated body temperature, and the potential for heart attacks or strokes, to name a few. But unlike past iterations of meth, super meth’s reduced concentration of l-methamphetamine eliminates the early physical warning signs of overdose, including elevated heart rate. The result is that overdose rates are increasing across the country.

Both the physical and mental side effects of super meth can be long-lasting, sometimes even irreparable. Users not only experience organ stress and potential failure, but they may also find themselves in the midst of paranoid episodes, psychosis, hallucinations (frequent reports of the feeling of bugs crawling under the skin), and memory loss.

Side Effects of Super Meth (Methamphetamine synthesized with phenyl-2-propanone)

Physical Side Effects	Psychological Side Effects
Jumbled Speech	Psychosis
Increased Blood Pressure	Violent Paranoia
Increased Respiratory Rate	Isolating Behavior
Elevated Body Temperature	Hallucinations
Insomnia	Delusions
Cardiovascular Issues (heart attack, stroke)	Massive Memory Loss
Tremors and Convulsions	Anxiety
Death	Aggression and Violence

Sources: FindAddictionRehabs.com and AmericanAddictionCenters.org

What Is the Social Impact of Super Meth?

In both Tucson, AZ, and Atlanta, GA, super meth has become ubiquitous. But it’s more than just our southern cities that suffer: the easy and prolific production of P2P methamphetamine has made it readily available in almost every corner of the country. And one journalist who has reported on super meth nationwide, Sam Quinones, believes it’s a driving factor for increased homelessness throughout the nation.

Increased Isolating Responses to Effects

Old meth formulations, according to Quinones, were "kind of a euphoric drug, a party drug, a social drug, making you want to spend a lot of time around people and so on." But the new formulation is just the opposite. "On the contrary, what it seems to breed is a very sinister kind of schizophrenia, horrible paranoia, great amounts of hallucinations, and with that…comes homelessness."

Some users have said that on older versions of meth, they could hold jobs, keep payments current for housing and transportation, and generally maintain their lives. But once super meth became their preferred substance, their social connection to sober individuals was severed by these psychotic and paranoid episodes.

Homelessness and Loss of Support from Community

According to clinical psychologist Nicolas Taylor, this separation drives further addiction and socioeconomic struggles. Without a sober support system, users will instead separate themselves from people who could help them overcome. And Quinones supports this assertion in his field reporting.

In an interview with Dave Miller of OPB News, Quinones states:

"Homelessness is a complicated thing, and there are various kinds of homelessness, but the tent encampment homeless, I would submit, has enormously to do with drug addiction and primarily nowadays with this new meth coming out. It is very well associated with this now."

More Affected Communities Than Ever Before

The reach of super meth has now expanded to the upper east coast, where meth abuse is still a new epidemic compared to other parts of the United States. Even more concerning is that much of the supply of P2P meth is laced with deadly fentanyl. It's a common practice, especially in the production of counterfeit Adderall pills. In fact, DEA agents have reported that as many as four of every ten fake pills seized today contain lethal doses of meth, fentanyl, or both.

This new mental and social health crisis will have far-reaching impacts on both communities and the justice system. And how each of these entities responds will determine how much damage super meth will have in the future.

How the Sweat Patch Combats the Abuse of Super Meth

Our nation depends on law enforcement and courts to stop the spread of this destructive new meth variant. Improved treatment-based sentencing, rehabilitation, and user accountability within the judicial system will help this epidemic lose steam. And that accountability will require systems and methods that aid recovery and reintegration vs. punishment and incarceration for super meth users.

One proven accountability measure is consistent drug screening. Recovery is not a straight path, and relapse is a common problem. Judges and case workers can help those suffering from drug addiction and dependence by setting routine drug screenings that provide accountability and an incentive for staying clean. Drug screening provides transparency for behavioral modification therapies, including contingency management and motivational enhancement therapies, when used with counseling and community support measures.

Most drug screening methods, however, come with critical roadblocks to consistency and accountability. Urinalysis is incredibly invasive of the individual's privacy, and several testing methods require repeat appointments to record substance use accurately. With many court orders requiring three or more screenings per week, people working towards stability will likely struggle to meet the demands on their schedules without sacrificing their financial stability. Additionally, family care becomes a concern when in-person observation is necessary for accurate testing.

The PharmChek® Drugs of Abuse Sweat Patch circumvents all of these issues. Its design allows courts and case workers to continuously monitor drug use for up to seven to ten days, or longer, between appointments for specimen collection. The Sweat Patch is a perfect solution for those with housing, job, or transportation insecurities.

Why Is Continuous Screening Important for Super Meth Users?

With its addictive and life-threatening potency, relapse for super meth users poses a dangerous threat for overdose. And with a short metabolization window (around three days at most), meth use could slip through intermittent screening methods if appointments are missed or are too infrequent. The PharmChek® Sweat Patch provides continuous sample collection through insensible sweat and keeps individuals accountable for potential drug use at all times.

Through this constant accountability, case workers and judges can help prevent serious medical issues, further social and economic insecurity, and even loss of life from relapses.

Super Meth Use Recovery Beyond Drug Screening

But drug screening is only one facet of a more complex recovery process. Those suffering from addiction to super meth need counseling services, psychiatric assistance, and support from a sober community to maintain their sobriety. The severe psychoactive effects of P2P methamphetamine, which lead to social isolation and psychosis in many cases, will take a comprehensive recovery program to overcome these obstacles and reconnect super meth users to the people they love most. When considering treatment for super meth addiction, keep in mind the need for consistency, accountability, and community. Recovery programs for meth users can see progress in all these areas with the help of the PharmChek® Sweat Patch.

Featured Image Courtesy of MSN.com