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Dr. Mark Ryan, director at the Louisiana Poison Center, called bath salts “the worst drug” he has seen in his 20 years there. “With LSD, you might see pink elephants, but with this drug, you see demons, aliens, extreme paranoia, heart attacks, and superhuman strength like Superman,” Ryan has said. “If you had a reaction, it was a bad reaction.”

Starting in late 2010, an influx of violent, irrational, self-destructive users began to congest hospital ERs throughout the States. A 19-year-old West Virginia man claimed he was high on bath salts when he stabbed his neighbor’s pygmy goat while wearing women’s underwear; a Mississippi man skinned himself alive while under the influence. Users staggered in, or were carried in, consumed by extreme panic, tachycardia, deep paranoia, and heart-attack symptoms. (Perhaps the most infamous incident tied to bath salts is Rudy Eugene’s horrific naked face-eating attack in Miami in May, although conclusive toxicology reports have yet to be released; still, the fact that this feels like the closest thing to a credible explanation for chewing a homeless man’s head for 18 minutes speaks volumes about the drug’s reputation.)

Because the chemicals most often found in bath salts — mephedrone, methylenedioxypyrovalerone, and methylone — were not outlawed initially, a nearly year-and-a-half period ensued where, to the horror of law enforcement, salts were sold legally and widely, not only in head shops, but in gas stations and convenience stores all over the U.S. In 2010, 304 calls were made to poison control centers nationwide regarding bath salts. A year later, the calls skyrocketed to 6,138. […]

DEA officials believe that the base compounds are manufactured primarily in China and India and then imported into the U.S., where traffickers cut and mix the drug in a variety of ways — just one of the reasons why even the first hit of salts can produce unpredictable results.

“Some of these manufacturers will mix these substances purposefully or not purposefully,” says Jeffrey Comparin, a senior DEA laboratory director. “There’s zero quality control. You have no idea what you’re putting in your body.”

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