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The study found that 19.2% of students who had reported using flakka the previous year had used it more than 40 times. Those who consume it knowingly are more likely to live far from their parents and to have used other drugs.
"The important thing is that we can draw attention to this dangerous drug right now," Palamar said. "We finally have prevalence estimates on a national sample, which has not been done yet."
However, even more people could have used the flakka without necessarily knowing it.
"I think a lot of people are using it unknowingly, especially the users of Ecstasy and Molly," he said.
Other experts are in agreement.
According to the new study, the stimulant, which has been termed "poor man's cocaine", caused 80 deaths in the state of Florida alone, between September 2014 and December 2015. There were 2,000 visits to the country. emergency related to its use in Broward County during this period; 15% were people under 25 years old. One of the youngest, according to the study, was 13 years old.
Flakka, also known as gravel, belongs to the class of new psychoactive substances, Castellanos said. Some related products are called bath salts. It can be smoked, injected or snorted.
"Although they do not look like your tub salts, they sometimes look like them," he said. "These are all new psychoactive substances, which means that they are chemically manufactured, they are imported, there are many variations, there are different tips and foci over time."
Flakka is also a stimulant. "People are really very agitated," said Castellanos. "This includes things like agitation, effects on all the typical systems of your body, high blood pressure, a pulse, sometimes even your temperature."
"What really characterizes the flakka is the delusional behavior sometimes associated with its use," Palamar said. "It's weird, and you'll see that word, even in medical journals, because there is no other way to describe it."
Although not all users of the drug show these reactions, Palamar cautioned against using it.
"It's something you should know: it does not have this effect on everyone who uses it," he said. "It's a very dangerous drug, it's a very powerful drug, it's as powerful as methamphetamine."
Journalist Carina Storrs contributed to this report.
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