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How Much Does Cocaine Cost? However, prices may vary depending on location, purity, and local law enforcement. Read here for more about the cost of cocaine by weight, prices around the world, what affects these costs, and how cocaine prices affect drug use rates. Cocaine amounts are not always referred to by weight when being sold. Occasionally, street slang is used to reference amounts of cocaine to confuse law officials and as part of the nomenclature around drugs. Below are the typical measurement units cocaine is sold in, their average prices in the country, and their corresponding slang. Crack cocaine is more regularly abused in lower-income areas as crack has a lower average price per gram than cocaine. Most reports suggest that an 8-ball of cocaine an eighth of an ounce or 3. An 8-ball is a weight measurement equal to 3. This is typically used for drugs such as cocaine and meth. Selling drugs such as cocaine, crack , and heroin in 8-ball weights has been popular since the s as many drug users prefer to have larger quantities of the drug and most dealers will offer a special price for 8-balls. A zip also called a 'zone', is a 1-ounce measurement, equivalent to 28 grams. The term 'zip' originates from large zip lock bags being used when selling larger amounts of drugs. As with the price of a gram of cocaine, the cost of a kilo changes depending on the area it is bought in, even within the same state. The average price for cocaine varies per country. This follows the global trend among developed nations outside of Europe where cocaine costs a premium price, such as in Australia or China. Regions with stricter drug regulations and harder-to-reach trafficking ports typically have higher prices. As with all illegal drugs, there are a variety of factors that affect the cost of cocaine. Some of them include the purity of the drug, the type of cocaine being purchased , the socioeconomic status of the area, the popularity of the substance, and the presence of crime. Cocaine can be mixed with a variety of other substances that can cause different side effects and feelings. Most of these combinations make the drug even more dangerous to take. For example, mixing cocaine with other stimulants like meth greatly increases the risk of overdose. These dangerous drug combinations also tend to increase prices. Crack cocaine , which tends to be full of impurities, is far cheaper than powder cocaine. While most users seek to purchase white powder cocaine, there are actually many types of cocaine available, though some may not be easy to acquire. Cocaine variants such as brown cocaine brown-brown are not normally sold in the US and may therefore come at a steep price. Illicit drug production and distribution is an illegal activity that costs the government billions of dollars per year in trying to control it. Increased law enforcement tends to force drug manufacturers to limit their production, making the sale of substances like cocaine riskier and therefore higher. As with availability, where drugs are produced dictates their price. Cocaine tends to be produced in South America as that is where the materials for making it originate. It is then trafficked into North America, most commonly through drug cartels in Mexico. This means states in this area tend to have more access to the substance. The same is also true of larger cities, where crime rates and drug dealing tend to be higher, making the substance more readily obtainable. Some research indicates that fluctuations in cocaine prices influence user consumption patterns. When cocaine prices are higher in specific regions or time periods, there tends to be a decrease in overall consumption rates. Conversely, lower prices are typically linked to increased rates of usage. There were over million people recorded globally to have used illicit substances in , of which 21 million used cocaine, according to the latest version of the United Nations World Drug Report. The global use of cocaine has risen in the past decade despite a slight decrease during COVID with global production and new shipping routes seeing purity increasing with prices decreasing across mainland Europe and beyond. These findings underscore the significance of monitoring street prices to understand consumption trends and their further impact on addiction rates. Cocaine addiction can be incredibly expensive. This can lead to heavy financial losses and crippling debt. The financial cost is not the biggest loss a person with cocaine addiction faces, however. As with all forms of substance use disorder, cocaine addiction greatly impacts health both mental and physical , relationships, family, work, education, and just about all areas of life. In recent years, cocaine has become one of the top substances causing unintentional overdose deaths. Visit here for more information on the cost of addiction. Addiction treatment centers can offer help and support for those suffering from all types of substance use disorders, including cocaine. If you or someone you care about is suffering from addiction, contact a treatment provider near you today. Your feedback allows us to continually improve our information. Content manager for Recovered. Edmund has an extensive background in addiction research and medical writing, working collaboratively with doctors, substance use disorder specialists, and clinical experts across all content on Recovered. Samantha Miller is a practicing NHS doctor based in Glasgow, UK, who regularly contributes as a medical reviewer for mental health and addiction. Samantha Miller. Written by Edmund Murphy on 14 December Medically reviewed by Dr. Samantha Miller on 09 October Measurement Weight in grams Cost in U. Key takeaways: Cocaine is usually sold in gram weights. The cost of cocaine can vary dramatically depending on several factors including location, state law, and purity. Higher prices of cocaine are associated with lower levels of consumption in users. Cocaine is rising to become one of the top drugs that can cause unintentional overdose deaths. Treatment options are available if you or someone you know needs help with cocaine addiction. The price of cocaine by weight Cocaine amounts are not always referred to by weight when being sold. The price of an '8 ball' of cocaine Most reports suggest that an 8-ball of cocaine an eighth of an ounce or 3. The cost of cocaine around the world The average price for cocaine varies per country. What affects the price of cocaine? Purity of cocaine Cocaine can be mixed with a variety of other substances that can cause different side effects and feelings. Type of cocaine While most users seek to purchase white powder cocaine, there are actually many types of cocaine available, though some may not be easy to acquire. Availability of cocaine Illicit drug production and distribution is an illegal activity that costs the government billions of dollars per year in trying to control it. Location As with availability, where drugs are produced dictates their price. How street prices affect cocaine use rates Some research indicates that fluctuations in cocaine prices influence user consumption patterns. Understanding the costs of cocaine addiction Cocaine addiction can be incredibly expensive. Treatment options for cocaine addiction Addiction treatment centers can offer help and support for those suffering from all types of substance use disorders, including cocaine. Was this page helpful? Yes No. Cocaine Retail price in Selected Countries. National Institute on Drug Abuse. National Bureau of Economic Research. A multilevel analysis of the effect of cocaine price on cocaine use among arrestees. Journal of Criminal Justice , 31 2 , — Author Edmund Murphy. Reviewer Dr. Medically reviewed by. MBChB Dr. Samantha Miller Reviewer. Our fact checking process Our editorial process. Ready to talk about treatment? Call us today. For any specific questions please email us at info recovered. More guides about cocaine. One gram of cocaine. One ounce of cocaine or a zip of cocaine. One kilo of cocaine.
idPAD: Paper Analytical Device for Presumptive Identification of Illicit Drugs*
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Official websites use. Share sensitive information only on official, secure websites. I focus on issues surrounding the promotion and marketing of controlled drugs and their regulatory oversight. Compared with noncontrolled drugs, controlled drugs, with their potential for abuse and diversion, pose different public health risks when they are overpromoted and highly prescribed. An in-depth analysis of the promotion and marketing of OxyContin illustrates some of the associated issues. Modifications of the promotion and marketing of controlled drugs by the pharmaceutical industry and an enhanced capacity of the Food and Drug Administration to regulate and monitor such promotion can have a positive impact on the public health. An in-depth analysis of the promotion and marketing of OxyContin Purdue Pharma, Stamford, CT , a sustained-release oxycodone preparation, illustrates some of the key issues. When Purdue Pharma introduced OxyContin in , it was aggressively marketed and highly promoted. Under current regulations, the Food and Drug Administration FDA is limited in its oversight of the marketing and promotion of controlled drugs. However, fundamental changes in the promotion and marketing of controlled drugs by the pharmaceutical industry, and an enhanced capacity of the FDA to regulate and monitor such promotion, can positively affect public health. OxyContin's commercial success did not depend on the merits of the drug compared with other available opioid preparations. The Medical Letter on Drugs and Therapeutics concluded in that oxycodone offered no advantage over appropriate doses of other potent opioids. The promotion and marketing of OxyContin occurred during a recent trend in the liberalization of the use of opioids in the treatment of pain, particularly for chronic non—cancer-related pain. From to , Purdue conducted more than 40 national pain-management and speaker-training conferences at resorts in Florida, Arizona, and California. More than physicians, pharmacists, and nurses attended these all-expenses-paid symposia, where they were recruited and trained for Purdue's national speaker bureau. Through these profiles, a drug company can identify the highest and lowest prescribers of particular drugs in a single zip code, county, state, or the entire country. Unfortunately, this same database would also identify which physicians were simply the most frequent prescribers of opioids and, in some cases, the least discriminate prescribers. A lucrative bonus system encouraged sales representatives to increase sales of OxyContin in their territories, resulting in a large number of visits to physicians with high rates of opioid prescriptions, as well as a multifaceted information campaign aimed at them. From to , Purdue increased its internal sales force from sales representatives to , and its total physician call list from approximately 33 to 44 to approximately 70 to 94 physicians. By , when the program was ended, approximately 34 coupons had been redeemed nationally. Purdue promoted among primary care physicians a more liberal use of opioids, particularly sustained-release opioids. Primary care physicians began to use more of the increasingly popular OxyContin; by , nearly half of all physicians prescribing OxyContin were primary care physicians. Prospective, randomized, controlled trials lasting at least 4 weeks that evaluated the use of opioids for chronic, non—cancer-related pain showed statistically significant but small to modest improvement in pain relief, with no consistent improvement in physical functioning. In the long-term use of opioids for chronic non—cancer-related pain, the proven analgesic efficacy must be weighed against the following potential problems and risks: well-known opioid side effects, including respiratory depression, sedation, constipation, and nausea; inconsistent improvement in functioning; opioid-induced hyperalgesia; adverse hormonal and immune effects of long-term opioid treatment; a high incidence of prescription opioid abuse behaviors; and an ill-defined and unclarified risk of iatrogenic addiction. A consistent feature in the promotion and marketing of OxyContin was a systematic effort to minimize the risk of addiction in the use of opioids for the treatment of chronic non—cancer-related pain. One of the most critical issues regarding the use of opioids in the treatment of chronic non—cancer-related pain is the potential of iatrogenic addiction. Both of these studies, although shedding some light on the risk of addiction for acute pain, do not help establish the risk of iatrogenic addiction when opioids are used daily for a prolonged time in treating chronic pain. There are a number of studies, however, that demonstrate that in the treatment of chronic non—cancer-related pain with opioids, there is a high incidence of prescription drug abuse. Prescription drug abuse in a substantial minority of chronic-pain patients has been demonstrated in studies by Fishbain et al. Misrepresenting the risk of addiction proved costly for Purdue. Although research demonstrated that OxyContin was comparable in efficacy and safety to other available opioids, 11 , 63 marketing catapulted OxyContin to blockbuster drug status. The remarkable commercial success of OxyContin, however, was stained by increasing rates of abuse and addiction. Drug abusers learned how to simply crush the controlled-release tablet and swallow, inhale, or inject the high-potency opioid for an intense morphinelike high. Purdue's own MS Contin had been abused in the late s in a fashion similar to how OxyContin was later to be; by , MS Contin had become the most abused prescription opioid in one major metropolitan area. Opioid prescribing has had significant geographical variations. In some areas, such as Maine, West Virginia, eastern Kentucky, southwestern Virginia, and Alabama, from through , hydrocodone and non-OxyContin oxycodone were being prescribed 2. By , these same areas had become high OxyContin-prescribing areas—up to 5 to 6 times higher than the national average in some counties Table 1. In West Virginia, the first methadone maintenance treatment program opened in August , largely in response to the increasing number of people with OxyContin dependence. By October , West Virginia had 7 methadone maintenance treatment clinics with patients in treatment M. In southwestern Virginia, the first methadone maintenance treatment program opened in March , and within 3 years it had admissions E. Data are for the counties or independent cities with the highest quantities of opioids in grams prescribed in each of the 3 states. With increasing diversion and abuse, opioid-related overdoses escalated. The high availability of OxyContin in these 5 regions seemed to be a simple correlate of its abuse, diversion, and addiction. With the growing availability of OxyContin prescriptions, the once-regional problem began to spread nationally. The increasing OxyContin abuse problem was an integral part of the escalating national prescription opioid abuse problem. Liberalization of the use of opioids, particularly for the treatment of chronic non—cancer-related pain, increased the availability of all opioids as well as their abuse. In terms of illicit drug abuse, prescription opioids are now ahead of cocaine and heroin and second only to marijuana. Under the Food, Drug, and Cosmetics Act and implementing regulations, the FDA regulates the advertising and promotion of prescription drugs and is responsible for ensuring that prescription drug advertising and promotion are truthful, balanced, and accurately communicated. There is no distinction in the act between controlled and noncontrolled drugs regarding the oversight of promotional activities. Although regulations require that all promotional materials for prescription drugs be submitted to the FDA for review when the materials are initially disseminated or used, it is generally not required that these materials be approved by the FDA prior to their use. The FDA has a limited number of staff for overseeing the enormous amount of promotional materials. In , for example, 39 FDA staff members were responsible for reviewing roughly 34 pieces of promotional materials. In , Purdue distributed 15 copies of an OxyContin video to physicians without submitting it to the FDA for review, an oversight later acknowledged by Purdue. After its review, the FDA concluded that the video minimized the risks from OxyContin and made unsubstantiated claims regarding its benefits to patients. In July , to reflect the available scientific evidence, the label was modified to state that data were not available for establishing the true incidence of addiction in chronic-pain patients. The labeling also deleted the original statement that the delayed absorption of OxyContin was believed to reduce the abuse liability of the drug. OxyContin appears to be as efficacious and safe as other available opioids and as oxycodone taken 4 times daily. Compared with noncontrolled drugs, controlled drugs, with their potential for abuse and diversion, pose different public health risks when overpromoted and highly prescribed. Several marketing practices appear to be especially questionable. The extraordinary amount of money spent in promoting a sustained-release opioid was unprecedented. During OxyContin's first 6 years on the market, Purdue spent approximately 6 to 12 times more on promoting it than the company had spent on promoting MS Contin, or than Janssen Pharmaceutical Products LP had spent on Duragesic, one of OxyContin's competitors. Although there are no available data for evaluating the promotional effect of free starter coupons for controlled drugs, it seems likely that the over- and misprescribing of a controlled drug are encouraged by such promotional programs and the public health would be well served by eliminating them. The use of prescriber profiling data to influence prescribing and improve sales is imbedded in pharmaceutical detailing. Very little data are publicly available for understanding to what extent this marketing practice boosts sales. Regulations eliminating this marketing tool might decrease some potential overprescribing of controlled drugs. The public health would be better protected if the FDA reviewed all advertising and promotional materials as well as associated educational materials—for their truthfulness, accuracy, balance, and scientific validity— before dissemination. Such a change would require a considerable increase in FDA support, staffing, and funding from what is currently available. Public monies spent on the front end of the problem could prevent another such tragedy. The pharmaceutical industry's role and influence in medical education is problematic. Particularly with controlled drugs, the potential for blurring marketing and education carries a much higher public health risk than with uncontrolled drugs. At least in the area of controlled drugs, with their high potential for abuse and diversion, public health would best be served by severing the pharmaceutical industry's direct role and influence in medical education. Marketing and promotion by the pharmaceutical industry have considerably amplified the prescription sales and availability of opioids. A number of factors have contributed to the marked growth of opioid abuse in the United States, but one factor is certainly the much increased availability of prescription opioids. As a library, NLM provides access to scientific literature. Am J Public Health. Accepted May 9. Open in a new tab. Similar articles. Add to Collections. Create a new collection. Add to an existing collection. Choose a collection Unable to load your collection due to an error Please try again. Add Cancel.
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The Promotion and Marketing of OxyContin: Commercial Triumph, Public Health Tragedy
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