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The diversion and abuse of pharmaceutical drugs pose minor but continuing threats to Puerto Rico. MDMA was patented in in Germany where it was given to psychiatric patients to assist in psychotherapy. Sometimes called the hug drug, abusers claim that the drug helps them to be more 'in touch' with others and 'opens channels of communication. The physical effects can include muscle tension, involuntary teeth clenching, blurred vision, and increased heart rate and blood pressure. MDMA abuse can also cause a marked increase in body temperature leading to muscle breakdown, kidney failure, cardiovascular system failure, stroke, or seizure as reported in some fatal cases. Research suggests MDMA abuse may result in long-term and sometimes permanent damage to parts of the brain that are critical to thought and memory. Limited quantities remain on the island for distribution in the San Juan area. From September 11 through 30, , law enforcement officials seized a total of 96, MDMA tablets from ferries that transport passengers between San Juan and the Dominican Republic. Law enforcement officials believe that immediately following the September 11, , terrorist attacks, transporters temporarily shifted from smuggling MDMA aboard commercial aircraft to smuggling the drug via maritime conveyances. The drug primarily is available at raves, private parties, and in bars and nightclubs in San Juan. To Top To Contents. Pharmaceuticals that commonly are diverted in Puerto Rico include meperidines, such as Demerol; oxycodones, such as Percocet; hydromorphones, such as Dilaudid; and benzodiazepines, such as Valium and Xanax. The most common diversion methods used in Puerto Rico to illegally obtain pharmaceuticals include theft from pharmaceutical factories, fraudulent prescriptions, and 'doctor shopping. Doctor shopping is a practice in which individuals who may or may not have a legitimate ailment visit numerous physicians to obtain drugs in excess of what should be prescribed. Law enforcement officials indicate that Puerto Rican criminal groups and local independent dealers are the dominant wholesale and retail distributors of diverted pharmaceuticals. Individuals of various ages and socioeconomic backgrounds abuse pharmaceutical drugs in Puerto Rico; however, health authorities report that these drugs are more frequently abused by women than by men. Retail distributors of diverted pharmaceuticals typically sell the drugs to acquaintances and established customers and also abuse the drugs themselves. The primary diversion methods and prices for diverted pharmaceuticals in the USVI are not known but likely are similar to the methods and prices in Puerto Rico.

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