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There is no government license on the wall. Bottles of sun lotion stand on half-empty shelves, and hand-written signs in English, aimed at the American tourists this city is so popular with, denote some of the meds on offer, such as ibuprofen or Voltaren. You just have to know that you can ask for them. No prescription needed, no questions asked, and as many pills as you want. But an investigation by VICE News with the Bunk Police , a drug testing company, found that some of these so-called pharmacies are selling pills laced with deadly fentanyl and highly addictive meth. Street level drug dealers are also allied with pharmacies in some of the resorts we visited. Of four fake Oxys we tested, two tested positive for fentanyl. Sales staff had fished those pills out of bottles marked with fake labels, as well as from clear plastic bags containing loose pills. We saw this law flouted across the coast —only the major pharmacy chains refused to sell us the pills without a prescription. Lab tests of the pills bought for the purpose of this investigation showed substantial rates of adulteration. Of 22 pills sold as prescription opioids, six were fake. Two out of seven of the pills sold as Hydrocodone contained fentanyl, and four out of 15 of the pills sold as Oxycodone contained fentanyl. Six tested positive for meth, and two of them contained an unidentifiable substance. Our findings are backed by other reporting on the U. Tiny amounts of fentanyl can kill, especially those not expecting to consume the drug or those with a low tolerance for opioids. A number of cases in which pills bought by Americans in Mexico and taken home have caused fatal overdoses have been documented in the U. S consumer, and although they missed the mark by a lot these bottles do have half an air of legitimacy and certainly a lot more than handing someone a baggie of pills. S State Department about the proliferation of poisonous pills across the country. S State Department warned. Reporting by VICE News showed that small, licensed pharmacies as well as tourist stores with no legal permit to distribute such medications are selling these pills to tourists without prescriptions. Many of the pills bought in Mexico during reporting for this article looked clearly fake, and crumbled under the slightest pressure between two fingers. S State Department travel alert in March. S, 75, of them from synthetic opioids like fentanyl. In , the DEA seized more than double the amount of fentanyl-laced, fake prescription pills in the U. S than it seized in There is a very large number of older American expats that are living in Mexico to take advantage of the lower cost of living and they do trust the medical system and these pharmacies. I think they are a large customer base for these pharmacies. Beyond that, there are people who take this back to the U. The poisoned pills being sold out of Mexican shops and pharmacies are likely the same pills produced by the Sinaloa Cartel and the New Generation Jalisco Cartel that have flooded the U. Six out of every ten of those counterfeit Mexican Blue pills seized in the U. S containing fentanyl carried a lethal dose of the opioid, according to the DEA. The sun-drenched town of Tulum in the Mexican state of Quintana Roo is smaller and has more of a hippy feel to it than Los Cabos in the north. Some of its roads are unpaved, but the main street going through the town hosts more than two dozen pharmacies, some chain stores and others independent. Other sellers are small counters placed in shops otherwise selling tourist tat such as sandals and clothes. Neither of those types of establishments asked us for a prescription to buy either opioid or benzo pills. On the wall hung a government pharmacy license. How do they feel? With its ocean promenade along a rocky beach, parts of the island feel closer to Cuba than Mexico. Down a quiet street a few blocks from where we bought the bottles, another dealer gestured to us, again offering us weed and cocaine. My companion was a young, blue-eyed, blonde haired American—the archetype of their typical client, I conclude. He urges me to sniff the coke to understand the quality— it smells of gasoline. Others had no such documentation. But both types of pharmacies sold us the cartel-made, opioid painkillers adulterated with fentanyl without prescriptions, as well as fake Adderall meds adulterated with meth. Many of those pharmacies offered to sell us pills in the thousands. Some stores said we could purchase as many as we wanted. The plastic bottles in which they were sold were sealed and labeled, but the print on the labels was of poor quality and the brands and lettering all in English, with U. S brands, aimed at the only group that really buys these pills: American and Canadian tourists. Pill presses used by the cartels can be bought on Amazon here in Mexico, and Tello — the healthy policy analyst — said that small bottles like the ones we bought pills in are easy to buy, label and seal. But these pharmacies are operating in broad daylight, selling products at raised prices to American visitors with no prescription with no interference from the authorities. It lacks the necessary number of agents to effectively police all of the pharmacies in Mexico. The role of organized crime in producing, packaging and distributing these pills around Mexico brings with it the threat of violence, as VICE News and the Bunk Police experienced first hand during the reporting of this story. Tulum, Playa Del Carmen or Playa del Crimen as it is now often referred to , Cancun, Los Cabos and Tijuana have for years been convulsed by drug-related violence which many locals have seen up close, and if not, on local media. When drug overdoses occur, they are usually not registered as such on death certificates — opioid overdoses on the border tend to be registered as respiratory failure, according to Alfonso Chavez from the harm reduction center PrevenCasa in Tijuana that works with fentanyl users. F entanyl overdoses have been growing in Mexico in recent years , but mostly because of the presence of fentanyl-laced heroin—known locally as China White—and meth. Mexicans have not embraced the use of pain meds and the transition to fentanyl-laced heroin or fentanyl pills and powder that has been seen in the U. S as a consequence of the opioid epidemic. The majority of the ,plus overdose deaths in the U. Much of the fentanyl killing Americans at home is being produced by the Sinaloa Cartel, according to the U. S Department of Justice. Now, Americans are at risk of overdosing on fake pills bought in Mexico too, given the widespread proliferation of these cartel-made counterfeit, adulterated pills available for purchase across the country. Back in Tulum, on the Mexican coast, tourists could be forgiven for buying these medications without suspecting they might be fake. By Deborah Bonello. By Max Daly. Share: X Facebook Share Copied to clipboard. Videos by VICE. Read Next.

The complicated — and dangerous — economics of Mexican fentanyl

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That pretense faded seconds later, when she was asked for controlled medications — and got on her hands and knees to pop open a hidden panel under the counter. She rooted around for a minute and emerged with two sealed bottles. In pharmacy after pharmacy in this Mexican resort city, workers offered similar assurances, but time and again the pills proved to be fakes. There were oxycodone pills that tested positive for heroin and over-the-counter cough medicine, and Vicodin tablets that turned out to be fentanyl. Pills sold as Adderall were sometimes methamphetamine or caffeine, and sometimes simply an appetite suppressant. Others denied ever selling medications they had in fact sold just minutes or hours earlier. Last month, reporters visited dozens of drugstores in Mexico to interview pharmacy workers and piece together a fuller picture of the counterfeit medication problem The Times has been investigating for nearly a year. Despite pharmacy raids by Mexican authorities and a warning from the U. State Department, the latest round of testing found that fake medications appear even more plentiful at independent drugstores and regional chains in tourist hot spots and border towns now than earlier this year. Some of the counterfeits are now more sophisticated, and lab testing found a wider array of substances in them than previously documented. And the latest reporting in Puerto Vallarta and Cabo San Lucas found that workers at small chains and individual pharmacies alike often went to great lengths to convince potential customers of the safety and efficacy of their counterfeit wares. The Times is not naming independent pharmacies or workers due to safety concerns, including the threat of violence. After visiting 10 vacation spots and border towns across Mexico this year, reporters used drug-testing strips and later lab testingto show that travelers who shop at pharmacies there risk unwittingly buying pills tainted with powerful drugs, including fentanyl, heroin, meth and MDMA — also known as ecstasy. In February, The Times reported that some drugstores in Tijuana and the Los Cabos area were selling loose pills over the counter, passing off tablets containing fentanyl and meth as expensive brand-name medications, including Percocet and Adderall. A team of UCLA researchers, including Goodman-Meza, reported similar findings in four unnamed cities in northwestern Mexico around the same time. But U. Later, reporters showed that several stores and at least a few regional chains had begun selling tainted medications by the bottle, in elaborate packaging that was sometimes indistinguishable from the real thing. A few medications were consistently legitimate, including the opioid painkiller tramadol and the ADHD pill methylphenidate, best known as Ritalin. But some medications were almost always counterfeit. Testing showed that 9 in 10 pills sold as Adderall, six in 10 pills sold as oxycodone, and 7 in 10 pills sold as hydrocodone were fake. Overall, 26 samples contained methamphetamine and 29 contained fentanyl. In March, authorities in Mexico inspected more than pharmacies in Los Cabos and nearby La Paz, closing nine in Los Cabos for a variety of violations. In June, another series of pharmacy raids in Los Cabos resulted in four arrests and the seizure of cash and nearly 25, pills. But less than 24 hours earlier, the same store had sold three loose pills — purported to be Percocet, Vicodin and Adderall — and one bottle labeled as Adderall. Laboratory testing showed both painkillers were fentanyl, the tablet sold as Adderall was methamphetamine, and the bottle of supposed Adderall contained capsules of an appetite suppressant called clobenzorex. Finally, authorities shut down 31 pharmacies and seized more than 4, boxes of medication during recent raids in Ensenada, where officials said some of the pills probably contained fentanyl. At a Puerto Vallarta pharmacy near bustling Playa de los Muertos last month, a clerk said she had no controlled substances for sale before offering a warning. Others said they stopped offering controlled medications immediately after the sweeps, but soon resumed sales. The Times could not independently verify their claims, and officials did not respond to requests for comment. There were no opioid painkillers in stock, but reporters bought a bottle of supposed Adderall. Aside from the glut of willing sellers and suppliers, another roadblock to reining in the sale of counterfeit pills in Mexico is the constant demand — often from Americans looking for medications that may be cheaper or easier to get than in the U. He had recently been prescribed Adderall in the U. Shopping for narcotic medications in pharmacies in Mexico often means listening to workers explain that bottles stashed in hidden compartments and loose pills kept in unlabeled plastic bags contain legitimate medications. But the painkillers purchased from that pharmacy tested positive for fentanyl, and the supposed ADHD medications were made of methamphetamine. At a Puerto Vallarta outpost of a drugstore chain that sold reporters fake medications, Ed Sheeran was crooning through tinny speakers about having faith in what he sees. The clerk claimed the pharmacy did not stock counterfeit pills. On two separate trips to Puerto Vallarta, reporters visited several stores in that same regional chain, and repeatedly purchased pills sold as Adderall that tested positive for methamphetamine. Another was a bottle that a young worker pulled from a locked hiding spot. In addition to concealing illicit wares and offering empty assurances about safety, pharmacy workers seemed choosy about their customers. Several residents said the stores would sell narcotic medications over the counter only to foreign tourists. At one drugstore, when a reporter started speaking Spanish, the clerk grew suspicious. At a Puerto Vallarta location of the prominent national chain Farmacias Similares, a worker said only customers with prescriptions could buy controlled medications. Other pharmacies, she said, would sell them without a prescription — depending on who you are. Only to foreigners. Organized crime experts say that Mexican drug cartels are almost certainly involved in making the sophisticated counterfeit medications. But it is unclear exactly how the pills end up on pharmacy shelves or in hidden compartments behind the counter. Workers at other stores suggested their pills came from California, but also could not name a supplier. Most did not respond to repeated messages inquiring about the counterfeit goods or the suppliers who provided them. One worker who did respond said he knew the Cabo pharmacy where he worked did not sell opioid painkillers because he was one of only two people who worked there. When a reporter explained that the store had sold fentanyl-tainted pills weeks earlier, his tone shifted. Instead of denial, some responded with fear. Watch L. Times Today at 7 p. Before joining the Los Angeles Times in , she spent nearly seven years in Texas, first covering criminal justice for the Houston Chronicle and then covering prisons for the Marshall Project. Previously, she wrote narrative pieces with a strong emphasis on the Latino community and others that make up the diversity of L. She joined The Times in Connor Sheets is an investigative and enterprise reporter at the Los Angeles Times. De Los. Times Everywhere. For Subscribers. All Sections. About Us. B2B Publishing. Hot Property. Times Events. Times Store. Special Supplements. Share via Close extra sharing options. Many pharmacies in Puerto Vallarta and other tourist-friendly parts of Mexico continue to sell fake medications to unsuspecting foreigners. Reporters visited 10 vacation spots and border towns across Mexico this year and bought controlled prescription medications from pharmacies. Tests showed many pills were tainted with powerful drugs including fentanyl, heroin, meth and MDMA. Many pills purchased by reporters in Mexico this year were lab-tested to confirm the initial findings from testing strips. A pharmacy in Cabo San Lucas advertises its wares to English-speaking visitors. Many also sell controlled medications — or counterfeit versions of them — upon request. In Puerto Vallarta, several pharmacies were raided by Mexican authorities in recent months, drugstore employees say. Officials would not elaborate on or confirm their accounts. A Mexican pharmacy offers a wide array of powerful medications over the counter. Earlier in , drugstores in Mexico tended to sell counterfeits of controlled medications as loose pills — but the fakes are increasingly sold by the bottle in convincing packaging. VIDEO More to Read. Chinese chemical manufacturer is targeted by federal prosecutors trying to stop flow of fentanyl. Old newspaper boxes are being used to distribute the overdose reversal drug naxolone. An industrial chemical is showing up in fentanyl in the U. Keri Blakinger. Brittny Mejia. Connor Sheets. More From the Los Angeles Times. California Navy identifies two aviators killed in crash near Mt. Rainier as California natives. Defense chief promises Ukraine what it needs to fight Russia but goes no further.

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