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Tunis, Tunisia — Samir Ben Fatoum was 15 years old when he started using drugs. Studying in France, he was living a dream held by many Tunisians. But soon, he said, things fell apart. He spent 20 years as an addict, first to heroin and then to a subtler and more readily available drug. Back in his native Tunisia in , Ben Fatoum started using Subutex, an opiate-replacement drug that is marketed as a substitute for methadone to help heroin users get clean. Subutex, the brand name of buprenorphine, was first seen in France in Cheaper than heroin and harder to detect in drug tests and physical searches, it had previously swept through parts of southern Asia and Eastern Europe. While Subutex has been around for years in Tunisia, treatment workers say its use has increased since the revolution forced out autocrat Zine El Abidine Ben Ali. An uptick in cross-border smuggling with neighbouring Algeria and Libya, combined with a depressed economy, are driving the addiction. Now, thousands are left further impoverished, ostracised from their families and dying from syringe-spread disease. Chems provides basic services to drug addicts, including giving clean needles to users. While Douiri spoke to Al Jazeera he attended to two users, giving them a handful of hermetically sealed syringes and alcohol wipes. There are 12, Subutex users in Tunisia, according to a survey by the centre; a new survey is currently under way. Douiri, himself a recovering heroin addict, demonstrated how Subutex is normally used. One-quarter of a pill is crushed and mixed with water. The mixture is then injected. Needle sharing has made hepatitis C and, to a lesser extent, HIV, prevalent among users. Douiri said 60 percent of all Tunisian drug users have hepatitis. The third or fourth time you become dependent and feel the pain of dependence. Subutex addicts feel pain in their back. Sometimes you feel too hot or too cold. Douiri said the high can last about 12 hours, longer than heroin. And unlike other drugs, users can usually function normally, going to work and even driving without detection, he said. Addicts buy the pills on the street. They are smuggled in from Algeria, Douiri said, making the price and availability unstable. While prison sentences are equally harsh for Subutex and other drugs in Tunisia, it is easier to avoid police suspicion with the pills. Drug use remains heavily stigmatised in Tunisia, and Douiri said Subutex users fear isolation from their families. In a failing economy, with an unemployment rate at over 15 percent, users do whatever they can to support the habit. Exacerbating the problem is that rehabilitation centres are stretched thin. I'm a symbol for other addicts. They see me and learn about my experience and say, counsellor he can quit after 20 years of addiction, I can too. Ben Fatoum said he has been clean since and is now married and has a daughter. Published On 28 May 28 May Sponsored Content.

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