Pubdate: Sun, 26 Nov 2000 Source: Asbury Park Press (NJ) Contact: http://www.injersey.com/app/ Forum: http://chat.injersey.com/ Author: Carol Gorga Williams NEW DRUG PERIL MAY BE ON THE WAY TOMS RIVER -- Cocaine came. Heroin came. Ecstasy came. Is PMA the next big drug on the Jersey Shore horizon? First Assistant Ocean County Prosecutor Terrence P. Farley says authorities here have not yet detected the presence of paramethoxyamphetamine, or PMA, but he adds, "It may only be a matter of time" before the deadly drug, masquerading as Ecstasy, shows up here. PMA, a synthetic stimulant and hallucinogen, is the subject of a recent alert from the federal Drug Enforcement Agency, which on Oct. 23 released its intelligence report on the drug and called it an emerging "cause for concern." The DEA titled its report "Dancing with Death," because PMA is being surreptitiously marketed to young people in dance clubs and at raves. Fatal PMA overdoses were reported this summer at raves and and nightclubs in Orlando, Fla., and Chicago. The drug also has been detected in Virginia and Michigan, according to the DEA. The victims, according to federal authorities, mistakenly believed they were consuming Ecstasy, which is rarely lethal, although researchers say it causes other long-term problems for users. The Middle Atlantic Great Lakes Organized Crime Law Enforcement Network also is warning drug investigators to watch for the pills known by one street name as "Death." If the demand for Ecstasy continues to rise, the risk of accidental PMA ingestion would likely follow, Farley said. As always with drugs, money is a big issue with dealers, Farley said. Economic incentives abound to create counterfeit Ecstasy, even if the fake product - PMA - doesn't produce many return customers, Farley said. There is no safe dose of PMA, he said, and no legitimate reason to consume it. But as legislators have made it harder and more dangerous to possess the chemicals necessary to produce Ecstasy, clandestine drug operators are scrounging around for cheaper, more accessible materials. PMA was briefly popular in the 1970s but lost its cachet because the high it produced was lackluster, and the downside -- the drug's extreme toxicity -- was not worth the risk of consuming it, authorities said. "Initially, the dose is milder than Ecstasy, and when they don't get the high, the euphoria, they double up," Farley said. And even though they think they may be getting just "weak" Ecstasy, they could be getting much more than they bargained for. "This is a danger, in and of itself," Farley said. "The effects are of short duration, so they take more. This is much more toxic than Ecstasy." DanceSafe, a national nonprofit group trying to reduce drug deaths and injuries at raves and in clubs, has analyzed Ecstasy tablets. The organization found the drug is often cut or replaced entirely by substances such as PCP, Valium, caffeine, detromethorphan -- an ingredient used in cough suppressants -- and Ketamine, an animal tranquilizer and sometimes human date-rape drug. DanceSafe says PMA is cheaper and safer to make. It is not a recreational drug with its own demand. "People don't go out trying to score PMA," said Farley. "They are being ripped off " by illicit drug manufacturers who know the chemicals that go into PMA are easier to obtain than those needed to manufacture Ecstasy. Even the dealers who are generally being the offered cheaper product may not be told what they are really selling, Farley said. Dealers buy it at the same price, or at a slowly lower price, "and they think they are getting a good deal," Farley said. The PMA that has surfaced in this country has been imprinted with the Mitsubishi logo: white capsules with three diamonds. Although there is no connection to the Japanese car company, the drug also has come to be known as "Stacked Mitsubishi" or "Double-Stacked Mitsubishi." "This is coming from a Mitsubishi pill press," said Farley noting that Mitsubishi also is a popular "brand" of Ecstasy. "The people who are selling it are selling it as Ecstasy and they are disguising the product to look exactly like it." PMA also has appeared in tablet, capsule and powder form and is white, pink or yellow. "From 1974 to early 2000, no deaths attributed to PMA abuse were reported in Canada or the United States," according to the DEA. Since May, three young people died in Illinois and seven in central Florida, authorities said. Medical treatment does not appear to reverse the damage to the body, Farley said. With Ecstasy, he said, "it reverses very quickly," once the body employs its own warning system and the user stops, cools down or drinks water, Farley said. With Ecstasy, the body's internal regulators kick in once the body temperature reaches 100 degrees and the user realizes something is not right, he said. There is no such "signal" with PMA. The body temperature meanwhile continues to rise without any internal signal that alerts the individual to cool down. PMA patients have entered comas at temperature of 104 to 105, and even then, the body's temperature will continue to increase, federal authorities warn. "You're literally cooking from the inside out," said Farley. In two Chicago cases in May, the body temperatures of two victims remained at 108 degrees hours after their deaths. The deaths were preceded by convulsions, intracranial hemorrhages and other uncontrolled bleeding, Farley said. "The problem with a rapidly increasing body temperature is that you don't necessarily have the ability to tell someone you need help," Farley said. "The toxic effects become irreversible, but the first time your friends notice is when you start flopping around on the floor like a fish." Authorities say there is no difference in size, shape, texture or weight between Ecstasy and PMA tablets. According to the London Toxicology Group, PMA and another synthetic compound, parameth-oxymethylamphetamine, or PMMA, are responsible for several deaths in Canada, Australia and Denmark. The drugs also have been detected in Spain, Sweden and in Austria, where a 17-year-old male died in July after using PMA. His death lead to the seizure of 4,478 tablets, according to the international drug information monitoring system. Farley said that he fears PMA will find its way here because the drugs that come to Ocean County come from Philadelphia or New York, which is the route drugs from Florida generally take. "While we are not looking to scare anyone -- and we have absolutely not seen it here yet -- we want to alert people," he said. "There are a lot of kids who use this stuff and this stuff can be fatal. People should be brought up to date on the potential danger of this." - --- MAP posted-by: Josh Sutcliffe