Long term:

The most common long term effects are scarred, collapsed and infected veins, damaged heart valves, abscesses and other tissue infections, liver failure, kidney disease and lung problems. Sharing of needles result in hepatitis, AIDS and other transmitted diseases. Mental defects and psychoses are fairly common.

The very random make-up of the drug means that a user is never sure of the outcome. Each batch is different. The mixtures are prepared by incompetent dealers with no medical or ethical regard. As such, a street purchase can consist of conflicting and highly toxic ingredients – combinations that can lead to erratic outcomes and even death.