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Cough syrup for kicks - Street News Service

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28<br />

REPORT<br />

<strong>Cough</strong><br />

<strong>syrup</strong><br />

<strong>for</strong><br />

<strong>kicks</strong><br />

In Zambia’s capital Lusaka, a new drug is gaining popularity: cough <strong>syrup</strong>. Downed by the bottle, it makes<br />

people feel high, and many addicts claim it makes them work harder. Innocent as this may sound, this deliberate<br />

overdosing is not without risk. By Jorrit Meulenbeck and David Mwanza<br />

I jab myself with medicki,<br />

I feel like I am not getting<br />

tired,” says bus driver<br />

“When<br />

Demuru Kabamba. “Medicki<br />

is my magic.” When Kabamba talks about<br />

‘medicki’, local street-slang <strong>for</strong> medicine, he<br />

means Benylin or Histalix, two popular brands<br />

of cough <strong>syrup</strong> that are widely available in<br />

Zambian pharmacies.<br />

Originally intended to be taken in small dosages<br />

to give a sedative effect and depress the<br />

so-called ‘ cough centre’, taking larger quantities<br />

of Histalix or Benyling at once appears to<br />

give many users a feeling of euphoria, aggressiveness,<br />

being more focused and getting tired<br />

less easily.<br />

“I make more money now than be<strong>for</strong>e I started<br />

taking it,” bus driver Kabamba continues to<br />

explain. “Some of my fellow drivers will go<br />

into the hood to drink beer <strong>for</strong> a few hours, to<br />

feel aggressive on the road. But not me. I do<br />

not rest. Even when my route dries up, I become<br />

creative and just use another route, to<br />

make more money <strong>for</strong> the boss, and myself of<br />

course.”<br />

That is why Kabamba now uses it every day.<br />

A demanding habit, as the bottles do not come<br />

cheap at about 25 000 Kwacha (5 US Dollars).<br />

But the high cost of this addiction only<br />

motivates Kabamba more. “It is not af<strong>for</strong>dable.<br />

That’s why you need to be aggressive, so you<br />

are able to work hard and buy more.”<br />

The cough <strong>syrup</strong>s, also known on the streets<br />

as ‘nyelele’, were introduced in Lusaka from<br />

Zimbabwe, where Histalix is manufactured.<br />

‘Nyelele’ means ‘ants’ in the local language,<br />

as the first users described the effect as ants<br />

crawling in your bloodstream.<br />

Yellow Man (a local nickname <strong>for</strong> albino’s) has<br />

Zimbabwean roots, and stays near Marapodi,<br />

a compound where many Zimbabweans live.<br />

“Back in Zimbabwe we consume nyelele like<br />

no man’s business,” he says. Yellow Man<br />

sees the religious beliefs of the so-called Hosanna’s,<br />

followers of prophet Papa Johanne<br />

“I used to feel like I was<br />

in America,” he remembers<br />

his first nyeleleexperience<br />

7 years ago,<br />

when his brother-in-law<br />

introduced him to it.<br />

“For real, when you fix<br />

yourself with nyelele, it<br />

takes you to America,<br />

and you can even speak<br />

with Obama, the<br />

president.”<br />

who discourage the use of alcohol, as one of<br />

the reasons <strong>for</strong> the drug’s popularity back in<br />

Zimbabwe.<br />

In Lusaka he works as a Zam-cab, as the<br />

wheelbarrows that transport heavy loads<br />

around town are popularly called, and also<br />

doubles as a call-boy, shouting to attract<br />

customers to buses at Mandevu bus station.<br />

“Working here is not an easy thing,” he explains<br />

his reasons <strong>for</strong> taking the stuff. “When<br />

you are not aggressive and strong, you end up<br />

knocking off with nothing at the end of the day.”<br />

As pharmacist sometimes ask <strong>for</strong> a doctor’s<br />

prescription, and most serious addicts require<br />

at least a bottle every day, a lively trade has<br />

sprung up in the city’s poorer compounds. DJ<br />

Popa is one of the people who sells nyelele in<br />

his area.<br />

“I used to feel like I was in America,” he remembers<br />

his first nyelele-experience 7 years<br />

ago, when his brother-in-law introduced him to<br />

it. “For real, when you fix yourself with nyelele,<br />

it takes you to America, and you can even<br />

speak with Obama, the president.”<br />

He enjoyed the feeling so much that he wanted<br />

to enable others to feel the same way too.<br />

“Many friends have started consuming it because<br />

they see me taking it in the club. When<br />

they ask <strong>for</strong> a lid, I give them two. It will take<br />

them to America, and soon they will call me<br />

<strong>for</strong> a bottle.”<br />

As he sees it, the cough <strong>syrup</strong>s are much bet-


ter than alcohol, which just makes people lazy. “In<br />

the ghetto where I live you see youths drinking as<br />

early as 6 in the morning, but many of my buyers<br />

are hard-working.”<br />

Though Popa does his dealings in private, he is not<br />

very scared of the Drug En<strong>for</strong>cement Commission<br />

(DEC) officers, or ‘December’ as he calls them.<br />

“They are just concerned with dagga (weed), not<br />

medicki.”<br />

For Chiyeso Phiri, a carpenter in Chaissa compound,<br />

that is the big advantage over weed, which<br />

gave him the same creative vibe be<strong>for</strong>e. “The December<br />

are all over the ghetto, arresting smokers<br />

and sellers. I was afraid of getting arrested and<br />

leaving my family suffering. But with nyelele no one<br />

can follow you.”<br />

What about the reported side-effects? And the rumors<br />

of people going crazy, or even dying as a result<br />

of overdosing on Histalix or Benylin?<br />

Yellow Man has heard that people in Zimbabwe<br />

have died as a result of overdosing, but he does<br />

not seem too worried by it. “You need to overdose<br />

<strong>for</strong> you to have fun,” he says. “You need to drink<br />

a half or a whole bottle at once. But I think too<br />

much of anything can be dangerous. Even nshima<br />

(maize porridge), while it is a nice staple food, you<br />

can die if you take too much.”<br />

Dealer DJ Popa also heard the disturbing stories<br />

about the first generation users of Histalix. “Some<br />

of them developed puss in their lungs,” he says.<br />

“But <strong>for</strong> Benylin the only effect I know is reliance.<br />

Some hardcore businessmen have to buy three<br />

bottles a day.”<br />

REPORT<br />

Left: DJ Popa drinking the cough <strong>syrup</strong> that he buys in bulk from pharmacies<br />

in town and sells to in the area where he lives.<br />

Top: Yellow Man opening a packet of Benylin, the codeine-containing cough<br />

<strong>syrup</strong> he uses every day to get high and deal with the pressure of his job.<br />

The unhealthy effects of a medicine<br />

The usage instructions <strong>for</strong> Benylin and Histalix cough <strong>syrup</strong>s prescribe a dosage of<br />

5 to 10 ml every four to six hours, but addicts easily use more than twenty times this<br />

amount, consuming a whole bottle or more per day.<br />

CAPS, the Zimbabwe-based producers of Histalix, already put a warning in the<br />

manual <strong>for</strong> the physical dependency that can be developed by prolonged use and<br />

overdosage.<br />

People who become addicted to these medicines will suffer withdrawal symptoms<br />

when they do not get their fix in time, just as with many hard drugs. Codeine, one of<br />

the ingredients of Histalix, is a narcotic with similar effects to morphine.<br />

The list of possible side-effects mentioned in the usage instructions of both Histalix<br />

and Benylin is endless. Nausea, drowsiness and headache are the least serious, but<br />

hallucinations, spasm and even coma can also occur.<br />

Abuse of these medicines is not a new thing, and has not only been reported in<br />

Southern Africa. Canadian doctor Joseph Walker and some of his colleagues already<br />

wrote about a severe case of Benylin-abuse in the early 90’s. He reported that<br />

one of his patients took up to 400 ml of the <strong>syrup</strong> in times of stress <strong>for</strong> almost 8 years,<br />

and eventually was admitted to hospital suffering from severe psychosis and mania.<br />

While US-trained doctor Dalila Zachary, now based in Zambia, has never come<br />

across a case of cough <strong>syrup</strong> abuse herself, she has heard of the practice among<br />

American teenagers. “What people should know is that all of these chemicals are<br />

dangerous when taken at these high levels”, she warns.<br />

“Paranoia, confusion, out-of-body experiences,” Zachary names a few reported effects<br />

of overdosing. “One of the most serious effects of taking an overdose can be<br />

hypothermia, high body temperature, which can even cause death.”<br />

What about the people who say they are not having any side-effects from consuming<br />

the <strong>syrup</strong> in the amounts they do? “That’s simply not true,” she says.<br />

“You may not be aware of these effects, especially when you are under the influence,<br />

but that you do not feel it today or tomorrow does not mean the negative effects are<br />

not there. Even alcoholics will often say they have no problem.”<br />

For more in<strong>for</strong>mation contact Zachary Chanda: advises chanda@restlessdevelopment.org<br />

people who have become addicted but want to stop to seek profes-<br />

www.streetnewsservice.org / <strong>Street</strong> <strong>News</strong><br />

sional counselling, just as they would <strong>for</strong> other drugs and alcohol.<br />

<strong>Service</strong><br />

29

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