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The drug, which gives a faster high than traditional amphetamine, has for years been a favorite among ISIS fighters. But its export from the country, through ports like Latakia that are controlled by the Bashar Assad government, suggests that the Syrian regime might now be turning to fenethylline sales internationally to bolster its treasury. At the very least, suggest experts, it might be allowing corrupt officials to carry out trade in the illegal substance to keep them loyal.

Captagon, Biocapton and Fitton were the brand names for drugs whose main active ingredient is fenethylline, which was legal in the U.S. until 1981, when its addictive properties saw it categorized as a Schedule 1 drug alongside heroin and cocaine. When legal in the 1960s and ’70s, it was used to calm hyperactive children and for patients suffering from narcolepsy and depression. By 1986, it was banned in most countries. Yet as with most narcotics, the ban only drove production underground, with southeastern Europe emerging as the manufacturing hub. Faced with increasing international pressure, production shifted to the Middle East after 2011. Until then, Syria had no history as a manufacturer or exporter of the drug

Before the 2011 uprising, Syria’s robust pharmaceutical industry meant that almost all medicinal drugs consumed in Syria were produced in-country. Despite the war, Syria still maintains significant pharma infrastructure capable of producing vast quantities of legal medicines, and therefore illegal drugs such as Captagon. In 2017, the country’s health minister Nizar Yazayi told a pharmaceutical conference in Damascus that 40 of Syria’s 62 drug plants were still safe. State media in Syria also occasionally reports forces capturing Captagon pills worth millions on the international market from rebels. But the government hasn’t made clear what it does with all those pills.

In Saudi Arabia, the pill, which contains caffeine and quinine, a painkiller, is more popular than cocaine, weed, heroin or ecstasy. According to a 2016 study published in the journal Basic & Clinical Pharmacology & Toxicology, three-quarters of people treated for drug addiction in Saudi Arabia are addicted to amphetamines, and almost all of those are Captagon users.

Captagon is also becoming increasingly popular in the United Arab Emirates, Qatar and North Africa. While a batch of 200 sells for about $70 in Lebanon, in wealthy Gulf states a single pill can fetch between $10 and $20

more likely that the regime of Syrian President Bashar al-Assad has a hand in producing Captagon, reaping a profit that it can invest into its armed campaigns against civilians and damaging the health of many Syrians who are now addicted to amphetamines after years of war

“When Syria invaded Lebanon in the ’90s there were many reports showing the Syrian military were aiding and abetting hashish and opium production in the Bekaa Valley,”

Captagon production flourished in Syria after 2013, when a crackdown in neighboring Lebanon likely forced Hezbollah to relocate its drug production operations next door. The shift came at an opportune time for the Syrian regime, as it needed money to fund its military campaign against rebel groups

The majority of Syria’s Captagon production sites are in regime-held areas, according to Abu Ja’far, a former truck driver who worked between Homs, Rif-Dimashq, and Aleppo. “You only need some deserted homes and a few workers supervised by someone with strong connections,”

International organizations are unable to conduct research on the ground, meaning there is no concrete evidence linking the Assad regime to the Captagon trade. But sources say that strong protection would be required to produce, sell, and export the drugs from regime-held areas. “It was always possible in a country at war that those best placed to safely manufacture a drug in large quantities would be people in the regime … or in areas the regime were guaranteeing security,”

Last year, more than 33 million Captagon pills were seized in Greece after being shipped from regime-held Latakia. And in April this year, Saudi customs seized more than 44 million pills hidden in tea packaging from a company close to the Assad family.

At the height of its territorial control, the Islamic State was involved in the black market, trading looted antiquities, arms, and oil. But there is little evidence that the group ever produced Captagon—even if individual fighters used the drug on the battlefield. It would not have been sanctioned at the institutional level because of the group’s Salafism: Islamic State leaders punished people caught smoking or selling tobacco, making it unlikely they condoned the manufacturing of amphetamines.

Saudi Arabia has long been the No. 1 consumer of Captagon, which is popular among young and affluent partygoers. As conflict drags on in Libya, it is also possible the large shipment was destined for the port of Benghazi, with Europe as a transit point.

While much of the Captagon produced in Syria is destined for overseas markets, Syrians themselves suffer some of the worst damage from the trade. The worst-quality Captagon tablets are sold within Syria for as cheap as $1 per pill

Captagon is known to inhibit tiredness, hunger, and fear. But its use is now common among all demographics in Syria, not just fighters. The most common side effects include extreme depression, insomnia, malnutrition, and heart and blood toxicity