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The pain reliever tilidine seems to be a fashionable drug for more and more young people aged 15 to 20 years. Use increased 30-fold in two years, according to research by STRG_F .
By Mirco Seekamp, STRG_F (NDR / funk)
According to data from the legal health insurance funds, the number of adolescents and young adults who have been prescribed the drug tilidine has increased enormously. In 2017 there were 100,000 defined daily doses, in 2019 more than three million in the 15-20 age group. This comes from the data of the compulsory health insurance, which STRG_F exists.
In general, the use of the remedy is low in people up to 40 years old, while the 15-20 age group has a relatively high proportion of tilidine prescriptions. The University of Bremen health expert Gerd Glaeseke thinks this is remarkable, it is “a statistical outlier”.
Tilidine is a prescription pain reliever from the group of opioids. It is used to treat severe pain. It is often used to treat acute pain, such as after hip or knee surgery.
Numbers indicate abuse
What is also striking about the data for the 15-20 age group is that almost three-quarters of tilidine is prescribed for children. Glaeske sees this sharp change as one more indication of inappropriate use, because children and youth in this particular age group are “very willing to take risks with substance use or testing.” However, it’s unclear to Glaeske how teens and young adults can convince doctors to prescribe the drug.
In STRG_F-The Federal Institute of Medicines and Health Products (BfArM) declares that it takes the figures presented very seriously. The federal office responsible for opium of the BfArM now wants “to obtain more knowledge with a view to increasing regulations.” If there is “adequate data,” the expert committee on narcotics should discuss tilidine in tablet form.
Tilidin in many German rap songs
Tilidin has been playing a role in the German rap scene for years, especially among violent groups in Berlin. Tilidine is used there as a drug in fights to become less sensitive. Since 2017, well-known German rappers such as Capital Bra, Samra or AK Ausserkontrolle have increasingly approached tilidine as a drug in their song lyrics. Capital Bra and Samra’s song “Tilidin” has more than 65 million views on YouTube. Capital Bra is currently, compared to the number one hits, the most successful artist in the history of German music.
Many teenagers apparently try to imitate the lifestyle, posing on social media with painkillers. An 18-year-old student who claims to take Tilidin regularly tells him STRG_F-Interview: “You want to be closer to rappers doing the same things as them.” He goes on to say, “If they promote themselves as real (genuine), then one should believe.”
The fact that young adults take rappers’ lyrics literally is also supported by statements from Tilidin distributors. They say the paragraph changes noticeably when a new rap hit is released that targets Tilidin.
A Tilidin merchant from the Darknet writes across the street STRG_F“He” also noticed directly up front how, in some cases, minors clearly show an interest in these substances; In my opinion, they can be assigned entirely to this part of the rap scene. “He recognizes minors, for example, by the fact that they ask their parents if something is wrong. He would recognize by the letter with which it was sent the Tilidin to the recipient’s address He says no sale would then be made Specific questions to German rappers Capital Bra, Samra and AK Ausserkontrolle remained unanswered.
High risk with high tilidine
Tilidine can cause dizziness and nausea, among other things. In relation to alcohol, it can lead to respiratory failure. To take tilidine as a medicine on a regular basis, the dose should be increased. That can lead to addiction. Until now, the general opinion has been that tilidine, as a sustained-release tablet, does not have such a high potential for abuse. The reason is that the naloxone blocker only slowly releases the active ingredient. But according to information from STRG_F Many young people know how the delay can be circumvented so that the active ingredient is released immediately.
Tilidine has been included in the Narcotics Act in drop form since 2013. They now only account for four percent of prescriptions, apparently as a result of stricter controls. At the time, Professor Glaeske was a member of the expert committee that, due to the potential for abuse, recommended that the drops be dispensed in a more strict and controlled manner. In the case of extended-release tablets, he advises to check again if the tablets should also be included in the Narcotics Act.
