Getting High On HIV Medication

South Africa has one of the planet's most unique drug cultures. It is a realm where the quaalude still abounds and heroin has emerged only recently not in its familiar guise as an intravenously administered powder but as a component in a mysterious smoking mixture called "the nyaope."

The drug efavirenz was first approved by the FDA in 1998 and has since become a vital component of the antiretroviral drug cocktails that are used to treat HIV internationally. Although prescription drug abuse is not uncommon this was the first time Hamilton has heard of an antiretroviral drug being used recreationally and the suggestion that it behaved like a classical psychedelic further kindled the fires of his obsession....

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