Sierra Leone’s president has declared a national emergency over rampant drug abuse.
Kush, a psychoactive blend of addictive substances, has been prevalent in the country for years.
President Julius Maada Bio called the drug a “death trap” and said it posed an “existential crisis”.
One of the drug’s many ingredients is human bones - security has been tightened in cemeteries to stop addicts digging up skeletons from graves.
Groups of mostly young men sitting on street corners with limbs swollen by kush abuse is a common sight in Sierra Leone.
If there are both, you won’t feel the tramadol. When the ratio is high enough, it will make it suck less when the Fentanyl wears off and give it longer action though. It’s kind of like saying they smoked meth with cocaine sprinkled on top. The meth is doing the heavy lifting.