Dissociatives
Pheniramine (Avil) Abuse
Street names: Avil, Pheniramine maleate, Avil injection
Overdose? Act now. Call emergency services — say "unresponsive, not breathing". Give naloxone for opioid-like signs. Hotlines
⚡What it does
- At high or injected doses: deliriant 'high', hallucinations
- Sedation at normal doses
⚠Key risks
- Injecting Avil is a documented epidemic in parts of India — abscesses, gangrene, amputations
- Anticholinergic delirium and seizures
- Often combined with opioids ('speedball' style)
✚Overdose signs
- Delirium, hallucinations
- Racing heart
- Seizures
Category comparison — Dissociatives
| Substance | Class | Top risks | Street price |
|---|---|---|---|
| Pheniramine (Avil) Abuse | OTC/prescription varies | Injecting Avil is a documented epidemic in parts of India — abscesses, gangrene, amputations; Anticholinergic delirium and seizures | ~$0.20–$1 per tablet/ampoule in South Asia |
| Ketamine | Schedule III | Bladder damage (ketamine cystitis) with regular use; K-holes and accidents while impaired | ~$20–$60 per gram |
| Ketalar (ketamine injection) | Schedule III | IV use raises infection and dependence risk; Bladder harm identical to powder use | ~$30–$100 per vial |
| 2F-DCK (2-fluorodeschloroketamine) | Analogue prosecutions | Very little human safety data; Bladder toxicity assumed similar to ketamine | ~$25–$60 per gram |
| DXM (Dextromethorphan / Robotripping) | OTC | Serotonin syndrome — DXM is serotonergic; DEADLY with SSRIs, MAOIs, MDMA; Liver damage — Coricidin contains chlorpheniramine (antihistamine) that's hepatotoxic at abuse doses | ~$5–$12 per bottle |
| 3-MeO-PCP | Analog prosecution | MANIA and dangerous disinhibition — users hurt themselves/others; Overdose: severe dissociation, catatonia | ~$20–$50/g |
Street prices are regional estimates. Potency and cuts vary constantly.
?Frequently asked questions
What does Pheniramine (Avil) Abuse look like?
Tablets and injectable ampoules; widely diverted and injected in India, Bangladesh and Nepal
What are the signs of a Pheniramine (Avil) Abuse overdose?
Delirium, hallucinations; Racing heart; Seizures Call emergency services immediately.
How addictive is it?
Injecting Avil is a documented epidemic in parts of India — abscesses, gangrene, amputations Dependence can develop with regular use.