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The Captagon Threat A Profile of Illicit Trade, Consumption, and Regional Realities - Newlines Institute
INTELLIGENCE BRIEFING

The Captagon Threat
A Profile of Illicit Trade,
Consumption, and Regional Realities

                              April 2022
The Captagon Threat A Profile of Illicit Trade, Consumption, and Regional Realities - Newlines Institute
The Captagon Threat
                                    A Profile of Illicit Trade, Consumption,
                                            and Regional Realities
                                             By Caroline Rose and Alexander Söderholm

                                                                                       Contents
Foreword ���������������������������������������������������������������������������������� 3          Captagon Use in the Levant,
                                                                                                        Persian Gulf, and Emerging Markets ���������������������������������� 20
Executive Summary ���������������������������������������������������������������� 4
                                                                                                           Syria and the Levant�������������������������������������������������������������� 21
   Policy Recommendations �������������������������������������������������������5
                                                                                                           Gulf and Mediterranean Destination Markets ������������������ 22
Captagon’s Evolution �������������������������������������������������������������� 6
                                                                                                        Market Trends������������������������������������������������������������������������ 22
   Captagon’s Tenure as an
   Over-the-Counter ‘Smart Drug’ �����������������������������������������������6                         Seizure Statistics�������������������������������������������������������������������� 22
   Captagon as an Illicit Drug�������������������������������������������������������6                    Sophisticated Smuggling Methods ������������������������������������ 25
   The Levant: Captagon’s Production Capital�������������������������6
                                                                                                        Captagon’s Future������������������������������������������������������������������ 26
   An Ever-Shifting Formula���������������������������������������������������������7
                                                                                                           An Uncertain Picture�������������������������������������������������������������� 26
   Methods of Production�������������������������������������������������������������9
                                                                                                           The Syrian Government’s Drug Policy�������������������������������� 26
   Captagon’s Health Risks�������������������������������������������������������� 10
                                                                                                           Health Care Practices and Drug Treatment ���������������������� 28
Filling A Vacuum�������������������������������������������������������������������� 10                   The Durability of the Captagon Economy�������������������������� 28
   Why Syria?�������������������������������������������������������������������������������� 10
                                                                                                        Policy Recommendations ���������������������������������������������������� 29
   Syria’s Black-Market Trends�������������������������������������������������� 10
                                                                                                           A Challenging Landscape������������������������������������������������������ 29
   Laboratory Locations and Smuggling Routes������������������ 11
                                                                                                           Improving Data Collection���������������������������������������������������� 30
Captagon’s Implicated Actors���������������������������������������������� 12
                                                                                                           Investment in Mental Health
   A Booming Illicit Trade���������������������������������������������������������� 12                   and Drug Treatment Services���������������������������������������������� 31
   The Nexus of Captagon,                                                                                  International Programs and Institutions���������������������������� 32
   Militant Warfare, and Jihad�������������������������������������������������� 13
                                                                                                           A Proactive U.S. Policy on Captagon���������������������������������� 33
   Syrian State Involvement������������������������������������������������������ 15
   The Fourth Division and                                                                              Conclusion������������������������������������������������������������������������������ 34
   Regime-Affiliated Shabiha Networks���������������������������������� 17
                                                                                                        Appendix:
   Assistance from Hezbollah
                                                                                                        Notable Captagon Seizures, 2015 to 2022 ������������������������ 36
   and Other State-Backed Proxies ���������������������������������������� 19
   Other Non-State Actors �������������������������������������������������������� 20                  Endnotes �������������������������������������������������������������������������������� 40

                The content and views expressed in this intelligence briefing are those of the authors and should not be
                taken to reflect an official policy or position of the European Union (EU), the European Monitoring Centre
                       for Drugs and Drug Addiction (EMCDDA) or the New Lines Institute for Strategy and Policy.

COVER: Plastic oranges filled with captagon tablets and hidden in fruit shipments were intercepted by Lebanon’s customs
and anti-drug brigade at the Port of Beirut, Lebanon, on Dec. 29, 2021. (ANWAR AMRO / AFP via Getty Images)

                                                                                                    2                                                                                      April 2022
The Captagon Threat A Profile of Illicit Trade, Consumption, and Regional Realities - Newlines Institute
Foreword                                                                  and practitioners across
                                                                          disciplines, and media reports
This project began in                                                     and investigations, this report
January 2019, when the                                                    both synthesizes the available
amphetamine-type stimulant                                                information and presents new
known as captagon had                                                     intelligence about the captagon
largely fallen out of the focus                                           trade, identifying some of the
of states and international                                               actors that have come to rely
institutions. While the drug had                                          upon it as a key means for
briefly achieved notoriety for                                            expanding their economic and
its supposed links to violent       Captagon pills seized in Beirut       political capital. These actors
extremism, little was still         in June 2010.                         have been key in facilitating
                                    (JOSEPH EID / AFP via Getty Images)
known about the captagon                                                  the trade’s expansion. The
trade, including its actors,                                              report additionally assesses the
                                    associated with jihadism. The
production, and markets.                                                  potential impacts the captagon
                                    authors of this report began
This lack of research and                                                 market may have on the future
                                    to investigate the veracity and
understanding was the impetus                                             of Syria, particularly as state and
                                    strengths of these claims, and as
for this project, which aims to                                           non-state actors use the trade
                                    the project developed, it became
explore the nexus between the                                             as a tool of financial and socio-
                                    evident that there is much more
captagon trade and actors within                                          political leverage in Syria’s power
                                    to the captagon trade than what
Syria’s power vacuum.               is signaled by the so-called          vacuum, raising a series of policy
                                    “narco-terrorist nexus.” Today,       recommendations for the region
Following the Islamic State                                               and the U.S. government.
                                    the captagon trade involves
group’s rise in Iraq and Syria,
                                    a diverse set of participants,
there was intense speculation                                             The report asserts that
                                    including state actors, non-state
of a strong captagon-jihadist                                             while captagon’s traditional
                                    groups, and warlords. The trade
association. Particularly           also affects a large number           destination markets have been in
following the 2015 Paris attacks,   of civilians traumatized by           the Persian Gulf, recent seizures
when false claims spread that       conflict and violence.                point to southern Europe and
ISIS perpetrators had consumed                                            North Africa as new transit
captagon prior to committing        Working within the limits of          points and sites of interest.
the atrocities, terms such as       substantial information gaps,         More importantly, the report
“narco-terrorism,” “chemical        this report traces captagon’s         identifies the captagon trade as
courage,” and “Jihadi drug” were    evolution from a legitimate           a concerning health risk in the
quickly disseminated by the         pharmaceutical commodity into         region as well as a geopolitical
media and policymakers in an        a sprawling illicit economy and       risk to the U.S. and its partners’
attempt to describe the drug and    the foremost illicit drug trade in    regional security interests. The
its users. Reportage, analyses,     Syria. Contemporarily, this has       trade’s role as a revenue source
and even some peer-reviewed         elevated the captagon trade to        for state and non-state actors
research about captagon             a Mediterranean-Persian Gulf          such as the Syrian government,
further fanned sensationalist       zone challenge. Drawing from an       Hezbollah, and state-affiliated
assumptions about captagon by       array of sources in peer-reviewed     militias has fueled malign
drawing on sporadic data and        academic journals, white              activities that have exacerbated
seizure statistics that enabled     papers, open-source intelligence,     insecurity, encouraged
stereotyped narratives about        field research, interviews            corruption, and empowered
captagon being exclusively          with subject-matter experts           authoritarian behaviors.

                                                       3                                                   April 2022
The Captagon Threat A Profile of Illicit Trade, Consumption, and Regional Realities - Newlines Institute
Executive Summary
The forecast for the impacts of
the captagon trade is serious;
the expansion of production
and trafficking, coupled with the
Syrian government’s intransigent
treatment of people who use
drugs and lack of public health
provisions, paints a poor picture
of Syria moving forward. This
special report reveals new
insights about captagon’s
production, consumption,
trafficking, and destination
markets that have affected the
Levant, Mediterranean, and Gulf
security landscape:

■ Captagon production patterns
have shifted in Syria from
smaller, fragmented operations
in rebel-held areas to industrial,
containerized operations in          Tablets are displayed at a Turkish customs warehouse after 6.2 million
territories held by the regime       tablets were seized at the Port of Hatay.
                                     (Burak Milli / Anadolu Agency via Getty Images)
of President Bashar al-Assad.
Smuggling operations are
becoming more sophisticated,         logistical support in captagon                    intended transit areas for other
and new overland and maritime        production and trafficking.                       markets or if they are emerging
routes are being identified,                                                           as new consumer markets.
posing a severe challenge to law
                                     ■ As affiliates of the Syrian                     Regions beyond are also
enforcement agencies in the          government and other actors                       potentially at risk for increased
region and internationally.          seek to export captagon, they                     captagon trafficking from Syria
                                     exploit governance deficits in the                and neighboring states. This
■ Elements of the Syrian             region by collaborating with a                    requires continued monitoring,
government are key drivers           broad range of criminal networks,                 especially as traffickers
of the captagon trade, with          militant groups, mafia syndicates,                adopt more sophisticated
ministerial-level complicity in      and autocratic governments.                       methods of smuggling.
production and smuggling,
using the trade as a means for       ■ While the Gulf continues to                     ■ While some of captagon’s
political and economic survival      be the main destination market,                   health effects have been
amid international sanctions.        this report shows that North                      exaggerated in an attempt to
The Syrian government appears        Africa and southern Europe                        link its use solely to militants,
to use local alliance structures     have also been targeted by                        this report regards widespread
with other armed groups such         captagon traffickers, although                    captagon consumption as
as Hezbollah for technical and       it remains unclear if these are                   a potential serious public

                                                          4                                                                April 2022
The Captagon Threat A Profile of Illicit Trade, Consumption, and Regional Realities - Newlines Institute
health threat in Syria and

                                     “ converge
beyond due to the lack of
adequate public health and
                                       The U.S. and its partners need to
drug treatment services and                     on a strategy that seeks to
the ever-changing chemical               disrupt the criminal networks involved
composition of the drug.

■ The captagon trade is a rapidly
                                         in the captagon trade.             ”
growing illicit economy in the
Middle East and Mediterranean.
While the trade had an estimated    report identifies a series of policy    of seizures to develop a
value of $3.46 billion in 2020,     solutions to mitigate captagon’s        database that could link
based on large-scale seizures       malign effects, bolster regional        individual batches to specific
alone the potential value of the    law enforcement cooperation,            production sites in Syria
retail trade in 2021 is estimated   enhance health care sector              ► Forecasting   how captagon
at over $5.7 billion.               responses, and undercut actors’         stakeholders, particularly state
                                    production capacity:                    actors such as the Syrian
Policy Recommendations                                                      government, are preparing
                                    ■ There is an increasing need           for long-term development of
The illicit production,             for a regional Mediterranean-           the trade and how the trade is
trade, and consumption of           Gulf forum, law enforcement             impacted by port development
captagon has become deeply          agencies, and researchers to            projects, collaboration with
embedded into Syria’s wartime       design a coordinated response           organized crime networks,
economy – an indication of          to illicit captagon production and      and the exploitation or use
weakening institutions and an       smuggling that addresses:               of private-sector entities
exacerbated power vacuum.             ► Containerized  shipments            to handle the logistical
The decade-long civil war             of captagon on maritime               arrangements of trafficking
has enabled the profiteering          commercial routes in                 ■ The U.S. and its partners need
of various illicit markets by         response to the potential            to converge on a strategy that
armed actors including violent        expansion of the captagon            seeks to disrupt the criminal
and organized crime groups,           trade into new areas, such as        networks involved in the
a dynamic similar to other            Africa and Europe
                                                                           captagon trade. Simultaneously,
contexts such as Afghanistan,         ► Identifying key nodes — licit      partners should seek to address,
Brazil, and Colombia. This report     channels, informal maritime          where possible, the drivers
identifies the captagon trade in      and overland routes, and             of the trade by approaching
Syria as a multifaceted market,       major ports of entry — of            it as a human security and
facilitated and administered by       captagon trafficking to
                                                                           health challenge.
a diverse array of actors — local     improve law enforcement
warlords, foreign terrorist           monitoring for interdiction          ■ The U.S. specifically needs to
organizations, paramilitary           ► Tracking   street-level
                                                                           assess an internal, interagency
fighters, state-sponsored proxy       interdiction of captagon             process that can conduct a
organizations, and a range            in transit and destination           thorough review of the captagon
of Syrian government and              countries to monitor                 trade’s participants and assess
government-affiliated officials       the emergence of new                 how to approach the trade
— perpetuating a trade that will      consumer markets and                 in the context of its existing
outlast Syria’s civil war. This       systematic forensic profiling        sanctions campaign.

                                                     5                                                         April 2022
The Captagon Threat A Profile of Illicit Trade, Consumption, and Regional Realities - Newlines Institute
Captagon’s Evolution                    international scheduling, cessation   Captagon®’s chemical and tableting
                                        of fenethylline production, and       process, creating cross-country
Captagon’s Tenure as an                 depletion of global fenethylline      production lines.
Over-the-Counter ‘Smart Drug’           stocks globally by 2009,4 all
                                        substances branded as Captagon®       In the late 1980s and early 1990s,
Captagon has a nuanced history,         no longer contain any fenethylline.   captagon and other synthetic
both as a licit pharmaceutical          As such, to differentiate from the    drugs grew in popularity. Bulgarian
substance and as an illicit drug. It    fenethylline-containing “original”    factories shifted export cycles to
first emerged in Germany, produced      Captagon® tablets produced            sustain illicit deliveries to the Middle
and patented by Degussa Pharma          until the 1980s, and drawing          East while continuing to supply the
Group in the early 1960s under          inspiration from authors such as      domestic and Eastern European
the trade name “Captagon®.”             Laurent Laniel,5 in this report we    market.8 The U.N. Office on Drugs
The drug was prescribed by              use “captagon” to denote the drug     and Crime (UNODC) reported
primary care physicians and             as it is known currently: an ATS      that during this period, Bulgarian
psychiatrists for treating a wide       with a series of variable cutting     chemists and their production
range of conditions, such as            agents. Captagon pills vary widely    skills were dispersed across
attention-deficit hyperactivity         in terms of their composition,        Eastern Europe and the Levant,
disorder, abulia, brain injuries,       which adds to the complexity of       indicative of the rise in ATS-related
depression, and narcolepsy.1 The        monitoring the drug’s production,     production and trafficking
drug contained fenethylline, an         trafficking, and use.                 offenses in states such as Turkey,
amphetamine-type stimulant (ATS),                                             Czechoslovakia, and Serbia.9
and metabolized into a combination      Captagon as an Illicit Drug
of 13.7% theophylline and 24.5%                                               The decline in demand for ATS
amphetamine in an oral dose.2 It        Following Captagon®’s international   in southeastern Europe started
was legally marketed as a “smart        scheduling, counterfeit tablets       in the late 1990s, causing large-
drug,” with supposedly lower            gained popularity eastward. While     scale production of captagon in
side effects and abuse potential        the drug’s scheduling halted          Bulgarian factories to give way to
than other drugs available on the       a majority of pharmaceutical          smaller-scale, mobile laboratories
market at the time.                     production processes, factories       in the Middle East.10 The collapse
                                        and laboratories in Serbia,           of the Soviet Union and the
Fenethylline was a widely embraced      Slovenia, Montenegro, and             Balkan governments’ transition to
treatment largely until the 1970s,      Bulgaria continued illicit captagon   democracy led to a series of law
when reports arose of the drug’s        production and trafficked the         enforcement crackdowns during
negative side effects and addictive     drug to emerging destination          the mid-1990s, causing chemists,
qualities and pharmaceutical            markets in the Arabian Peninsula      laboratory production staffers,
alternatives emerged on the             through Turkey and the Levant,        and traffickers to reduce their
market. Throughout the 1970s,           possibly using up leftover stocks     domestic activities and relocate
governments incrementally placed        of fenethylline at the outset.6       their operations.
controls on the drug. Fenethylline’s,   Bulgaria in particular was a key
and thus Captagon®’s, time on the       country producing Captagon® after     The Levant: Captagon’s
legal market ended in the 1980s.        the state-owned pharmaceutical        Production Capital
In 1981, fenethylline was listed        company, Pharmachim, received
as a controlled substance, and in       a license by the Commission for       Following the decline of Bulgarian
1986 it was scheduled under the         Permission of Medical Drugs           production, Syria and Lebanon
U.N. Convention on Psychotropic         in 1981, using Soviet facilities      proved to be natural successors
Substances (1971), which was            for state-regulated production.7      in the mid-2000s. Throughout the
followed by a rise in counterfeiting    State-affiliated pharmaceutical       1990s, Bulgarian pharmacists,
activities in Europe and the            companies coordinated to              chemists, and black-market
Middle East.3 Since Captagon®’s         develop production technology for     entrepreneurs and organized crime

                                                         6                                                      April 2022
The Captagon Threat A Profile of Illicit Trade, Consumption, and Regional Realities - Newlines Institute
“ Lebanon’s
    Additionally, following the Israel-Lebanon war in 2006 and
               civil war, factions became desperate for alternative revenue
    sources, expanding the space for the illicit drugs trade. ”

groups knowledgeable about                susceptible to corruption and           captagon use, and as such these
production established a series           collusion with criminal networks.       studies need to be viewed with
of contacts in the trade’s primary                                                caution. Nevertheless, captagon
consumer market, the Middle East,         Syrian state-affiliated actors’ foray   has frequently been cited as a key
with close ties in Syria in particular.   into the illicit drugs trade did not    factor in an emerging abuse crisis
In a report by the Global Initiative      begin with captagon. Throughout         in the region, with its use coinciding
Against Transnational Organized           the 1980s and 1990s, the hashish        with modernization reforms,
Crime (GIATOC), experts noted             trade in Lebanon’s Bekaa Valley         growing youth unemployment,
that Bulgaria and Syria established       thrived under the auspices of           and, crucially, within a context of
a unique scientific and technical         Hezbollah networks, with complicit      limited harm reduction and drug
partnership, where Syria pursued          involvement from the Lebanese           treatment services.17
technical collaboration by sending        state and later Syrian armed forces
chemists to study in Bulgaria in          during their occupation of Lebanon      An Ever-Shifting Formula
return for large Bulgarian exports.11     the early 2000s.14 Additionally,
The relationships between                 following the Israel-Lebanon            One of the most challenging
state-affiliated Bulgarian and            war in 2006 and Lebanon’s civil         aspects in tracking the patterns
Syrian pharmaceutical companies           war, factions became desperate          of captagon production,
paved the way for an                      for alternative revenue sources,        smuggling, and use is assessing its
exchange of technical and                 expanding the space for the             precursors and constantly shifting
scientific expertise and the              illicit drugs trade.                    chemical formula.18 While drugs
establishment of clandestine                                                      in tablet form often have varying
labs in Syria and along the               Both Syria’s and Lebanon’s              levels of purity and adulterants
Lebanese-Syrian border.12                 penetrable political systems and        (such as MDMA pills produced in
                                          fragmented law enforcement              Europe or even methamphetamine
Law enforcement and drug                  agencies presented an opportunity       pills produced in the Golden
control organizations such as the         for illicit drug producers to exploit   Triangle), the contents of captagon
UNODC also noted that production          the potential for trafficking routes    tablets seemingly have an even
patterns primarily shifted to Middle      closer to consumer markets in the       higher variability. While most often
Eastern and North African states          Middle East and Persian Gulf.15         these pills contain amphetamine,
in the mid-2000s, with drastic            Since the early 2000s, captagon’s       methamphetamine has also been
decreases in seizures across              target consumer market has              identified in tablets, in addition to
Europe after 2004 and the first           transitioned from southeast Europe      various other adulterants described
recorded captagon facility raid           to wealthy youth in the Gulf, such      below. This variance has caused
in Lebanon in 2007.13 Syria and           as in Saudi Arabia, where some          confusion in reporting seizures
Lebanon were closer to destination        studies have estimated that up          and monitoring the use of the
markets in the Arabian Gulf, which        to 40 percent of people who             drug. This variability is likely
reduced detection risks and               use drugs consume captagon.16           influenced by the high volatility
transportation costs for producers        However, given the cultural taboo       in accessing precursors and
and traffickers. These states also        and strict legal penalties of drug      producers in Syria making use of
had fragile, developing economies         use in the Persian Gulf, there is       whatever chemicals they have at
and vulnerable political systems          limited data on the prevalence of       hand to make the pills. Indeed, by

                                                            7                                                     April 2022
The Captagon Threat A Profile of Illicit Trade, Consumption, and Regional Realities - Newlines Institute
the mid-2010s, the UNODC and              of reported pseudoephedrine            that tablets contained between
other institutions raised alarms          requirements is notable, surpassing    16.29% and 41.23% amphetamine,
related to the increase of captagon       the United Kingdom, Saudi Arabia,      along with significant levels
counterfeited with unknown                Jordan, and Canada, and just           of additives such as caffeine,
precursors, in combination with an        under half that of Switzerland,        lidocaine, diphenhydramine, and
array of additional substances and        one of the world’s largest             8-chlorotheophylline.28 Some earlier
cutting agents due to low stocks of       pharmaceutical and biotech             lab analyses, such as studies
precursor chemicals.19                    hubs, despite a lack of official and   conducted by Greek and Dutch law
                                          explicit reasoning for such large      enforcement in 2016 and 2017,
Broadly, there are three forms of         pseudoephedrine imports.               identified tablets marketed as
illicit precursor supply channels for                                            captagon manufactured with no
ATS: extracting them from legal           In the early 2000s, producers          amphetamine at all, just consisting
pharmaceutical products (e.g. in the      seemingly predominantly sourced        of concentrated caffeine,29
case of pseudoephedrine contained         precursor substances from              and a series of Saudi Arabian
in cold-and-flu pills); the importation   Bulgaria and Turkey, as evidenced      toxicological analyses found
of foreign manufactured                   by law enforcement seizures of         toxic levels of zinc and nickel.30
precursors; and illicit domestic          BMK and phenylacetic acid.25 Since     The high doses of amphetamine
manufacturing.20 Acquiring                then, the landscape has shifted, and   identified in some captagon
or manufacturing precursor                changing precursor availability has    tablets create risks of dependence,
chemicals is a common challenge           had a large effect on the content      nerve damage, cardiovascular
for illicit drug producers, requiring     of captagon tablets. The few           challenges, muscular breakdown,
extensive financial investment,           chemical profiling tests that have     and neurotoxicity, while many
chemical knowledge, and access            been conducted have determined         of the additive compounds
to non-scheduled substances and           that the drug most often               have been associated with
equipment.21 Law enforcement              includes amphetamine and other         nerve-blocking, ventricular
agencies and international                adulterants such as allopurinol,       tachycardia and bleeding, affecting
institutions such as the UNODC            paracetamol, diphenhydramine,          neurotransmission, and other
and INCB have served as obstacles         procaine, lactose, ephedrine,          harmful side effects.31 Taken
for captagon and other synthetic          metronidazole, theophylline,           together, the high variability
drug producers searching for              chlorphenamine, chloroquine,           in the content of captagon
precursors such as phenylacetic           acetaminophen, caffeine, quinine,      tablets poses a high risk to the
acid, ephedrine, pseudoephedrine,         metronidazole, trimethoprim,           health of the user, and public
alpha-phenylacetoacetonitrile, and        P-2-P methyl glycidate, and other      health systems will likely be
benzyl methyl ketone (BMK).22             substances that could cause            challenged to deal with the harmful
                                          further harm to consumers.26           consequences of captagon use.
In 2016, international agencies           Some tablets have also been found
flagged increased Syrian state            to contain methamphetamine             In the past two years, some
imports of precursor chemicals.23         rather than amphetamine, which         evidence has emerged of the
This is worrying, considering the         can have much more serious             production of different captagon
link between state-affiliated actors      health consequences, especially        pills, potentially targeted at different
and illicit captagon production           at higher doses. 27                    markets and consumers based
(explored later in the report). In its                                           on their perceived “quality” level.32
annual report, the INCB recorded          Recent lab analyses have identified    Currently, there are seemingly three
that as of Nov. 1, 2020, Syria            an uptick in the production of         main types of captagon pills: white
submitted an annual estimate of           captagon with higher variability       tablets, yellow-brown tablets, and
its legitimate precursor chemical         in the purity of amphetamine. An       pink tablets. Pills primarily exported
requirements of 2,000 kilograms           October 2021 study that surveyed       to foreign destination markets
of ephedrine and 50,000 kilograms         captagon pills seized in Saudi         exhibit a whiter color and are
of pseudoephedrine.24 Syria’s level       Arabia’s Jazan region assessed         considered better quality, reflected

                                                           8                                                       April 2022
The Captagon Threat A Profile of Illicit Trade, Consumption, and Regional Realities - Newlines Institute
A Jan. 1, 2021, raid on a captagon laboratory in Boudai, Lebanon, by a Lebanese intelligence patrol resulted in several
arrests and seizures of tablets and production equipment. (Lebanese Army Command)

in higher prices. Captagon pills          pills tend to be of lower quality          deep pharmaceutical knowledge.40
produced and distributed inside           compared to the white pills.37             There have been several identified
Syria — often sold at cheaper prices                                                 captagon production methods,
between 125 Syrian pounds ($0.50)         Methods of Production                      through routes of nitropropene,
and 7,000 Syrian pounds ($2.78) in                                                   benzaldehyde, nitroethane, and
markets close to production sites —       One of captagon’s most appealing           the “Leuckart Synthesis.”41 Law
often are yellowish-brown or pinkish      traits to illicit actors is its ability    enforcement agencies have
in color,33 though there are some         to be clandestinely synthesized
                                                                                     encountered the Leuckart Synthesis
                                          in a variety of environments
reports of white tablets being sold                                                  method more frequently than
                                          and conditions, with low-cost
for 15,000-20,000 Syrian pounds                                                      others, as it is popular due to its
                                          procedures and materials that can
($5.97-$7.96) near production sites                                                  use of the BMK precursor.42
                                          yield high profit margins.38 As there
in Latakia.34 The yellow pills, often
                                          is high variability in the content of
referred to as “Ya Masharni,” “Capti,”                                               Small-scale production can take
                                          captagon pills, the drug’s chemical
and “0.1” on the streets in Levantine                                                place indoors in residences,
                                          composition can be very simple,
countries35 and “Zero One” in Iraqi       and the techniques and tools               uninfluenced by environmental
markets, are mealy and supposedly         required for production are often          conditions and out of sight of
decrease appetite and increase            cheap and legally accessible.39 The        law enforcement.43 While some
productivity and focus. The pink          methods of captagon production             captagon laboratories have been
pills are often called “strawberry”       are similar to those of several other      said to emit a unique smell that
and supposedly increase feelings          synthetic drugs: often elementary          has helped alert authorities, the
of sexual desire and invincibility.36     and non-labor intensive, with              production process’ simplicity and
Based on eyewitness accounts,             “cooks” not necessarily needing to         mobility has helped producers
both yellow and pink captagon             be experts in chemistry or possess         avoid detection.

                                                              9                                                           April 2022
The Captagon Threat A Profile of Illicit Trade, Consumption, and Regional Realities - Newlines Institute
Captagon’s Health Risks                  region that shed light on the effects     played a tacit but important role
                                         of captagon. In an investigation          in Syria’s decade-long civil war,
Due to the high variability in the       into Syria’s captagon trade by the        perpetuating and exacerbating
content of captagon pills, it is         pro-opposition outlet The Horan           existing power vacuums, rule
difficult to map its health risks.       Free League, an interview with a          of law and public health crises,
Additionally, most studies on its        user highlighted captagon’s ability       and the fragmentation of human
health and side effects have been        to stave off hunger and generate          security. The trade has empowered
on the drug’s original fenethylline      short-term productivity: “A quarter       both state and non-state actors —
formula.44 However, a broad range        of an hour was enough for ‘life’          warlords, paramilitaries, terrorist
of research exists on the most           to return to his yellow cheeks            organizations, state-sponsored
commonly found psychoactive              to start long conversations …             proxy networks, and elements of
compounds within captagon                forgetting the sound of his stomach       the Syrian government — while
as we now know it, mainly                ‘gurgling’ with hunger.”46                deepening civilians’ trauma
amphetamine and to a lesser                                                        and the region’s ever-fragile
extent methamphetamine, which            In another account, a Lebanese            security landscape.
have been linked to changes in           user described his experience,
brain function, increased risk of        saying “You can’t sleep or even           The ongoing war has allowed
stroke, increased blood pressure,        close your eyes … whatever you            captagon production to thrive and
and risk of dependence. The              take to stop it … nothing can stop        substance use to increase in a
harmful additives sometimes found        it.”47 Delusion has been a recorded       context lacking appropriate medical
in captagon tablets, such as nickel      side-effect of captagon use,              facilities and treatment programs
and zinc, have been linked with          providing a sense of invincibility        for drug use-related disorders.50
oxidative damage, neurological           and inability to feel physical pain. In   Amid civil disarray, breakdown
and developmental deficits, and          a Reuters interview, a drug control       of law and order, violence, and
decreased immune, lung, and              officer in Homs recalled captagon’s       economic deterioration, Syria
liver functions.45                       effects on users: ”We would beat          has become a major source and
                                         them, and they wouldn’t feel the          consumer of the drug.51 Lebanon
Captagon tablets’ high variability in    pain. Many of them would laugh            has served as an extension of
content is itself a health risk. Users   while we were dealing them heavy          the Syrian captagon trade, a key
are most likely unaware of the           blows.”48 Users have also reported        transit point for captagon flows,
contents of different tablets – and      a sense of euphoria, as is common         with Syrian government-connected
are thus unaware of whether they         with ATS, with one saying, “I felt like   Hezbollah leaders participating in
are consuming amphetamine or             I own the world high … there was no       the trade’s expansion. While small-
methamphetamine, for example. By         fear anymore after I took captagon,”      scale captagon laboratories have
extension, risks such as overdosing      and that “with one pill, we could         been detected in Lebanon, Syria
are heightened. In Syria, these          dance all weekend.”49                     stands as the hub for industrial-
health risks are likely exacerbated                                                sized production that has come to
as users among marginalized              Filling A Vacuum                          define the country’s illicit outflows
communities experience                                                             in the past two to three years.
converging health crises related to      Why Syria?
trauma and mental health disorders                                                 Syria’s Black-Market Trends
stemming from the ongoing civil          While captagon has been
war, within a context of extremely       consumed in Syria for nearly 40           Since 2013, captagon production
limited public health and drug           years, its role within the Levant’s       and trafficking by Syrian criminal
treatment services.                      underground markets, amid                 organizations have increased
                                         unravelling regional political            exponentially. In Syria and the
In lieu of consistent peer-reviewed      stability, has recently expanded          greater Middle East region, the drug
medical findings, there have been        and prompted international                is marketed under the street name
reports from users in Syria and the      concern. The captagon trade has           “captagon” or “Abu Hilalain” — a

                                                           10                                                     April 2022
reference to the “father of the two      for distributing captagon by           facilities that can accommodate
crescent moons,” with interlaced         Syrian producers. This includes        industrial-scale production.
‘C’s representing crescents              AlphaBay, Agora, Valhalla, and
typically impressed upon captagon        Hansa (some of which have now          Corruption, state complicity, and
yellow-brown and white tablets. In       been dismantled by international       fragmented border enforcement
addition to its signature crescent       law enforcement agencies) and          have enabled producers to acquire
moon imprint, the drug has also          illicit online pharmacies such as      controlled and non-controlled
been branded with the logo of the        Anonymous Pharmacy.60 With             chemicals and find smugglers
luxury car manufacturing division        the rise of informal, unlicensed       to transit captagon shipments
Lexus — a name that has also been        pharmacies in Syria and the            while diversifying routes toward
commonly used for higher-quality         fragmentation of rule of law,61        destination markets.65 Seizure data
captagon pills with higher purity.52     there has been some evidence           analysis of captagon and precursor
Occasionally, there have been            that captagon can be obtained          chemicals has shown that the trade
seizures of captagon contained           over the counter, such as in           remains aimed toward Persian
in plastic bags branded with a           Aleppo and other government-held       Gulf destination markets, although
counterclockwise swastika, the           provinces.62 However, the majority     it has grown more transnational,
majority seemingly originating           of the underground captagon            with emerging transit sites and
from small-scale laboratories in the     economy persists via in-person         potential consumer markets in
Lebanese-Syrian border region.53         illicit transactions between buyers,   Europe, North Africa, and Southeast
                                         dealers and traffickers, militias,     Asia. Additionally, the trade
The drug is usually sold either to       armed groups, and state officials.     increasingly relies upon maritime
groups purchasing a large amount         This makes it difficult to monitor,    transit to reach sites in Europe, as
of tablets for retail distribution       track, and identify patterns in        Turkish intervention in the Syrian
or to consumers as individual            the captagon trade.                    civil war has hampered northern
tablets or in a bag of around 200                                               overland smuggling.
tablets.54 Depending on production       Laboratory Locations
source, location, delivery process,      and Smuggling Routes                   Furthermore, recent seizures have
and quality of the drug, captagon                                               illustrated smugglers’ adaptation
is usually sold for $3 to $7 per         Captagon production labs in            to recent trade constraints and
pill in Syria, Iraq, and Lebanon55       Syria have evolved from smaller,       political conflicts. Following the
and can run up to $25 per pill in        makeshift, mobile laboratories         Saudi Arabian ban on Lebanese
consumer markets such as Saudi           to larger, industrial-sized,           agricultural products in April 2021
Arabia,56 depending on the quality       clandestine production facilities      and ban on all Lebanese imports
of tablets.57 However, captagon is       in state-controlled areas,             in October 2021, there was an
reportedly sold at a cheaper price to    commensurate with the shift in         uptick in seizures of captagon
particular buyers, averaging around      production from non-state to state     along the Saudi Arabian-Jordanian
500 Syrian pounds (roughly $1.01)        actors. Production is seemingly        border at the Al-Haditha crossing.
for young students and soldiers,         concentrated near ports and            This indicated that smugglers
reportedly used by distributors as       porous border crossings, as well as    had decreased traffic through
a tactic for recruiting users to their   in major populated areas such as       Lebanon — particularly as the
forces.58 On the Syrian streets,         in and around Damascus, Latakia,       Lebanese government directed
users have frequently referred to        East Ghouta, Aleppo, Al-Qusayr,        more crackdowns on the captagon
the transaction of buying captagon       and Homs governorates.63 Syria’s       trade to build goodwill with
in Arabic as               , or “ya      former status as a regional            Persian Gulf countries. Moreover,
mas-hrny,”59 meaning “something          pharmaceutical hub in the early        some evidence has indicated that
keeping someone up at night.”            2000s64 has proven helpful for         many of the small-scale, mobile
                                         state-affiliated actors involved       captagon laboratories formerly
Recently, darknet markets                in captagon production and             concentrated in Lebanon’s Bekaa
have also served as a method             smuggling, providing existing          Valley region have been transferred

                                                          11                                                  April 2022
over the Syrian border to dodge      Captagon’s                         media outlets seeking to pin
increased interdiction efforts in                                       the trade’s expansion on their
                                     Implicated Actors
Lebanon.66 As smugglers shift to                                        adversaries. Initially, the data
new trafficking routes, seizures     A Booming Illicit Trade            that existed on the captagon
have indicated increased transit                                        trade’s participants indicated
through alternative overland and     The literature on the captagon     indirect links with state actors,
underground routes in Jordan and     trade’s participants is scarce     where governmental officials tax
Iraq, intended to reduce suspicion   and evidentiary data has been      and facilitate illicit cross-border
and interdiction risks among         challenging to obtain and verify   shipments rather than participate
Persian Gulf law enforcement as      since 2011. There are competing    in production and trafficking.67
Saudi Arabian trade restrictions     narratives in Syria between        However, as the Syrian economy
with Lebanon continue.               pro-government and opposition      has deteriorated, there has been

                                                     12                                                 April 2022
increasing evidence of larger-scale,    to a singular actor or organization      use of the drug as a tool of jihad
direct participation from the Syrian    active in production or smuggling        to fuel its violent campaigns and
government in not only trafficking      but to a plethora of manufacturers,      territorial acquisition.78 As the
but also production.68                  traffickers, middlemen, suppliers,       organization has progressively
                                        and dealers at different stages of       lost territory in Syria and Iraq,
The captagon trade has taken            the illicit supply chain.                its leadership has searched for
a foothold in Syria’s declining                                                  sources of organizational funding
economy, serving as an alternative      The rise of the captagon trade           in black-market trades.79 Captagon
revenue source for both state and       is an important case study for           became identified within ISIS’
non-state actors. The devastated        wartime black market trades, as          micro-financial model, with experts
infrastructure, poor employment         the rise of domestic production and      noting that the trade enabled the
opportunities, and absence of           trafficking has empowered local          organization to raise funds for
sustainable livelihoods have            Syrian organized crime groups,           geographic mobility and resources
contributed to captagon’s status        criminal actors, and insurgents          for future transnational attacks.80
as a lucrative business. Trade of       to accumulate wealth and power           ISIS continues to be cited as one of
the drug comes with potential           in a volatile environment that has       the actors operating and shaping
high profits and low risks amid         supported plausible deniability.73       Syria’s captagon trade, despite the
a struggling economy and                                                         large reduction in the organization’s
reconstruction efforts, estimated in    The Nexus of Captagon,                   reach and resources and the
2019 to cost between $250 billion       Militant Warfare, and Jihad              curtailment of their territorial
and $400 billion.69 Meanwhile,                                                   control, as well as the growing
some estimates have claimed             Illicit drug markets can be lucrative    participation of other non-state
that captagon’s market value            ventures for terrorist organizations     and state actors.
transformed from nearly $1.8 billion    to accrue political and economic
in 2017 to between $2.9 billion         capital, providing employment            Following the July 2020 captagon
and $3.46 billion in 2020 — more        opportunities, livelihoods, and          seizure at the Port of Salerno, the
than the country‘s licit exports        economic regeneration to citizens,       Guardia di Finanza, a financial
that year.70 Data compiled by the       and expanding their local political      crime and smuggling investigations
authors measuring the retail value      allegiance.74 While there are some       unit attached to Italy’s Ministry of
of annual captagon seizures reflect     indications of terrorist organization    Economy and Finance, claimed
a retail market worth at least $5.7     engagement in local illicit captagon     ISIS was behind the millions of
billion in 2021.71 However, this        production and smuggling                 shipped captagon tablets.81 Media
market estimate is extrapolated         practices in Syria, verifiable data      outlets and officials circulated
from somewhat limited data,             on the extent of their involvement       this message, despite evidence of
solely calculated from reported         remains scarce.75 Institutions such      the shipment originating from the
seizures (mostly large seizures,        as the UNODC have suggested ISIS,        Syrian government and Hezbollah,
thus excluding a large number           the Free Syrian Army, and Al Nusra       as well as the fact that ISIS most
of street-level seizures that go        have had extensive involvement           likely does not have the capacity to
unreported) and the average price       in facilitating the smuggling of         facilitate a drug shipment of this
per tablet in the region, indicating    chemical precursors for captagon         size given their lack of access to
that the total value of the captagon    production.76 Despite the taboo of       factories and seaport where the
trade could be much larger. While       drugs in Islamic doctrine, some          shipment originated from.
estimates of the retail market          terrorist organizations have justified
can be useful in developing an          captagon consumption under               The precise nature of ISIS’s
understanding of the scale of           shariah, branding use as a medical       relationship to captagon production
the trade, the profit margins of        necessity due to its productivity-       and trafficking remains uncertain,
captagon producers and traffickers      enhancing qualities.77                   with differing reports about the role
in Syria remain unknown.72                                                       captagon has played in the group’s
Additionally, the value of the retail   ISIS has received the majority of        micro-financial model. ISIS’s
market should be attributed not         media attention for its reported         magazine, Rumiyah, encouraged

                                                         13                                                     April 2022
Clashes Over Captagon Smuggling and Production
  1. Aug. 13, 2020: Violent clashes erupted between
     Lebanese Hezbollah and the pro-regime National
     Defense Forces (NDF) in Qunaytirah governorate. The
     clashes were sparked by a disagreement over drug
     dealing in the region.
  2. Nov. 27, 2020: Jordanian Armed Forces and
     personnel in the Narcotics Control Department killed
     "a number" of Syrian smugglers.
  3. Feb. 19, 2021: Jordanian Armed Forces killed two
     smugglers and arrested several others, seizing an
     unspecified amount of captagon.
  4. May 19, 2021: In a battle with 11 Syrian smugglers,
     Jordanian Armed Forces killed three, injured and
     arrested two before seizing 1,307,665 captagon pills.
     The six other smugglers fled back into Syria.
  5. June 2, 2021: Jordanian Armed Forces seized
     377,000 captagon pills after a clash with
     Syrian smugglers.
  6. Aug. 2, 2021: A Lebanese Army Intelligence
     Directorate force raided a captagon production
     laboratory in Hor Ta’la in the Bekaa Valley,
     resulting in one smuggler being killed and one           10. Jan. 16, 2022: Armed smugglers killed Jordanian
     Lebanese soldier wounded.                                  Armed Forces Capt. Mohammed Al Khadeirat and
  7. Aug. 7, 2021: Jordanian Armed Forces killed one            wounded three other Jordanian border guards during
     smuggler and wounded several others on the                 a confrontation in which Jordanian forces seized
     Jordanian-Syrian border.                                   5 million captagon pills.

  8. Nov. 29, 2021: Jordanian Armed Forces killed one         11. Jan. 26, 2022: Jordanian Armed Forces killed
     smuggler and wounded another as they attempted to          27 smugglers and wounded several others who
     enter Jordan from Suwayda, Syria.                          were attempting to take advantage of a snowstorm
                                                                along the Syrian-Jordanian border to smuggle "large
  9. Dec. 25, 2021: Jordanian Armed Forces fought an            amounts" of captagon.
     estimated 200 Syrian smugglers armed with machine                              Sources: The Syrian Observer, Shaabjo, Arab News,
     guns entering Jordan between Syria’s Suwayda                        The Jordan Times, Al Arabiya News, North Press Agency Syria,
     and Daraa provinces.                                                The Syrian Observatory For Human Rights, The National News
                                                                                      © 2022 New Lines Institute for Strategy and Policy

its members to capitalize upon           as crude oil extraction and the             There has also been concern in
opportunities in Ukrainian and           sale of antiquities on the black            the international community over
Syrian black markets in May 201782       market.83 While verifiable evidence         individual fighters’ use of the
but did not specify illicit narcotic     is challenging to obtain, the               drug and the role captagon has
trades. On the other hand, a 2016        organization has likely participated        played in the execution of terrorist
report by Benjamin Crabtree                                                          attacks. Many outlets have often
                                         in some distribution of captagon
and the GIATOC stated that ISIS                                                      incorrectly reported that the
has strategically excluded itself        to its fighters and facilitated             2015 attack in Paris, territorial
from captagon market activities          cross-border smuggling, similar to          campaigns in Iraq and Syria, and
in order to keep its ideological         other actors in non-government-             violence against Syrian and Iraqi
prestige, pursuing sources of            controlled areas, rather than serving       communities since 2012 were
income in alternative sectors such       as a major producer and exporter.84         fueled by captagon’s effects of

                                                             14                                                                    April 2022
“zombielike” detachment.85 In a           with the illicit drug trade is complex,   manufacturing warehouses.94 A
RAND Corporation review, Colin            characterized by both strict              paternal cousin of al-Assad, Samer
P. Clark referred to captagon as          anti-drug policies and complicity         Kamal al-Assad, has also been
“jihad pills” for terrorists’ reliance    with pro-Assad criminal networks.         linked to several manufacturing
upon the psychoactive effects             During the 2006 Syrian occupation         operations near the Port of
and dependency on trafficking for         of Lebanon’s Bekaa Valley, state          Latakia,95 particularly in the village
funding travel and operations.86          forces offered protection to hashish      of Al-Basha and in the upper
However, a range of incorrect             producers and reaped an estimated         Qalamoun mountains under the
assertions regarding the union            $500 million,90 and before the            supervision of Maher Al-Assad’s
between captagon and terrorism            Syrian civil war, the government          Fourth Division. There, Assad and
have ignored other demographic            fostered patronage networks               patronage networks are involved
groups that use captagon for              with a large network of pro-Assad         in utilizing corporate entities,
a range of reasons, including             industry moguls, businessmen              development projects along the
state involvement in the trade,           and merchants, peddlers,                  Syrian coast, and close connections
particularly following ISIS’s decline     customs officials, smugglers,             with local and Lebanese
in the region.87 Investigative            and illicit actors.91                     drug syndicates to facilitate
journalistic efforts and mapping                                                    smuggling operations.96
of seizure and production areas           Reports indicate that state-affiliated
have shed light on the key state-         and protected businessmen                 Outside of the Assad family, other
affiliated participants in a growing      and government loyalists have             stakeholders and businessmen
captagon trade, departing from            been able to take leading roles in        have seemingly participated
previous assumptions of ISIS              captagon manufacturing due to             in captagon production and
being exclusively associated with         their access to state resources,          smuggling processes, such as
the trade. With the organization’s        infrastructure, and military              Abdellatif Hamid, the owner of a
territorial defeat in Syria and Iraq,     protection. Assad family members          factory that the paper rolls used
an inevitable void in the Syrian          like Wasim Badia al-Assad and             in the huge 2020 Port of Salerno
warlord economy has emerged,              state-affiliated business magnates        seizure were traced back to.97 A
with taxation, cross-border               such as Mohammad Shalish                  New York Times investigation also
smuggling, and transit facilitation       and Taher al Kayali have been             identified links between forces
services carried out by new actors.       affiliated with drug operations in        and prominent businessmen
                                          Latakia, shell companies such as          sanctioned by the U.S. such as
Syrian State Involvement                  Neptune Overseas Limited, and             Khodr Taher, a merchant with
                                          black market warlords in the Bekaa        extensive access and influence over
State-level participation has             Valley.92 These connections have          Syrian Fourth Division checkpoints,
become a defining attribute of            enabled them to situate production        and Amer Khiti, a Damascus
the modern-day captagon trade,88          sites close to state-owned ports,         livestock magnate and new
which has blossomed into a multi-         use commercial transportation             member of the Syrian parliament
billion-dollar industry through at        methods for smuggling, and                experienced in wartime smuggling
least ministry-level knowledge and        make use of clientele networks in         who has purchased real estate
complicity, using state-owned and         local agricultural, pharmaceutical,       in government-held areas and
controlled resources, personnel,          and transportation industries.93          packaging facilities for captagon
and property to facilitate captagon’s     Employees of the Al-Bustan                trafficking with state backing.98
production and smuggling.89               charitable foundation (owned and
State-level participation in Syria’s      operated by Bashar al-Assad’s             In the early stages of the civil
narcotic trade is most likely a           cousin, Rami Makhlouf), such              war, captagon production was
means to an end: to consolidate           as Waseem Omar Al-Masalma,                scattered across the country.
power and ensure the survival of          have also seemingly participated          However, recently it has become
the political elite. The history of the   in captagon production and                concentrated in government-held
Syrian government’s relationship          supply at government-sanctioned           areas along Syria’s western coast,

                                                            15                                                      April 2022
Aleppo, Homs, and Damascus, and                                                       and Lebanon. Manufacturing
strongholds in the south where the                                                    facilities reportedly are located
government has a monopoly over                                                        in Serghaya, Rankos, Zabadani,
security and border crossings.99                                                      Bloudan, Yabrud, Asal al-Ward,
The location of these large-scale                                                     al-Jebbeh, Talfita, Bakhaa, al-Tufail,
production facilities alone                                                           Madaya, Al-Basha, al-Sabboura,
indicates a degree of Syrian state                                                    and other areas in Syria’s Latakia,
involvement, supported by a range                                                     Aleppo, Homs, Daraa, and regime-
of further evidence as outlined in                                                    controlled points along the M4
this section of the report.                                                           international highway.104 As such,
                                                                                      nearly all of the identified major
Syria’s former role as the region’s                                                   captagon production facilities are
second-largest pharmaceutical                                                         located in Syrian government-
producer, with the majority of                                                        controlled territories, with at least
its state-affiliated production                                                       15 estimated large-scale captagon
factories formerly concentrated                                                       manufacturing centers — located
in Homs, Aleppo, and Damascus,                                                        in hangars, empty large-scale
has allowed producers to use                                                          residences, warehouses, and
existing facilities and equipment                                                     abandoned factories105 — in
to increase supply.100 However,                                                       operation, supported by the Syrian
large- and small-scale production                                                     state’s security, intelligence, and
sites have been established in                                                        political apparatus and allied,
villas, residential compounds,                                                        Iran-aligned proxy forces.106 There
hangars, and other structures in          Jordan’s Public Security Directorate        is a virtual absence of reported
Latakia, Daara, Suwayda, and other        seized 250,000 captagon pills in            laboratory raids in these areas,
areas close to key transit sites such     Jordan’s Zarqa Governate near the
                                                                                      and the few captagon traffickers
                                          Syrian and Saudi Arabian border
as ports and border crossings.101                                                     that are arrested reportedly bribe
                                          on Dec. 27, 2021. (Jordan Public Security
In the mid-2010s, Levantine law           Directorate)                                government officials for early
enforcement agencies tracked                                                          release.107 This raises questions
numerous organized crime groups’                                                      as to whether the government
                                          customs authorities in Jordan,
supply chains to the Homs area,                                                       controls the trade by clamping
                                          Turkey, and Lebanon routinely seize
where the majority of former                                                          down on producers and traffickers
                                          captagon originating from Syria,
state-affiliated pharmaceutical                                                       that are not aligned with the state
                                          there has been a noticeable lack
factories are located.102 The                                                         while allowing those aligned with
pre-existing infrastructural system       of seizures in Syrian government-
                                                                                      the political and economic elite to
of roadways, electricity, waterways,      controlled sites such as airports,          produce and traffic captagon as
and industrialized buildings in           commercial maritime ports,                  long as they are paying their dues.
government-held provinces has             and production hubs such as
facilitated the trafficking of the drug   Daraa and Qunaytirah.                       The volume of recently intercepted
by state-affiliated actors.103                                                        captagon consignments also
                                          Major laboratories and supporting           provides an indirect indication of
The absence of seizures in                warehouses are concentrated                 state involvement. Before 2019,
government-held areas where               close to key smuggling                      captagon seizures were often
industrial captagon production is         chokepoints to accommodate                  small, ranging in the hundreds of
located provides further indication       cheap transportation, near state-           thousands of tablets, intercepted
that the state is allowing the            controlled maritime ports along the         by land, at airport customs, from
production and trafficking of large       country’s Mediterranean coast as            local drug dealers, and occasionally
volumes of captagon without               well as crossings in the country’s          containerized shipments. However,
interference. While cross-border          south near its border with Jordan           seizure data since mid-2019

                                                              16                                                       April 2022
collected by this report’s authors       capitalizing upon users’ anxieties,        Maher, and commanded by Maj.
has revealed new trafficking             despair, frustration, and lack of          Gen. Ghassan Bilal.118
patterns, with industrial-sized          employment and educational
captagon shipments dispatched            opportunities to increase captagon         Some evidence points to elements
from state-controlled ports in Syria.    dependency.114 Captagon                    of the Syrian Army, Fourth Division,
Of note, under the country’s 2006        consumption has been reported              and an intelligence apparatus
Customs Law’s provision 38, the          among Syrian Army personnel                cooperating with loyal elements
Syrian Customs Administration is         operating in Afrin and forces              of Syria’s grain, livestock, poultry,
mandated to conduct inspections          monitoring the Euphrates-Shield            and pharmaceutical industries
on all outgoing goods.108 Over the       zone, amidst poor supply lines,            over protection, smuggling, and
course of 2019, 2020, and 2021,          wage insecurity, and poor morale.115       distribution of captagon in and
investigative reports and law                                                       outside of Syria.119 These elements
enforcement systems identified           Additionally, there is some evidence       appear to be using military or
that many of the largest captagon        that the Syrian armed forces have          commercial vehicles to transport
interceptions have originated from       used captagon, priced specially for        captagon from distribution
sites that only can be accessed          prime candidates, as a recruiting          centers at militia headquarters
by Syrian Army personnel and             tool.116 One Horan Free League             and checkpoints under the
high-level government officials,         interview with a Fourth Division           guise of security missions or
members of the Assad family’s            fighter revealed that captagon             business activities.120
inner circle, and, as of recently,       provision at a cheaper price was
the IRGC.109 This includes the July                                                 There is also some evidence
                                         a prominent driver for military
2020 Port of Salerno seizure of 84                                                  that Fourth Division officials
                                         recruitment: “The main reason for
million pills,110 the August 2020 Port                                              utilize a series of state-owned
                                         my joining was to get narcotic pills,
of Constanta seizure of 4 million                                                   official and unofficial ports in
                                         so I went on my motorbike through
pills,111 and the 2021 seizure of                                                   the Latakia and Tartus region to
                                         the checkpoints in the area to the
14.4 million pills at Saudi Arabia’s                                                dispatch captagon shipments,
                                         town of Kharab ... I buy a quantity
Jeddah Port,112 which originated                                                    with bystanders reporting Fourth
                                         of captagon for me and my friends
from the Port of Latakia, a Syrian                                                  Division personnel using speed
                                         at a special price for the military.”117
state-owned port managed by                                                         boats to offload shipments onto
the Public Company of the Port                                                      larger vessels moored further
                                         The Fourth Division and                    out in the Mediterranean Sea.121
of Latakia, and from the Port of
Tartus. While publicly available data
                                         Regime-Affiliated Shabiha                  Government-related militia
about Syrian ports’ exports and          Networks                                   commanders have supposedly
imports have been inaccessible                                                      even been found to openly sell
since the start of the war in 2011,      The Syrian government’s armed              captagon at their residences and
the uptick in seized captagon            forces have also seemingly                 distribute to villages along the
dispatched from Latakia and              served as key agents in                    Damascus-Daraa highway as well
intercepted around Syria’s borders       captagon smuggling and                     as facilitate shipments along the
— coupled with a lack of seizures        distribution networks, especially          Fourth Division-controlled towns of
within Syria113 — suggests an uptick     in the government-controlled               Dimas and Daraa, popular transit
in large-scale production.               governorates of Daraa and                  destinations for captagon trafficked
                                         Qunaytirah, a captagon                     from the Masnaa point along
There also is increasing evidence        consumption and manufacturing              the Lebanese-Syrian border.122
to suggest that certain officials        hub. Particularly embedded within          Further, Fourth Division personnel
and security organizations aligned       the trade is Syria’s Fourth Division,      have allegedly been used to
with the Syrian government               an elite formation of the Syrian           guard captagon production sites
have leveraged the country’s war         Army made up of four brigades and          themselves, such as the Fourth
conditions and civilians’ trauma         predominantly Alawite, headed by           Division’s 42nd Brigade, which have
to increase demand for captagon,         Bashar al-Assad’s younger brother,         served as guards for a captagon

                                                           17                                                       April 2022
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