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Essentially, they are injecting poison directly into their flesh.

One of their friends, in a neighbouring apartment block, is further down the line."She won't go to hospital, she just keeps injecting.

It is a drug for the poor, and its effects are horrific.

While heroin costs from £20 to £60 per dose, desomorphine can be "cooked" from codeine-based headache pills that cost £2 per pack, and other household ingredients available cheaply from the markets.You'll never get that smell out of the flat."Addicts in Tver say they never have any problems buying the key ingredient for krokodil – codeine pills, which are sold without prescription."Once I was trying to buy four packs, and the woman told me they could only sell two to any one person," recalls one, with a laugh.Half an hour later, after much boiling, distilling, mixing and shaking, what remains is a caramel-coloured gunge held in the end of a syringe, and the acrid smell of burnt iodine in the air.

Sasha fixes a dirty needle to the syringe and looks for a vein in his bruised forearm.

Flesh goes grey and peels away to leave bones exposed. Russian heroin addicts first discovered how to make krokodil around four years ago, and there has been a steady rise in consumption, with a sudden peak in recent months.