What Has Assad’s Fall Revealed about the Captagon Drug Trade in Syria?

 A Syrian member of the opposition shows amphetamine pills known as Captagon hidden inside an electrical component at a warehouse where the drug was manufactured before the fall of Bashar al-Assad's government at a facility in Douma city, outskirts of Damascus, Syria, Friday, Dec. 13, 2024. (AP)
A Syrian member of the opposition shows amphetamine pills known as Captagon hidden inside an electrical component at a warehouse where the drug was manufactured before the fall of Bashar al-Assad's government at a facility in Douma city, outskirts of Damascus, Syria, Friday, Dec. 13, 2024. (AP)
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What Has Assad’s Fall Revealed about the Captagon Drug Trade in Syria?

 A Syrian member of the opposition shows amphetamine pills known as Captagon hidden inside an electrical component at a warehouse where the drug was manufactured before the fall of Bashar al-Assad's government at a facility in Douma city, outskirts of Damascus, Syria, Friday, Dec. 13, 2024. (AP)
A Syrian member of the opposition shows amphetamine pills known as Captagon hidden inside an electrical component at a warehouse where the drug was manufactured before the fall of Bashar al-Assad's government at a facility in Douma city, outskirts of Damascus, Syria, Friday, Dec. 13, 2024. (AP)

Since the fall of former Syrian President Bashar al-Assad, industrial-scale manufacturing facilities of Captagon have been uncovered around the country, which experts say helped flourish a $10 billion annual global trade in the highly addictive drug.

Among the locations used for manufacturing the drug were the Mazzeh air base in Damascus, a car-trading company in Latakia and a former potato chips factory on the outskirts of Damascus.

The factory that once produced the crunchy snack in the suburb of Douma under the name, Captain Corn, was seized by government forces in 2018.

"Assad’s collaborators controlled this place. After the regime fell... I came here and found it on fire," Firas al-Toot, the original owner of the factory, told The Associated Press. "They came at night and lit the drugs on fire but couldn’t burn everything."

"From here, Captagon pills emerged to kill our people," said Abu Zihab, an activist with Hayat Tahrir al-Sham, the main group now ruling the country, as his group gave access to journalists to the site.

Syria's nearly 14-year-old civil war fragmented the country, crumbled the economy and created fertile ground for the production of the drug. Militias, warlords and the Assad government transformed Captagon from a small-scale operation run by small criminal groups into a billion-dollar industrial revenue stream.

The recent ousting of Assad has disrupted these networks and has given a closer look at its operations — revealing the workings of a war economy that sustained Assad’s power over Syria. Experts say the change in Syria might create an opportunity to dismantle the Captagon industry.

How did Syria build its Captagon empire?

Captagon was first developed in Germany in the 1960s as a prescription stimulant for conditions like narcolepsy. It was later outlawed due to heart issues and its addictive properties.

Its amphetamine-like effects made it popular in the Middle East among both elites and fighters, as it enhanced focus and reduced fatigue.

Assad's government recognized an opportunity in the cheaply manufactured drug amid Syria’s economic turmoil and the heavy sanctions imposed on it.

Captagon is produced through a simple chemical process that involves mixing amphetamine derivatives with excipients to form tablets, typically in makeshift labs.

The Captagon trade began industrializing around 2018-2019 as the Assad regime — and other armed groups in Syria -- invested in production facilities, warehouses and trafficking networks. This allowed Syria to emerge as the largest producer of Captagon globally, with some production also occurring in Lebanon.

Most seized consignments of Captagon originated from Syria, according to data by the New Lines Captagon Trade Project, an initiative of the New Lines Institute think tank.

Evidence of the Assad regime’s sponsorship of the Captagon industry is overwhelming, the report published in May said. The Security Office of the 4th Armored Division of the Syrian Arab Army, headed by Bashar al-Assad’s brother Maher oversaw operations and created a coordinated production system, the report added.

Where and how was Captagon smuggled?

Captagon was smuggled across the border using various methods, hiding Captagon in trucks, cargo shipments and goods. Some shipments are concealed in food, electronics and construction materials to evade detection.

The primary smuggling routes were Syria’s porous borders with Lebanon, Jordan and Iraq, from which the drug is distributed throughout the region. Some were also shipped from Latakia port.

In Lebanon, the Captagon trade has flourished, particularly near the Syrian border and in the Bekaa Valley. Lebanese authorities struggled to curb the flow of Captagon from Syria, which analysts say was facilitated by the Hezbollah group, a key Assad ally.

Following the discovery of crates of fruit meticulously packed with bundles of the drug hidden among pomegranates and oranges, Saudi Arabia and the UAE implemented bans on Lebanese agricultural products.

Captagon has also found its way into international markets, reaching as far as Southeast Asia and parts of Europe.

How much revenue did it produce for the Assad regime?

The annual global trade in Captagon has an estimated value of $10 billion, with the ousted Assad family's annual profit reaching around $2.4 billion, according to Caroline Rose, director of the New York-based New Lines Institute Captagon Trade Project.

"Seeing the uncovering of so many industrial-scale facilities affiliated with the regime was shocking but not surprising. There was extensive evidence linking key regime-aligned cronies and Assad family members to the trade," said Rose, whose organization tracks all publicly recorded Captagon seizures and lab raids. The discovery of the facilities, she said, confirmed "the concrete relationship between Captagon and the former regime."

The exact number of factories in Syria remains unclear, but experts and HTS members estimate that there are likely hundreds spread throughout the country.

The future of Captagon in post-Assad Syria

Assad has turned Syria into "the largest Captagon factory in the world," HTS leader Ahmad al-Sharaa stated in a victory speech at Damascus’s Umayyad Mosque on Dec. 8. "Today, Syria is being cleansed, thanks to the grace of Almighty God."

While Assad and his circle may have been the primary beneficiaries, there is also evidence that Syrian opposition groups were involved in drug smuggling, opposition groups, local militias and organized crime networks manufactured and smuggled the drug to finance their operations, analysts say.

"Likely, we will see a short-term supply reduction in the trade, with a decline in the size and frequency of seizures as industrial-scale production is largely halted. However, criminal actors are innovative, likely seeking out new locations to engage in production and smuggling, particularly as demand levels remain stable," Rose said.

They may also "seek out alternative illicit trades to engage in instead," she said.

In addition to dismantling the Captagon trade, the country's transitional government should "establish programs for economic development that will incentivize Syrians to participate in the country’s formal, licit economic sphere," Rose said.



Sudan's Doctors Bear Brunt of War as Healthcare Falls Apart

(FILES) A Sudanese army soldier mans a machine gun on top of a military pickup truck outside a hospital in Omdurman - AFP
(FILES) A Sudanese army soldier mans a machine gun on top of a military pickup truck outside a hospital in Omdurman - AFP
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Sudan's Doctors Bear Brunt of War as Healthcare Falls Apart

(FILES) A Sudanese army soldier mans a machine gun on top of a military pickup truck outside a hospital in Omdurman - AFP
(FILES) A Sudanese army soldier mans a machine gun on top of a military pickup truck outside a hospital in Omdurman - AFP

Sudanese doctor Mohamed Moussa has grown so accustomed to the constant sound of gunfire and shelling near his hospital that it no longer startles him. Instead, he simply continues attending to his patients.

"The bombing has numbed us," the 30-year-old general practitioner told AFP by phone from Al-Nao hospital, one of the last functioning medical facilities in Omdurman, part of greater Khartoum.

Gunfire rattles in the distance, warplanes roar overhead and nearby shelling makes the ground tremble, more than a year and a half into a grinding war between rival Sudanese generals.

Embattled health workers "have no choice but to continue", said Moussa.
Since April 2023, Sudan has been torn apart by a war between army chief Abdel Fattah al-Burhan and his former deputy Mohamed Hamdan Daglo, leader of the Rapid Support Forces (RSF).

The war has killed tens of thousands and uprooted 12 million people, creating what the International Rescue Committee aid group has called the "biggest humanitarian crisis ever recorded".

The violence has turned the country's hospitals into battlegrounds, placing health workers like Moussa on the frontlines.

Inside Al-Nao's overwhelmed wards, the conflict's toll is staggering.

Doctors say they tend to a harrowing array of injuries: gunshot wounds to the head, chest and abdomen, severe burns, shattered bones and amputations -- even among children as young as four months.

The hospital itself has not been spared.

Deadly shelling has repeatedly hit its premises, according to medical charity Doctors Without Borders (MSF) which has supported the Al-Nao hospital.

Elsewhere, the situation is just as dire. In North Darfur, a recent drone attack killed nine at the state capital's main hospital, while shelling forced MSF to evacuate its field hospital in a famine-hit refugee camp.

- Medics targeted -

Sudan's healthcare system, already struggling before the war, has now all but crumbled.

Of the 87 hospitals in Khartoum state, nearly half suffered visible damage between the start of the war and August 26 this year, according to satellite imagery provided and analysed by Yale University's Humanitarian Research Lab and the Sudanese American Physicians Association.

As of October, the World Health Organization had documented 119 confirmed attacks on healthcare facilities across Sudan.

"There is a complete disregard for civilian protection," said Kyle McNally, MSF's humanitarian affairs advisor.

He told AFP that an ongoing "broad-spectrum attack on healthcare" includes "widespread physical destruction, which then reduces services to the floor -- literally and figuratively".

The national doctors' union estimates that in conflict zones across Sudan, up to 90 percent of medical facilities have been forced shut, leaving millions without access to essential care.

Both sides of the conflict have been implicated in attacks on healthcare facilities.

The medical union said that 78 health workers have been killed since the war began, by gunfire or shelling at their workplaces or homes.

"Both sides believe that medical staff are cooperating with the opposing faction, which leads to their targeting," union spokesperson Sayed Mohamed Abdullah told AFP.

"There is no justification for targeting hospitals or medical personnel. Doctors... make no distinction between one patient and another."

- Starvation -

According to the doctors' union, the RSF has raided hospitals to treat their wounded or search for enemies, while the army has conducted air strikes on medical facilities across the country.

On November 11, MSF suspended most activities at Bashair Hospital, one of South Khartoum's few functioning hospitals, after fighters stormed the facility and shot dead another fighter being treated there.

MSF officials say they believe the fighters to be RSF combatants.

In addition to the endless stream of war casualties, Sudan's doctors scramble to respond to another threat: mass starvation.

In a paediatric hospital in Omdurman, across the Nile from Khartoum, malnourished children arrive in droves.

Between mid-August and late October, the small hospital was receiving up to 40 children a day, many in critical condition, according to one doctor.

"Every day, three or four of them would die because their cases were very late stage and complicated, or due to a shortage of essential medicines," said the physician, requesting anonymity for safety concerns.

Sudan has for months teetered on the edge of famine, with nearly 26 million people -- more than half the population -- facing acute hunger, according to the UN.

Adnan Hezam, a spokesman for the International Committee of the Red Cross, said there must be "immediate support in terms of supplies and human resources to medical facilities".

Without it, "we fear a rapid deterioration" in already limited services, he told AFP.

To Moussa, the doctor, some days feel "unbearable".

"But we can't stop," he said.

"We owe it to the people who depend on us."