A new drug which is increasingly being detected in overdoses and deaths is causing concern for support groups in Scotland
Xylazine is a powerful animal tranquiliser which is known as "tranq dope" or "zombie" when cut with heroin and fentanyl by drug dealers.
The synthetic drug lowers breathing and heart rate to dangerously low levels and can cause large open skin wounds, which have led to it being dubbed a "flesh-eating zombie drug".
Earlier this year, Public Health Scotland (PHS) issued an alert, saying people who take illegal drugs might not be aware that xylazine is present in their supply. In May, its Radar report said xylazine had been detected in five deaths at the end of last year.
PHS warned that the drug was most likely to be consumed unintentionally because it was being cut into other drugs.
Gareth Balmer, project manager at the support service WithYou in Fife, told BBC Scotland News he was seeing increasing levels of adulteration in drugs, including heroin and street benzodiazepines.
"Now is not a good time to have a serious drug problem," he said.
"I have been a drug worker for a couple of decades now and the drugs now are more dangerous than they have ever been."