Rise of drug-laced ‘zombie’ vapes which ‘could be spreading to UK’

Rise of Zombie cigarettes in Japan - could they emerge here? This image depicted a test tube rack that had been stocked with examples of various electronic cigarettes, referred to as e-cigarettes, or e-cigs, and vaping pens. These items would undergo testing inside a Centers for Disease Control and Prevention (CDC) laboratory environment. Published on January 16, 2020 Free to use under the Unsplash License
Ministers have been warned officials are in the dark about how prevalent etomidate is in the UK

New drug-laced vapes flagged as a ‘significant’ concern by the UK’s expert body on substance abuse are spreading internationally.

Vape liquids containing etomidate, a sedative used to induce anaesthesia in some countries, have emerged as a popular recreational drug in several Asian countries and New Zealand in recent months.

Sought for its dissociative-like effects, the substance can quickly cause tremors, seizures and loss of consciousness, while studies found repeated use can permanently damage the body’s hormone system.

In Japan, where the vapes are dubbed ‘zombie cigarettes’, local reports describe users – mostly in their teens and twenties – ‘going into convulsions’ and ‘crying out in strange voices’ in public places.

In other countries they are referred to as ‘space oil’ or ‘k-pods’, short for ‘ketamine pods’, an apparent ploy by drug gangs to pass them off as containing another popular recreational drug.

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Etomidate is restricted as a prescription-only medication in the the UK, though there is no requirement to routinely test for the compound in commercially-available vapes.

EMBARGOED TO 0001 TUESDAY NOVEMBER 11 Undated handout photo issued by National Crime Agency (NCA) of police officers looking at vapes. More than 2,700 high street businesses including barbers, minimarts and vape shops have been raided in the biggest ever crackdown of its kind on money-laundering. Issue date: Tuesday November 11, 2025. PA Photo. Photo credit should read: NCA/PA Wire NOTE TO EDITORS: This handout photo may only be used for editorial reporting purposes for the contemporaneous illustration of events, things or the people in the image or facts mentioned in the caption. Reuse of the picture may require further permission from the copyright holder.
The government’s drug abuse watchdog has warned there is nowhere near enough testing of vape products (Picture: NCA/PA)

While there is currently ‘limited evidence’ of etomidate abuse in Britain, officials are effectively in the dark on its prevalence, according to the government’s Advisory Council on the Misuse of Drugs.

‘Due to limited testing of e-liquids seized at the border or by police, the true availability and use of etomidate and related drugs, which are widely reported in Asia and New Zealand to occur through vaping of e-liquids, is likely to be significantly underestimated’, it warned in a report last month.

‘This emerging trend of use elsewhere presents the potential for a significant future public health issue for the UK,’ the report added.

The body of experts is urging ministers to control etomidate as a Class C drug and start routinely testing imported e-liquids and other vape products for it.

New Zealand’s drug watchdog earlier this month revealed a number of people had been hospitalised after using the products.

Another organisation in the country, NZ Drug Foundation, said their drug-checking clinic has been finding etomidate in some vapes handed in to them after causing concerning effects.

Rise of Zombie cigarettes in Japan - could they emerge here? Hong Kong Customs detected a suspected dangerous drugs trafficking case today (September 11) at the Lok Ma Chau Control Point. Three suspected etomidate capsules and an e-cigarette smoking device were seized. Photo shows the suspected etomidate capsules and e-cigarette smoking device seized. Press Release Hong Kong Customs detects suspected etomidate trafficking case (with photo) 12 Sep 2025 Hong Kong Customs detected a suspected dangerous drugs trafficking case today (September 11) at the Lok Ma Chau Control Point. Three suspected etomidate capsules and an e-cigarette smoking device were seized.
Vape capsules containing etomidate seized by customs in Hong Kong two months ago

Director Sarah Helm told Radio New Zealand: ‘Generally, the risk of overdose is there partly because it wears of quickly, so people might be inclined to take more.

‘It [also] is very hard to measure, particularly if people don’t realise that’s what they’re taking.’

The trend has become a major concern in Singapore, where vaping is banned.

A test of a random sample of 100 confiscated vapes earlier this year found around a third contained etomidate.

Authorities have responded by ramping up punishments for vape use, including jail terms and even caning.

Etomidate-laced vapes are now a major trend in China, where they are believed to have first emerged, starting in the early 2020s.

Mandatory Credit: Photo by James Veysey/Shutterstock (14816306d) Disposable vapes on sale in a shop on Oxford Street, London. Ban on disposable vapes announced, London, UK - 24 Oct 2024
Etomidate is not explicitly listed among substances prohibited from vapes in the UK (Picture: Shutterstock)

Official reports linked it to a sharp fall in the availability of ‘mainstream’ drugs like heroin and methamphetamine during the Covid pandemic.

The UK Advisory Council on the Misuse of Drugs recommended that customs officers, police and Trading Standards officials should be told to ‘submit samples of seized vaping products’ for analyis.

It is calling for more resources for forensic testers to be able to analyse vaping products on a ‘wider’ scale.

Experts also said users and doctors currently have ‘no information’ on the risks of etomidate and called for a public information drive.

What is etomidate and why can it be harmful?

Etomidate is a compound traditionally used in critical medical care as a ‘short-acting’ sedative or general anaesthetic.

This means it causes sedation ranging from relaxed and conscious to complete unconsciousness (depending on the dose) for a short period of time.

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