This article is the result of a collaboration with The Sunday Times. You can find their corresponding piece here.

Every Friday evening, the brochure says, players can compete to win cash prizes in one of the world’s fastest-growing racquet sports. The padel club in Dubai’s west is the picture of modern wellness culture: climate-controlled courts, a private sauna and ice bath, and one-on-one coaching. The promotional image shows a bearded man in mid-swing, eyes locked on the ball. He wears matching activewear and a golden tan. The poster boy for padel is a talented player who once finished runner-up at an international tournament. He has also spent the past decade living in the shadows.

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Ian Thomas Dixon is a key figure in the Kinahan cartel, the Irish organised crime group that authorities say has evolved into a US$1.5 billion transnational network involved in drug trafficking, money laundering and arms smuggling. Investigators have connected the cartel to Iran’s intelligence services and the Lebanon-based militant group Hezbollah. Its feuds with rival gangs have been linked to at least 18 murders across four countries.

Dixon, 36, along with the Kinahan Organised Crime Group’s senior leadership – Christy Kinahan, 69, and his sons Daniel, 49, and Christopher Jr, 45 – was sanctioned by the US government in 2022. Authorities allege the Irishman acted as a trusted lieutenant to Daniel Kinahan, who is said to manage the cartel’s vast drug trafficking operation by helping move bulk cash across Europe, arranging payments and keeping tabs on money owed by a narco-trafficker.

Bellingcat and The Sunday Times can today reveal how Dixon’s racquet sport hobby has left behind a digital trail that led to the most recent footage of him since those sanctions were imposed – the first time he has been pictured publicly in almost a decade. This investigation also uncovers the alias Dixon has used in Dubai and exposes the first open source links to an underworld associate who was recently extradited from the Gulf state and jailed in Scotland.

It comes as cartel leader Daniel Kinahan awaits extradition to Ireland after his arrest in Dubai on foot of a warrant issued by Irish authorities. The arrest, in April, followed an extensive policing and diplomatic effort from international law enforcement.

In March, investigations by Bellingcat and The Sunday Times exposed the first photographs of Daniel Kinahan and his father in years and also revealed that the cartel’s “friend”, former UFC fighter Mounir Lazzez, was connected to US sanctions against Iran.

The latest findings give an unprecedented glimpse into the recent activity of a key cartel associate who, until now, has largely flown under the radar.

Family Ties

When cartel founder Christy Kinahan moved to Spain after his release from an Irish prison in 2001, it wasn’t long before his new home became a hub for the gang. His sons, Daniel and Christopher Jr, soon followed him to the Costa del Sol – as did their younger cousin, Dublin native Ian Dixon.

From the late 2000s onward, Dixon worked for businesses linked to the crime family in the south of Spain. One of these was The Auld Dubliner, a pub in Estepona that reportedly served as a base of operations for the cartel. In 2010, the pub was raided and temporarily closed by authorities as part of Operation Shovel, a years-long multi-national police investigation into the cartel’s drugs and arms-trafficking activities.

Dixon would also work as a trainer at MGM Marbella, the boxing gym co-founded by Daniel Kinahan that would go on to represent some of the biggest pro boxers in the world. The company, which was renamed MTK Global, shut down after the US sanctions on the Kinahans were imposed in April 2022.

In 2016, Dixon was arrested by Spanish police investigating the murder of Irish criminal Gary Hutch. The previous year, Hutch had been gunned down while out for a morning jog in a gated community on the Costa del Sol.

Dixon was released without charge, and another Kinahan cartel associate was later sentenced to 22 years for his role in the murder. The killing sparked a feud between the Kinahans and the rival Irish Hutch gang  that resulted in at least 18 deaths. 

Dixon and other key Kinahan members fled to Dubai in the wake of the deadly feud.

Ian Dixon has no known convictions. But his alleged role in the Kinahan Organised Crime Group was laid bare when the US sanctioned him. Authorities said Dixon managed finances and moved bulk currency for Daniel Kinahan and also kept tabs on the debt owed by a narco-trafficker. 

The sanctions notice also said Dixon controlled Hoopoe Sports LLC, a Dubai firm that listed a number of pro boxers among its clients and reportedly received more than $4 million for bouts involving former heavyweight champion Tyson Fury. Boxing promoter Bob Arum told Yahoo Sports the money was for consulting fees owed to Daniel Kinahan.

Dixon lived in an exclusive gated community in Dubai, according to the 2022 sanctions notice. Online listings show that properties like his Spanish-inspired villa are worth up to $2.7 million.

Passion for Padel

Padel is an increasingly popular racquet sport from Mexico best described as a combination of tennis and squash. According to the sport’s governing body, it has more than 17.5 million weekly players across 150 countries and the UAE, where Dixon lives, has the second-highest number of padel courts in Asia. It was on these courts in late 2024 that Dixon played in the master final of the Asia Pacific Padel Tour (APPT).

APPT rankings show Dixon registered for the tournament under the name “Ian Thomas”. Like his cartel leader relative Christy Kinahan, who used his first and middle names as an alias on his Google review profile, Dixon had dropped his surname.

Finding a Fugitive – How we Located Dixon

Bellingcat found the padel club promotion showing Ian Dixon after running images of the cartel associate through a publicly available facial recognition search engine. Among the results was a link to a graphic designer’s online portfolio, which included the advertisement for the padel competition. The original photo had been posted on the sports club’s Instagram page in late 2023, with the caption: “Elevating fun, one swing at a time!” Dixon was not named.

We searched for additional open source evidence and located online profiles for a 36-year-old Irish padel player named “Ian Thomas” who had taken part in a number of matches in Dubai in recent years. One profile shows he played 16 ranked matches between September 2024 and April 2026 – the most recent being the week after Daniel Kinahan’s arrest. But the accounts did not include profile pictures.

Bellingcat searched for footage showing the padel events and venues listed on the profiles. It returned multiple social media posts and live-streams clearly showing Ian Dixon at the same events where “Ian Thomas” was registered as playing. Dixon can also be heard speaking with a Dublin accent and at one point is seen with a close relative of Daniel Kinahan.

Dixon and his doubles partner played four games over the December 13-15 weekend, eventually placing second after losing in the final. The Irish cartel associate is captured on film after the match receiving a silver medal and commemorative racquet.

The Asia Pacific Padel Tour was held a month after senior Kinahan cartel figure Sean McGovern was arrested in Dubai on foot of an Interpol red notice. McGovern was extradited to Ireland last year and earlier this month jailed for 24 years for directing the activities of a criminal organisation in relation to murder and attempted murder. 

The tournament was live-streamed to YouTube via webcams set up on two courts. Dixon was captured throughout the three-day event, both playing on the court and mingling with others in the background. The hour-long male amateur final, which Dixon lost, is viewable in its entirety.

Dixon also posed for photos during the tournament, but it appears he did have some reticence about appearing on social media. In two images from a different padel event hosted at the same venue a few months later, Dixon’s face had been covered. However, a third photo was not edited, confirming that it was Ian Dixon.

Kingpin in the Crowd

Among the people Dixon was seen with at padel events in Dubai was Stephen Jamieson, a Scottish criminal who was recently jailed for his role in a multimillion-dollar drug trafficking operation.

Dixon greeted Jamieson with a fist pump during the Dubai APPT tournament in December 2024 on the day the Irishman played in the amateur final.

Dixon was also pictured with Jamieson at a family day padel event just weeks before the Scottish criminal’s arrest. (Bellingcat is not publishing details of that event to protect the identity of family members.)

Jamieson, who has multiple convictions, was extradited from Dubai last year and is serving a six-year prison sentence in Scotland on organised crime and drug charges. The case against him was built around intercepted messages he had sent via the defunct encrypted communication network EncroChat – a network the Kinahans have also used – to direct drug shipments.

The Sunday Times reports today on the Kinahan cartel’s deeply entrenched links to organised crime in the UK, where it is known to control much of the illicit drug market. It said the footage showing that Dixon and Jamieson know each other could indicate an underworld connection, since cartel cadres do not associate with rival operations.

Three of the seven alleged key Kinahan cartel figures have been arrested since the US sanctions were imposed. Johnny Morrissey, arrested in Spain in 2022, was later bailed and subject to a travel ban. Sean McGovern was jailed earlier this month and Daniel Kinahan awaits extradition to Ireland after his recent arrest in Dubai. Garda Commissioner Justin Kelly, of Ireland’s police force, recently said the investigation into the Kinahan cartel was ongoing and that authorities were continuing to focus on the other members of the gang.

Ian Dixon did not respond to questions from Bellingcat.

Connor Plunkett, Peter Barth, Beau Donelly and John Mooney contributed to this article. 

Bellingcat is a non-profit and the ability to carry out our work is dependent on the kind support of individual donors. If you would like to support our work, you can do so here. You can also subscribe to our Patreon channel here. Subscribe to our Newsletter and follow us on Bluesky here, Instagram here, Reddit here and YouTube here.

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The post Poster Boy: Sanctioned Kinahan Cartel Lieutenant Found Playing Padel in Dubai appeared first on bellingcat.

This article was co-published with Signal Ohio and STAT.

In high school, Ashley Delgado dreamed of becoming a doctor and one day buying her father a Rolls-Royce. “She wanted to heal people,” said her father, James Taylor. She had a high GPA, Taylor added, and did especially well in science and Latin.

In her mid-20s, Ashley suffered a leg injury and was prescribed OxyContin. The painkiller marked the beginning of a yearslong descent through addiction — from prescription opioids to methamphetamine, then heroin, and finally, fentanyl.

With her family’s support, Ashley spent time in a rehabilitation facility in her hometown of Cleveland, Ohio, and in recovery she moved into a sober living home. But on an early summer morning in 2023, Ashley’s body was found on a dead-end street just outside the city. One sandal was missing. Tucked inside her bra was a folded scrap of paper containing a tan powder. She was 29.

“I have lost my father, my grandmother — that hurts,” Taylor said. “But when you lose your child, that’s the worst thing on the planet, because they’re not supposed to go before you.”

Toxicology tests would later show a mix of substances in Ashley’s system, including protonitazene and metonitazene, powerful synthetic opioids from a little-known class of drugs known as nitazenes. Her death was ruled accidental.

Before his daughter’s fatal overdose, Taylor had never heard of nitazenes. Developed in the 1950s as potential painkillers, the drugs never reached the market because they were deemed unsafe for medical use. He was shocked to learn they could be up to 40 times more potent than fentanyl and 500 times stronger than heroin.

Nitazenes are predominantly sold online, both on the clear web and dark web, and are often laced into other substances to increase their potency. Experts say this puts unsuspecting users seeking more common drugs, such as oxycodone, fentanyl, or stimulants like cocaine, at risk of fatal overdoses.

The US Drug Enforcement Administration (DEA) started tracking nitazene-related seizures around 2014, but it wasn’t until 2019 that it saw a marked increase. Since then, federal authorities have scheduled dozens of nitazenes as illegal substances, launched undercover operations, filed indictments, and imposed tariffs on China, where many of the laboratories manufacturing and supplying nitazenes and fentanyl are known to reside.  

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Yet, figures provided to Bellingcat by the United Nations Office on Drugs and Crime (UNODC) show the United States has reported 26 different kinds of nitazenes since 2019 — the second highest number globally, after Canada.

And data from the Centers for Disease Control and Prevention (CDC) on nitazene-involved overdose deaths suggest that cases continue to rise. More than 1,100 fatalities have been confirmed through the CDC’s State Unintentional Drug Overdose Reporting System (SUDORS), but experts believe the number of Americans who have died from them since 2019 could be as high as 2,000. 

Alex Krotulski, the director of the Centre for Forensic Science Research and Education in Pennsylvania, told Bellingcat that deaths are underreported because nitazenes were not routinely tested for.

“There are only limited forensic toxicology labs that test for nitazenes, so if a nitazene was present and the lab didn’t test for it, the number wouldn’t appear in SUDORS,” he said. “Also, for labs that do test for nitazenes, they have missed cases prior to their testing.” The most recent years for which there is CDC data, 2023 and 2024, show they were the deadliest, with 747 confirmed deaths.

In this months-long open source investigation, Bellingcat combed through dozens of criminal court proceedings, filed national, state, and county-level Freedom of Information requests, and obtained scores of medical examiner reports to produce the most detailed account yet of how nitazenes are infiltrating US borders and destroying lives. 

The investigation found that, despite efforts to curb their spread across the country, nitazenes are proliferating online. It also shows that, by the time nitazenes reach American users, they are almost always mixed with several other drugs, including methamphetamines, cocaine and, most notably, fentanyl. 

As of this year, 48 of 50 US states have reported nitazene seizures.

Less Fentanyl, More Nitazenes

Fentanyl is by far the biggest opioid killer in the US. With more than a quarter of a million deaths since 2021 and about 200 fatalities a day, fentanyl is one of the country’s most urgent public health crises. But drug experts warn that nitazenes can be even more potent and are being mixed with fentanyl and other substances, creating increasingly lethal combinations.

“We’re always concerned about fentanyl being mixed in with other drugs — cocaine, meth, heroin,” said Frank Tarentino, Associate Chief of Operations for the DEA’s Northeast Region. “You add nitazenes to that and it makes it exponentially more dangerous and frightening for drug law enforcement, parents, caregivers, educators, and the young.”

Data obtained from the DEA’s National Forensic Laboratory Information System (NFLIS) show reports of confirmed seizures of nitazenes rising sharply — from 43 positive tests in 2019 to almost 2,000 in 2024 (the most recent year for which figures are available). By March this year, more than 8,000 nitazene reports had been recorded since 2019. But experts said that not all laboratories can test for nitazenes — which come in many forms including powders, pills, and sprays — and many don’t feed into the NFLIS system, meaning these numbers are almost certainly an underestimate.

We asked the DEA for a breakdown of reports of nitazenes by state. Ashley Delgado’s home state of Ohio stands out. NFLIS data from 2019 to 2024 indicate that more than a third of all positive nitazene laboratory reports nationally are linked to Ohio. 

Separate data from the CDC shows Ohio has also recorded the highest number of nitazene-related overdose deaths in the US since 2021. In 2020, there were just four fatalities linked to the drug; in 2021 that number rose to 90. Between 2022 and 2024, according to government data, there were 200 more deaths.

“It is a risk to our community,” said AmandaLynn Reese, chief programme officer at Harm Reduction Ohio, a non-profit that supports people who use drugs. “There’s been several instances of nitazenes being reported within the community, and I think we’re going to see more of that, especially as we’re seeing less fentanyl.”

To learn more about what was happening in Ohio, Bellingcat filed a public records request for county-level figures to the state’s Bureau of Criminal Investigation (BCI). The data shows that the counties of Scioto, Butler and Cuyahoga — areas long affected by the opioid crisis — account for almost half of all nitazene detections across the state, by weight.

In the 2000s, Portsmouth in Scioto County became known as the “pill mill capital” of America due to widespread overprescribing of opioids. More recent data continue to show Scioto with one of the highest rates of drug overdose deaths in the state. In Cuyahoga County, which includes Cleveland, drug-related mortality rates tripled the national average in 2022. 

Two years ago, Ohio’s Governor Mike DeWine issued executive orders to schedule nine different nitazenes and legalised the use of tools to test for drugs including nitazenes. 

The reasons why Ohio has been so hard hit are still not fully understood. “Ohio’s geography has long been a suspected contributing factor,” said Erin Reed, director of RecoveryOhio, a statewide initiative coordinating Ohio’s response to addiction. The organisation cited a 2001 article pointing to Ohio’s unique geographic and infrastructural features — including vast land, air and sea transportation networks — as key reasons for the state being a hub for drug trafficking. 

Local organisations like Harm Reduction Ohio are pushing for more drug-checking services, education, and greater accessibility to testing strips and life-saving medications like Naloxone, a drug that is used to reverse an opioid overdose. “People are going to use drugs,” Reese said. “We don’t know the supply, but those are ways you can engage in your drug use to increase safety and reduce harm.”

Dealer’s Choice

Bellingcat obtained medical examiner reports from Cuyahoga County for all nitazene-related deaths in 2023 and 2024, which provide an insight into how the drugs are being consumed. The autopsy records show that 45 people — 31 men and 14 women aged 29 to 72 — died after taking nitazenes over the two-year period. Among them were university graduates and former athletes, an Army veteran, an ironworker and an addiction counselor.  

Just before Christmas in 2024, a young man from Cleveland died after taking drugs that included etonitazene. A couple of weeks earlier, the body of an elderly woman was found in her home after she ingested drugs that included metonitazene and protonitazene. In the summer, a mother of two children in her thirties consumed a similar lethal mix. All except one of the 45 deaths was ruled accidental. 

And in every instance, nitazenes were detected alongside fentanyl, and often with a cocktail of other drugs such as heroin, cocaine, methamphetamine and benzodiazepines. The reason for this wide variety, Tarentino, the DEA agent said, is that dealers often mix nitazenes into other drugs to make them more powerful and addictive, and ultimately to give them a competitive edge. 

“It becomes a brand,” he said. “The unfortunate circumstance that we find ourselves in is that the dealer’s choice becomes a deadly decision.” Not only are these mixtures deadly — they can also be highly profitable. 

Court records analysed by Bellingcat show nitazenes have been sold at prices ranging from roughly US $4,000 to $12,000 per kilogram. But Tarentino said the DEA’s internal estimate puts $12,000 at the lower end of the range, with prices going up to as much as $40,000. Given their potency, even small quantities can be diluted into hundreds of thousands — or potentially millions — of doses once mixed and pressed into pills. “A little bit can go a long way,” Tarentino said, “and they can make a lot of money.”

A Freedom of Information Act request to the US Customs and Border Protection (CBP) revealed that in 2024 and 2025 — the only years for which the agency has monitored nitazenes separately — 41 consignments of the drug were intercepted. The data shows that most of these shipments arrived by mail, primarily from mainland China, Hong Kong and the United Kingdom. The quantities tended to be small, ranging from less than 1 gram to almost 700 grams. 

But that’s not always the case. An analysis of US federal court records linked to prosecutions of nitazenes indicates that roughly 90 kilograms of material containing nitazenes in different forms (powder and pills) have been seized over the past three years. Nearly two-thirds of that amount, about 60 kilograms, stem from a single case.

In that case, prosecutors allege that a man named Valkar Singh drove a blue Maserati from Canada into the US carrying six industrial-sized buckets with more than 100,000 pills containing  isotonitazene. According to court filings, Singh transported the drugs to a Bronx, New York address, where he was arrested by undercover law enforcement officers. 

Tarentino, who is familiar with the Singh case but could not comment on it specifically, said a lot of work is being done to prevent drugs being smuggled across the Canadian border. “Canada has become a major concern, but also a major partner in trying to stop the synthetic opioids that are coming into the United States,” he said.

Lawyers for Singh, who has pleaded guilty and is awaiting sentencing, declined to comment.

The scale of the alleged seizure makes this case an outlier. Of 46 federal cases identified by Bellingcat between 2021 and 2025, the next highest nitazenes seizure was about 9 kilograms. By comparison, data provided by the European Union Drugs Agency shows roughly 18 kilograms of nitazene-related seizures (pills, powder, liquid) across the EU between 2019 and 2023. 

“It’s very large,” said Jared Brown, scientific affairs officer at the UNODC. “One hundred thousand pills is probably at the limit of what we hear about in terms of maximum types of quantities that get seized.” 

Related articles by Bellingcat

Europe

The Rise of Nitazenes: Chinese Suppliers Behind Ads for Deadly Opioids Targeting Europe

The evidence suggests that most buyers are individual dealers who purchase relatively small quantities online, rather than organised criminal groups. “It’s street-level or mid-level dealers [in the US] that are introducing the nitazenes into the drug supply, not the big drug traffickers,” said Philip Berry, a visiting senior lecturer at King’s College London who formerly worked in counter-narcotics at the UK Home Office.

Court documents show that buyers can easily find nitazene suppliers online: on dark web marketplaces, standalone chemical supplier websites, or even on social media platforms. The suppliers often market the drugs by listing their chemical identifier and social media contact details. Often, the ads include an image of a young Asian woman striking a pose. 

Buyers are often individual dealers who contact sales representatives via encrypted channels and negotiate a deal. In those conversations, representatives will sometimes disclose how they claim to evade customs, for example by declaring the product as cosmetics or electronic accessories.

A detailed account that illustrates this modus operandi comes from the 2023 case against a man named Will Catis in Florida — the state with the second highest number of confirmed nitazene reports. Court documents show that a basic internet search led Catis to multiple nitazene advertisements listed by Jiangsu Bangdeya New Material Technology Co., LTD, a Chinese company sanctioned by the US Treasury for offering illicit substances for sale, including fentanyl and protonitazene.

Catis purchased approximately four kilograms of nitazenes from Jiangsu Bangdeya in batches no larger than 500 grams. The drugs were sent via the US Postal Service to Deerfield Beach, Florida. Once received, Catis mixed the nitazenes with other drugs, pressed the substance into a brick and sold it to other drug traffickers. Catis was jailed for 12 years after pleading guilty to possessing and intending to distribute nitazenes.  

One court case from Florida describes how a couple who lived in a converted garage bedroom in Hernando County bought nitazenes through the mail from Chinese companies they contacted online. Jacob Spinoza and his girlfriend Veronica Jo Barback regularly abused the drugs and distributed them locally, according to court documents. Both pleaded guilty. Spinoza was sentenced to nine years in prison, and Barback received a three-year sentence.

Another notable case reveals how a man allegedly ran a drug trafficking operation from a prison in Ohio. Investigators said Brian Lumbus Jr worked with a middleman, Giancarlo Miserotti, who contacted drug manufacturers in China to get nitazenes shipped through Italy to avoid custom checks. Once in Ohio, the plan was to distribute the drugs to other states, court documents said. 

But law enforcement agents were listening in on conversations between Lumbus and other members of the drug network, who expressed caution about the potency of nitazenes. “Man, we got to be careful … somebody died,” Lumbus said in one phone conversation, according to court documents. “Ohhh … it was too strong,” Miserotti responded. “I think the ratio of the pink [metonitazene] was thick.” 

Lumbus is awaiting trial. Miserotti was arrested in Italy in 2023 and sentenced to more than 13 years in prison. 

Arms Race

Enforcement actions have targeted the online marketplace ecosystem. In June 2025, Archetyp Market, a major dark web platform used to sell drugs, was dismantled in a coordinated operation involving Europol. US authorities have also indicted several China-based companies and individuals accused of offering nitazenes and related synthetic opioids for sale. Still, advertisements for nitazenes continue to litter online markets, constantly adapting to new regulatory regimes.

In July 2025, China placed the majority of nitazenes under national control. Tightened regulations — both in China and the US — have tried to stem the flow of nitazenes. But drug experts warn that manufacturers are already exploiting loopholes in China’s regulations by marketing chemically similar synthetic opioids known as “orphines.” 

Jared Brown, of UNODC, said orphines are also thought to come from China and are about as powerful as fentanyl. “Orphines have just enough of the molecule difference that it isn’t covered by the core definition that China has made,” he said. 

This is not the first time Chinese synthetic opioid manufacturers have adapted to regulations. In 2019, China banned all fentanyl-related substances, including some major precursors. The number of distinct fentanyl analogues reported to the UNODC subsequently plummeted, while reports of nitazenes quickly picked up. Now that China is clamping down on nitazenes, orphines are on the rise. More than 150 cases involving orphines were reported in the US between 2024 and 2025, the majority of which are in Illinois.

“Always adapting, always changing – we call them ‘shape shifters’,” said Tarentino. “They’re this global Hydra that are always changing, evolving and adapting to their environment and taking full advantage of all of these different loopholes and vulnerabilities that exist.”

Reporting for this story was supported by the Fund for Investigative Journalism.

Bellingcat is a non-profit and the ability to carry out our work is dependent on the kind support of individual donors. If you would like to support our work, you can do so here. You can also subscribe to our Patreon channel here. Subscribe to our Newsletter and follow us on Bluesky here, Instagram here, Reddit here and YouTube here.

The post Super-Potent Synthetic Opioids Spread Across US Amid Fentanyl Crackdown appeared first on bellingcat.

This article is the result of a collaboration with Indian media outlet Newslaundry. You can find Newslaundry’s editorially independent coverage here.

Indian companies have shipped more than 320 million synthetic opioid pills to West Africa – where they have not been approved by regulators – over the past three years, a Bellingcat investigation has found.

Export records from trade data provider 52wmb show that more than 1,400 consignments of tapentadol worth almost USD $130 million were sent from India to West Africa between January 2023 and December 2025.

Tapentadol, a painkiller two to three times more potent than tramadol, has not been approved for use in most West African countries, where some nations are grappling with an escalating opioid abuse epidemic.

However, this investigation shows that dozens of Indian suppliers have flooded the region with tapentadol over the past three years. Where dosages were listed, more than half the pills were in powerful strengths of 200mg or more – dosages that are not even approved in India.

The exports, cross-checked against records provided by trade data aggregator ImportGenius, show most tapentadol pills sent between 2023 and 2025 had the coastal nations of Sierra Leone and Ghana listed as their declared destinations.

The two West African countries were collectively marked as the destination for more than 80 per cent of the total value of tapentadol sent to the region.

Experts have documented how drug traffickers adapt quickly to international regulations and law enforcement efforts. In 2018, India tightened export controls around the opioid tramadol, one of the most trafficked synthetic drugs to West Africa.

In 2021, the International Narcotics Control Board (INCB) said large-scale tapentadol trafficking had been identified, particularly in consignments destined for Africa. It had previously noted that India’s strengthened tramadol controls could lead traffickers to substitute the drug with other potent synthetic opioids.

A BBC investigation last year revealed that Indian company Aveo Pharmaceuticals was illegally exporting tablets containing a mix of tapentadol and the muscle relaxant carisoprodol to West Africa. This led India’s drug regulator, the Central Drugs Standard Control Organisation (CDSCO), to ban the manufacture and export of all combinations of the two drugs.

Bellingcat’s investigation, in collaboration with Indian publishing partner Newslaundry, reveals that the supply of tapentadol pills from India to West Africa has surged in recent years.

Export data from 52wmb shows the value of tapentadol sent to the region has risen from about USD $27 million in the three year period from 2020 to 2022, to almost USD $130 million from 2023 to 2025.

Julius Maada Bio, Sierra Leone’s president, in 2024 declared a national emergency over rampant drug abuse and branded kush – a toxic blend of psychoactive substances including cannabis and synthetic opioids – a “death trap”.

Authorities in Sierra Leone have intercepted illegal tapentadol, including last July when the National Revenue Authority (NRA) said it thwarted a smuggling operation near its north-west border with Guinea.

The NRA and other agencies including the Transnational Organised Crime Unit, National Drug Law Enforcement Agency, and the Pharmacy Board of Sierra Leone did not respond to Bellingcat’s requests for comment.

Ghana’s Narcotics Control Commission (NACOC) said the illegal importation of tapentadol was first recorded in 2022 after international efforts to curb the tramadol crisis resulted in criminal networks shifting production to other pharmaceutical opioids including tapentadol, tafrodol and carisoprodol.

The agency has recorded a “steady rise” in tapentadol trafficking over the past three years, with authorities seizing more than 3.7 million tablets (250mg strength). Most were traced back to India, it said.

“NACOC investigations confirm that the bulk of tapentadol is trafficked into Ghana through seaports and by air, via express courier services,” a spokesperson said. “At the ports, the drug is concealed in containerized cargo falsely declared as pharmaceuticals, electrical materials or household goods. Express courier services are used for smaller, high-value quantities, often packed alongside legitimate consignments to avoid detection.”

NACOC said Ghana had emerged as both a destination and transit hub for tapentadol, with the majority of intercepted consignments bound for Niger, Mali, Burkina Faso and Nigeria. When sold domestically, it said the street drug was promoted as a tramadol substitute.

Ghana’s Food and Drugs Authority (FDA) said last year that the abuse of pharmaceutical opioids such as tapentadol — commonly known on the street as “Red” — was on the rise.

The FDA told Bellingcat it had “never issued any permit” for the manufacture or importation of tapentadol, in any strength, to any importer or to any country. It said any tapentadol shipments to Ghana were for “trans-shipment to neighbouring country”.

Import data for Ghana shows that no tapentadol entered the country between 2023 and 2025, which supports NACOC’s position that the drugs are being concealed and falsely declared. Import data for Sierra Leone was not available through 52wmb.

India’s drug and pharmaceutical exports have grown to more than $30 billion a year, according to the Pharmaceuticals Export Promotion Council of India (Pharmexcil), a division of the ministry of commerce and industry.

While tapentadol is available in India on prescription in strengths of up to 100mg (immediate release) and 200mg (extended release), authorities are aware of its risk of misuse. Last year, the Indian drug regulator’s Technical Advisory Board said the Department of Revenue may be requested to schedule the painkiller under the Narcotic Drugs and Psychotropic Substances Act, which would tighten rules around its export.

To export pharmaceutical products at strengths that are not approved in India, exporters are required to obtain an export “no objection certificate” (NOC) from the CDSCO, for which they have to submit proof of the drug’s approval in the importing country. Publicly available information shows tapentadol is not approved for use in any of the West African nations identified as part of this investigation.

The CDSCO did not respond to questions from Bellingcat or our publishing partner, Newslaundry.

In response to “Right to Information” requests submitted by Newslaundry, the CDSCO said only two companies had been granted authorisation to manufacture tapentadol for export between 2019 and 2024. However, the trade data analysed by Bellingcat did not list either company as an exporter of tapentadol to West Africa.

The CDSCO also said it had issued export NOCs for tapentadol to 51 companies since 2024, but that these were not for export to West African countries.

Meanwhile, Bellingcat’s analysis of trade data shows that more than 60 Indian suppliers have exported tapentadol to West Africa since 2023. The exporters are mostly pharmaceutical companies but also include smaller operations, such as one company owned by a Nigerian man who sent more than US $4 million of tapentadol to Niger and Ghana.

Dinesh Thakur, co-author of the book Truth Pill, told Newslaundry there were gaps in India’s drug regulatory framework that made it possible for potentially unsafe medicines to be manufactured and exported without proper oversight.

“There is no regulatory framework which checks a genuine importer and counterfeit importer between countries,” said Thakur, a former pharmaceutical executive who now works as a public health activist.

Mohammed Adinoyi Usman, a consultant anaesthetist at Rasheed Shekoni Federal University Teaching Hospital in Nigeria, said tackling Africa’s opioid crisis was complicated by a lack of resources across the region, weak government responses, and inaction by law enforcement agencies.

He said more collaboration and intelligence sharing was needed, especially across West African countries, to combat the problem. “We see so many opioids coming into our region because of a range of factors including under-funded institutions like customs and drug agencies, weak border controls and corruption,” he said.

“Africa is different. Even southern Africa is different from western Africa – each region has its peculiarities. In Nigeria, we don’t have well-functioning institutions to help control it. But our government is trying.”

Dr Usman said access to prescription opioids in Africa was inadequate, and pointed to research showing the disparity in distribution of legal opioids to low-income countries compared to high-income nations that consume the bulk of the world’s pain relief medication. He said opioid abuse was linked to crime and negative health outcomes.

“Sadly, access to prescription opioids is very limited in Africa,” Dr Usman said, “but the costs of illegal use are high.”

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