Drug Awareness and Identification

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Drug Awareness and Identification

• Recognizing
• Whats In Front of You
• Janine Gracy, MSE, CHES, CPP

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Come Visit!

• 1125 West Spruce
• Olathe, KS 66061

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R. R. Osborne Prevention Resource Library

• Dedicated April 9, 2002

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RPCs Website

• www.4prevention.info

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Generation Rx
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Club Drugs

• MDMA
• YABA
• Nexus
• GHB
• Methampehtamine
• Ketamine
• Rohypnol
• LSD

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Methylenedioxymethampehtamine

• Ecstasy
• X
• Adam
• Lovers Speed
• XTC
• E
• Hug Drug
• Roll

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What does Ecstasy look like???
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MDMA / Ecstasy3,4-Methylenedioxymethamphetamine
Love Drug X
Hug Drug XTC
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Clandestine Labs Production- Europe Mexico
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Tabletting - Illegal, Dirty Labs
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Physical Symptoms of Use

• Dehydration
• Increased Heart Rate
• Increased Body Temperature
• Increased Blood Pressure
• Jaw Tension Teeth Grinding

• Heat Stroke
• Heart Failure
• Kidney Failure
• Stroke
• 106-109 degrees
• Death

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Psychological Symptoms of Use

• Confusion
• Paranoia
• Depression
• Anxiety

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YABA (Means Crazy Medicine in Thai)

• From Asia
• Combo of Meth and Caffeine
• Injected, snorted or smoked
• Candy flavored
• Chasing the Dragon Place tablet on aluminum
  foil heat from below. The vapors rise and are
  inhaled.
• Gives Rush
• Lasts a few minutes
• Highly addictive
• Develop tolerance quickly

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Nexus

• Also called Bromo, Toonies, 2C-B, Zenith, Beetie
• Illicit, Synthetic, Schedule 1 Hallucinogen
• Used with X party pack
• Used with LSD banana split
• Affects like X

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NEXUS(2-(4-bromo-2,5-dimethoxy-phenyl)-ethylamine
)

• Ten times more powerful than MDMA
• Enhancement of visual and auditory perception,
  increased sexual desire, and heightened senses of
  taste and touch
• Side effects, including confusion, cardiovascular
  disturbances, and dehydration
• Usually sold as Ecstasy and costs 25-30/pill.

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What is GHB?

• Known as Georgia Home Boy, Grievous Bodily Harm,
  G, Liquid Ecstasy.
• CNS Depressant
• Feelings of Intoxication
• Blackouts
• Date Rape

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GBL-GHB analog

• Industrial Cleaner Solvent
• BD GBL converts to GHB in body (adds an oxygen
  molecule)
• Dose 10.00 milk jug capful size
• Street value of gallon 37,000

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GBL Street Names

• Blue Nitro Vitality
• Firewater
• RenewTrient
• Revivarant
• Revivarant-G

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1-(3Trifluromethyphenyl) (TFMPP)

• Known as Molly or Pipe
• Livestock Cattle de-wormer
• Similar to Ketamine
• Barbiturate like effects stronger than ecstasy.

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Rohypnol

• Old Tablet - white, colorless
• New Tablet - Oblong, Green tint
• Causes Amnesia
• Similar effects to Intoxication
• Must be detected within 72 hours
• Date Rape

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Ketamine

• Special K, K
• Veterinary Use
• Injected, smoked, slipped into drinks
• Delirium, Amnesia, Depression, Fatal Respiratory
  Problems
• Date Rape

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LSD

• Acid, Boomer
• Hallucinogen
• Affects Brainstem
• Abnormal Sensory Perceptions
• Flashbacks
• Death

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Acid/LSD
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Signs of Use

• Manic
• Jumpy, shaky hands, restlessness
• Fast speech
• Poor appetite and/or weight loss
• Hyperactivity
• Insomnia
• Poor attention span

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Psilocybin Mushrooms

• Hallucinogenic
• Ingested orally, brewed in tea, added to foods.
• Causes hallucinations, panic reactions
• Indigenous to tropical subtropical regions.
  Found under cow pies!
• Known as shrooms, boomers, flower flipping

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PCPPhencyclidine
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Cocaine
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Crack Cocaine Cocaine

• Powerfully addictive in any form.
• Most addictive when smoked.
• Stimulant
• Increased temperature, heart rate, bp
• Risk of cardiac arrest and seizure
• Respiratory problems.
• Aggression and paranoia

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Heroin
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Cheese The New Face of Heroin
Cheese


Tylenol PM or generic
Black Tar Heroin
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Inhalants
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Inhalants

• Found in Household
• Glue, Paint thinners, Whiteout, Gas, Aerosol
  chemicals, felt tip markers
• Abusers experience dizziness, strong
  hallucinations, delusions, belligerence, apathy,
  impaired judgment.
• Death can occur after a single use.
• Known as whippets, bang, poppers, huff, hippie
  crack

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InhalantsAmyl and Butyl Nitrates
Amyl Nitrate Poppers Snappers
Butyl Nitrate Rush Locker Room Climax
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Signs of Use

• Aggressive or hostile behavior
• Violent outbursts
• Slurred speech
• Stupor
• Seizures
• Vomiting

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Methamphetamine

• Speed, Ice, Meth, Crystal, Crank
• Increased Heart Rate, Body Temperature
• Highly Addictive
• Liver Damage
• Convulsions
• Death

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Methamphetamine
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What Is Methamphetamine?

• Meth is a synthetic nervous system stimulant
• It can produce a high lasting anywhere from 2 to
  16 hours
• Meth is highly addictive and can produce severe
  withdrawal symptoms

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It can be smoked, snorted, injected or taken
orally.
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About 10 of people who try alcohol will become
addicted to alcohol.
About 98 of people who try meth will become
addicted to meth.
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Signs of Meth Usage

• Euphoria
• Hyperactivity
• Relaxed inhibitions
• Misrepresentation of time and distance
• Inability to concentrate
• Restlessness/agitation
• Tendency to compulsively clean and groom

• Talkativeness
• Bruxism (teeth grinding)
• Dilated pupils- slow to react
• Repetitively disassemble and sort objects
• Rigid muscle tone
• Unable to divide attention

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Short Term Effects of Methamphetamine Use

• False sense of well-being
• Convulsions, twitching, jerking
• Increased heart rate
• Aggressive/violent behavior
• Loss of appetite
• Extreme rise in body temperature
• Acne, sores, crank bugs
• Pupil dilation

• Paranoia
• Hallucinations
• Insomnia/ Exhaustion
• Increased muscle tension
• Impaired speech
• Dry, itchy skin
• Nausea, vomiting, diarrhea
• Bad teeth
• Body odor

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Long Term Effects of Methamphetamine Use

• Insomnia
• Permanent psychological conditions
• Respiratory disorders
• Abuse and addiction
• Stroke
• Coma
• Death

• Malnutrition
• Liver and brain damage
• Nasal damage
• Collapsed veins, track marks, bruises
• Severe weight loss
• Fatal kidney and lung disorders
• Loss of pleasure

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Effects on the Brain/ Personality

• Disturbed sleep
• Excessive excitation
• Excessive talking
• Panic
• Anxiousness
• Nervousness
• Irritability
• Memory loss

• False sense of confidence and power
• Delusions of grandeur
• Uninterested in family and friends
• Uninterested in food
• Increased sexual cravings
• Loss of social life
• Severe depression

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MARIJUANA

• This Is Not Your Daddys Pot!
• Marijuana is Addictive!
• Marijuana Today is Stronger Than Ever-
• 1968 Pot had 1-5 THC
• 2008 Pot has 10-17 THC
• Marijuana Users are Younger Than Ever!
• Marijuana Hurts Young Bodies Minds!
• The Brain, Lung Damage, Mental Health, Risky
  Behavior

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Marijuana
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Marijuana Paraphernalia
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Pot Pipes and Bongs
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Hash Oil and BudderEmerging Marijuana
Derivatives

• Dried Bud of Marijuana
• THC content 27
• Hash Oil (or Honey Oil)
• THC content can range as high as 80 - 90
• Budder is processed Hash Oil made into a paste
• THC content 82 to 100

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BUDDER

• 3 grams of Budder is equivalent to 100 hits of
  smoked marijuana.
• Consumed by placing the product on heated items
  such as knives, coins and charcoal and then
  inhaling the resulting smoke produced.

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Signs of Use

• Bloodshot eyes
• Smell in hair or on clothing
• Munchies or sudden appetite
• Excessive thirst (cotton mouth)
• Burned or sooty fingers (from roaches)
• Evidence of seeds, devises used to clean
  marijuana (Frisbees), bongs (made out of toilet
  paper rolls aluminum foil)

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Johnson County TX Stats

• 227 Clients 18 yrs Younger entering Treatment
  noted Primary Problem

• Alcohol 21
• Cocaine 4
• Meth 1
• Other 2
• Marijuana 72

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Abuse of Rx and OTC Medications

• Recent studies have highlighted medicine
  abuseboth prescription and over-the-counteras
  an alarming trend among young people.

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Over-The-Counter Drugs of Abuse
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DXM

• Over the Counter Cough Medicine
• DSM powder extracted from syrup sold via
  internet
• Dose usually 4 or more oz. Usually causes
  vomiting, so abusers drink it quickly to absorb
  the drug before vomiting occurs.
• Produces hallucinations can last 6 hours.
• ROBO, Dex, DM,

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Triple C

• Contains dextromethorphan
• Produces hallucinations similar to ketamine.
  High can last 6 hours.
• Increases body temperature
• Known as candy, skittles, and red devils

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Illegal Use of Prescription Drugs

• Commonly abused prescription drugs belong to one
  of three categories
• Opiods
• Depressants
• Stimulants

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Opiods Vicodin, Lortab, Percocet

• Narcotic Pain Medications - often prescribed to
  treat pain.
• Affects brain region that mediates pleasure
• Adverse Effects
• Life-Threatening Respiratory Depression

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Central Nervous System (CNS) Depressants Valium,
Xanax

• Used to treat anxiety and sleep disorders.
• Slows down brain activity resulting in a drowsy
  or calming effect
• Adverse Effects Seizures, respiratory
  depression, decreased heart rate

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CNS StimulantsRitalin, Adderall, Concerta

• Prescribed to treat narcolepsy, attention
  deficit/hyperactivity disorder obesity
• Enhances brain activity resulting in an increase
  in alertness, attention, energy
• Adverse Effects High body temperature,
  irregular heart rate, cardiovascular system
  failure, fatal seizures, hostility or feelings of
  paranoia.

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Prescription Drugs

• Central Nervous System Depressants
• Vicodin and OxyContin
• Xanax (Benzodiazepines)
• Narcotic Analgesics
• Morphine
• Codeine
• Percocet and Percodan
• Fentanyl
• Central Nervous System Stimulants
• Ritalin
• Adderall
• Ephedrine (certain diet pills)

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Oxycontin

• Street Names 40, 80, Hillbilly Heroin,
  Oxycotton
• Methods of usage
• Chewing tablets, Snorting crushed tablets,
  Dissolving tablets in water and injecting
• Long-term usage can lead to physical dependence.
  A large dosage can cause severe respiratory
  depression that can lead to death.
• Withdrawal symptoms include restlessness, muscle
  and bone pain, insomnia, diarrhea, vomiting, cold
  flashes, and involuntary leg movements.

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Proper Disposal of Prescription Drugs

• Federal Guidelines
• Take unused, unneeded, or expired prescription
  drugs out of their original containers and throw
  them in the trash.
• Mixing prescription drugs with an undesirable
  substance, such as used coffee grounds or kitty
  litter, and putting them in impermeable,
  non-descript containers, such as empty cans or
  sealable bags, will further ensure the drugs are
  not diverted.
• Flush prescription drugs down the toilet only if
  the label or accompanying patient information
  specifically instructs doing so.
• Take advantage of community pharmaceutical
  take-back programs that allow the public to bring
  unused drugs to a central location for proper
  disposal. Some communities have pharmaceutical
  take-back programs or community solid-waste
  programs that allow the public to bring unused
  drugs to a central location for proper disposal.
  Where these exist, they are a good way to dispose
  of unused pharmaceuticals.

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Street Terms Drugs and the Drug Trade

• www.whitehousedrugpolicy.gov/streetterms/
• Other Websites
• www.mediacampaign.org
• www.TheAntiDrug.com
• www.freevibe.com
• www.dea.gov
• www.4prevention.info

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Warning signs of alcohol and drug abuse may
include

• Physical
• Fatigue, repeated health complaints, red and
  glazed eyes, and a lasting cough.
• Emotional
• personality change, sudden mood changes,
  irritability, irresponsible behavior, low
  self-esteem, poor judgment, depression, and a
  general lack of interest.
• Family
• starting arguments, breaking rules, or
  withdrawing from the family.
• School
• decreased interest, negative attitude, drop in
  grades, many absences, truancy, and discipline
  problems.
• Social problems
• new friends who are less interested in standard
  activities, problems with the law, and changes to
  less conventional styles in dress and music.

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Exploding Popularity of Energy Drinks

• 500 new energy drink products introduced
  worldwide in 2006
• Energy drink sales 3.2 billion
• 31 percent of 12- to 17-year-olds are regular
  consumers v. 22 percent of 25- to
  34-year-olds

-- Mintel Group
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The Energy Drink Market Youth Driven

• One in three teens use energy drinks compared to
  one in ten adults.
• Youth consumption is rapidly increasing.
• Energy drinks help teens augment their rebellious
  imagelegally.

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Brand Confusion Which Contain Alcohol?
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Brand Confusion Which Contain Alcohol?
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Only non-alcoholic brands have nutrition facts
and ingredients listed
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Who Owns These Brands?
Miller Brewing Company
Anheuser-Busch
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Who makes this drink?
Who distributes this drink?
Anheuser-Busch
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Alcohol Brands Cost Less
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Viral Marketing Facebook Postings by High
Schoolers
Im only 18 and I had a six pack of sparks in my
room and my mom found it, but she had no idea and
thought they were just energy drinks. I
dont remember what life was life before sparks
but now I really cant remember with it.
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Public Health Implications

• Marketing and product design promotes youth
  consumption
• Alcohol Caffeine Wide awake drunk
• Caffeine masks alcohols intoxicating effects,
  promotes risk taking
• Youth most likely to take risks

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Wake Forest / NC Study

• Mixing caffeine (a stimulant) with alcohol (a
  depressant), is like getting into a car and
  stepping on the gas pedal and the brake at the
  same time.
• Only the symptoms of drunkenness are reduced
  but not the drunkenness. Students cant tell if
  theyre drunk or if someone else is drunk. So
  they get hurt, or they hurt someone else.

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• Questions?