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Emerging Drug Trends

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Emerging Drug Trends. Heidi Denton Substance Abuse Prevention Allegan CMH March 15, 2012. Topics covered today:. Explore the problems about: K-2 Spice (Synthetic Marijuana) Bath Salts Prescription Drugs Over the Counter Drugs - PowerPoint PPT Presentation
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Emerging Drug Trends Heidi Denton Substance Abuse Prevention Allegan CMH March 15, 2012
  • Emerging Drug Trends Heidi Denton Substance Abuse Prevention Allegan CMH March 15, 2012

  • Topics covered today:Explore the problems about:K-2 Spice (Synthetic Marijuana)Bath SaltsPrescription DrugsOver the Counter DrugsLearn who is abusing Solutions & resources

  • Every Generation of youth Looks for New Ways to Get High

  • Scope of the ProblemAlcohol use-declining among teensMarijuana use-rising among teensPrescription drug use-rising among teensOver the Counter-rising among teensK2 and Bath SaltsLimited DataSource: Monitoring the Future Study-2010 www.monitoringthefuture.org

  • Why Should We Care?The long term health effects are unknown for RX abuse, OTC abuse, K2 spice & Bath SaltsKids generally go on to other drugs or use them in combination with alcohol and other drugs once they start abusingAddiction is possibleLegal involvement

  • What Drug am I?Police Report Highlights:Crossed raised median 3 times, hit concrete wall 2x, driving on sidewalk w/ broken axle / tire.000 BACHallucinatingDeath is all around meThreatening to kill the OfficerHallucinating, vomiting, paranoid

  • K2 or Spice

  • History of K2/Spice originJWH-018 & other synthetic cannibinoids (chemicals) were created in an attempt to find a drug that would help ease cancer patients nausea & pain. Historically THC has been known to relieve these symptoms.Researchers were hoping to develop an alternative to THC that wouldnt have any of the psychoactive side effects.

  • HistoryDr. John H Huffman- a chemist at Clemson University created JWH-018 and hundreds of other synthetic cannabinoids.Dr. Huffman & his team published a book on his findings in 1998. No human testing was conducted- only tested on lab mice.JWH-018 was detected in a smoke able herbal blend sold in Germany in 2008.The chemical was found in the herbal blend and had several reports of adverse reactions in users.The chemical eventually found its way back to the U.S. in the form or K2/Spice herbal incense.

  • K2 Spice not for human consumption

    Plant material (herbs, flowers, spices). Marketed as incense- the package says not for human consumption Laced (sprayed) with various synthetic compounds that behave like THC Smoked or mixed in drink or food Sold LEGALLY and LOCALLY up until recent Michigan Law banned the chemical components. 1g -5g packages. Cost approximately $20 per 3gm package.

  • Who is using this?High School StudentsLocal access, hard to detect use These products are so readily available-theres no age restriction for buying them on the internet or in stores, that kind of accessibility for a drug is unique. Dr. Vandrey-Drug and Alcohol Dependence-Join Together18-24 year old groupNot as much social stigma as using harder drugs

  • Strong clove smellCoffee grinder finer the powder, easier to smokeDrug paraphernalia (pipes, screens, etc.)Typically smoked

    Signs of Use

  • Ingredients: Baybean, Blue Lotus, Lion's Tail, Lousewort, Indian Warrior, Dwarf Scullcap, Maconha Brava, Pink Lotus, Marshmallow, Red Clover, Rose, Siberian Motherwort, Canavalia Maritime, Leonotis Leonurus, Leonurus Sibiricus, Pedicularis Densiflora, Scuttellaria Nana, Vanilla Planifolia, Zorinia Latifolia, Magnolia Officinalis, Rosa Gallica, Trifolium

  • Other common brands or flavors:(remember, not for human consumption)

  • Psychoactive Compounds Solid (white powder) or Oil

    Over 100 Synthetic Cannabinoids (chemical compounds) out there 7 main Cannabinoids have been found in Spice by Volker Auwarter (2008)Not all samples tested contained all of them however

    DEA Lab had similar findings making this drugs effects even more unpredictable

  • Chemical compounds in K2CP-47,497Not structurally related to THCCreated by Pfizer 1995JWH-073Not structurally related to THCJWH-0185x more potent then THC

    JWH-2003x more potent then THCHU-210 100-800x more potent than THC Structurally and pharmacologically similar to THCHU-211No THC- like effects

  • K2 Spice vs. Marijuana Unregulated mixture of you name it (higher potential for overdose)

    Mixed / Unpredictable symptomsLonger half-life (prolonged high)

    Never tested on humans

    Same basic chemical compound in marijuana

    Well-known symptoms

    Well-known duration

  • K2 Spice vs. MarijuanaReports of Addiction / Withdrawal Not able to detect in blood or urine until recentlyOn set 5- 10 MinHallucinationsIntense paranoiaAnxietyIncrease heart / BP

    Not considered physically addictiveAble to detect in blood /urineAlmost immediateNo Hallucinations*No paranoia*RelaxingIncrease heart rate /BP

    *In pure marijuana plants

  • Calls Received by Poison Control Centers for Human Exposure to Synthetic Marijuana, 2010 to January 2012 Michigan banned K2 chemicals in Oct. 20102/2012Projection based on preliminary January data20112012Source: American Association of Poison Control Centers, Synthetic Marijuana Data, Updated February 8, 2012 (Preliminary data)






    Number of Calls


    The number of calls in 2011 are more than double that in 2010.


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    Number of Calls

    Calls remain high since a steady rise from January to July 2011.


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  • Deaths and Hospitalizations related to Spice and K2

  • Long Term Effects of K2Evidence is lacking on the long-term effects of synthetic marijuana on the brain and body. However, since it is smoked, it can affect the lungs negatively. Scientists warn that there is no data about the toxicity of the JWH-018 chemical used in synthetic marijuana. Therefore, they warn against using this drug.

  • MI House bill 6038As of Friday Oct 1, 2010; K2 and several similar products were made illegal in Michigan.Chemicals banned include HU-210, JWH-018, JWH-015, JWH-200, JWH-250, CP47, CP49790 day misdemeanor (same penalties as possession of marijuana)

  • K2 legal status in the U.S.The smokable herbal products were designated as Schedule 1 substances, the federal governments most restrictive category, ostensibly reserved for drugs with no accepted medical use for treatment in the United States and a lack of accepted safety for use of the drug under medical supervision. *Marijuana is also a Schedule 1 drug, along with heroin, Ecstasy, and LSD

  • Drug testing is now availablewww.redwoodtoxicology.comWill a standard drug test detect synthetic cannabinoids?Conventional drug test panels will not detect the broad range of synthetic cannabinoids. They pass undetected in standard urine testing for such drugs as cocaine, marijuana, heroin and amphetamines. RTLs Synthetic Cannabinoid Test can be ordered with your standard panel to ensure JWH-018 and JWH-073 are detected.

  • Resourceswww.mdch.gov (type K2 in the search)www.dea.govwww.cadca.orgwww.drugfree.org/join-together

  • Questions/DiscussionAny questions/thoughts on K-2 spice?

  • Calgon, dont take me awayBath Salts aka Molly, Ivory Snow

  • Bath Salts

    Fake bath salts are not typically found at the standard bath and body store but are available over the counter at convenience stores, head shops and over the internet.

    The substance is usually sold in small containers with exotic names like Tranquility, Red Dove, Ivory Snow or Vanilla Sky.

  • How can you tell?If it says it is Not For Human ConsumptionOr it is not illegalOr it is only for 18+ Adults OnlyIt is probably for ingestion, not a hot bath

  • Many Brands and Names and Not Always Sold as Bath SaltsPlant FeederInsect RepellentStain Remover

  • Bath SaltsFound to contain:3,4 -Methylenedioxmethcathinone (methylone)3,4 -Methlenedioxypryovalerone (MDPV)3 Fluoromethcathinone4- Methylmethcathinone(Mephedrone)

  • Bath SaltsIngested orally, snorted (most common), smoked, inserted rectally Amphetamine Type highSold in wallet sized packets and clear jars for about $25 per 250 milligrams

  • Signs and Symptoms of Bath Salt AbuseExtreme ParanoiaViolent BehaviorHigh Blood PressureHyper AlertnessSleep DeprivedExtreme AnxietyCompulsive Water DrinkingMotor Automatisms (compulsive repeated hand washing)Many are Symptomatic for 2-3 days

  • Health Effects of Bath Salt AbuseMimics the effect of cocaine, LSD, Ecstasy and or methamphetamine.Impaired perceptionReduced motor controlDisorientationExtreme paranoia and violent episodesRapid Heart RateChest PainSuicidal ThoughtsNose bleeds

  • Health Effects of Bath Salt Abuse-ContMDCH Patients ingesting these chemicals can be extremely paranoid and may not respond to usual calmatives. Some have been involved in homicides and suicides while under the influence. Many describe being chased by demons, gods, aliens, or foreign solders. Severe cases may require long term psychiatric care. 2/4/11-Press release by MDCH

  • Who is abusing?MDCH is reporting that the majority of people who are abusing bath salts are in their 20s and early 30s. Why? Easy AccessLess social stigma than using heavier drugsIts new!

  • Intervention- Bath Salts

  • Poison ControlNational call volume to Poison Control due to Bath Salts dramatically increased from 2010 to 2011.

    Michigan: (January June 16, 2011) 86 cases of bath salts in the ER, up from 65 for all of 2010.

  • Calls To Poison Control Centers Nationwide for Human Exposure to Bath Salts, 2010 to January 2012 DEA ban July 20112/2012Source: American Association of Poison Control Centers, Bath Salts Data, Updated February 8, 2012 (Preliminary data).*Numbers may change as cases are closed and additional information is received. Projection based on preliminary January dataIn early 2011, calls closed in each month* spiked through June, then gradually declined and is level in the past 3 months.

    The number of calls closed in 2011 are over 20 times that in 2010.20112012






    Number of Calls



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  • Legal status of bath salts The ingredients, including mephedrone & MDPV are Schedule 1 drugs in Michigan.

    HB 4565 was signed on July 15, 2011-banning the hallucinogenic drug methylenedioxypyrovaleronebath salts along with the other main components found in the drug.

  • DEA banSeptember 8, 2011- DEA is temporarily banning three bath salt ingredients as of October 1st, lasting at least one year.

    The government will study three stimulants: Mephedrone, MDPV, and Methylone to see if they should be permanently banned.

  • Word of Caution.Bath Salts have recently been given a lot of national attention on shows such as Good Morning AmericaBe sure to check your local data sources to find out if this really is a problem in your community. Dont bring attention to something if it isn't an issue in your community!*We dont have use numbers for Allegan or Ottawa specifically yet, but local law enforcement have started to track arrests and incidents

  • Resourceswww.mdch.gov (type Bath Salts in the search)www.inspirationsyouth.com/Synthetic-Cocaine-Ivory-Wave-Bath-Salt.asphttp://en.wikipedia.org/wiki/MDPVwww.dea.gov

  • QuestionsAny questions or thoughts on Bath Salts??

  • Prescription Drug Abuse

  • Rx Medications are All Around Usand Teens NoticeThe Teen Rx Abuse ConnectionPatients leave the doctors office with a prescription in hand in 7 out of 10 visits.Direct-to-consumer advertising on TV and in magazines is pervasive.Many people dont know how to safely use these medications or ignore their doctors instructions.

  • Rx drugs are part of teen culture. Teens: As a resultNormalize this form of drug abuse.Take these meds for legitimate reasons with or without a prescription to stay awake, remain alert or to go to sleep.Purposely abuse these drugs to get high. They participate in pharming and skittle parties.Are often unaware that these activities can lead to disastrous results.

  • Next to marijuana, the most common illegal drugs teens are abusing are prescription medications. Twenty percent of U.S. high school students say they have taken Rx drugs without consulting a doctor.1 in 5 teens has abused Rx drugs.1 in 3 teens say there is nothing wrong with abusing Rx medications every once in a while.Every day, almost 2,500 teens abuse an Rx medication for the first time.RX ABUSE PREVENTION TOOLKIT - from awareness to actionAs a result

  • Access to RX DrugsWhere are they getting these from?Medicine CabinetHomeFriends Other relatives (grandparents)SchoolKids at school sell and shareRecent focus group results found that Allegan & Ottawa County youth report they can get RX medications at anytime during the school day

  • Teens Rx Drugs of Choice For Abuse RX ABUSE PREVENTION TOOLKIT - from awareness to action

    How they workAbused by teens to:Drug namesStrong pain relieversUsed to relieve moderate-to-severe pain, these medications block pain signals to the brainGet high, increase feelings of well being by affecting the brain regions that mediate pleasureVicodin, OxyContin,Percocet, Lorcet, Lortab, Actiq, Darvon, codeine, morphine,methadoneStimulantsPrimarily used to treat ADHD type symptoms, these speed up brain activity causing increased alertness, attention, and energy that comes with elevated blood pressure, increased heart rate and breathingFeel alert, focused and full of energyperhaps around final exams or to manage coursework, lose weightAdderall, Dexedrine, Ritalin, ConcertaSedatives or tranquilizersUsed to slow down or depress the functions of the brain and central nervous system pressure, increased heart rate and breathingFeel calm, reduce stress, sleepValium, Xanax, Ativan, Klonopin, Restoril, Ambien, Lunesta, Mebaral, Nembutal, Soma

  • RX ABUSE PREVENTION TOOLKIT - from awareness to action Rx Access Points Friends & Family Source of ConcernSAMHSA. (2008). Results from the 2007 National Survey on Drug Use and Health: National Findings (Office of Applied Studies, NSDUH Series: H-34, DHHS Publication No. SMA 08-4343). Rockville, MD.Available at: www.oas.samhsa.gov/nsduh/2k7nsduh/2k7Results.pdf

  • OxyContin Effects High similar to Heroin rushPrescription Oxycontin designed for a 12 hour release to patient.Abusers are crushing up tablets and snorting them getting all the opiates at once.This quickly leads to addiction

  • OxyContin Facts Cont..1 in 20 High School Seniors admit trying Oxycontin.Highly addictive with severe withdrawals sweats, chills, vomiting, headache Often a Gateway drug to heroin because its cheaper.Several drug companies are launching crush proof alternatives to Oxycontin.

  • Watch for Physical Warning SignsSudden mood changes, including irritability, negative attitude, personality change.Extreme changes in groups of friends or hangout locations.Lying or being deceitful, unaccounted time away from home/missed school days, avoiding eye contact. Losing interest in personal appearance, extracurricular activities or sports.Poor performance at school.Borrowing money or having extra cash.Visiting and even purchasing from pro-drug abuse (illegal) web sites. EDUCATERX ABUSE PREVENTION TOOLKIT - from awareness to action

  • Watch for Physical Warning Signs in the Home or at SchoolExcessive sweating, urination or thirstNausea and vomiting Uncontrollable diarrhea Spastic shaking Drowsiness, dizziness and insomnia Loss of consciousness Physical dependenceAddiction RX ABUSE PREVENTION TOOLKIT - from awareness to action

  • Talking to teensDENORMALIZE THE BEHAVIOR While 1 in 5 teens are abusing Rx drugs, 4 in 5 are not.DEBUNK COMMON MYTHS: Rx abuse is just as dangerous as abusing other substances; it can be addictive; and its not OK to misuse these drugs even once in a while.PROVIDE CLEAR GUIDELINES If youre a parent, let teens know you will be disappointed if they abuse Rx medications and watch how you use medicines in front of teens.GIVE TEENS ESCAPE ROUTES Teach them how to get out of bad situations; and suggest responses they can use so they dont feel uncool. No, thanks not into it. Not today. Im not interested.RX ABUSE PREVENTION TOOLKIT - from awareness to action

  • ONDCP's Prescription Drug Abuse Prevention Plan

    The 2011 Prescription Drug Abuse Prevention Planexpands upon the Obama Administration's National Drug Control Strategy and includes action in four major areas to reduce prescription drug abuse:Education. A crucial first step in tackling the problem of prescription drug abuse is to educate parents, youth, and patients about the dangers of abusing prescription drugs, while requiring prescribers to receive education on the appropriate and safe use, and proper storage and disposal of prescription drugs. Monitoring. Implement prescription drug monitoring programs (PDMPs) in every state to reduce doctor shopping and diversion, and enhance PDMPs to make sure they can share data across states and are used by healthcare providers. Proper Medication Disposal. Develop convenient and environmentally responsible prescription drug disposal programs to help decrease the supply of unused prescription drugs in the home. Enforcement. Provide law enforcement with the tools necessary to eliminate improper prescribing practices and stop pill mills.

  • Older AdultsPersons 65 years of age + make up 13% of the population but account for 33% of all medications prescribed in the US.Hospital admissions rose 96% from 1997-2008 for conditions related to RX medications in those aged 65-84. (Source-SAMHSA)At great risk for abuse by taking pills that are not medically necessaryAt a higher risk for health consequences than younger generations

  • What You Can Do

    Because prescription drugs are legal, they are easily accessible. Parents, law enforcement, the medical community, and all levels of government have a role to play in reducing prescription drug abuse. Here are some things you can do to reduce the abuse of prescription drugs:

    Follow disposal guidelines: No matter who you are, you can help address this issue in your home. By following the guidelines, you reduce the risk of unintentional diversion or harm.

    Talk to your kids: It's important that our children learn about the use and abuse of prescription drugs.

    Take advantage of community take-back programs: Call your city or county government's household trash and recycling service or your local police or sheriff's department to see if a take-back program is available in your community. For a list of permanent disposal sites in West Michigan- www.wmtakebackmeds.org

    Seek treatment and support individuals in recovery: If you or a loved one needs help with substance abuse, find a treatment center near you today. Thousands of individuals who have struggled with addition have now living healthy and happy lives with the help of treatment and recovery services.

  • Prescription Drug Abuse Resources-Generalwww.cadca.orgwww.theantidrug.com/resourceswww.whitehousedrugpolicy.govwww.nida.nih.govwww.samhsa.govwww.dea.govStreetdrugs.orgwww.talksooner.org

  • Prescription Drug Abuse Resources-Parentswww.theantidrug.comParent Toolkit www.nasn.org/Portals/0/resources/pd_toolkit_parents_advice.pdfwww.talksooner.org

  • Prescription Drug Abuse Resources-SchoolsSmart Moves, Smart Choices www.pbs.org/newshour/thenews/themedic/list.phpLesson plan for 6-8th graders http://school.discoveryeducation.comHandouts for teens www.kidshealth.org

  • Over The Counter Drug Abuse-Cough Medicine Dextromethophan (DXM)-active ingredientFDA approval 1950s to relieve cough symptoms.Over 100 OTC medicines that contain DXMAlka Seltzer cough and coldCoricidinRobotussinDimetappSudafed cough products

  • Slang terms for Cough Medicine AbuseSkittlingTusssingRobo trippingTriple csDexDex trip

  • Cough Medicine Abuse- Side Effects Delusions Panic attacks Memory problems Blurred vision Stomach pain, nausea, and vomiting High blood pressure and rapid heartbeat Numbness of fingers and toes Drowsiness and dizziness Fever and headaches Rashes and itchy skin Loss of consciousness

  • Cough Medicine Abuse Access PointsLocal grocery stores, pharmacies, chain stores, gas stations, etc. Buy them from several different storesFriends Medicine CabinetsLocal Story- Care Baskets

  • Cough Medicine abuse Scope of the Problem3.8% of 8th graders, 6% of 10th graders, and 5.9% of 12th graders are abusing cough medicine (National Institute on Drug Abuse, 2009)Becoming very common in teen culture, especially on the internet. Hundreds of websites that promotes DXM-containing medicine telling how to achieve the best highs based on their height and weight!

  • Cough Medicine Abuse: Warning SignsEmpty cough medicine boxes or bottles in the trash, backpack, school locker Purchase or use of large amounts of cough medicine when not illMissing boxes or bottles of medications from the cupboardChanges in friends, physical appearance, or sleeping, or eating patternsDeclining gradesLoss of interest in hobbies

  • Social Networking Web Sites Spread Information about DXM AbuseDetailed instructions and conversations about DXM abuseBlogs and videos (You Tube) of how and when kids will take DXM-containing cough medicinesFootage of kids while high

  • Lean Purple Drank

  • Lean or Purple DrankRecipeRx Cough Syrup with Codeine and Promethazine.Cherry Bubble up or SpriteTwo watermelon Jolly Ranchers Ice cubes

  • Urban Dictionary Definition of Lean 3. purple drank Purple Drank is an illegal recreational drink popular in the Southern United States rap community, whose main ingredients originally consisted of prescription strength cough syrup, containing codeine and promethazine, and either a carbonated soft drink (generally Sprite) or fruit juice. The purple-ish hue of Purple Drank comes from the dyes in the cough syrup. Recently, the term has expanded to cover mixtures including over-the-counter cough syrup and vodka in place of prescription cough syrup. Other terms for Purple Drank include Barre, Oil, Purple Tonic, Lean (or Southern Lean,) Drank, and Syrup (which is sometimes slangly pronounced as Sizzurp.)

  • Lean or Purple Drank EffectsAltered level of consciousnessSedative EffectAlcohol often addedOut of body experience, euphoriaSweats, fever, confusion

  • Legal update:California became the 1st state to prohibit the sale of OTC cough medicines containing the active ingredient DXM to minors on September 1, 2011

  • More informationwww.dxmstories.comwww.stopmedicineabuse.orgwww.doseofprevention.orgFivemoms.stopmedicineabuse.orgwww.whitehousedrugpolicy.govwww.nida.nih.govwww.abovetheinfluence.com (Teen based)

  • QuestionsAny questions, comments, or thoughts?

    **Internet 2004, took off in 2008-9*****Marked not for human consumption, Over 100 varietiesLocal stores have reported $1000 day salesOne of the signs that parents can look for is a strong clove smell. K2/Spice is typically smoked, so parents may find a coffee grinder around the house which is often used to reduce the product to a fine powder so that it is easier to smoke and other drug paraphernalia such as pipes or screens.

    ***Plant material taken by themselves would have very mild hallucinating effects.**********BP140-160 (normal 100-110)Calls to poison control centers for exposure to synthetic marijuana doubled between 2010 and 2011 and is on track to rise again in 2012.*So how can you tell if something that is labeled as a bath salt is really a drug?Well, first off, if it is contained in a packet that is about the size of a moist towelette, it probably isnt designed for use in a bathtub that can hold anywhere from 30 to 60 gallons of water.But if it also says, not for human consumption, says that it is not illegal (never a good sign) or that it is for adults only, it is probably a drug that was created for ingestion and not for a hot bath. *What makes this even trickier is that not all Bath Salts are marketed as Bath Salts. Substituted cathinones and related drugs have been sold as plant feeder, insect repellent and even stain remover.It is also important to note that there is no standard formulation for these drugs. The composition of chemicals that is sold in one packet may be completely different than what is sold in an identical packet.So why all of the mystery?It is because when these drugs were legal, the people trying to sell them were working to exploit very specific loopholes in the law. For a period of time, these drugs were not illegal because the law did not include them. That has changed, and we will talk about that in a moment. But once word went out that Bath Salts were dangerous, the distributors of these drugs put them in new, deceiving packages.

    *Poison centers first raised the alarm about Bath Salts in December 2010 after they started receiving calls about people having serious reactions to the chemicals, such as increased blood pressure and heart rate, agitation, hallucinations, extreme paranoia and delusions. In 2010, poison centers received 304 calls about exposures to Bath Salts. That number rose dramatically in 2011 when poison centers received 6,138 calls. In early 2011, calls closed in each month spiked through June, then gradually declined and was level in November and December 2011 and January 2012. While this is notable progress, projections based on January 2012 data indicate that use will remain far above 2010 levels in 2012.**SOURCE: Not Worth the Risk Maximizing Your Role as a Teen Influencer: What You Can Do To Help Prevent Teen Prescription Drug Abuse, NCPIE.

    Prescription drugs are often a mainstay of treatment for various illnesses including migraines, infections, heart disease, diabetes, depression, arthritis and cancer. TV and print media are also filled with ads for these, and other medications designed to appease pain and cure diseases. As such, its understandable why teens may come to believe that there is a pill for everything.

    Given the fact that our society is so pill-driven, it seems a bit surprising that most of us have missed the boat on medication safety. What do we need? To be better educated about how to safely use, store and get rid of these medications when theyre not longer needed. Well talk about this more later.**SOURCE: Not Worth the Risk Maximizing Your Role as a Teen Influencer: What You Can Do To Help Prevent Teen Prescription Drug Abuse, NCPIE.

    Unfortunately, prescription drugs are a noticeable part of teen culture these days. The truth is that some teens take these medications for legitimate reasons whether they have a prescription or not. We know some teens will abuse different classes of drugs for their practical effects one to help them focus or stay up all night to write a term paper or cram for the next exam, another to help take the edge off and still another to help them fall asleep.

    Other teens abuse these drugs to get high. The latest abuse trend takes place at pharming or bowling parties. [Ask the group to raise their hands if theyve heard of these.]

    At these parties, teens will mix different kinds of prescription drugs together in a bowl or a bag (also called making trail mix) and will consume a handful of pills. They often dont know what drugs they are taking or how they will affect their mind or body, nor would emergency medical responders in the event that they need to treat a teen and counteract the drugs effect.

    **SOURCES: Center for Disease Control and Prevention and Not Worth the Risk Maximizing Your Role as a Teen Influencer: What You Can Do To Help Prevent Teen Prescription Drug Abuse, NCPIE.

    While the rate of tobacco, alcohol and illicit drug abuse is down overall, more teens are turning to prescription drugs.

    [Refer to the statistics on the slide. Consider asking the group what surprises them most about these numbers.]

    These numbers paint a sobering picture. Its a problem that needs more attention and it must be consistently addressed at home, in schools, on the athletic field and in doctors offices.

    **SOURCE: Not Worth the Risk Maximizing Your Role as a Teen Influencer: What You Can Do To Help Prevent Teen Prescription Drug Abuse, NCPIE.

    Drugs commonly used by teens include:

    Strong pain medications that are prescribed to treat moderate-to-severe pain. Teens often go in search of these to get high or feel pleasure. Some street names include: Captain Cody, China Girl, vikes, hillbilly heroin, oxy 80s, OCs, percs, demmies.Stimulants, or uppers speed up brain activity, resulting in greater alertness, attention, and energy. Teens turn to these to feel alert and be able to pull all-nighters to stay on top of coursework. Stimulants can make the heart beat faster and put the user at risk for stroke or heart attack. Some popular street names are uppers, vitamin R, Skippy.Sedatives, or downers slow down brain activity. The result is a drowsy or calming effect. Other sedatives include tranquilizers and muscle relaxants. Sedatives can reduce heart rate and the bodys response to breathing. Street names include candy, downers, tranks, barbs.

    Teens also abuse cough medicines and other over-the-counter medicines.

    **Source: COMMUNITY RX CRISIS Balance and Perspective on Prescription Drug Abuse, NADDI.

    Recent Federal data indicate that over 50% of those who abuse Rx medications, obtain them for free from friends or relatives. This reality points to the need for education and outreach targeting families and friends that highlights the importance of not sharing medications and proper medication storage and disposal strategies.

    **Meth Diversion Story**SOURCE: Not Worth the Risk Maximizing Your Role as a Teen Influencer: What You Can Do To Help Prevent Teen Prescription Drug Abuse, NCPIE.

    Its very important to watch for physical signs of trouble. Remember that the physical signs of abuse will be very different depending on the individual and the drug that is abused. The ones listed here are general. Seek immediate medical assistance if a teenager under your charge exhibits these signs.

    **Three mantras educate, communicate, safeguard are critical to protecting young people against Rx medication abuse.

    **SOURCE: Not Worth the Risk Maximizing Your Role as a Teen Influencer: What You Can Do To Help Prevent Teen Prescription Drug Abuse, NCPIE.

    Kids learn by example, so when they see mom, dad, a sibling or a grandparent taking a pill, it doesnt seem so bad. If you take medications in front of young children or teens, explain why and stress the fact that these are powerful medications that are only safe to use by the person for whom the doctor recommended it.