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JUST THE FACTS FFA ACTS A CTS WHAT ARE INHALANTS? AN EDUCATIONAL FACT SHEET FROM THE FLORIDA ALCOHOL & DRUG ABUSE ASSOCIATION Inhalants are breathable substances that produce psychoactive (mood altering) vapors. Commonly abused inhalants are: Model airplane glue, rubber cement, spray paint, air freshener, deodorant, ether, dry cleaning fluid, spot remover, and vegetable cooking spray. They can be broken down into three major categories -volatile solvents, nitrites, and anesthetics. VOLATILE SOLVENTS Volatile solvents are either gases, such as butane gas fumes, or liquids, such as gasoline or paint thinner, that vaporize at room temperature. Besides gasoline and paint thinner, products with volatile solvents include spray paint, paint and wax removers, hair spray, odorants, air fresheners, cigarette lighter fuels, analgesic sprays, and propellant gases used in aerosols such as whipped cream dispensers. Volatile solvents produce a quick form of intoxication-excitation followed by drowsiness, disinhibition, staggering, light-headedness, and agitation. Because many inhalant products contain more than one volatile solvent, it is difficult to clearly identify in humans the specific chemical responsible for subsequent brain or nerve damage or death. NITRITES Two other popular inhalants are amyl nitrate and butyl nitrate. Amyl nitrate was used for heart patients and diagnostic purposes because it dilates the blood vessels and makes the heart beat faster. It is a clear yellowish liquid that is sold in a cloth covered, sealed bulb. The bulbs emit a popping or snapping sound when broken, which accounts for the nicknames “poppers” and “snappers.” Before 1979, amyl nitrate was available without a prescription, but as reports of abuse increased, prescriptions were required. Now, many users have begun to abuse butyl nitrate which is packaged in small bottles, often marked incense, and sold under a variety of names including “locker room” and “rush.” The “high” from butyl nitrate lasts from a few seconds to several minutes. Immediate effects include flushed face, dizziness, decreased blood pressure followed by an increased heart rate and headache. ANESTHETICS The principal substance of abuse in anesthetics is nitrous oxide. A colorless, sweet-tasting gas used by doctors and dentists for general anesthesia, nitrousoxide is called “laughing gas” because it often induces a state of giggling and laughter. Nitrous oxide is often sold in large balloons from which the gas is released and inhaled for its mind-altering effects. But nitrous oxide is no laughing matter. Inhaling the gas may deplete the body of oxygen and can result in death; prolonged use can result in peripheral nerve damage. SIGNS AND SYMPTOMS OF INHALANT USE ■ Odor on breath and clothes ■ Runny nose, sneezing, watery eyes ■ ■ Drowsiness Poor muscle control ■ Presence of paraphernalia such as bags or rags, discarded whipped cream or similar chargers (signs of nitrous oxide use) or small bottles (signs of butyl nitrate use) PREVALENCE RATES Typically first use of inhalants occurs between late childhood and adolescence. According to the National Household Survey on Drug Abuse (NHSDA) there were an estimated 970,000 new inhalant users in 2000. During 2001, more than 18 million persons ages 12 and older reported using inhalants ate lease once in their lifetime. The 2002 Monitoring the Future study report that 7.7% of 8th graders, 5.8 percent of 10th graders, and 4.5 percent of 12th graders used inhalants in the last year. The 2001 Youth Behavior Surveillance Survey reports that 14.7 percent of high school students nationwide have sniffed glue, breathed the contents of aerosol spray cans, or inhaled paints and sprays to get high at least once during their lifetime. Young teenagers are more likely to abuse inhalants, because the chemicals used are inexpensive and readily available. It is often the first substance used before tobacco or alcohol. Inhalants are more popular among younger teens than older teens. Although chronic use is most common in young men, the rates of use for males and females have been converging over the past 20 years. Although the use of inhalants rose steadily in the early 1990's, its use peaked in 1997 and has declined significantly since then. The Drug Abuse Warning Network (DAWN) emergency department data in 1994 reported that there were 1,511 reported mentions, but by 2001 this number had declined to 676. Besides price and availability, the other reasons people use an inhalant are: ■ The packaging is convenient and doesn't look illegal; ■ The substances themselves are generally legal; ■ The high comes on quickly and leaves the body almost as quickly; ■ It's a temporary substitute for more expensive drugs like marijuana, LSD, or even alcohol. FORMS OF INHALATION The methods for abusing inhalants are by sniffing, huffing, bagging and spraying. ■ Sniffing: breathing in the inhalant directly from the container; sniffing put the vapor immediately into the lungs. ■ Huffing: soaking a rag with dissolved inhalant, putting the rag in one's mouth, and inhaling; also, inhaling from a solvent-soaked rag; ■ Bagging: placing the inhalant in a plastic bag, covering the nose and/or mouth with the bag, and inhaling; ■ Spraying: spraying the inhalant directly into the nasal or oral cavity. INHALANTS IN THE BODY Chemicals used for sniffing are all fat soluble, organic substances that easily pass through the blood stream and are metabolized in the liver and kidneys. They produce effects that are similar to anesthetics, which act to slow down the body's functions. The “high” begins within minutes and lasts from 15 to 45 minutes. With low doses, users may feel slightly stimulated. With moderate amounts, users may feel less inhibited, less in control, light headed and giddy. Large doses can cause unconsciousness. LONG-TERM EFFECTS OF INHALANTS Extended use of inhalants can cause weight loss, fatigue and an electrolyte (salt) imbalance. Repeated use can permanently damage the nervous system, greatly reducing physical and mental abilities. Because inhalants are easily absorbed into the bloodstream and metabolized through the liver and kidneys, long term sniffing can damage blood, bone marrow, the liver and kidneys. Deep breathing of vapors or extended use of inhalants during a short period of time may result in other serious effects such as loss of self control, violent behavior, unconsciousness or death. Long term users tend to be disruptive and deviant due to the early onset of use, the user's lack of physical and emotional maturation, and the physical consequences of this use. Sniffing highly concentrated solvents or aerosols can produce heart failure and instant death. High concentrations of inhalants can also cause death from suffocation by displacing the oxygen in the lungs. Inhalants can also depress the central nervous system so much that breathing slows down until it stops. TOLERANCE AND WITHDRAWAL SHORT-TERM EFFECTS OF INHALANT USE Tolerance is defined as the need for larger doses of the drug to produce the same effect. Tolerance develops quickly among inhalant users. As users mature, they may seek other substances such as marijuana, cocaine, and LSD in order to achieve that high. Heavy or sustained use can cause physical withdrawal symptoms within several hours to a few days after use. Withdrawal symptoms may include sweating, rapid pulse, hand tremors, nausea, grand mal seizure and hallucinations. Indicators of inhalant abuse include paint or stains of the body or clothing, spots or sores around the mouth, red or runny eyes and nose, chemical odor on breath, excitability and/or irritability. Inhalant users may exhibit several adverse effects including: REFERENCES ■ Nausea ■ Ringing in the ears ■ Sneezing ■ Abnormal heart rhythm ■ Nosebleeds ■ Feeling and looking tired ■ Coughing ■ Double vision ■ Chemical odor on breath ■ Irritation of the eyes ■ Poor judgment ■ Lack of coordination ■ Chest pain ■ Muscle and joint aches ■ Loss of appetite How strong these effects are depends largely on the experience and personality of the user, how much is inhaled, and the specific substance used. National Institute on Drug Abuse. Inhalant Abuse: Its Dangers Are Nothing to Sniff At, 1996 Texas Commission on Alcohol and Drug Abuse. Understanding the Inhalant User. Office of National Drug Control Policy, Inhalant Fact Sheet, NCJ Publication #197105, February 2003 Funded through the Governor’s Drug-Free Communities Program, Title IV, Safe and Drug-Free Schools and Communities as authorized by The No Child Left Behind Act of 2001 FOR MORE INFORMATION CALL THE FLORIDA ALCOHOL & DRUG ABUSE ASSOCIATION RESOURCE CENTER 2868 MAHAN DRIVE, SUITE 1, TALLAHASSEE, FLORIDA 32308 TEL: (850) 878-2196 • WWW.FADAA.ORG PRINTED ON RECYCLED PAPER 9/04/2500