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Current Drug Trends 2014 Common Occurrences with Drug Trends • Increasing Potency • Easy Access and Increasing Awareness (through Internet use) • Deceptive Marketing and Marketing directed at Youth CDC’s Youth Online Survey for South Carolina High School Students 2013 • Drove when drinking alcohol 8.4 % • Drank alcohol before age 13 years 19.8 % • Currently drinks alcohol 28.9 % • Used marijuana 36.8 % • Tried marijuana before age 13 years 8 % Youth Survey contd. • Used cocaine 5.2 % • Used inhalants 10.7 % • Used ecstasy 6.8 % • Used methamphetamines 4.4 % • Took prescription drugs without a doctor's prescription 17.6 % • Injected any illegal drug 2.8 % Gel Shots-12% alcohol Shooters-20% alcohol Whipped Cream-15-25% alcohol Alcopops Up to 12% alcohol Mary Jane’s Relaxing Soda (Anti-Energy Drink-sedative type effect) . Anti-Energy Drinks • Commercial bottlers have now produced non-codeine based drinks like Sippin Syrup, Unwind and Mary Jane’s Relaxing Soda which are sold at convenience stores and online and are advertised as an “Extreme Relaxation Beverage.” These products contain sedating-type ingredients, such as Melatonin, Valerian root extract and Kava. AWOL (Alcohol without liquid machines) Inhaling or Smoking Alcohol • AWOL (Alcohol without liquid) machines were invented in 2004 and are powered by electrical air compressors. AWOL 2 and AWOL 3 are powered by electrical oxygen generators" which refer to a couple of mechanisms used for inhalation. • AWOL is trademarked and gimmicked as an alcohol "vaporizer" (heat the chemical to vapor) but is in fact a nebulizer (mixes the chemical with oxygen into small mist droplets). Freebasing Alcohol (the Vaportini) Freebasing Alcohol • Freebasing alcohol is a device called the Vaportini, which retails for $30 plus shipping. Users heat a small amount of alcohol in a glass ball over a tea light, then suck the resulting vapors through a straw. Pouring Alcohol over Dry Ice Alcohol and Dry Ice Mix An individual can pour alcohol over dry ice and inhale it directly or with a straw. Inhaling dry ice (with the alcohol) which is difficult to humidify inside the lung tissue, could potentially lead to a “burn” of the lining of the lungs. Homemade Alcohol Vaporizers . Homemade alcohol vaporizers The alcohol of choice is poured into a bottle, the bottle is corked, and a bicycle pump needle is poked through the top of the cork. Air is pumped into the bottle to vaporize the alcohol, and the user inhales the vaporized alcohol. Synthetic Cannabinoids (hallucinogen, stimulant) Scooby Snax (Synthetic Cannabinoid) Graham Crackers Synthetic Marijuana Crazy Clown (Synthetic Cannabinoid) . Crazy Clown • Crazy Clown is a new 4th generation synthetic marijuana similar to Spice with some serious and potentially fatal side effects. It's blamed for sending people to ER’s with violent reactions and causing death. • Crazy Clown is smoked or burned in a small bowl and inhaled. Active chemicals in Crazy Clown are unknown. Symptoms include: nausea, vomiting, dry mouth, weakness, cardiac problems, psychotic episodes, paralysis and violent behavior. • This is a drug that is not deceptive with it’s marketing name. Effects of Spice, K2 and kidney damage • The CDC issued an alert describing 16 cases of kidney damage from synthetic marijuana. The first warning came from Wyoming, where three patients were hospitalized with severe kidney damage; others came from Oregon, New York, Rhode Island, Oklahoma and Kansas. The kidney damage from many of these cases was very severe, five to the point of requiring dialysis. • In December, 2012, the Substance Abuse and Mental Health Services Administration (SAMHSA) released a report showing that synthetic marijuana was responsible for 11,400 emergency room visits in one year. The vast majority of those admitted were between the ages of 12 and 29. 7/10 is the new 4/20 Flip 7/10 upside down and you've got OIL, as in hash oil, BHO (Butane Hash Oil), wax, shatter or Errl. And today, July 10 (7/10) has quickly become the new stoner holiday. Some say it’s a secondary stoner holiday to 4/20. E-cigarettes are used to smoke Cannabis oil and Cannabis wax . E-Cigarettes are being used to Smoke Marijuana A growing number of people are smoking marijuana in e-cigarettes. Marijuana in liquid (BHO or butane-extracted hash oil) and wax forms (80% THC) used in e-cigarettes do not create an odor. Because the devices don’t produce a flame, a person smoking marijuana in an e-cigarette can take a puff and then quickly put it in a pocket. People are using the combination without fear of detection in public. E-cigarettes used to smoke K2 e-liquid Lean, Sprite or Dirty Sprite (Opiate) Lean, Sprite or Dirty Sprite This is a slang term for a recreational drug popular in the southern United States, originating in Houston, Texas. Its main ingredient is prescription-strength cough syrup containing codeine and promethazine. Cough syrup is typically mixed with ingredients such as Sprite or Mountain Dew. The purplish hue of Lean comes from dyes in cough syrup. There are numerous slang terms for Lean including Purple Drank, Sizzurp, Syrup, Drank, Barre, Purple Jelly, Texas Tea, and Tsikuni. “The high is as close as you can come to heroin”. Toad Venom (Hallucinogen) Toad Venom (Hallucinogen) Several species of toads produce venom that contains psychoactive chemicals, but only Bufo alvarius (Colorado River Toad or Sonoran Desert Toad) venom contains 5-MeO-DMT, which is a naturally occurring psychedelic present in the venom of the Bufo alvarius toad. It is somewhat comparable in effects to DMT; however it is substantially more potent, so it should not be confused with DMT. The venom of some Bufo species, including B. alvarius, contains trace amounts of bufotenin and some may also contain toxic chemicals. Bufo toad venom is poisonous if eaten. (Erowid) Benzo Fury (Stimulant & Hallucinogen) Benzo Fury (stimulant and hallucinogen) Benzo Fury or 6-APB, is a colorless stimulant, in powder or pill form and is marketed as a “research drug”. Benzo Fury is similar to amphetamines and Ecstasy (MDMA). Effects of Benzo Fury are alertness, increased energy, euphoria, feelings of peace, dilated pupils, tingling feelings, tightening of jaw muscles, raised body temperature, increased heart rate, anxiety attacks and paranoid/confused states. One UK website sells Benzo Fury for 10 British Pounds (around $15-16 U.S. dollars) per pill and shipping to the U.S. is available. Benzo Fury is legal in the U.S. Another New Designer Drug MXE, M-Ket, Mexxy or Kmax (hallucinogen) MXE or Methoxetamine is a new designer “research chemical” taken for its hallucinogenic and dissociative effects. It’s usually sold as a white powder. Although not currently scheduled under the U.S. Controlled Substance Act, MXE is considered to be an analog of the drug Ketamine. However, MXE is longer acting and more potent than Ketamine. (Science Daily) Drug Pump It powder (stimulant and hallucinogen) . Signs and Symptoms of Pump It Signs and symptoms associated with Pump-It use are consistent with effects seen in stimulant and hallucinogen drugs: Increased heart rate and body temperature, dilated pupils, sensory distortions and psychotic symptoms. The high lasts 4-12 hours, depending on the dosage taken. This product can be snorted, injected or smoked, and the onset of effects may be delayed which may lead to taking more of the contents and increasing the chances of negative effects. Pump It isn’t listed as an illegal substance under U.S. law. Dragonfly (hallucinogen) Bromo Dragonfly, B-Fly, Fly, 2C-B-fly or Europa Dragonfly is a synthetic hallucinogenic that produces effects similar to LSD or ecstasy. This substance was originally developed as part of a legitimate medical research project, but has no legitimate or medical use. This drug causes long-acting vasoconstriction. This drug can be a powder, liquid or placed on blotter paper like LSD. The hallucinogenic effects of this drug are long-lasting, sometimes lasting up to 3 days. Effects after orally ingesting the drug can be delayed as long as 6 hours which may lead to double dosing and overdose. B-Fly (liquid form) can be concealed in small dropper bottle products. The good news is B-Fly, also classified as a form of 2C-B, has just recently been added to the Controlled Substance Act and is now illegal in the U.S. 2-CI, India, Smiles (Hallucinogen) . 2C-I is replacing Bath Salts as the hallucinogenic drug of choice. • The fluffy white powder is usually pressed into pill form. It produces LSD-like hallucinations and visual distortions, and MDMA-like empathy. The onset of effects is around 40 minutes with peak effects occurring at approximately 2 hours. It can last up to 8 hours. • 2C-I can be taken orally in tablet or capsule form, snorted in its powder form and orally taken in the form of small squares of blotter paper similar to LSD ingestion. 2C-I is purchased primarily through Internet retailers, but it’s also been sold by street-level dealers. As of July 9th, 2012, 2C-I is a Schedule I controlled substance under the Controlled Substance Act, making possession, distribution and manufacturing illegal. Lemon Drop (DXM) . Lemon Drop • Lemon Drop is a homemade hallucinogen produced by mixing a painter’s solvent (Naphtha with ammonia, Robitussin Cough Syrup, Sucrets or Vicks Formula 44). Lighter fluid can be used to replace Naphtha. The mixture is heated to extract the DXM (Dextromethorophan). Lemon juice or Country Time powder is added and cooled, which causes the juice/lemonade and DXM to bond. DXM has been a long running form of legal high and various recipes have been published. The linked image cannot be displayed. The file may have been moved, renamed, or deleted. Verify that the link points to the correct file and location. Lazy Cakes and ½ Baked Brownzz (sedative type effect) ½ Baked Brownzz advertisement “A great way to relieve tension or take the edge off after a long day at work or home…” Powered by Sippin Syrup’s natural proprietary relaxation blend including chamomile, lavender, valerian root, rose hips, l-theanine (People use theanine for treating anxiety and high blood pressure-WebMD) , hops, St John’s Wort, skullcap and kava extracts and melatonin. Lazy Cakes have been sold in convenient stores in S.C. What is This? . LSD (hallucinogen) LSD produces hallucinations dissociating the user from reality. Users often report having the ability to see and hear things without stimulus. "Synesthesia" is another effect, causing the user to hear matter that is only visibly perceptive such as hearing colors or associating odor to audible sounds such as "smelling voices." Each square piece represents a single dose which costs $5-7 each. Khat (stimulant) Khat (stimulant) A mind-altering chemical found in Khat, cathinone, is an illegal Schedule I drug. Khat leaves are typically chewed in the cheek like chewing tobacco. Certain migrant communities in the United States use Khat. Effects begin to subside after about 90 minutes to 3 hours, but can last 24 hours. After using Khat, a person may experience a depressed mood, irritability, loss of appetite, and difficulty sleeping. Long-term use includes tooth decay and periodontal disease; gastrointestinal disorders, constipation, ulcers, inflammation of the stomach, and increased risk of upper gastrointestinal tumors; and cardiovascular disorders such as irregular heartbeat, decreased blood flow, and heart attack. Salvia (hallucinogen) . Effects of Salvia • People who abuse Salvia generally experience hallucinations or a loss of contact with reality. Effects last 1-30 minutes. They include changes in visual perception, mood and body sensations, emotional swings, and feelings of detachment. People also report a very different perception of reality and trouble interacting with their surroundings. What is this? . Pervitin (Methamphetamine) • Pervitin is methamphetamine that was produced by a German company in 1938. It was used by German soldiers in WWII. Adolf Hitler’s personal physician gave him three injections of liquid methamphetamine daily during WWII. Methamphetamine (stimulant & hallucinogen) Nightshade Plants (hallucinogen) Belladonna Datura, Jimson Weed (hallucinogen) Angels Trumpet, Brugmansia Henbane (hallucinogen) Morning Glory seeds (hallucinogen) Nightshade Plants (hallucinogen) • Flowers are consumed as a tea, smoked, boiled and eaten (abusers often eat the flowers), seeds can be eaten for hallucinogenic effects. Effects are anxiety or panic attacks, distortion of time, space and body image, dilated pupils, elevated body temperature, dry mucus membranes, urinary retention, agitation, delirium, seizures, visual hallucinations, amnesia, spasmodic movement and coma. Symptoms usually appear 1-4 hours after ingestion and may persist for days. Kratom (stimulant and sedative) Kratom • Kratom comes from the Mitragyna Speciosa plant indigenous to Southeast Asia, primarily in Thailand. It acts as a stimulant at lower doses with effects to include alertness, physical energy, talkativeness and giddiness. With higher doses, Kratom mimics an opiate with sedative effects and euphoria. These effects are usually felt within 5–10 minutes after ingestion and the high can last from 2–5 hours. Long-term use can potentially result in anorexia, insomnia, weight loss and in some cases psychotic episodes, such as confusion, delusions and hallucinations. Marketing of Kratom Kratom is typically sold via the Internet, at convenience stores and head shops in the form of green leaves (whole or crushed) and green powder or pills (capsules). Individuals can ingest it orally, smoke it or drink it as a tea when in leaf form. Kratom has been sold as incense with labels on the package stating “not for human consumption,” resembling the packaging and marketing common with Spice and Bath Salts. The DEA’s Office of Diversion Control states Kratom is a drug and chemical of concern with no legitimate medical use, but it remains legal to sell and use. At least three states, Indiana, Tennessee and Vermont, have banned Kratom and others are considering a ban. Kava (sedative) Kava (sedative) • There are safety concerns about Kava. Many cases of liver damage and even some deaths have been traced to kava use. Kava has been associated with liver-related injuries, including hepatitis, cirrhosis, and liver failure. As a result, Kava has been banned from the market in Switzerland, Germany, and Canada. Kava is used for anxiety, stress, and restlessness, and treat sleep problems. It is also used for attention deficit-hyperactivity disorder (ADHD), epilepsy, psychosis, depression, migraines and other headaches, chronic fatigue syndrome (CFS), common cold and other respiratory tract infections, tuberculosis, muscle pain, and cancer prevention. Nutmeg (deleriant, hallucinogen) . Nutmeg (deliriant) Nutmeg contains myristicin, which belongs to the deliriant drug family. Nutmeg produces a hallucinogenic high that most people consider unpleasant. Nutmeg takes up to six hours for an individual to even begin feeling minimal effects. Effects can range anywhere from a mild high or stoned feeling similar to marijuana coupled with alcohol to a full-blown deliriant experience with auditory and visual hallucinations, closedeye visuals, and shifts in perception. The taste and texture alone can cause nausea and gagging. Other side effects during the primary experience include a proneness to panic attacks and inability to focus. Depending on dosage, a user may continue to experience a feeling of airy lightness and spaceyness for up to five days. These persistent effects can take the form of a stupor with a lack of ability to focus on certain tasks or carry on conversations for very long. Molly, MDMA, Ecstasy (stimulant & hallucinogen) Molly (old drug/new name) • Molly is a pure form of Ecstasy, “X”, “XTC” (MDMA). There have been many recent deaths from young people using Molly. Performing artists have been promoting the use of Molly at their concerts. After being inhaled, swallowed or parachuted (folded in a tissue and swallowed) it floods the brain with the neurotransmitters- serotonin, norepinephrine and dopamine making them feel elated, empathic and full of energy. Triple C’s (hallucinogen, sedative) Triple C’s (hallucinogen, sedative) Coricidin HBP is an over-the-counter drug containing dextromethorphan (cough suppressant, dissociative), Acetominophen (pain reliever, dangerous at high dose), Pseudoepherine (nasal decongestant, also risky at high dose). In large doses dextromethorphan can cause hallucinations. There is a risk of coma, a dangerous decrease in breathing, and even seizures. The abuse of cough medications including DXM can contain other ingredients, such as acetaminophen, which can be very dangerous when taken in large quantities. For example, large quantities of acetaminophen can damage the liver. Shamboiling or bubblinghallucinogen Shamboiling-boiling shampoo for a hallucinogenic effect • Shampoo is brought to a rapid boil and then the fumes are inhaled for a hallucinogenic effect. Shamboiling has many potential risks including pneumonia, cardiac failure or arrest, and aspiration of vomit. The inhaling of Ammonium Lauryl Sulfate in shampoo can cause hearing loss, limb spasms, and damage to the central nervous system and brain. Serious but potentially reversible effects include liver and kidney damage and blood-oxygen depletion. Death from inhalants is generally caused by a very high concentration of fumes. South Carolina’s Most Common Illegal Drugs • Marijuana—Marijuana is the most prevalent drug in South Carolina, with Mexico the most common source. • Cocaine—Cocaine is an extremely powerful central nervous system stimulant or “upper.” • Heroin—Approximately 1 percent of South Carolinians ages 18 and older have reported using heroin. Unfortunately, 2.3 percent of all South Carolina 8th, 10th, and 12th graders have reported using heroin at least once. • Club Drugs—During the past year there has been a significant increase in Ecstasy distribution throughout South Carolina, with traffickers operating from Columbia distributing a significant portion that sold. South Carolina’s Most Common Illegal Drugs (contd.) • Pharmaceutical Diversion—Diversion of OxyContin, hydrocodone products (such as Vicodin), and pseudoephedrine continues to be a problem in South Carolina. Methadone, benzodiazepines, and Fentanyl were also identified as being among the most commonly abused and diverted pharmaceuticals in South Carolina. South Carolina’s Most Common Illegal Drugs (contd.) • Methamphetamine (Meth)—While methamphetamine has a minor share of the drugs used in South Carolina, it is a highly addictive man-made stimulant that can cause aggression and violent or psychotic behavior. Many users report getting addicted from first use. (Mapping the Elephant: Illegal Drugs in South Carolina) DAODAS Evidence Based Prevention Programs Binge Drinking Reduction Program Brief Alc. Screening & Intervent. for College Student Communities Mobilizing for Change on Alcohol Community Trials to Reduce High-Risk Drinking Guiding Good Choices Life Skills Training Program Not on Tobacco (NOT) Project Alert Project Towards No Drug Abuse Project Towards No Tobacco Use (TNT) Project Success Protecting You/Protecting Me For the larger “Current Drug Trends” powerpoint : Go online to the APNC Spring Conference 2014 home page and click on Sessions. Scroll down to “Current Drug Trends with Adolescents and Young Adults”. Click on the underlined Current Drug Trends area to access a 129 page powerpoint. This powerpoint has an abundance of information about additional drugs, harmful effects and pictures. Pass this information on to co-workers, parents and family that could not attend this conference. Information Sources • DAODAS Prevention Services • www.nida.nih.gov • www.webmd.com • www.lawofficer.com/article/investigation /emerging-drug-trends • National Institute of Health • Monitoring the Future survey-2013 • NDIC-National Drug Intelligence Center • DEA (Drug Enforcement Administration) Information Sources • Project Know-Understanding Addiction • FBI • SBI • Prevention Status Report 2013-South Carolina (this report also covers nationwide statistics) • Centers for Disease Control and Prevention-Youth Online Survey (CDC)