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9/11/2013 2013 Drug Trends Update: Version 5.2 Presented by: Michael Litterer, CHES Director of Community Prevention Prevention Links, Inc. Designer drugs are synthesized chemical analogues of known, dangerous drugs Synthetic Marijuana, Bath Salts, Ecstasy, Molly, Blue Blossom etc. are all classified as designer drugs but connected in many ways. The reason designer drugs are so sneaky and seem to never go away is based on chemistry. 1 9/11/2013 This allows drugs with an only minuscule structural difference to produce the same intoxicating effect while not falling under current regulations and testing. This creates the ultimate game of WACK-A-MOLE and the game is just getting bigger and bigger http://www.njconsumeraffairs.gov/design er/ddInfo.htm The World Drugs Report said that there were 251 known New Psychoactive Substances (NPS) and they now outnumbered the number of internationally controlled drugs, 234. “While new harmful substances have been emerging with unfailing regularity on the drug scene, the international drug control system is floundering, for the first time, under the speed and creativity of the phenomenon known as new psychoactive substances,” the report said. The report said the U.S. had identified 158 NPS in 2012, the largest number worldwide, and more than twice as many as the European Union. “The most frequently reported substances were synthetic cannabinoids (51 in 2012, up from 2 in 2009) and synthetic cathinones (31 in 2012, up from 4 in 2009),” it said. 2 9/11/2013 A psychoactive herbal and chemical product Comprised of a mixture of smokable herbs that generally have little or no intoxicating effects Synthetic THC in liquid form is sprayed on the product which allows for great variations in potency Mimics the effects of cannabis when consumed but does not have the same suspected medical uses as natural cannabis Has tested to be 5-500 times stronger than naturally grown marijuana It has been estimated that there are 250 different chemical versions of synthetic marijuana Marked as “herbal incense or potpourri” to avoid FDA Intervention The high produced lasts anywhere from 15 minutes to 2 hours Adverse side effects are similar to natural marijuana but can often be worse: Nausea Vomiting Increased Agitation Increased Heart Rate Seizure Loss of Consciousness High rates of kidney failure especially among young men 3 9/11/2013 Synthetic Marijuana is responsible for at least 12 deaths, and many users experience tremors, vomiting and severe “psychotic” episodes Not enough is known about the drug to know what dose is toxic, however users have reported severe psychotic episodes with much smaller amounts than would occur with natural marijuana. Some researchers suggest this may be due to suspected natural anti-psychotics found in cannabis that is not in this synthetic form. Similar to many other synthetic drugs, the content, potency, and consistency of Synthetic Marijuana varies greatly, increasing the danger Colorado Video 4 9/11/2013 Colorado, a state that has recently legalized recreational use of marijuana, has had a recent outbreak of synthetic marijuana use and hospital visits related to the drug. Three people have died from using synthetic marijuana in that time. Initial reports show approximately 75 people who reported smoking a form of synthetic marijuana may have been seen at hospitals in the Denver metro area and Colorado Springs beginning in late August. The CDC sent a team of four to assist the investigation An especially potent form of synthetic marijuana that has sent dozens of Coloradans to the hospital in the past few weeks is suspected to have come from China and Europe, according to an ongoing investigation in collaboration with the Drug Enforcement Administration. A report detailed that the drug may be from 5 to 800 times more potent than previous synthetic recipes. Some of the synthetic names that have been involved in the recent spike of emergency visits: Black Mamba. Blaze. Spice. Smoke. Skunk. Yuatan Fire. Genie Orange According to a recent article by The Denver Post, analysis of the synthetic drugs can be particularly tricky because sometimes it turns up controlled-substance chemicals that are banned, and sometimes analysis turns up as marijuana that's legal. http://www.huffingtonpost.com/20 13/09/10/synthetic-marijuana_n_3901749.html 5 9/11/2013 On 2/29/12 New Jersey became the fourth state in the country to ban synthetic marijuana. Anyone caught possessing synthetic marijuana after the 10 days are up faces up to five years in prison and a $25,000 fine. This ban is much more comprehensive than previous efforts to eliminate synthetic marijuana. It includes both broad and specific language that includes all possible variants of the drug The Order bans 10 entire classes of synthetic compounds that imitate the effects of marijuana, and all known or unknown variants of the drug that would fall within each class. The Order also expressly includes “any other synthetic chemical compound that is a cannabinoid receptor agonist and mimics the pharmacological effect of naturally occurring cannabinoids” – in other words, any synthetic chemical that mimics the effects on the brain of marijuana’s active ingredient. 6 9/11/2013 On July 9, 2012 Schumer’s Designer Drug Law was Signed by President Obama. This law adds 31 substances to the List of Controlled Substances and stops legal sales of 'Bath Salts,' Synthetic Marijuana, and Synthetic Hallucinogens in the U.S. 31 of the most common designer drugs are now illegal in all 50 states. Getting this law passed was a major battle for Schumer 7 9/11/2013 Phenethylamine is an organic compound and a natural monoamine alkaloid, a trace amine, and also the name of a class of chemicals with many members well known for psychoactive drug and stimulant effects. In addition to its presence in mammals, Phenethylamine is found in many other organisms and foods, such as chocolate, especially after microbial fermentation. It is sold as a dietary supplement for purported mood and weight loss-related therapeutic benefits. The group of Phenethylamine derivatives is referred to as the Phenethylamines. Substituted Phenethylamines, substituted amphetamines, and substituted methylenedioxyphenethylamines (MDxx) are a series of broad and diverse classes of compounds derived from Phenethylamine that include stimulants, psychedelics, and entactogens, as well as anorectics, bronchodilators, decongestants, and antidepressants, among others. Such as Bath Salts and MDMA 8 9/11/2013 Cathinone is the active ingredient in Bath Salts. While all forms of bath salts are cathinones, not all cathinones are bath salts. Cathinone is structurally related to methcathinone, in much the same way as amphetamine is related to methamphetamine. Excessive cathinone usage can cause loss of appetite, anxiety, irritability, insomnia, hallucinations and panic attacks. Chronic abusers are at risk of developing personality disorders and of sustaining myocardial infarction. Mephedrone is a synthetic version of natural Cathinones. Mephedrone is more potent as a releasing agent of serotonin compared to cathinone or methcathinone, hence its use in party pills as a replacement for MDMA. Synthetic Cathinones such as mephedrone which are chemically similar to cathinone, naturally found in the plant Catha edulis (khat), were first synthesized in the 1910s. 9 9/11/2013 According to the DEA, they range in price from $25 to $50 per 50 milligram packet. Drug users indicate that a single dose ranges from 5mg to 200mg. As popularity increases so does price Mimics the effects of cocaine and LSD, including: Extreme paranoia and delusions Hallucinations Suicidal thoughts Effects last about 3-4 hours but some users report effects lasting days and weeks Often still labeled “not for human consumption” Urine tests are available for MDPV and Mephedrone but not for a-PPP, MPPP, or MDPPP Increased public awareness of the dangers of synthetic stimulants, frequently dubbed "bath salts," appears to have slowed their use, but manufacturers of these "designer drugs" are managing to stay one step ahead of regulators with a new generation of products that feature clever new names and tweaked chemical formulations that are every bit as dangerous as their original counterparts. According to a new review of the products published in the June issue of the Journal of Addiction Medicine, the new formulations mean the products are just as easy to buy as ever, and perhaps even more deceptive. 10 9/11/2013 Known by the name of Naphyrone Often marketed as jewelry cleaner As a triple reuptake inhibitor Users report Naphyrone can stay in the body for much longer than Generation 1 Bath Salts due to the chemical being a reuptake inhibitor of Serotonin. This has been shown to directly impact body heat regulation. Users have been seen in the ER with temps as high as 107 and 108 degrees. Known as Pentedrone Not as much known as other generations Has been found in generation 1 versions of Bath Salts but is now considered its own generation due to its specific impact on the brain. 11 9/11/2013 Newest Synthetic Drug to Cause Concern is called Smiles, 2C-1, or N-Bomb According to the Drug Enforcement Administration (DEA), 2C-I is abused for its hallucinogenic effects. It is taken orally in tablet or capsule form, or snorted in its powder form. “2C-I is used by the same population as those using Ecstasy and other club drugs, high school and college students, and other young adults in dance and nightlife settings,” the DEA reports. The drug is chemically similar to the drug 2C-B, which is a Schedule I hallucinogen. This means it is illegal to manufacture, buy, sell or possess the drug. Smiles is similar to Bath Salts in its appearance (a white, crystalline powder) and is typically snorted or ingested. Users say the psychedelic trips that result from taking “Smiles” can last anywhere from a few hours to a few days, and are described as being similar to a “roller coaster through hell” by some who have taken the drug. The effects of 2C-I are likened to a combination of MDMA and LSD, only more intense. Overdoses are commonplace due to the fact that 2C-I is being made by dealers and “hobbyists,” who obtain the chemicals needed to make it over the internet, and then distributed to unsuspecting teens. 2C-I overdoses have been known to cause seizures, kidney failure, and fatally high blood pressure. During an overdose, users’ muscles might become rigid, and their body temperatures are elevated. 12 9/11/2013 Bromo-Dragonfly is a synthetic psychedelic. Dragonfly is part of a new class of benzodifurans, related to Phenethylamine, but distinct in structure. Found on blotters as well as in powder form. Also known as Europa, this psychedelic phenethylamine’s chemical name is 4-ethyl-2,5-dimethoxyphenethylamine 300 times the potency of mescaline and peyote, or 1/5 the potency of LSD. Is compared to peyote or mesculine It has been sold in the form of blotters, similar to the distribution method of LSD, which has led to confusion, and reports of mistakenly consuming Dragonfly. It has a much longer duration of action than LSD and can last for up to 2–3 days following a single large dose, with a slow onset of action that can take up to 6 hours before the effects are felt Dragonfly is so named because of the winged appearance of its chemical structure, and because of an attached bromine atom Developed by Alexander Shulgin, a psycho-pharmacologist known for popularizing Ecstasy. There are many cousins of Dragonfly, most famously the “2C” drugs, such as 2C-B and 2C-E. All of these chemicals work on serotonin 13 9/11/2013 On May 7, 2011, in the United States, two young adults died after overdosing on Bromo-Dragonfly, which they thought was 2C-E, and several others were hospitalized during the same incident. The deaths occurred after a fatal miscalculation in dosage. Those who took the drug received, in some cases, 100x the normal dose. Both deaths were very violent, resulting in massive seizures, vomiting blood, and terrifying hallucinations, and several surviving victims are still suffering from its physical effects (not hallucinations). One Saturday, after a night drinking vodka-Red Bulls at Voodoo Festival at City Park, 21-year-old Clayton Otwell, of Little Rock, Ark., apparently forgot his rule, said Mandie Newell, his best friend and companion at the festival. A stranger, wanting to repay Otwell for helping find his cell phone, offered Otwell a free dose of 25-I, a new synthetic hallucinogenic drug. As Newell watched, her friend knelt and the stranger plopped a single drop from a vial into Otwell's nose. Otwell immediately started babbling incoherently, Newell said. She got him to the medical tent at the festival, but within 30 minutes, he had a seizure and never regained consciousness. Taken to Tulane University Hospital, he was placed on life support Saturday night; he died Tuesday. 14 9/11/2013 The term "molly" or "Mandy" refers to MDMA in powder or crystalline form, usually implying a higher level of purity That’s it, it is just what is BELIEVED to be a pure form of MDMA which is traditionally found in Ecstasy. According to the Drug Enforcement Administration, molly is the powder or crystal form of MDMA -- or 3, 4-Methylenedioxymethamphetamine, a chemical drug most commonly known for its use in the pressed pill Ecstasy. While often compared to ecstasy, Molly comes in a powder or crystalline form. Ecstasy typically comes in pill form. 15 9/11/2013 Molly has been glorified by a number of musicians and Madonna has even given it a shout out. Molly users claim that the drug gives them intense feelings of pleasure, but that the high is followed by a serious crash that includes levels of depression that some have called “paralyzing.” “It’s really bad. You don’t want to get up; you don’t want to eat anything. You just sit there. You don’t want to talk to anyone,” said one teen who spoke anonymously to CBS 2. In some instances Molly has been known to kill, according to medical experts. “It can kill you, because your body temperature goes up. It can kill you because it causes a seizure. It can kill you because it causes cardiac arrest,” said Dr. Stephen Dewey of the Feinstein Institute. The low cost of the drug and its availability have caused Molly use to rise, experts say. http://newyork.cbslocal.com/2013/03/11/seen-at-11-popular-new-drug-mollycould-have-lethal-side-effects/ An experience with molly starts with a bitter taste, users say, which is soon forgotten as the high kicks in. According to the DEA, after being inhaled, eaten or parachuted -- folded into a tissue and swallowed -- molly ushers in euphoria. It floods users' brains with neurotransmitters serotonin, norepinephrine and dopamine, making them feel elated, empathic and full of energy. Molly is a street name that has been in use for about a decade, Messer said. Although it originally referred simply to MDMA, the title "molly" is now given to a variety of legal substances with similar chemical structures. MDPV often found in Bath Salts, methylone, mephedrone and butylone -- different substances or drugs -- are often sold as molly. 16 9/11/2013 MDMA is a Schedule I controlled substance high potential for abuse, and no accepted use in medical treatment. Two of the biggest risks while taking molly are dehydration and, interestingly, over-hydrating to the point where your brain swells and can be fatal. The DEA notes that MDMA can cause confusion, increased heart rate, hallucinating, anxiety, depression, paranoia, sleep problems, and drug craving, muscle tension, tremors, involuntary teeth clenching, muscle cramps, nausea, faintness, chills, sweating, and blurred vision. “High doses of MDMA can interfere with the ability to regulate body temperature, resulting in a sharp increase in body temperature (hyperthermia), leading to liver, kidney and cardiovascular failure. Severe dehydration can result from the combination of the drug’s effects and the crowded and hot conditions in which the drug is often taken,” the DEA reports. People who take “Molly,” the powder or crystal form of MDMA, the chemical used in Ecstasy, don’t know what they are actually ingesting, experts say. They warn many powders sold as Molly do not contain any MDMA. “Anyone can call something Molly to try to make it sound less harmful,” Rusty Payne, an agent at the Drug Enforcement Administration’s (DEA) national office, told The New York Times. “But it can be anything.” The DEA considers MDMA to be a Schedule I controlled substance, which means it has a high potential for abuse, and no accepted use in medical treatment. 17 9/11/2013 Molly has been a popular drug at music festivals. It has also been popularized by rappers. The drug costs between $20 and $50 a dose. Dr. Robert Glatter, an emergency room physician at Lenox Hill Hospital in New York, says he now sees about four patients a month who come in with common side effects of Molly, including teeth grinding, dehydration, anxiety, insomnia, loss of appetite and fever. More serious side effects can include uncontrollable seizures, high blood pressure, elevated body temperature and depression, the article notes. “Typically in the past we’d see rave kids, but now we’re seeing more people into their 30s and 40s experimenting with it,” he told the newspaper. “MDMA use has increased dramatically. It’s really a global phenomenon now.” According to the national Drug Abuse Warning Network, MDMA-related emergency department visits increased from 10,227 in 2004 to 22,498 in 2011. This poster is common at concerts and large parties. The poster reads, MISSING, have you seen Molly? She makes you want to dance… I’ve been looking everywhere and I can’t seem to find her. Do you know where I can find Molly? The poster then contain a QR Code which when scan by any smart phone produces contact information to a dealer at the event. 18 9/11/2013 In 2012, many people began to notice the hip-hop community embracing Molly, including 2 Chainz, Kanye West, and Lil Wayne One example: Kanye Video They mention the “2C Limbo” and thun thun August 21, 2013 Urban Word of the Day 1. (noun) A slang term for Ecstasy (MDMA) commonly used in the San Francisco Bay area of the United States. However, the slang term has become widely popular by the song "Don't Drop That Thun Thun" by Finatticz. "You better not drop that thun thun." 2. (noun) A drink that makes girls want to twerk. “Don't drop that thun thun, otherwise you'll have to make yourself a new one” A term coined by the rap group, The Finnaticz, thun thun simply means "Ecstasy" or "X" as it is commonly known. “I said my money is green and my thun thun is blue” 19 9/11/2013 A term coined by the rap group, The Finnaticz, thun thun simply means "Ecstasy" or "X" as it is commonly known. “I said my money is green and my thun thun is blue” thun thun Video 20 9/11/2013 The New York City Mayor's office announced on Sunday that Electric Zoo Festival would be canceled. "During the first two days of the Electric Zoo music festival, two concert-goers have died and at least four others became critically ill and have been placed in intensive care at area hospitals. Definitive causes of death have not yet been determined, however, both appear to have involved the drug MDMA (ecstasy, or molly)." The festival takes place annually over Labor Day Weekend on Randall's Island. This year's biggest acts included David Guetta, Avicii, and Benny Benassi. 21 9/11/2013 Miley Video 22 9/11/2013 Roxy is a slang term for Roxicodone, a form of oxycodone. This drug is usually prescribed for pain but produces an euphoric effect, which is why some people use it as a recreational drug. Roxicodone is a type of opiate drug; opiates are derived from opium and are very addictive. Roxy, Oxy, Locxy they all sound the same and are equally as deadly. 23 9/11/2013 What exactly is “sizzurp”? Also known by the slang terms “purple drank,” “water” and “lean,” sizzurp, is a cough syrup-laced concoction of many names and has been gaining popularity in hip-hop culture. As described in a recent article in the Los Angeles Times, codeine in the coughsuppressing, prescription cough syrup serves as a pain reliever. A second drug in the cough syrup, known as promethazine, has sedative-like properties and is used as an antihistamine commonly used to treat motion sickness and nausea. Codeine is an opiate that is in the same family of drugs as heroin and morphine and can be very addictive in high doses. Promethazine has anecdotally been noted to intensify the euphoric effects of codeine in the brain. Rapper Lil Wayne was recently released from a Los Angeles hospital where he was taken after suffering a seizure last week. The 30-year-old rapper’s hospitalization triggered a frenzy of media reports that he was near death after suffering multiple seizures and having his stomach pumped when doctors found high amounts of codeine in his system. Sizzurp consists of promethazine with codeine syrup, any fruit flavored soda, and a jolly rancher, mixed together, according to Urban Dictionary. The rapper has professed his love for the prescription drug codeine in multiple public venues and in some of his most popular rap songs – in the form of “sizzurp,” which usually involves mixing prescription cough syrup containing the narcotic codeine with soda and sometimes hard candy, like Jolly Ranchers. 24 9/11/2013 Just like Rapper Lil’ Wayne have openly spoken about downing “sizzurp” out of double cups, Justin Bieber is also sippin’ on the stuff. Sizzurp consists of promethazine with codeine syrup, any fruit flavored soda, and a jolly rancher, mixed together, according to Urban Dictionary. The website adds, “Put it all in a Styrofoam cup and enjoy. The codeine is mainly responsible for the euphoria felt after drinking sizzurp. Promethazine causes motor skill impairment, lethargy, and extreme drowsiness. If it doesn’t have promethazine, it ain’t real sizzurp.” MDMA is occasionally known for being taken in conjunction with psychedelic drugs, such as LSD or psilocybin mushrooms, or even common drugs such as cannabis. As this practice has become more prevalent, most of the more common combinations have been given nicknames, such as "candy flipping" for MDMA combined with LSD, "hippy flipping" for MDMA with psilocybin mushrooms, or "kitty flipping" for MDMA with ketamine. The term "flipping" may come from the subjective effects of using MDMA with a psychedelic in which the user may shift rapidly between a more lucid state and a more psychedelic state several times during the course of their experience. Many users use mentholated products while taking MDMA for its cooling sensation while experiencing the drug's effects. Examples include menthol cigarettes, Vicks VapoRub, NyQuil, and lozenges. 25 9/11/2013 Many of the pills had "Facebook" stamps to attract younger users. A powerful new synthetic drug that is 40 times stronger than heroin and 80 times stronger than morphine has hit the streets of Montreal, police warn. Desmethyl Fentanyl, a derivative of the painkiller Fentanyl, were found hidden inside a microwave oven and a toaster during a recent police raid. One officer was taken to the hospital with heart palpitations simply from handling the potent drugs, even while wearing a mask and gloves, and three other officers developed rashes on their arms. Many of the seized pills had been painted bright colors or stamped with popular logos—including those of Facebook and Tim Hortons (a Canadian donut company)—to make them more appealing to young people. Binaural literally means "having or relating to two ears." Binaural hearing, along with frequency cues, lets humans and other animals determine direction of origin of sounds. There have been a number of claims regarding binaural beats, among them that they may simulate the effect of recreational drugs, help people memorize and learn, stop smoking, help dieting, tackle erectile dysfunction and improve athletic performance. 26 9/11/2013 Choose a Binaural Beat to suit your mood from the below. Note that in order for Binaural Beats to work, they must be played though headphones. Basic Beats, Deep Meditation, Hangover Helper, Roommate Annihilator, Self Hypnosis, Sleepy Time, Super Focus, Wakeful SuperPower WARNING: DO NOT listen to Binaural Beats while driving, operating equipment, or any other task that requires concentration. DO NOT listen to Binaural Beats if you have experienced seizures in the past or have epilepsy. Those with heart disorders or taking mood-altering pharmaceutical drugs should consult a doctor before trying. We’re serious. Use common sense, people. Sure, Get High Now (without drugs). . .but don’t die! When two tones of specific frequencies are played through headphones, the brain can become confused and produce its own, imagined tone—a three-dimensional audio hallucination heard only within the head of the listener. The frequencies that produce this phenomenon are known as Binaural Beats. A synthetic cigarette liquid known as "Blue Blossoms” is becoming very popular. Available at most smoke and head shops, this synthetic liquid when smoked through an electronic cigarette (e-cigarettes) creates psychological effects similar to marijuana, Spice/K2, and even ecstasy. E-cigarettes comprise a nearly billion-dollar industry that claims to provide a safe alternative to traditional cigarette smoking. Unfortunately, the popular product can be easily manipulated into drug paraphernalia through Blue Blossoms and other legal synthetic oils. Blue Blossoms fragrance is even labeled, "Not for human consumption" and "Product is not for sale to minors," but these warnings are said to do very little to curb the spike in misusage among young adults. 27 9/11/2013 A chemical such as Blue Blossoms reinforces the inaccurate belief that use is safe if it can be purchased legally. Individuals who use this substance report the same effects as illicit drugs as marijuana and ecstasy but remain unaware of the negative effects that come with use. The effects of Blue Blossoms include, but are not limited to: distorted sense of time, bursts of euphoria, lowered awareness, and elevated heart rate. Since Blue Blossoms is new to the market, we don't know yet the addictive nature or if there are lasting consequences, but abuse of this substance is already there and prevalent among young adults. The percentage of U.S. middle and high school students who use electronic cigarettes, or e-cigarettes, more than doubled from 2011 to 2012, according to new data published by the Centers for Disease Control and Prevention (CDC). The findings from the National Youth Tobacco Survey, in the 9-9-13 Morbidity and Mortality Weekly Report, show that the percentage of high school students who reported ever using an e-cigarette rose from 4.7 percent in 2011 to 10.0 percent in 2012. In the same time period, high school students using e-cigarettes within the past 30 days rose from 1.5 percent to 2.8 percent. Use also doubled among middle school students. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigarettes. The study also found that 76.3 percent of middle and high school students who used e-cigarettes within the past 30 days also smoked conventional cigarettes in the same period. In addition, 1 in 5 middle school students who reported ever using ecigarettes say they have never tried conventional cigarettes. This raises concern that there may be young people for whom e-cigarettes could be an entry point to use of conventional tobacco products, including cigarettes. 28 9/11/2013 “About 90 percent of all smokers begin smoking as teenagers,” said Tim McAfee, M.D., M.P.H., director of the CDC Office on Smoking and Health. “We must keep our youth from experimenting or using any tobacco product. These dramatic increases suggest that developing strategies to prevent marketing, sales, and use of e-cigarettes among youth is critical.” Electronic cigarettes, or e-cigarettes, are battery-powered devices that provide doses of nicotine and other additives to the user in an aerosol. E-cigarettes not marketed for therapeutic purposes are currently unregulated by the Food and Drug Administration. The FDA Center for Tobacco Products has announced that it intends to expand its jurisdiction over tobacco products to include e-cigarettes, but has not yet issued regulatory rules. Because e-cigarettes are largely unregulated, the agency does not have good information about them, such as the amounts and types of components and potentially harmful constituents. Smoking Alcohol is seen as a low calorie alternative to drinking alcohol. Inhaling alcohol provides all of the flavor and intoxication of chugging a mixed drink with none of the sugars and calories. There are many ways people are vaporizing alcohol in order for it to be smoked; Some pour liquor over dry ice and "smoke" the vapors, others pressurize the alcohol in a bottle and inhale the vapors, and lastly others heat alcohol over moderate temperatures to create steam. Each method can be compared to freebasing which is common with crack cocaine and heroin. A new term for someone who is extremely conscious about their weight but still wishes to consume alcohol is known as "drunkorexia." 29 9/11/2013 When you inhale alcohol, it goes directly into the lungs and circumnavigates the liver, the liver is what metabolizes alcohol, but when you inhale it, it goes directly from the lungs to the brain. The lungs and mucous membranes are extremely sensitive to alcohol and inhaling alcoholic vapor may dry out the nasal passages and mouth, leaving users more vulnerable to infection. Alcohol Without Liquid, or AWOL, which takes hard liquor and disperses it as vapor in an oxygen mist, has been available at a small number of bars in the U.K. for several months; recently, a Greensboro, N.C.-based company called Spirit Partners purchased an exclusive license to sell the machines in the United States. 30 9/11/2013 A new alcoholic drink, Air, Alcohol Inspired Refresher, is being touted as vodka-like. It's nearly completely tasteless, odorless and colorless. But it's not vodka, it's malt-based -- which means it belongs in the beer aisle. 31 9/11/2013 32 9/11/2013 33 9/11/2013 34 9/11/2013 The G-Pen looks like a pen or electronic cigarette. It doesn’t produce smoke or an odor, which makes it appealing to teens who want to use marijuana without attracting attention. 35 9/11/2013 36 9/11/2013 Marijuana is the new beer NASCAR Video 37 9/11/2013 38 9/11/2013 121-125 Chestnut Street, 3rd Floor Roselle, NJ 07203 [email protected] (732) 381-4100 www.preventionlinks.org 39