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Legal Drugs What They ‘Forgot’ To Tell You -Greg Hryniewicki PART ONE The Pain Killers… #1 Oxycodone (opiates) Average Dose: 5–15 mg oral every 4 to 6 hours or 10 mg controlled release every 12 hours. Average Deadly Dose: 30mg/kg (with no tolerance) Side Effects: Constipation, fatigue, dizziness, nausea, vomiting dry mouth, anxiety, itching, and sweating, loss of appetite, nervousness, abdominal pain, diarrhea, urine retention, dyspnea, and hiccups. Dependence and Withdrawal: Anxiety, panic attack, nausea, insomnia, muscle pain, muscle weakness, fevers, and other flu-like symptoms. Cancer: Is not proven to increase risk of cancer. This medication is usually given to cancer patients who suffer from severe pain. Pregnancy: Withdrawal symptoms have been reported in newborns whose mothers had been exposed to oxycodone during pregnancy. Worldwide Deaths: 27.2 people for every one million people per year. USA Deaths: 14,800+/- per year. #2: Advil (ibuprofen) Average Dose: 400mg every 6 hours. Average Deadly Dose: 636mg/kg. Side Effects: nausea, dyspepsia, gastrointestinal ulceration/bleeding, raised liver enzymes, diarrhea, constipation, epistaxis, headache, dizziness, priapism, rash, salt and fluid retention, hypertension and it is also associated with hearing loss. Dependence and Withdrawal: If taking more than 1,200mg per day and discontinuing; minor joint pain may be felt. Cancer: 51% increase in developing kidney cancer. Pregnancy: Taking while pregnant increases chance of miscarriage by 240%. Worldwide Deaths: unknown. USA Deaths: 16,500+/(estimate) per year. #3 NyQuil (OTC cocktail) Acetaminophen, Dextromethorphan and Doxylamine succinate Average Dose: 30ml shot that contains: Alcohol (10%) Acetaminophen (650 mg/30 ml) (pain reliever/fever reducer) Dextromethorphan (30 mg/30 ml) (cough suppressant) Doxylamine succinate (12.5 mg/30 ml) (antihistamine/hypnotic) Average Deadly Dose: Acetaminophen would be the first chemical in this ‘drug cocktail’ to kill you. The needed dose would be 338mg/kg, so about thirty-seven shots for the average American. Side Effects: Nausea, vomiting, sweating, diarrhea, yellow skin or eyes, body rash, dizziness, closed-eye hallucinations, difficulty breathing, dry mouth, ataxia, urinary retention, drowsiness, memory problems, inability to concentrate, hallucinations, psychosis, and a marked increased sensitivity to external stimuli. Dependence and Withdrawal: There are no physical withdrawal symptoms if following the recommended dosage but there is strong evidence that suggests a psychological dependency possibly developing since it is such an effective sleep aid. Cancer: If you use it four or more times a week, your chance of developing cancer in general doubles, especially in the liver and thyroid. Pregnancy: The various ingredients cause an overall increased risk of a miscarriage and birth defects. Worldwide Deaths: unknown. USA Deaths: 460+/- per year. PART TWO “You’re Not Normal… Take These!” [methylphenidate is Ritalin] #4: Adderal (amphetamine) Average Dose: 5-60mg daily (depending on tolerance). Average Deadly Dose: 200-300mg (with no tolerance and a weight of 80kg/176lbs (average weight of an American). Side Effects: anorexia, hyperactivity, dilated pupils, flushing, restlessness, dry mouth, headache, tachycardia,bradycardia, tachypnea, hypertension, hypotension, hyperthermia, diaphoresis, diarrhea, constipation, blurred vision, dizziness, twitching, insomnia, numbness, palpitations, arrhythmias, tremors, dry and/or itchy skin, acne, pallor, euphoria, anxiety, increased libido, alertness, concentration, increased energy, increased self-esteem, self-confidence, sociability, irritability, aggressiveness, psychosomatic disorders, psychomotor agitation, dermatillomania, delusions of grandiosity, hallucinations, excessive feelings of power and invincibility, repetitive and obsessive behaviors, paranoia, and with chronic and/or high doses, amphetamine psychosis, convulsions, heart attack and stroke can occur. Dependence and Withdrawal: mental fatigue, mental depression, increased appetite, anxiety, agitation, excessive sleep, vivid or lucid dreams, deep REM sleep and suicidal ideation. Cancer: Using recreational doses (30mg+) once every three to five days increased the chance of developing Kaposi's sarcoma (KS), Lymphoma and cervical cancer by 500%. Pregnancy: Use during pregnancy increases chance of heart defects, gastroschisis and small intestinal atresias, cleft lip and palate, reduction in birth weight, prematurity, postpartum hemorrhage, and retained placenta. Babies can have an increase in jitteriness, drowsiness, and respiratory distress, suggesting an amphetamine withdrawal syndrome. Worldwide Deaths: unknown. USA Deaths: unknown. Deaths unknown probably due to people mixing the amphetamine with different substances, such as alcohol, cocaine, ect; which are deadly combinations and cause of death was probably pointed at the other drugs instead. #5: Aripiprazole (Abilify) Designed to treat: schizophrenia, bipolar disorder, major depressive disorder Average Dose: 2-30mg (Depending on tolerance and specific disorder) Average Deadly Dose: unknown (overdose starts at 90-120mg) Side Effects: nausea, vomiting, constipation, headache, dizziness, inner sense of restlessness/need to move (akathisia), anxiety insomnia, increased appetite, weight gain restlessness, diabetes, mellitus. Dependence and Withdrawal: nausea, emesis, lightheadedness, diaphoresis, dyskinesia, orthostatic hypotension, tachycardia, nervousness, dizziness, headache, excessive non-stop crying, and anxiety. Cancer: is not known to increase chance of caner. Pregnancy: Increases chance of miscarriage and will transfer though Brest-feeding, making the baby become dependent if exposed. Worldwide Deaths: unknown. USA Deaths: 27+/- per year (mostly suicides). #6: Zoloft (SSRI’s) Average Dose: 25-200mg (Depending on tolerance and specific disorder) Average Deadly Dose: 1327mg/kg Side Effects: nausea, ejaculation, insomnia, diarrhea, dry mouth, somnolence (drowsiness), dizziness, tremors, and decreased libido. Dependence and Withdrawal: withdrawal symptoms of irritability, agitation, dizziness, headache, nervousness, crying, emotional lability, bad dreams and anger can occur for more than two weeks following discontinuation. Cancer: increased chance of developing breast cancer by 91%. Pregnancy: Using this drug during pregnancy will cause the baby to suffer severe from withdrawal upon being born. Respiratory distress, cyanosis, apnea, seizures, temperature instability, feeding difficulty, vomiting, hypoglycemia, hypotonia, hypertonia, hyperreflexia, tremor, jitteriness, irritability, and constant crying will all be things the baby will go though during his/her withdrawal. Worldwide Deaths: unknown. USA Deaths: 1,125+/- per year (mostly from suicide). PART THREE The Classics Funded By: Companies & #7: Nicotine Average Dose per Cigarette: 1mg Average Deadly Dose: 30–60 mg (0.5– 1.0 mg/kg) Side Effects: Increased heart rate & blood pressure plus multiple others listed on next slide. Dependence and Withdrawal: Interferes with reward pathway by releasing dopamine. Lack of nicotine will cause down regulation as brain tries to compensate. Very addictive because it increases reward pathway sensitivity, opposed to heroine and cocaine, which decrease reward pathway sensitivity, making it more addictive than the two. Cancer: Increases cholinergic signaling, which inhibits apoptosis, promoting tumor growth. Pregnancy: Use in the first twelve weeks of pregnancy increases the chance of birth defects by 60%. Also increases chance of child developing ADHD later on in life by 250%. Worldwide Deaths: 6,000,000+/- (1st Hand) / 600,000+/- (2nd Hand) [estimates] per year. USA Deaths: 440,000+/- (1st Hand) / 49,000+/- (2nd Hand) per year. #8: Caffeine Average Dose: 100mg (1 cup of coffee) Average Deadly Dose: 3,000-20,000mg (depending on body weight and tolerance) Side Effects: Reduce physical fatigue and restores alertness when drowsiness occurs. Increases heart rate and blood pressure. Reduces fine motor movements, stimulation of urination, possible nausea. Dependence and Withdrawal: headache, irritability, inability to concentrate, drowsiness, insomnia, and pain in the stomach, upper body, and joints. May appear within 12 to 24 hours after discontinuation of caffeine intake, peak at roughly 48 hours, and usually last from 2 to 9 days. Cancer: Caffeine increases chance of pancreatic and bladder cancer but reduces the risk of oral, esophageal, and pharyngeal cancer. Pregnancy: Is only safe to consume up to 200mg (two cups of coffee) per day while pregnant. Exceeding this amount will increase the chance of a miscarriage or preterm birth. Worldwide Deaths: 200,000-300,000 (estimate) per year. USA Deaths: 12,000+/- (estimate) per year. ONE CUP OF COFFEE 4-5 Cups #9: Alcohol Average Dose: 0.05-0.1% BAC (When drunk, your 20-25% down the road to possible death) Average Deadly Dose: 0.4-0.55% BAC Side Effects: Euphoria, talkativeness, relaxation, central nervous system depression, nausea, possible vomiting, impaired motor and sensory function, impaired cognition. Dependence and Withdrawal: Discontinuing use after several years of heavy drinking can be fatal. Alcohol withdrawal can cause anxiety, autonomic dysfunction, seizures, and hallucinations. Delirium tremens is a condition that requires people with a long history of heavy drinking to undertake an alcohol detoxification regimen. Cancer: Alcohol increases the chance of mouth, esophagus, pharynx, larynx, breast, liver, lung, stomach, endometrial, gallbladder, ovarian, prostate and small intestine cancer. Pregnancy: Physical defects can develop in a fetus in association with high levels of alcohol consumption during pregnancy. Alcohol crosses the placental barrier and can stunt fetal growth or weight, create distinctive facial stigmata, damage neurons and brain structures, which can result in psychological or behavioral problems, and cause other physical damage. Fetal alcohol exposure is the leading known cause of mental retardation in the Western world. Worldwide Deaths: 2,500,000+/- (estimate) per year. USA Deaths: 75,754 in 2012. 2010 study by the Independent Scientific Committee on Drugs, led by David Nutt, Leslie King and Lawrence Phillips