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Updated Drug Trends, What you Need to Know

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Signs and Symptoms

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

South Texas CentreAT& T Building7500 US Hwy 90 W Suite 100San Antonio, TX. 78227210-225-4741www.sacada.org

Tobacco - Snus

Camel Snus- SNUS targets teens with a marketing base that beats smoke bans and appeals to the renegade nature of adolescents.

It states in the advertising Wherever you are SNUS whether it be at a ball game, in homeroom, or in front of security at a concert.

Has been proven to cause mouth, throat, and pancreatic cancer.Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Tobacco -dissolvableCamel Orbs

The products melt in the mouth within three to 30 minutes. The pellet-size Orbs last the longest.

A cigarette smoker typically takes in about 1 milligram of nicotine, the Camel Dissolvables are said to deliver about 0.6 to 3.1 mg of nicotine each.

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org Pulled from test markets 12-17-10

The tablets are being marketed by Camel as an alternative to going tobacco-free in places where smoking is off-limits.

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Substance of Abuse: Tobacco

Camel Strips are very like the dissolvable breath mints strips.

Camels advertising says you can put it between your cheek and gum like dip.

So being the brave soul that I am I placed one on my tongue. It lasted about a minute and a half, turned kind of chalky and disappeared. The flavor was slightly minty, no tobacco flavor at all. Sweet, but no worse than most chewing gums. Then the fun began.Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Minors & Tobacco

$250 fine if found with tobacco under the age of 18

8-40 hours of community service

Tobacco Awareness classes

Drivers License revoked for 180 days

1 pack a day for a year costs $2,555.00

1 pack a day for 5 years = $12,775.00

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

E-CigaretteHEALTH CONCERNS OVER SMOKING VANISH IN A PUFF: Twisp electronic cigarettes satisfies bodys demand for nicotine and excludes cancer-causing chemicals associated with traditional smoking.

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Providing Alcohol to a Minor

Purchase for or giving alcohol to a minor is illegal unless it is the minorsAdult parentAdult guardianAdult spouseAdult court custodianProvider must be visibly present

Penalties

Up to $4,000 fineUp to 1 year in jail

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Minor In PossessionAttempt to Purchase, Consumption, Purchase, Possession, Misrepresentation of Age1stUp to $5008-12 hours30 daysRequiredNone

2ndUp to $50020-40 hours60 daysOptional with judgeNone

3rd or more$250-$2000None180 daysOptional with judgeUp to 180 days

Deferred Disposition is conviction for enhancement.

PENALTIESNo Deferred Disposition on 3rd or more.OffenseFineCommunityServiceLoss of LicenseEducationJail

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Social AccessSource: Circles of San Antonio Community Coalition Environmental Strategies Instrument, 2008

Most underage drinkers in Bexar County obtain alcohol from social sourcesPrevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Alcohol Related Motor Vehicle Fatalities

In 2008 Bexar County ranked 4 within the state for number of alcohol-related crash fatalities with a rate of 4.62 per 100,000 residents

Alcohol related motor vehicle fatalities have declined by 3% since 2007.

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Binge Drinking Binge Drinking is defined as the consumption of five or more alcoholic drinks (for men) on at least two occasions within the past month. For women, it is defined as having consumed four drinks or more on at least two occasions within a month.

One Drink of alcohol is defined as one, twelve-ounce can of beer; one, four-ounce glass of wine; or 1.5 ounces of 80-proof liquor.

Moderate Consumption or Social Drinking of alcohol is defined as No more than two drinks per day, once or twice a week (for men) or, (for women), one drink per day, one or two days per week.

Definitions provided by the American Medical Association, the National Institute on Alcohol Abuse & Alcoholism, the Centers for Disease Control, and Rutgers University Center of Alcohol Studies.Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Effective Sept 2011,applies to the 2.8 million teens and 20-year-olds in Texas.

The 911 Lifeline law (Senate Bill 1331) provides limited immunity to minors under 21 for alcohol possession or consumption offenses if they meet three conditions:

1.The minor is calling 911 for a possible alcohol overdose by themselves or another minor;2.The minor is the first person to call 911; and3.The minor stays on the scene and cooperates with medical and law enforcement

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Over the Counter - Cough Syrup(DXM)http://www.dextroverse.org/sources.html

SkittlesPrevention Resource Center- Region 8 (210)225-4741 www.sacada.org

The Anti-Energy Drink

Chill out

Relax

Slow your rollPrevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Sippin on some SyrupThree 6 Mafia in 2000

"Syrup" is slang for codeine and promethazine.

Lean, Sizzer, Texas Tea, leaning

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Songs Glorifying the use 2.- Three 6 Mafia ft. UGK - Sippin On Some Sizzurp 3.- Frayser Boy ft. Mike Jones Paul Wall - I Got That Drank 4.- Bun B, Mike Jones, Slim Thug - City of Tha Syrup 6.- DoughBoii ft. 20 20 - Sippin On Drank 7.- LiL Flip ft. Magno - Syrup In My Cup 8.- LiL Wayne -Me and My Drank 9.- Big Moe ft. Hawk, Z Ro - Po It Up 10.- LiL C - Get High Wit Me 12.- 20 20 - Purn N Lean 13.Pimp C - Pourin' Up 14.- Paul Wall - Sippin Tha Barre

Far East Movement Like a G6Poppin bottles in the ice, like a blizzardWhen we drink we do it right gettin slizzardSippin slizzurp in my ride, like Three 6Now I'm feelin so fly like a G6Like a G6, Like a G6Now I'm feelin so fly like a G6

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

A Lazy Cake isA individually wrapped dietary supplement in the form of a brownieLooks like a brownieTastes like a brownie Smells like a brownie Marketed as a brownie that helps you relax

The recipe for Lazy cakes!MelatoninRose HipsValerian Root ExtractHops ExtractSt. Johns Wort ExtractKava Kava Extract

ITS ALL NATURAL!

What the label doesnt tell you... 0.1 to 0.5 milligrams of melatonin is what is reasonable to ingestSome lazy cakes dont tell you how much is in their brownie

Melatonin side effects may include: drowsiness, dizziness, confusion, headache, irritability, vivid dreams, and a temporary reduction in attention and balance

Melatonin shouldnt be used by people with:autoimmune conditions , liver disease, clotting disorders

Melatonin should not be mixed with:Herbs that cause sleepiness or drowsiness, such as kava kava and valerianThe herb St. John's wort

About.com

What does the FDA have to say about Lazy Cakes?In calling the product unsafe, Michael Roosevelt of the FDA said in the letter that the agency is not aware of data that establishes the safety of melatonin for use as an ingredient in foods.

He cited medical research that has shown concerns about potential reproductive, cardiovascular, ocular and neurological issues as side effects of using the drug.

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

What the FDA is saying about this.Examples of factors and information that establish that the product is represented as a conventional food are as follows:

- the product is alongside snack foods;- the name of a marketed URL, www.mylazycakes.com2 (accessed 7-14-11), that directs people to your product website, refers to a conventional food (cake);- the product is described on your website (accessed 7-14-11) as having the same ingredients your mother uses to make brownies, which is a conventional food;- the use of a combination of ingredients particular to a brownie (including sugar, flour, oil, cocoa, egg, and salt, in order of predominance by weight);- the appearance and packaging of the product as a brownie.(7/28/2011)

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Synthetic Marijuana Now Illegal

One gram is about $40.00

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Legal Status Update

DEA Ban

As of March 1st, 2011, five cannabinoids, JWH-018, JWH-073, CP-47,497, JWH-200, and cannabicyclohexanol are now illegal in the US.

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

K2 Spice

Texas Ban Sept. 1stPossession or Distribution

2 oz or less Class B Misdemeanor2 - 4 oz Class A Misdemeanor4 oz 5lbs state jail felony

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Health Effects with Spice/K2What is there to worry about?

The brain is tricked into thinking it is ingesting THC

Increases dopamine in the brain.

Synthetic Cannabinoids bind to the receptors in the users brain, like a key fitting into a lock.

JWH-018 & JWH-073 are better keys so it takes less of K2 to get a person high.Short Brain Chemistry Lesson

Effects of Use K2/Spice Paranoia NauseaAnxietyVomitingSeizuresHigh Blood PressureRapid Heart Rates

HallucinationsLoss of ConsciousnessDilated pupils Increased AgitationUnsure about withdrawal or dependence

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Stays in the system for about 72 hrsTests for the metabolite in urine Saliva test (24-48 hrs)http://www.uatests.com/drug-test-by-drug/spice-drug-test.html

ExperTox tests for K2, Spice, & Synthetic Cannabinoids $129.00 Blood and Urine * JWH, 018, 073Detectable in Specialized Drug Tests Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Marijuana homolog exposures reported to the Texas Poison Center Network during 1/1/10-11/1/11 (n=1,026), caller countyAtascosa 2Bell 29Bexar 101Brazoria 14Calhoun 1Comal 10Dallas 44Denton 17El Paso 54Fort Bend 34Frio 1

Galveston 12Guadalupe 8Harris 168Hidalgo 23Jefferson 28Maverick 1Uvalde -3Van Zandt 4Victoria 9Wilson 4

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

These bath salts are not drugs

Dangerous Bath Salts

What is MDPV (bath salts)

The term bath salts refer to commercially available products that have as part of their composition a legal stimulant called 3, 4-Methylenedioxypyrovalerone, or MDPV.

While they have become popular under the guise of selling as bath salts , they are sometimes sold as other products such as insect repellant , or plant food with names like Bonsai Grow among others.

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

The Effects of MDPV MDPV is a powerful stimulant that functions as a dopamine-nor epinephrine reuptake inhibitor (NDRI). It has stimulatory effects on the central nervous system and cardiovascular system.

Physical: rapid heartbeat, increase in blood pressure, vasoconstriction, sweating.

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Common names of Bath SaltsThey are sold mostly on the internet, but can also be found in select shops locally.

Red Dove, Blue Silk, Zoom, Bloom, Cloud Nine, Ocean Snow, Lunar Wave, Vanilla Sky, Ivory Wave, White Lightning, Scarface Purple Wave, Blizzard, Star Dust, Lovey, Dovey, Snow Leopard, Aura, and Hurricane Charlie.

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

MDPV Timeline

MDPV was developed in the 1960s, and has been used for the treatment of chronic fatigue, but caused problems of abuse and dependence. 1969: Boehringer Ingelheim files a patent application for MDPV.2005: MDPV appears as a recreational drug; first mention on Drugs-Forum. 2007: First seizure of MDPV as a recreational drug, by customs officials in the German state of Saxony. The drug had been shipped from China. 2008: First seizure of MDPV in the United States. 2009: MDPV made illegal in Denmark. 2010: MDPV made a controlled drug in the UK, Sweden, Germany, Australia and Finland. First reports of the widespread retail marketing of 'bath salts' containing MDPV in the US. The US considers both Mephedrone (July, 2010) and MDPV (December, 2010)

The Effects of MDPV Mental: euphoria, increases in alertness & awareness, increased wakefulness and arousal, anxiety, agitation, perception of a diminished requirement for food and sleep. MDPV reportedly has four times the potency of Ritalin and Concerta.

Sometimes labeled online as legal cocaine or legal amphetamines.

The effects have a duration of roughly 3 to 4 hours, with after effects such as tachycardia, hypertension, and mild stimulation lasting from 6 to 8 hours.

High doses have been observed to cause intense, prolonged panic attacks in stimulant-intolerant users, and there are anecdotal reports of psychosis from sleep withdrawal and addiction at higher doses or more frequent dosing intervals

Bath salts exposures reported to the Texas Poison Center Network during 1/1/10-8/2/11 (n=257)

Bath salts exposures reported to the Texas Poison Center Network during 1/1/10-8/2/11 (n=257)

Age range: 15-61 years

Bath salts exposures reported to the Texas Poison Center Network during 1/1/10-11/1/11 (n=350), caller county

Bell 11Bexar 10Calhoun 1Comal 2Dallas 10Denton 2Dimmit 1El Paso 16Harris 76Jefferson 33Victoria 1

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Banned as of Sept 1st, 2011

HB 2118 bans the sale of the drugs, adding them to the list of Texas controlled substances.

The chemicals are Mephredrone and Methylenedioxypyrovalerone, also known as MDPV.

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Dangers/Legal Issues In 2010 there were 303 calls about MDPV (bath salt) products according to the American Association of Poison Control Centers National Poison Data System (NPDS).

As of June 30, 2011 poison centers reported 3,740 calls (2,371 calls as of May 31, 2011). This shows the trend of how popular this class of drug has become, and the dangers associated with its increased popularity ( over 12 times as many calls in the first 6 months of 2011 than there were for all of 2010 ).

Prescription Drug Trends

Pain Relievers - 5.3 million (Vicodin, Oxycodone OxyContin, Darvon, Dilaudid, Demerol & Lomotil)

Tranquilizers - 2.0 million (Nembutal, Seroquel,) Benzodiazepines, (Valium, & Xanax)

Stimulants - 1.3 million (Adderal, Ritalin, Dexedrine, Concerta)

Sedatives - 0.4 million (Valium, Xanax, Promethazine, Rohypnol)

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org 2010 Monitoring the Future Study - University of MichiganIn 2009None of these should be combined with Alcohol!

Did You Know?One in five teens (4.5 million) has abused Rx drugs.

One in three teens report knowing someone who abuses prescription drugs.

One in three teens surveyed say there is nothing wrong with abusing prescription drugs every once in a while.Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Prescription Drug Trends

12 to 17 year olds abuse prescription drugs more than they abuse ecstasy, crack/cocaine, heroin, and methamphetamine combined

60% of teens who have abused prescription painkillers did so before age 15

There are as many new abusers age 12 to 17 of prescription drugs as there are of marijuanaPrevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Prescription Drug Trends1999 = 4,000 deaths2008 = 14,800 deaths

The number of Americans who died from overdoses of prescription painkillers more than tripled in the past decade, according to the Centers for Disease Control and Prevention (CDC)Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org November 2nd 2011, http://www.drugfree.org/join-together/drugs/number-of-prescription-painkiller-deaths-more-than-tripled-in-last-10-years?utm_source=Join+Together+Daily&utm_campaign=4ba15a85a9-JT+Daily+News%3A+Number+of+Prescription...&utm_medium=email

Marijuana FactsBurns at a lower temp.

The lower the temp. the higher cancer causing chemicals

Marijuana is more dangerous than tobacco---it's smoke has 50% to 70% more known carcinogens than tobacco smoke.

Marijuana use during pregnancy has significant effect on school-age intellectual development

Nationwide, as 14 states have legalized medical marijuana the treatment rate for those seeking help for pot abuse rose 31% over the ten-year span

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

http://blogs.laweekly.com/informer/2011/01/marijuana_addiction_calif.php

Marijuana Facts Heart attack risk is 5x higher than the ususal in the hour after smoking marijuana (Harvard University) NIH 5 joints a week is like smoking a pack of cigarettes, they take in as much tar and cancer-causing chemicalsPrevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Marijuana FactsYale School of Medicine, 2007Long-term exposure to marijuana smoking is linked to the same health problems as tobacco smoke,Daily Cough, Phlegm production, Acute chest illnesses, Heightened risk of lung infections,Greater tendency toward obstructed airways

Smoking marijuana weakens the immune system

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Marijuana FactsSmoked marijuana has never been, and will never be scientifically approved for medical use

There are NO FDA approved medicines that are smokedShort Term & Long Term Memory problemsPsychotic SymptomsSpeed of thinkingDepressionPrevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Heroin- Signs of UseSleepyLazyPeacefulNodding off when in conversations Very tiredJust look out of itNeedle tracks Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Heroin Withdrawal symptoms:

Shooting pains in muscles

Sweating

Vomiting (feel sick)

Very drowsy or agitated

Heartbeat & breathing slow down to dangerous levels

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Heroin Major withdrawal symptoms peak between 48 and 72 hours after the last dose

Typically subsides after about 1 week

Heroin withdrawal is not usually fatal unless the person is in very poor health.

http://www.nida.nih.gov/infofacts/heroin.htmlPrevention Resource Center- Region 8 (210)225-4741 www.sacada.org

CocaineSigns of Use

Feels Euphoric EnergeticRespiratory FailureStrokesSeizuresAbdominal PainNauseaIncreased Heart RateWeight loss (decreased appetite)MalnourishedNose bleedsNeedle marks

Withdrawal

DepressionAnxietyParanoiaInsomniaMuscle & Bone painVomitingCold flashesIncrease in appetite

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Signs of Problem Drinking, Alcoholism, & Drug Abuse

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Legal problems (including DWI, MIP, DUI, PI)Poor family relationsSchool behavior problemsHeavy smoking/drinkingTolerance Increase/Decrease)GeneticsCraving & preoccupation with drug of choiceUsing to cope

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ReferralsMid-Coast Family Services 271-9452 www.midcoastfamily.org

SACADA 225-4741Tobacco Awareness Course 1x mo. ($70.00) 2 Tuesdays & 2 ThursdaysAlcohol Awareness Course (MIP) 1 x mo. ($50.00) Tuesday & ThursdayAlcohol and Drug Abuse Education Program ($200.00) 1x Week for 12 weeksDWI Classes on weekends $70.00

Circles of San Antonio Community Coalition (COSA)[email protected]/circlesofsa

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Blog: http://blog.mysanantonio.com/prevention-resource-center/

Andrea Salazar [email protected] 210-225-4741Alexis Moreno [email protected] 210-225-4741

http://www.facebook.com/SACADATex www.twitter.com/sacadatexas

www.sacada.org

Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org Contact Us