Presentation on theme: "“The Faces of Substance Abuse in America” It’s Ugly and Getting Uglier by Paul L. Doering, M.S. Distinguished Service Professor, Emeritus College of Pharmacy."— Presentation transcript:
“The Faces of Substance Abuse in America” It’s Ugly and Getting Uglier by Paul L. Doering, M.S. Distinguished Service Professor, Emeritus College of Pharmacy University of Florida
The Two Faces of Drug Abuse Faces of those who use and abuse. Faces of the drugs being used. –News Flash: Quaalude is “out” –Breaking News: “Bath Salts” are “in” out
HEALTH PROFESSIONALS KNOW A LOT ABOUT DRUGS, BUT………... Many curricula do not contain coursework in substance abuse Thus, they are not schooled in this “other” use of pharmaceutical products Most have limited personal experience with recreational drugs (thankfully) But, these persons are often sought out by parents, family members, etc. for help
The Faces of Three Drug Experts From the 1960s Janis Lyn Joplin Born- 1/19/43 Died- 10/4/70 James Marshall Hendrix Born- 11/27/42 Died- 9/18/70 Paul Louis Doering Born- 2/25/49 Not Dead Yet
Makin’ the “Big Time”
Florida IS the Face of Drug Abuse in Our Country painkillers-pill-mill-dea
And It’s a Local Problem too….
But it is a knotty problem…..
Marijuana: The flowering top of the pistillate plant (or female) of the genus and species, Cannabis Sativa, Family Moraceae. Lecture by Prof. Carl Johnson in Weeds and Seeds course, circa 1969
“Square Grouper” that used to fall into Biscayne Bay in Miami
DEA Re-Scheduling On November 24, 2010, the DEA notified the public through the Federal Register of their intent to temporarily control five synthetic cannabinoid chemicals found in so-called “fake pot” products such as K2 and Spice.
The Face of Real Bath Salts magnesium sulfate (Epsom salts)magnesium sulfate sodium chloride (table salt)sodium chloride sodium bicarbonate (baking soda)sodium bicarbonate sodium hexametaphosphate (Calgon, amorphous/glassy sodium metaphosphate)sodium hexametaphosphate sodium sesquicarbonate borax
The Face of “Not Real” Bath Salts Methylenedioxypyrovalerone (MDPV) Some Brand Names: Cloud 9, Ivory Wave, Ocean, Charge Plus, White Lightning, Scarface, Hurricane Charlie, Red Dove and White Dove.
Emergency Re-Scheduling in Florida
Example of a Digital Drug
In Your Face: Nitrous Oxide Synonyms: –nitrous, laughing gas, whippets, “Blue Nun” Mental effects: –giddiness, silly laughter, buzzing or ringing in ears Duration of effect is only 2-3 minutes Danger: –hypoxia, possible nerve damage with prolonged use
Individual Cylinders of N 2 0
Whipped Cream Dispenser
The Many Recognizable Faces of Ecstasy
The Fashionable Face of Ecstasy
The Kinda Weird Faces of People Rolling
The Three Faces of Coke
An Impromptu Drug Delivery Device This is called a “stem” on the street
From The Face of a Meth User
The Face of a Burn Victim from Meth lab- 19 yo
Pharmaceutical Drugs are “In” Obtained from legal prescriptions Given or sold among friends Stolen from medicine cabinets Stolen from pharmacies
The Ugly Face of Prescription Drug Abuse In America
The Figures Fit the Face >27,000 deaths from Rx drug Ods in 2007 –five-fold increase since 1990 declining mortality rates for all other conditions – including heart disease and cancer OD deaths from Rx opioids are exceeding deaths from heroin and cocaine overdoses combined.
The Figures Fit the Face (cont’d) Drug-induced deaths (which includes all drugs) is approaching the number of deaths from motor vehicle crashes. Drug abuse deaths have also surpassed deaths from suicide, homicide, and fire arms.
Pharmaceutical vs Street Drugs Safer –identity –purity –less HIV / hepatitis risk Safer because "it's just a prescription drug" Low or no acquisition cost –Medicaid, Workers’ Comp, private insurance, VA, Indian Health Service
Ritalin LA 20 mgRitalin LA 30 mgRitalin LA 40 mg Ritalin 10 mgRitalin 5 mg Concerta ER 18 mg Ritalin SR 20 mg Concerta ER 54 mg Concerta ER 36 mg The Different Faces of “Ritalin”
OxyContin (oxycodone HCl)
The Face of Grandaddy Morphine
The Face of Codeine (aka methoxymorphine
The Face of Hydrocodone
The All-Too Familiar Face of Oxycodone
The Face of Methadone
The Face of Meperidine
Comparing the Faces MorphineCodeineHydrocodone OxycodoneMethadoneMeperidine
Rohypnol is now wearing a mask to hide his sneaky face