Presentation on theme: "“The Faces of Substance Abuse in America” It’s Ugly and Getting Uglier"— Presentation transcript:
1“The Faces of Substance Abuse in America” It’s Ugly and Getting Uglier byPaul L. Doering, M.S.Distinguished Service Professor, EmeritusCollege of PharmacyUniversity of Florida
2The 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
3HEALTH PROFESSIONALS KNOW A LOT ABOUT DRUGS, BUT………... Many curricula do not contain coursework in substance abuseThus, they are not schooled in this “other” use of pharmaceutical productsMost have limited personal experience with recreational drugs (thankfully)But, these persons are often sought out by parents, family members, etc. for help
17For More Information: http://info. publicintelligence. net/spicealert
18DEA Re-SchedulingOn November 24, 2010, the DEA notified the public throughthe Federal Register of their intent to temporarily control fivesynthetic cannabinoid chemicals found in so-called “fake pot”products such as K2 and Spice.
19The Face of Real Bath Salts magnesium sulfate (Epsom salts)sodium chloride (table salt)sodium bicarbonate (baking soda)sodium hexametaphosphate (Calgon, amorphous/glassy sodium metaphosphate)sodium sesquicarbonateborax
20The 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.
25In Your Face: Nitrous Oxide Synonyms:nitrous, laughing gas, whippets, “Blue Nun”Mental effects:giddiness, silly laughter, buzzing or ringing in earsDuration of effect is only 2-3 minutesDanger:hypoxia, possible nerve damage with prolonged use
39Pharmaceutical Drugs are “In” Obtained from legal prescriptionsGiven or sold among friendsStolen from medicine cabinetsStolen from pharmacies
40The Ugly Face of Prescription Drug Abuse In America
41The Figures Fit the Face >27,000 deaths from Rx drug Ods in 2007five-fold increase since 1990declining mortality rates for all other conditionsincluding heart disease and cancerOD deaths from Rx opioids are exceeding deaths from heroin and cocaine overdoses combined.
42The 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.
43Pharmaceutical vs Street Drugs Saferidentitypurityless HIV / hepatitis riskSafer because "it's just a prescription drug"Low or no acquisition costMedicaid, Workers’ Comp, private insurance, VA, Indian Health ServiceThere is an illusion that pharmaceutical drugs are safer than street drugs because the drug is easily identified (determined by the indicia on the pill), it is pure, and there is less risk of contracting HIV or hepatitis if not injecting and sharing needles. However, risk of sexually-transmitted disease may remain unchanged if a drug abuser with impaired judgment has sex with other abusers who are sharing needles.Another illusion, particularly among the young, is that a prescription drug is safer because “it’s just a prescription drug”: “If my 80-year-old grandmother takes them, how bad can they be?” They don’t realize that the grandmother, who has pain, has built up tolerance to the respiratory depressant effects of the medication over time. A healthy 18-year-old who abuses his grandmother’s pain medication is taking a big risk—he does not have the same pain condition and his body is not adapted to the presence of that drug.There is also the issue of low or no acquisition cost for prescription drugs. For example, Workers’ Compensation, the VA Health System, and Indian Health Services usually have zero acquisition costs; Medicaid has a small co-pay; and private insurance companies may have a small or no co-pay. This may motivate some individuals to profitably sell all or part of their medication.
44The Different Faces of “Ritalin” Concerta ER 18 mgConcerta ER 36 mgConcerta ER 54 mgRitalin 10 mgRitalin 5 mgRitalin SR 20 mgRitalin LA 20 mgRitalin LA 30 mgRitalin LA 40 mg