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Rx for Prevention. Prescription Drug Abuse a presentation by: Special Thanks to: Geralyn Brennan & Karen LaPointe & Jill Dale Addictions and Mental Health.

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Presentation on theme: "Rx for Prevention. Prescription Drug Abuse a presentation by: Special Thanks to: Geralyn Brennan & Karen LaPointe & Jill Dale Addictions and Mental Health."— Presentation transcript:

1 Rx for Prevention

2 Prescription Drug Abuse a presentation by: Special Thanks to: Geralyn Brennan & Karen LaPointe & Jill Dale Addictions and Mental Health Division (AMH) Sondra Storm Drug Free Communities Coordinator

3 The Facts Commonly Abused Rx Drugs Impact of Rx Drugs What you can do What to Expect:

4 Test your Knowledge! Between 2001 and 2007 the number of unintentional poisoning deaths increased: A.25 Percent B.50 Percent C.100 Percent D.150 Percent Data Source: Injury in Oregon Annual Report, 2009

5 Test your Knowledge! A nswer: D. 150 Percent. An increase from 144 deaths in 2001 to 363 deaths in percent of unintentional poisoning deaths are due to drugs and medicines. (About 344 unintentional poisoning deaths from drugs or medicines in 2007) Data Source: Injury in Oregon Annual Report, 2009

6 Test your Knowledge! The poisoning mortality rate is highest for which age group: A.12 to 17 years B.18 to 24 years C.25 to 34 years D.35 to 44 years E.45 to 54 years F.55 to 64 years G.65 or older Data Source: Oregon Public Health CD Summary, September 29, 2009

7 Test your Knowledge! Answer: A.12 to 17 years B.18 to 24 years C.25 to 34 years D.35 to 44 years E.45 to 54 years F.55 to 64 years G.65 or older Data Source: Oregon Public Health CD Summary, September 29, 2009

8 Test Your Knowledge: Injuries are a leading cause of death in Oregon. Match the number of injury deaths with the correct cause, in the table below 363Falls 406Motor vehicle-traffic fatalities 455Poisoning 604Suicide Data Source: Injury in Oregon Annual Report, 2009

9 Test Your Knowledge: Were you correct? 363Falls 406Motor vehicle-traffic fatalities 455Poisoning 604Suicide Data Source: Injury in Oregon Annual Report, 2009

10 A Rising Concern-Nationally There are just as many new abusers of Rx drugs as there are for marijuana. Rx drugs are the most commonly abused drug among year-olds One in 10 high school seniors has mis-used Vicodin in the the past year OxyContin use by 8th graders doubled in last 4 years

11 Rx Data: True or False? Every day 2500 kids in the U.S. abuse prescription drugs for the first time. 9 out of 10 people who have drug/alcohol problems started using as a teen Oregon State is ranked #4 in the country for prescription drug abuse

12 Quiz:

13 Access Source: SAMHSA 2008

14 “Available Everywhere” Three in five teens say Rx pain relievers are easy to get from parents’ medicine cabinets Half of teens say they’re easy to get through someone’s prescriptions More than half say Rx pain relievers are “available everywhere.” Source: Partnership for a Drug Free America

15 Prescription Drug Abuse Kills Drug overdoses have surpassed car accidents as the leading cause of accidental deaths for Oregonians, 25 to 64 years of age Data Source: Oregon Public Health CD Summary, September 29, 2009 The Impact

16 Test your Knowledge! Scientists in the Pacific Northwest have found: A.Hormones from medicines in lakes and streams B.Medicines in the Columbia River C.Medicines in the treated wastewater being discharged to local waters D.All of the above

17 Test your Knowledge! Answer: D.All of the above As you’ve learned from our quiz, prescription drug abuse affects things we all care about: Protecting our environment, Safe Community, and Healthy individuals and families.

18 Trends in Oregon Oregonians have high rates of nonmedical use of pain relievers compared to the U.S. Rates of use have increased for adults Rates of use among youth have not changed much since 2001

19 Non-Medical Use of Pain Relievers, In Oregon and the United States Data Source: National Survey on Drug Use and Health,

20 Trends among Oregon Youth Prescription drugs are one of the top 5 substances used by youth to get high in the past 30 days –About one in sixteen 11 th graders –About one in fifty 8 th graders Rates have not changed much since 2001

21 Oregon Youth who Used Prescription Drugs (without doctor's orders) to Get High, Data Sources: Oregon Healthy Teens Survey, , Oregon Student Wellness Survey, 2010

22 Non-Medical Use of Pain Relievers in Oregon, by Age Category Data Source: National Survey on Drug Use and Health, 2003 to 2008

23 Past Month Substance Use Among Oregon Youth Data Source: Oregon Student Wellness Survey, 2010

24 Commonly Abused Drugs Painkillers/Opiates Sedatives/Depressants Stimulants DXM/Cough Syrup

25 Pain Relievers Opioids similar to morphine and heroin – Vicodin and Oxycontin are two examples Users get feeling of euphoria Medicines can be misused by being crushed and snorted Some users may transition to heroin Heroin substitutes, such as methadone

26 Rx tranquilizers/sedatives Prescription medications that act as central nervous system depressants. Sedatives are “sleeping pills” and benzodiazepines are "tranquilizers.“ Can be prescribed for acute anxiety, tension and sleep disorders and panic attacks. When abused, they are swallowed or injected.

27 Rx Stimulants Stimulants such as Adderall and Ritalin are in same drug category as cocaine methamphetamine Prescribed for attention deficit / hyperactivity disorder. When used as prescribed, can reduce risk of drug addiction. Misused as a “study” drug. Published reports of parents permitting / providing these drugs to kids.

28 Medicines with ‘DXM’ Some over-the-counter cough and cold medicines contain “dextromethorphan,” or DXM Medicines are widely available – significant potential for abuse. Abusers take extremely large doses (bottles at a time.)

29 Signs and Symptoms

30 Pain relievers: Symptoms –Drowsiness –Slurred speech –Constricted pupils –Shallow breathing –Nausea –Decreased heart rate, blood pressure and respiration rate –Constipation –Decreased sexual interest/activity –Dependence

31 Stimulants: Symptoms — Loss of appetite / weight loss — Inability to sleep / restlessness — Feelings of hostility, distorted thinking, or paranoia — Irregular heartbeat or heart failure — Increased heart rate/blood pressure — Dangerously High Body Temperature — Hallucinations — Seizures — Dependence and Tolerance

32 Sedatives: Symptoms — Drowsiness/Sleepiness — Slowed Breathing — Confusion/Disorientation — Reduced attention span — Resembles alcohol intoxication — Hallucinations — Seizures — Very Dangerous when mixed with Alcohol

33 Cough Medicine Dilated pupils Dizziness Fever Hallucinations High blood pressure Hot and cold flashes Psychotic episodes Rash Sweating

34 Rx Abuse and Development

35 Besides infancy, puberty is a period of rapid growth and brain development. Rx drug use can impair brain development with no chance of recovery of lost functions. Drug use during development can decrease memory, school performance and test scores. Brain Development

36 Brain development 95% of the brain develops by age 6, with completion of the final 5% by age Frontal lobe is last to develop. Frontal Lobe is responsible for: impulse control, judgment, planning, goal setting and predicting consequences.

37 Why teens use: Easy to get from friends or at home Seen as safer than other drugs, less stigma Friends are doing it Escape problems or self-medicate Parents are less aware of dangers or less likely to disapprove

38 It’s safer to abuse Rx drugs than illicit drugs, even if they’re not prescribed by a doctor. Rx drugs have fewer side effects and are not as addictive. It’s okay to share Rx Myths:

39 Pill Taking Society Rx medications are all around us; teens notice. Patients leave the doctor with a prescription in- hand 7 out of 10 visits. Direct-to-consumer advertising on TV and in magazines.

40 Rx Abuse: “A Sticky Situation”

41 How to reduce Rx Abuse

42 Educate About: Safe use, storage and disposal of drugs, Not sharing, borrowing or selling unused drugs under any circumstances, and Maintaining control of prescriptions to prevent diversion.

43 When Talking about Rx Drugs: “Denormalize” the behavior –While 1 in 5 teens are abusing Rx drugs, 4 in 5 are not. Debunk common myths –Just as dangerous and addictive as other substances; even “occasional use” Determine rules and boundaries –Set safety guidelines and controls in your home. –Be aware of your own behaviors, attitudes, and language around Rx use.

44 Keeping Rx meds Safe: Monitor all prescription and OTC medicines. Safely Store and Secure medicines Out of children’s reach and sight. Consider locking them up. Safely Dispose of old or unused medicines.

45 Reduce Access: Safe Disposal Throwing Rx drugs in the garbage is not safe: Crime around stealing, using, and selling Rx drugs has increased Drugs can be obtained illegally from your trash Drugs that go into the toilet end up in our drinking water

46 Safe Medicine Return You can take unwanted controlled meds to safe disposal sites at Law Enforcement offices around the state. For details visit:

47 Who Can Make a Difference? Parents Grandparents, aunts/uncles, others Teachers/Coaches Friends/peers School administrators Guidance counselors School nurses School resource officers Community-based healthcare professionals Who Influenced You?

48 If you are concerned: If you are concerned that someone you care about might be abusing Rx drugs… School Nurse, Doctor, Prevention/Intervention Specialist or Addictions Treatment Counselor Find a Treatment facility near you

49 Resources Online: Parents: Youth:

50 Sources Used: Office on National Drug Control Policy, “Prescription for Danger: A report on the troubling trend of prescription and over-the-counter drug abuse among the nation’s teens”. January Partnership for a Drug Free America. Partnership Attitude Tracking Survey (PATS) Substance Abuse and Mental Health Services Administration (SAMHSA), “National Household Survey on Drug Use and Health” (NHSDUH) SAMHSA, “Monitoring the Future Survey” (MTF) Injury in Oregon Annual Report, 2009 Oregon Public Health CD Summary, September 29, 2009

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