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DRUGS ACTION “New Psychoactive Substances”. & Overdose Training

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Presentation on theme: "DRUGS ACTION “New Psychoactive Substances”. & Overdose Training"— Presentation transcript:

1 DRUGS ACTION “New Psychoactive Substances”. & Overdose Training
Gillian Maclean Drugs Action 7 Hadden Street Aberdeen Tel: HELPLINE

2 New Psychoactive Substances.
Definition (but by no means definitive) “ Legal Highs are substances made from assorted herbs, herbal extracts and ‘research chemicals’, which emulate the effects of some illegal drugs such as, Cannabis, LSD, Cocaine or others. These substances are not currently controlled by the Misuse of Drugs or Medicine Acts” Arthur and Grunert 2005

3 NPS Packaging ALL PACKAGES WILL STATE : Not for Human Consumption.
SOLD AS : Herbal Incense, Bath Salts, Plant Food, Novelty Item Only, For Research Use Only. etc. etc.

4 NPS Packets

5 Current Legislation Misuse of Drugs Act (1971) Medicines Act (1968)
Poisons act (1972) Consumer Protection Legislation Common Law Temporary Class Drug Orders (2012)

6 Alexander Shulgin

7 Mephedrone Video

8 651 Websites in Europe EMCDDA 2014

9 Online Purchase

10 the drugs

11 NPS Drug Groups STIMULANTS ( mimic; Cocaine, Amphetamines)
EMPATHOGENS ( mimic; Ecstasy) PSYCHEDELICS ( mimic; LSD, Magic Mushrooms) DISSOCIATIVES ( mimic; Ketamine ) DEPRESSANTS ( mimic; Valium, Librium ) OPIODS ( mimic; Heroin, Methadone ) CANNABINOIDS ( mimic; Strong Cannabis )

12 “CREW 2000” 2011

13 Concerns ! With the continuing release of new psychoactive substances on the drug market, there is concern that new or obscure substances that have contributed to deaths may escape detection. The high potency of some synthetic substances further complicates their detection, as they will be present only at very low concentrations in the blood. The emergence of highly potent synthetic substances also has implications for law enforcement, as even small quantities of these drugs can be converted into multiple doses EMCDDA 14

14 Commonly Used NPS UK. Cannabinoids 3rd Generation
2-nel / sts - 135 5f – akb – 48 5f – pb 22 akb – 48 fub – pb – 22 ( SOMETIMES THESE CHEMICALS ARE MIXED TOGETHER and SOLD AS BLENDS ) In the first six months of 2013, eighteen countries reported more than 1 800 seizures of synthetic cannabinoids. The largest seizures were reported by Spain (20 kg) and Finland (7 kg).

15 S.C. Adverse Effects reported adverse effects include agitation, seizures, hypertension, emesis (vomiting) and hypokalemia (low potassium levels). researchers have concluded that ‘legal highs’ containing synthetic cannabinoids are potentially more harmful than cannabis associated with psychiatric symptoms, including psychosis investigations underway in the US regarding links between the use and acute kidney injury EMCDDA 2013

16 Homemade Synthetic Cannabis
Marshmallow Leaf Acetone Synthetic Cannabis Powder

17 Elliot WASTED! Pandoras Box trip report legal high - YouTube [360p].mp4

18 “Withdrawal” and “Comedown”
Agitation Paranoia Fatigue Irritability Insomnia Panic Attacks Brain Flashes Hypnic Jerks Incite client 2012 Feeling anxious Feeling shaky Can’t think of anything else Feel depressed, hopeless Feeling sweaty Leeds Addiction Unit 1996

19 Treatment Drug counselling. Residential treatment.
Fellowship and self-help. Alternative therapies such as auricular acupuncture. Sleep management. Clinical Prescribing (GP’s) Tapering strategies. (especially synthetic cannabis)

20 Harm Reduction Advice around administration route
Test dosing and dosage information Avoid poly drug use including alcohol Consider “Set and Setting” Having a “sitter” Think about “safe sex” Getting home safely Going to sleep on their side

21 Overdose : Definition “Use of any drug(s) in such quantities that acute adverse physical or mental effects occur. It can be deliberate or accidental; lethal or non lethal”

22 Overdose: Main Risk Factors
Tolerance Injecting drugs Mixing drugs - primarily depressants Longer history of drug use Depression and low mood Contd.

23 Significant life events
Contd. Poor physical health Using alone Homeless user Not being in treatment Significant life events

24 Signs of NPS overdose Dizziness, Dehydration, Rapid heart rate,
Dizziness,   Dehydration,   Rapid heart rate,   Seizures,   Severe nausea and vomiting, Hyperthermia, (very high body temperature, overheating)   Serotonin Syndrome

25 High Risk Times Difficult life events – bereavement, loss of contact with children, separation / divorce Poor emotional health Weekends, festive period, leaving home Using alone Relapse Isolation Buying from a different source

26 Dealing with an Overdose
Don’t inflict pain Don’t give other drugs e.g. stimulants Don’t put in bath / shower Don’t walk the person around Don’t leave person on their own Recovery position / CPR Phone 999 without delay

27 Dealing with overdose? Common myths
DON’T Attempt to walk casualty around Inflict pain Inject stimulants Inject salt water Place in cold bath / shower Insert ice / ice cream in rectum

28 DRUGS ACTION “New Psychoactive Substances”. & Overdose Training
Gillian Maclean Drugs Action 7 Hadden Street Aberdeen Tel: HELPLINE

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