1. Central Nervous System Stimulants Living & Dying Harder & Faster in the Night of the Living Dead

2. CNS Stimulants Synthetics - pharmaceuticals - illicit mfg Organics - cocaine Sub-Categories of CNS Stimulants

3. Pharmaceutical Stimulants Medical Uses 1.control of narcolepsy 2.control of hyperactivity in children 3.prevention of fatigue 4.treatment of mild depression 5.control of appetite

4. Medical Uses 6.prevention and treatment of surgical shock 7. treatment of Parkinson's disease 8.blood pressure maintenance during surgery 9.enhance the action of certain analgesic drugs 10. antagonize the effects of certain depressant drugs Pharmaceutical Stimulants

5. Common Examples Methamphetamine (Desoxyn, Biphetamine) –weight control Ritalin (methylphenidate) –ADD Preludin (phenmetrazine) –weight control Cylert (pemoline) –ADD Pharmaceutical Stimulants

6. Common Antagonist Examples Eskatrol –stimulant & depressant combo Dexamyl –stimulant & depressant combo Pharmaceutical Stimulants

7. Amphetamine Sulfate Methamphetamine (speed, crank) Illicitly Manufactured Stimulants P2P Methods (DL Meth) Ephedrine Methods (D Meth)

8. Ephedrine Methods Crystal Meth –Ephedrine –Red Phosphorus –Hydriotic Acid Ice Methamphetamine

9. Clan Lab Safety Considerations Do NOT –turn anything on or off –transport chemicals –handle contaminated items

10. Clan Lab Safety Considerations DO –call a supervisor –call narcs –fire dept. standing by, if needed –call Haz Mat team Methamphetamine

11. Powder –tan, brown, white, pink, ???? Methamphetamine

12. Rock –tan, brown, white, pink, ???? Methamphetamine

13. Rock –tan, brown, white, pink, ???? Methamphetamine

14. Rock –tan, brown, white, pink, ???? Methamphetamine

15. Methods of Ingestion Inhaled Injected Methamphetamine

16. Methods of Ingestion Smoked Oral Methamphetamine

17. Liquid –light amber, dark amber, black Methamphetamine

18. Crystal Meth Ice Methamphetamine

19. Organic Stimulants Caffeine Nicotine Adrenaline Cocaine

20. Coca leaf Mountains of Bolivia, Peru, Colombia Chewing, Medical Use, Illicit Use semi-lengthy mfg process

21. Forms of Illicit Cocaine 1) Cocaine HCL (powder form)

22. Forms of Illicit Cocaine 1) Cocaine HCL (powder form)

23. Forms of Illicit Cocaine 1) Cocaine HCL (powder form)

24. Forms of Illicit Cocaine 1) Cocaine HCL (powder form)

25. Forms of Illicit Cocaine 1) Cocaine HCL (snorted, injected)

26. Forms of Illicit Cocaine 2) Base Cocaine – Free Base – Rock – Crack

27. Forms of Illicit Cocaine 2) Base Cocaine – Free Base – Rock – Crack

28. Forms of Illicit Cocaine 2) Base Cocaine (smoked)

29. CNS Stimulants Possession for Sale –quantity what does a user normally possess/use? –paraphernalia scales... cut... packaging … pays & owes...

30. CNS Stimulants Signs & Symptoms - aggressive - euphoria meth sores - inattention - sweating - paranoia

31. CNS Stimulants Signs & Symptoms Dopamine & Norepinephrine - restlessness - anxiety- hyperactive - bruxism - irritable- tremors - misperceive time & distance

32. CNS Stimulants Signs & Symptoms - Cortisone immune system, healing, stress - Histamines itching, allergy-like symptoms

33. CNS Stimulants Signs & Symptoms white tongue if stimulant smoked

34. CNS Stimulants Evidence of Smoking Cocaine burnt/blistered thumb/fingers, lips

35. CNS Stimulants Evidence of Smoking Cocaine blackened gums

36. CNS Stimulants Signs & Symptoms (High Dose or Low Tolerance) hallucinations extreme paranoia coma convulsions violence death

37. CNS Stimulants Binging meth psychosis cocaine psychosis Chemically induced 5150’s! ! BEWARE !

38. CNS Stimulants Addiction Chemical Dependency Tolerance Overdose

39. Onset of the Effects of Cocaine (in seconds)

40. Duration of the Effects of Cocaine (in minutes)

41. Cocaine Toxicology Blood –metabolite: 3-5 hours Urine –metabolite: 36-48 hours

42. Onset of the Effects of Meth (in seconds)

43. Duration of the Effects of Methamphetamine (in HOURS)

44. Methamphetamine Toxicology Blood –while they are under the influence Urine –36-48 hours

45. CNS Stimulants Difference between … Cocaine Methamphetamine - anesthetic - not an anesthetic - short duration - longer duration - users convert - users try to mfg.

46. CNS Stimulant Evaluation 1) Preliminary Observations - Medical Questions - General Observations:hyper, sweaty, dilated pupils, paranoia, … 2) Eye Exams HGN:No VGN:No LOC:No

47. CNS Stimulant Evaluation 3) PulseUP! 4) Divided Attention Tests Romberg:Fast Heel to Toe:Fast/Impaired One Leg Stand:Fast/Impaired Finger to Nose:Fast/Impaired

48. CNS Stimulant Evaluation 5) Pupil Examination Room Light:Dilated (Mydriasis) Near Total Darkness:Dilated Indirect Light:Dilated Direct Light:Slow Reaction - Hippus:No - Rebound:Cocaine

49. CNS Stimulant Evaluation 6) Methods of Ingestion Nasal Cavity:possible debris Oral Cavity:possible debris Injection Sites:possibly present Burnt fingers:Cocaine Burnt lips/tongue:Cocaine