Prescription Drug Abuse in Clark County a presentation by:
The Facts Commonly Abused Rx Drugs Impact of Rx Drugs and Why Teens Use What you can do 1 2 3 4 What to Expect:
Rx Abuse in Clark County: Test your Rx IQ! How much is a bottle of 30, 80 mg tablets of Oxycontin worth on the street? A.$50 B.$300 C.$1000 D.$2400
Test Your Rx IQ! Answer: $2400! An 80 mg tablet of Oxy retails for $6.00, but high demand on the street means one tablet can sell for as much as $80.* Many crimes related to Rx abuse are on the rise, including DUI, Pharmacy robberies and assault.**
Test your Rx IQ! Between 1997 and 2005, the number of individual doses of Oxycodone sold in the state of Washington increased by: A.25% B.100% C.300% D.500%
Test your Rx IQ! Answer: A 500% increase; from 1,941,270 individual doses to 11,650,127 doses. The number of methadone doses increased by 1,042%, from 918,004 to 10,481,780
Test your Rx IQ! Scientists in the Pacific Northwest have found: A.Hormones from medicines in lakes and streams in King County B.Medicines in the Columbia River C.Medicines in the treated wastewater being discharged to local waters of Olympia, Lacey, Puyallup and Tacoma D.All the above
Test your Rx IQ! Answer: All the above! As youve learned from our quiz, Rx abuse affects things we all care about: Protecting our environment Safe community Healthy individuals and families
A Rising Concern There are just as many new abusers of Rx drugs as there are for marijuana. Rx drugs are the most commonly abused drug among 12-13 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
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 Washington State is ranked #6 in the country for prescription drug abuse
Available Everywhere Three in five teens say Rx pain relievers are easy to get from parents medicine cabinets Half of teens say theyre easy to get through someones prescriptions More than half say Rx pain relievers are available everywhere.
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
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.
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.
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.)
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
Sedatives: Symptoms Drowsiness/Sleepiness Slowed Breathing Confusion/Disorientation Reduced attention span Resembles alcohol intoxication Hallucinations Seizures Very Dangerous when mixed with Alcohol
Cough Medicine Dilated pupils Dizziness Fever Hallucinations High blood pressure Hot and cold flashes Psychotic episodes Rash Sweating
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
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.
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 less aware of dangers or less likely to disapprove
Its safer to abuse Rx drugs than illicit drugs, even if theyre not prescribed by a doctor. Rx drugs have fewer side effects and are not as addictive. Its okay to share Rx Myths:
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.
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.
Keeping Rx meds Safe: Monitor all prescription and OTC medicines. Safely Store and Secure medicines Out of childrens reach and sight. Consider locking them up. Safely Dispose of old or unused medicines.
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
Safe Medicine Return You can take unwanted controlled meds to safe disposal sites at all Sherriffs and many Police Precincts, including: Battle Ground Police Department Camas Police Department Clark County Sheriff's Office West Precinct Clark County's Sheriff's Office Central Precinct Clark County Sheriff's Headquarters La Center Police Department Ridgefield Police Department Washougal Police Department For details visit: http://www.clark.wa.gov/recycle/recyclingA-Z.html (Click on M for Medicine)
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?
Take Action Legislative & Policy Efforts Federal Medicine Return Program Statewide Medicine Return Program Prescription Drug Monitoring Program Education and support for MDs and other prescribers Treatment and prevention efforts
If you are concerned: If you are concerned that someone you care about might be abusing Rx drugs… School Nurse, Prevention/Intervention Specialist or Counselor Clark County Alcohol & Drug Program WWW.SAMHSA.gov www.PreventClarkCounty.org
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 nations teens. January 2008. Clark County Medical Examiners Office email correspondence. 2009. Partnership for a Drug Free America. Partnership Attitude Tracking Survey (PATS). 2006. Substance Abuse and Mental Health Services Administration (SAMHSA), National Household Survey on Drug Use and Health (NHSDUH). 2008. SAMHSA, Monitoring the Future Survey (MTF). 2008 Washington State Department of Health. Washington State Healthy Youth Survey. 2008 Washington State Department Of Social and Health Services, Division of Alcohol and Substance Abuse. Prescription Pain-Reliever Abuse Among Teens. 2008. Washington State Attorney Generals Office, Prescription Drug Abuse is our new epidemic. August, 2009.