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Raves, Club Drugs, and Drugs of Abuse. Dr. Milton H. Cambridge Demand Reduction Outreach and Prevention Coordinator. Raves. Early 80’s subculture in England Clandestine or commercialized Loud “techno” music/dancing Lights and visual stimuli Promoted as Alcohol Free
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Raves, Club Drugs, and Drugs of Abuse Dr. Milton H. Cambridge Demand Reduction Outreach and Prevention Coordinator
Raves • Early 80’s subculture in England • Clandestine or commercialized • Loud “techno” music/dancing • Lights and visual stimuli • Promoted as Alcohol Free • Club drugs bought, sold, consumed • Unique costumes or themes
Environment • All night event • Clandestine – warehouses, deserts, woods, etc. • Commercialized – established clubs • Hot • Loud • Crowded • Dancing • Criminal element often present
Promotions • 14-25 year olds targeted group • Alcohol-free events • Appearance of not promoting drug use • Websites, posters, word of mouth • Paraphernalia – available on internet • Spiritual or cultural stimulation/ enhancement • One website “rated” the social and sexual performance, hangover, and spiritual effects of drugs – no mention of dangers
Rave Paraphernalia • Water bottles • Light sticks • Pacifers • Bags of small candy/breath mints • Eye-drop bottles • Dust & surgical masks/Vick’s Vapo-Rub • Caffeinated beverages • OTC stimulants
Dangers • Dehydration • Hyperthermia (high body temperature) • Caused by drugs, heat, and dehydration • Drug use (intentional or unintentional) • Crime (sexual & physical assault, homicide, robbery, property damage, etc.) • Crowds • Hearing loss over long periods of exposure • Lack of compliance with safety regulations
Club Drugs and Trend Drugs • Ecstasy • Ecstasy + Viagra • Ecstasy + Prozac • Ecstasy + Ketamine • Ecstasy + LSD • Methamphetamine • PMA • 4-MTA • GHB • LSD • Ketamine • Rohypnol • Viagra • Oxycodone • PCP • Heroin • Inhalants • Marijuana • Dextromethorphan
3,4-Methylenedioxymethamphetamine • E, XTC, X, rolling, tachas, snackies, speedies • Stimulant and hallucinogenic properties • Effects: increased stimuli & sensations • Signs: euphoria, involuntary teeth grinding • Causes memory loss, brain damage, “Alzheimer’s” • OD: hyperthermia, teeth clenching, seizures, unconsciousness, heart failure, heat stroke • Route: ingested, snorted, injected • Onset/Duration: 30-60 minutes/4-6 hours
Total Ecstasy ED Mentions Source: Substance Abuse and Mental Health Services Administration, Drug Abuse Warning Network
Methamphetamine • Speed, ice, crystal, crank, batu, christmas trees, pink, elbows, Ozs, cinnamon, blade • Schedule II, stimulant for ADD, narcolepsy • Signs: tachycardia, hypertension, hyperthermia, violent behavior • OD: agitation, hostility, hallucinations, seizures, hyperthermia, death • Chronic use causes paranoia, hallucinations, picking at the skin, violent & erratic behavior • Route: ingested, smoked, snorted, injected • Onset/Duration: depends on route/6-8 hours
Yaba • Methamphetamine + caffeine • Crazy medicine, Hitler’s drug, Nazi speed • Red, orange, or green small pills, most commonly with “WY” stamped on them • Originated in Thailand • Signs: tachycardia, dehydration, paranoia, sweating, insomnia, irritability, hallucinations, depression • Route: Oral, inhalation, injection • Onset/Duration: depends on route/6-8 hours
Paramethoxyamphetamine • PMA, 4-MA, death, Mitsubishi double stack • Synthetic hallucinogen • Signs: tachycardia, hypertension, dyspnea, hyperthermia, nystagmus, muscle spasms, visual hallucinations • OD: dysrhythmias, pulmonary edema, renal failure, vomiting, seizures, coma (60mg), extreme hyperthermia (>108 hours after death) • Onset/duration: depends on route • Route: ingested, inhaled, injected • Esp. hazardous with other amphetamines, alcohol, cocaine, prozac
4-Methylthioamphetamine • 4-MTA, MTA, flatliners, golden eagle • Resembles amphetamine, developed as an anti-depressant, releases serotonin • Effects: Stimulant/euphoric effects • Signs: restlessness, muscle twitches, involuntary muscle contractions, tremors, seizures, coma • Duration: up to 12 hours • Route: ingested • Unknown toxicity & side effects • Sold as ecstasy
Methamphetamine ED Mentions Source: Substance Abuse and Mental Health Services Administration, Drug Abuse Warning Network
Amphetamines ED Mentions Source: Substance Abuse and Mental Health Services Administration, Drug Abuse Warning Network
Amphetamines ED Mentionsper 100,000 pop. Source: Substance Abuse and Mental Health Services Administration, Drug Abuse Warning Network
GHB • Gamma Hydroxybutyrate, C4H8O3 • Georgia Home Boy, Grievous Bodily Harm, liquid X, goop • Made from sodium / potassium hydrochloride & gamma-butylrolactone (GBL) • Signs: drowsiness, dizziness, nausea, vomiting, status seizures, respiratory depression/cheyne-stokes, coma • OD: unconsciousness, muscle stiffness, seizures, severe respiratory depression, coma • Route: ingested (liquid) • Onset/Duration: 10-20 minutes/2-4 hours • If made incorrectly, can burn mouth & esophagus
GHB/GBL ED Mentions Source: Substance Abuse and Mental Health Services Administration, Drug Abuse Warning Network
LSD • D-lysergic acid diethylamide • Acid, cid, blotter acid, “candy flipping” • Most powerful hallucinogen known • Put in gel wraps, breath fresheners, “Smartie” candies, blotters, sugar cubes • Signs: hallucinations, tachycardia, hypertension, dilated pupils, hyperthermia, nausea, vomiting • OD: exaggerated signs as above, death is rare • Route: ingested, snorted, injected • Onset/duration: 20-90 minutes/6-12 hours
LSD ED Mentions Source: Substance Abuse and Mental Health Services Administration, Drug Abuse Warning Network
LSD ED Mentionsper 100,000 pop. Source: Substance Abuse and Mental Health Services Administration, Drug Abuse Warning Network
Ketamine Hydrochloride • Special K, K, Ket Kat, Cat Valium • Dissociative anesthetic • Signs: hallucinations, vomiting, hypertension, bradycardia, irrational behavior, seizures, respiratory depression, unconsciousness, hypoxia. • Long-term side effects of regular use unknown • Onset/duration: 15 sec-5 mins/30-60 mins • Route: Oral, snorted, injected • 4/21/02 – DEA seized 3,998 vials (Missouri)
Ketamine ED Mentions Source: Substance Abuse and Mental Health Services Administration, Drug Abuse Warning Network