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“The Faces of Substance Abuse in America” It’s Ugly and Getting Uglier

“The Faces of Substance Abuse in America” It’s Ugly and Getting Uglier. by Paul L. Doering, M.S. Distinguished Service Professor, Emeritus College of Pharmacy University of Florida. The Two Faces of Drug Abuse. Faces of those who use and abuse. http://www.facesofmeth.us/main.htm

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“The Faces of Substance Abuse in America” It’s Ugly and Getting Uglier

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  1. “The Faces of Substance Abuse in America”It’s Ugly and Getting Uglier by Paul L. Doering, M.S. Distinguished Service Professor, Emeritus College of Pharmacy University of Florida

  2. The Two Faces of Drug Abuse • Faces of those who use and abuse. http://www.facesofmeth.us/main.htm • Faces of the drugs being used. • News Flash: Quaalude is “out” • Breaking News: “Bath Salts” are “in” out

  3. HEALTH PROFESSIONALS KNOW A LOT ABOUT DRUGS, BUT………... • Many curricula do not contain coursework in substance abuse • Thus, they are not schooled in this “other” use of pharmaceutical products • Most have limited personal experience with recreational drugs (thankfully) • But, these persons are often sought out by parents, family members, etc. for help

  4. The Faces of Three Drug Experts From the 1960s James Marshall Hendrix Born- 11/27/42 Died- 9/18/70 Paul Louis Doering Born- 2/25/49 Not Dead Yet Janis Lyn Joplin Born- 1/19/43 Died- 10/4/70

  5. Makin’ the “Big Time”

  6. Florida IS the Face of Drug Abuse in Our Country http://abcnews.go.com/WNT/video/florida-drug-bust-targets-doctors-presibtion-illegal-painkillers-pill-mill-dea-12985087

  7. And It’s a Local Problem too….

  8. But it is a knotty problem…..

  9. Marijuana: The flowering top of the pistillate plant (or female) of the genus and species, Cannabis Sativa, Family Moraceae. Lecture by Prof. Carl Johnson in Weeds and Seeds course, circa 1969

  10. “Square Grouper” that used to fall into Biscayne Bay in Miami

  11. Lot’s of Pot!

  12. The New Face of Marijuana (aka Spice or K2)

  13. “Synthetic Marijuana” Cannabicyclohexanol JWH-018 Tetrahydrocannabinol HU-210 JWH-073

  14. For More Information:http://info.publicintelligence.net/spicealert.pdf

  15. DEA Re-Scheduling On November 24, 2010, the DEA notified the public through the Federal Register of their intent to temporarily control five synthetic cannabinoid chemicals found in so-called “fake pot” products such as K2 and Spice.

  16. The Face of Real Bath Salts • magnesium sulfate (Epsom salts) • sodium chloride (table salt) • sodium bicarbonate (baking soda) • sodium hexametaphosphate (Calgon, amorphous/glassy sodium metaphosphate) • sodium sesquicarbonate • borax

  17. The Face of “Not Real” Bath Salts Methylenedioxypyrovalerone (MDPV) Some Brand Names: Cloud 9, Ivory Wave, Ocean, Charge Plus, White Lightning, Scarface, Hurricane Charlie, Red Dove and White Dove.

  18. Emergency Re-Scheduling in Florida

  19. Digital Drugs

  20. Digital Drugs

  21. Example of a Digital Drug

  22. In Your Face: Nitrous Oxide • Synonyms: • nitrous, laughing gas, whippets, “Blue Nun” • Mental effects: • giddiness, silly laughter, buzzing or ringing in ears • Duration of effect is only 2-3 minutes • Danger: • hypoxia, possible nerve damage with prolonged use

  23. Whip-Its

  24. Individual Cylinders of N20

  25. Whipped Cream Dispenser

  26. The Many Recognizable Faces of Ecstasy

  27. The Fashionable Face of Ecstasy

  28. The Kinda Weird Faces of People Rolling

  29. The Three Faces of Coke

  30. An Impromptu Drug Delivery Device This is called a “stem” on the street

  31. From The Face of a Meth User

  32. Meth Bugs

  33. The Face of a Burn Victim from Meth lab- 19 yo

  34. Oxycontin Express http://www.huffingtonpost.com/currenttvs-vanguard/vanguard-season-premiere_b_320867.html

  35. Pharmaceutical Drugs are “In” • Obtained from legal prescriptions • Given or sold among friends • Stolen from medicine cabinets • Stolen from pharmacies

  36. The Ugly Face of Prescription Drug Abuse In America http://www.cdc.gov/nchs/data/hus/hus10_InBrief.pdf

  37. The Figures Fit the Face • >27,000 deaths from Rx drug Ods in 2007 • five-fold increase since 1990 • declining mortality rates for all other conditions • including heart disease and cancer • OD deaths from Rx opioids are exceeding deaths from heroin and cocaine overdoses combined.

  38. The Figures Fit the Face (cont’d) • Drug-induced deaths (which includes all drugs) is approaching the number of deaths from motor vehicle crashes. • Drug abuse deaths have also surpassed deaths from suicide, homicide, and fire arms.

  39. Pharmaceutical vs Street Drugs • Safer • identity • purity • less HIV / hepatitis risk • Safer because "it's just a prescription drug" • Low or no acquisition cost • Medicaid, Workers’ Comp, private insurance, VA, Indian Health Service

  40. The Different Faces of “Ritalin” Concerta ER 54 mg Concerta ER 18 mg Concerta ER 36 mg Ritalin 10 mg Ritalin 5 mg Ritalin SR 20 mg Ritalin LA 20 mg Ritalin LA 30 mg Ritalin LA 40 mg

  41. Stimulant Identification

  42. OxyContin (oxycodone HCl)

  43. The Face of Grandaddy Morphine

  44. The Face of Codeine (aka methoxymorphine

  45. The Face of Hydrocodone

  46. The All-Too Familiar Face of Oxycodone

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