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On the Frontline

On the Frontline. Gareth Balmer Dundee Direct Access Service. Remit to provide substance misuse advice, information and support service to People of Dundee. 2008 Bubbleluv ecstasy alternative amongst recreational users 2009 Sudden increase in reports Enquiries from schools Schools

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On the Frontline

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  1. On the Frontline Gareth Balmer Dundee Direct Access Service Remit to provide substance misuse advice, information and support service to People of Dundee

  2. 2008 Bubbleluv ecstasy alternative amongst recreational users 2009 Sudden increase in reports Enquiries from schools Schools White ones Pink ones Blue ones LSD Ketamine Ecstasy combo? Never credible A mix up on reported effects “mephedrone; its very moreish” In the beginning….

  3. In the beginning…. Reports continue….. “Doctors in Dundee have issued a warning about the legal high drug 'bubbles' after five people suffered non-fatal overdoses last weekend in the city” BBC News Nov 2009 ‘Bubbles’ take man to brink of suicide in weeks” DC Thomson Jan 2010 Party drug bubbles ‘destroyed our son’Feb 2010 “Mephedrone teenager risked blowing up petrol station” STV NEWS April 2010 “Party drug mephedrone contributed to suicide death of my son, reveals grief-stricken mum” Daily Record July 2010

  4. Prevalence..? “Mephedrone use and associated adverse effects in school and college/university students before the UK legislation change” Dargan PI, Albert S, Wood DM.QJM. 2010 Jul 30. [Epub ahead of print] 1006 individuals completed the survey [501 (49.8%) males and 505 (50.2%) females] 349 classified their educational institute as a school and 657 as a college/university 205 (20.3%) reported previous use of mephedrone 23.4% reported using only using mephedrone on one occasion previously 4.4% reported daily use 56% of those who had used mephedrone, reported at least one unwanted effect associated with its use

  5. What's in a Bubble? Most recent info from official sources… Methylmethcathinone (mephedrone) MDPV Methylone Butylone NRG-? MDAI ERIC! Dose?

  6. Who comes to see us and why? Drop-in service Accident and Emergency Psychiatric liaison Inpatient psychiatric services Dragged in by parents Cost/Benefit Dose related problems Daily use

  7. Presenting issues? Anxiety Palpitations Hallucinations Paranoia Cravings Anger Despair Family problems Money problems Dopamine psychosis? Why are we surprised: KHAT

  8. What are we doing? Reassurance Coping with comedowns Harm reduction message Most problems dose related Coping with cravings

  9. On the Frontline

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