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Abuse of this stimulant remained a relatively minor problem in North America until the enormous upsurge of drug abuse in the 1960s. The drug methamphetamine, for example, know by the street term "speed," became a favored drug because it could be manufactured more easily than other, related drugs. This form of speed is a very powerful stimulant, giving the user lots of energy. Methamphetamine may be smoked in either rock or powder form, "snorted" through the nose with a straw or rolled up dollar bill, or injected directly into a vein. Lab analysis of methamphetamine today reveals a product that is as high as 97-99% pure. Smoking methamphetamine allows it to reach the brain in about 6 seconds -- twice as fast as when injected. It enters directly into the lungs before entering the left side of the heart; from there it is pumped to all areas of the body and brain. Initially, a methamphetamine high from smoking can last up to twelve hours. After the drug wears off, there is a severe crash as the user's blood levels drop. As the body's tolerance for the drug increases, it takes stronger and stronger doses to get the same high. The drug, which is commonly called crank speeds up the heart rate, giving users a 'rush,' before crashing them into a violence-prone depression as the effects of the drug wear off. The drug allows students to stay awake for all-nighters and graveyard-shift employees to stay busy on the job. Addicts have been known to stay awake for extremely long periods of time (1 to 2 weeks straight), resulting in some very violent behavior. Physical Signs
of Speed Usage Long term usage of crystal meth can cause alterations in brain chemistry. For some people, these bring on delusions and a condition resembling paranoid schizophrenia. Other long term toxic effects include increased pulse rate and blood pressure, angina-type chest pain, restlessness, insomnia, fever, panic states, anxiety, nausea, vomiting and diarrhea. There is the possibility of a brain hemorrhage or stroke, or recurring heart disease, as methamphetamine use accelerates the aging process in the heart vessels. Overdose is always possible -- a toxic dose varies from person-to-person, and depends on the purity of the drug. Smoking methamphetamine brings respiratory problems along with the above mentioned health concerns. Paraphernalia Common Nicknames
for Speed Read
a poem submitted by an RCMP Officer who received this from a young
girl in jail on drug charges.
Cocaine could only be taken in leaf form until 1858, when it was isolated from the plant material by chemist Albert Niemann at the University of Gottingen in Germany. Shortly after it was purified, people began to inhale it into the nose ("snorting") and to inject it. Cocaine was added to various medicines and was an ingredient in Coca Cola until 1903. The use of cocaine in its pure form led to the first major epidemic of cocaine use at the end of the 1800's and the beginning of the 1900's. At the beginning of that epidemic, as now, many people thought that cocaine was a harmless drug. As more and more people tried it and became addicted to it, it gained a reputation as a highly dangerous, very addictive drug. In the early 1900's, the terms "dope" and "dope fiend" were used to describe cocaine and the cocaine user who would do anything to get the next dose of cocaine. The drug's bad reputation combined with stricter laws against sales and possession led to less and less use of cocaine in the first few decades of the twentieth century. Sixty years after it began, cocaine use had practically disappeared by 1930. In the 1960's cocaine again began to be seen as a harmless stimulant. "Freebasing", was developed, enabling users to convert the injectable white cocaine salts into a smokable form. When coca leaves are harvested in Peru and Colombia, they are thrown into pits, chopped, pounded and mixed with gasoline, kerosene, and other chemicals to remove cocaine from the coca leaves. Cocaine comes out of the leaf in the freebase form. If it were left in this form for long it would lose its potency, so the cocaine freebase is mixed with other chemicals to convert it into a salt form. The salt form may be shipped long distances or stored for a long time without losing its strength. The salt form is the form used by doctors to produce local anesthesia for minor surgery. Drug abusers know that they can inject the salt form but cannot smoke it. If the drug user wants to smoke cocaine, he mixes the cocaine salt with chemicals to convert it back to its freebase form. This second process is known as "freebasing" and is very dangerous because of the chemicals used to do it. The comedian Richard Pryor was severely burned on the face when the chemicals he was using to make freebase cocaine exploded and burned. Other less famous people have suffered serious injury or death in this process. The current cocaine epidemic seemed to be leveling off in 1984, but a new and easily made form of cocaine called "crack" was developed at that time. Crack is nothing more than freebase cocaine which has been prepared by a different method. The method used to produce crack allows the freebase cocaine vapors to penetrate deeply into the lungs. This produces a greater high, but is also an even more addictive way to use cocaine. Crack smoking can also cause severe lung damage. With the advent of crack, the high costs of cocaine came down. Cocaine use increased even further. Today we are experiencing the largest epidemic of cocaine use ever recorded. According to a recent estimate, "one of two Americans between 25 and 30 have tried cocaine." It is currently mentioned more frequently than any other drug, including alcohol, as a reason for treatment in hospital emergency rooms. How
is Cocaine Used?
What
are the Effects and the Dangers of Cocaine Use?
How
Does Cocaine Kill?
Paraphernalia Common
Nicknames for Cocaine
Marijuana is comprised of the cured leaves, and flower clusters from the hemp plant, Cannabis Sativa. It is classified as a minor psychedelic drug because it does not cause a total break with reality as do major psychedelics. However, if large amounts of high potency marijuana are used, it could lead to a full psychedelic effect. The major psychoactive ingredient in marijuana is tetrahydrocannabinol (THC). Over 400 other chemicals are found in marijuana, including tar and carcinogens. Marijuana is not a new drug. The first written records date it to 4,000 years ago in China, where the emperor, Shen Nung, advocated its use as an all-purpose medication and as a sedative. From there its use spread to India and neighboring countries. Early Hindus used cannabis for a variety of purposes, including leprosy and fever. They also felt it was useful for creating energy and stimulating the mind. Hindus and Muslims also employed it to treat constipation, dandruff, hemorrhoids, obesity, asthma, urinary tract infections, loss of appetite, inflammation, and cough. From India, the use of cannabis spread to surrounding countries and the Middle East, then to Europe and the Americas. Initially hemp was cultivated in early America as a fiber crop for making rope. It was not used for its psychoactive properties by early American settlers. Several years later Cannabis made its way up the Mississippi to larger cities from the port of New Orleans. In 1920 marijuana use was prevalent in the United States. By 1930 marijuana was available in most of the larger cities. During the 60's and early 70's marijuana use reached epidemic proportions as it became a popular drug among young people. There were efforts to decriminalize it. During this period marijuana use spread to youthful white males, from urban to rural areas, to larger numbers of women, and to older segments of the population as well. Physical Signs of Marijuana Usage It can be very difficult to tell when someone is "high" on marijuana, which is one reason why it is so common and so many kids get away with using it. By itself it doesn't make you drunk, slur your speech, stumble around, etc. The most noticable sign is redness of the eyes. Marijuana has its major physiological effects on the cardiovascular and central nervous system, where it has sedative effects. When someone first starts smoking marijuana, he gets a sense of well-being, relaxation, a willingness to speak or laugh openly and sleepiness. As one continues to smoke it in higher doses, it causes mild sensory distortions, an altered sense of time, loss of short-term memory, lose of balance and difficulty in completing thought processes. Even higher doses can result in feelings of depersonalization, severe anxiety and panic, hallucinations, delusions, and paranoia. Physically, when someone smokes marijuana, his heart rate increases and the blood vessels of the eye dilate, which causes the eyes to become reddened. A feeling of tightness in the chest, difficulty breathing, and a lack of muscle coordination may also occur. Paraphernalia Cigarette rolling papers (such as Zig-Zag's), pipes (wooden, metal and glass), bongs (water-filled pipes), alligator clips.
Common Nicknames for Marijuana Pot, grass, weed,
bud, jay, reefer, joint, ganja, herb, dope, smoke, boo ya, red hair, chronic,
the green, the kind, mary jane, skunk, sens, thai sticks, hash, hashish,
mowie wowie, J, hooter, toke, yesca, budah, bionic, shwag, indica, mex,
herbage, doobage, wacky tobacky, hemp, THC, indo, homegrown, and doobie. Most abusable substance fall into one of three general categories: stimulants, depressants, or psychedelics. Alcohol is classified as a depressant. Alcohol produces some of its effects by depressing various brain functions. Alcohol is also a chemical solvent, a local anesthetic, and an irritant. Many of alcohol's side effects are due to these actions rather than to the sedative effect of the agent. Alcohol is found in many different beverages and also in many prescription and nonprescription medications. Alcohol in low doses causes suppression of inhibitory centers and produces apparent stimulation while impairment of abstract thinking lessens anxiety. At moderate doses, alcohol can cause drowsiness, slowed reflexes and incoordination. In large amounts, alcohol decreases vital brain functions, produces sedation, slows the breathing rate, and can cause death. Alcohol is absorbed from all parts of the gastrointestinal tract. Most of the alcohol enters the bloodstream from the stomach and small intestine. The peak Blood Alcohol Level (BAL) occurs 60 to 90 minutes after ingestion when the stomach is empty. It readily passes from the blood into nearly every tissue in the body, including the brain. The presence of food in the stomach slows the rate of absorption. However the amount of alcohol absorbed remains unchanged. While no one would get drunk from the alcohol in one or two teaspoons of cough syrup, liver and stomach enzymes cannot deactivate large amounts of alcohol consumed at one time. Alcoholic drinks, including beer cause the amount of alcohol in the blood to rise. Excessive drinking may lead to vomiting and other unpleasant toxic effects. These symptoms are part of the automatic defense systems of the body which are activated to prevent more alcohol from being absorbed. When drinking stops, the liver enzymes will eventually convert excess alcohol into less harmful substances. The final products of alcohol metabolism are carbon dioxide and water. According to recent
news reports, North Americans are at risk for a variety of sleep-related
health problems. Alcohol use affects sleep in a number of ways and can
exacerbate these problems. Because alcohol use is widespread, it is important
to understand how this use affects sleep to increase risk for illness.
For example, it is popularly believed that a drink before bedtime can
aid falling asleep. However, it also can disrupt normal sleep patterns,
resulting in increased fatigue and physical stress to the body. Alcohol
use can aggravate sleeping disorders, such as sleep apnea; those with
such disorders should be cautious about alcohol use. Many nursing mothers
are still regularly advised by their physicians to have a drink to promote
lactation (so-called let-down reflex). Babies who receive alcohol in breast
milk are known to have disrupted sleeping patterns. Because researchers
do not yet know what effect this disruption has on nursing infants, physicians
should reconsider this advice.
Slang or Street Names: Grievous Bodily Harm, G, Liquid Ecstasy, Georgia Home Boy GHB can be produced in clear liquid, white powder, tablet, and capsule forms, and it is often used in combination with alcohol, making it even more dangerous. GHB has been increasingly involved in poisonings, overdoses, "date rapes," and fatalities. The drug is used predominantly by adolescents and young adults, often when they attend nightclubs and raves. GHB is often manufactured in homes with recipes and ingredients found and purchased on the Internet.
Illicit use of Rohypnol originated in Europe in the 1970s and has increased worldwide since then. However, the substance did not appear in the United States until the early 1990s. In 1992, a South Florida hotline began receiving calls reporting occasional to chronic abuse of the drug. Around the same time, the drug appeared in Texas as well. Today, use of Rohypnol is one of the fastest growing drug problems in both areas. In addition, the drug appears to be spreading across North America. As of April 1995, the Drug Enforcement Administration had documented over 1,000 cases of Rohypnol possession across 13 states. Rohypnol use by youths of all socioeconomic status has been reported. The inexpensive cost, ranging from $2 to $3 per pill, attracts young users. High school students report use of the drug as a cheap drunk and as a cure for alcohol hangovers. Typically, however, Rohypnol is used along with alcohol and other drugs. College students using Rohypnol report mixing it with beer to enhance the feeling of drunkenness. It has also been reported to be used in combination with marijuana and cocaine, as well as heroin. Rohypnol use appears to be spreading in the United States among high school and college youth. In some areas, it is associated with gangs, and it is becoming known as a club drug. The use of Rohypnol itself is dangerous, leading to physical and psychological dependence, which increases with dose and duration of use. However, there are other dangers linked to the use of this substance. Rohypnol is typically sold in its original bubble packaging, conveying a sense of legality and security in its use. The perceived safety of the drug along with the trend of use in combination with other substances, creates the possibility of Rohypnol becoming a gateway to harder drugs. An equally serious danger is the reported use of Rohypnol as a "date rape" drug of choice. While this specific use may not be pervasive, it is cause for concern. Lethal overdose is unlikely; however, continued use will result in physical dependence. Withdrawal symptoms range from headache, muscle pain, and confusion to hallucinations and convulsions. Seizures may occur a week or more after cessation of use. Thus, medically supervised detoxification using diminishing doses of other benzodiazepines is essential. Nicknames
for Rohypnol
Heroin is also produced in a form that looks similar to cocaine - a white powder. And today this form is much more pure and potent than than it has been in the past. While many addicts still inject this form of heroin, because of its purity, many others are able to smoke it through a glass pipe, similar to the way cocaine and speed are smoked. This makes the use of heroin more acceptable to middle and upperclass students and business folk who would other wise shun the stigma of sticking a needle in their arm like a "common junkie" (not to mention the risk of becoming infected with the AIDS virus through the use of dirty needles.) For an alarming report on the increased use of heroin by students and professionals see our excerpts from a recent LA Times article called Heroin Use is on the Increase. Some of the long term physical conditions that accompany heroin addiction include reduced energy level, reduced sex drive, and an overall lethargy and lack of motivation when it comes to involvement with any activities other than those associated with obatining their next "fix" (the next dose and subsequent injection.) Those "associated activities" include burglery, robbery, prostitution, etc. to get money for their next fix. Physical Signs
of Heroin Usage Some other signs include the pupils of the eyes become "pinned" i.e. they get very small even in dark surroundings when normally one's pupils dilate (become enlarged.) If a person is mainlining (injecting heroin directly into his or her veins) you might see tiny needle sized scabs directly on a vein. When someone is in the beginning stages of "mainlining" the most easily accessible veins and therefore the most common site for injections are the main arteries located in the inner portion of the arm at the elbow joint. These are the same veins doctors and nurses use to obtain blood samples. Addicts sometimes refer to this injection site as "the ditch." As a person begins down the tragic path to addiction, at first he or she might just experiment with it once a week or even only once a month or less. At this stage the signs are barely noticeable. You probably wouldn't even see one ot two injection sites at a time. But as the experimentation progresses into addiction there will come a point at which the user is "shooting up" (mainlining) at least once a day. Now several injection sites (scabs) become noticeable. Soon the user is "shooting up" more than once a day (if she can afford it.) Over the course of only six months (180 days) of every day usage this person has "slammed" (shot up) more than 180 times. That is when the trails of needle marks become "tracks." You may see trails or "tracks" of tiny scabs extending one, two, or even three inches or more down an addicts arm or leg in a straight line right over a vein. If a person is right handed he would use his right hand to hold the syringe and inject himself in the left arm. So you would first look for "tracks" on the left arm of a right handed person. If a person is left handed he would use his left hand to inject himself in the right arm. As "tracks" become more and more visible addicts often where long sleeves to hide the tell tale marks. If a person has been addicted for a year or more the "tracks" will turn to scars that can remain for the rest of his or her life, even if they manage to kick the habit. By injecting so repeatedly into the same vein that vein will eventually collapse (users say these collapsed veins are "blown out.") At this point that vien is no longer be useable and the addict must find another vein in which to inject their poison. After "blowing out" most of the viable veins in the arms the next veins of choice are usually the arteries behind the knees or the large veins on the back of the hands, and if necessary a desparate addict can and will "shoot up" into the jugular vein in the neck. Paraphernalia Common Nicknames
for Heroin
Slang or Street Names: Ecstasy, XTC, X, Adam, Clarity, Lover’s Speed MDMA was developed and patented in the early 1900s as an appetite suppressant, although it was never tested in humans. Chemically, MDMA is similar to the stimulant amphetamine and the hallucinogen mescaline. MDMA can produce both stimulant and psychedelic effects. Methylenedioxyamphetamine
(MDA) and methylenedioxyethylamphetamine (MDEA) are drugs chemically similar
to MDMA.
What is LSD? Even in very minute doses (for example, 50 to 100 micrograms - a microgram is 1/1,000,000 of a gram), LSD can significantly alter one's perceptions to the point of hallucination - that is, one sees or hears things that don't, in reality, exist. Hence LSD's classification as a hallucinogen. Pure LSD is a white, odorless crystalline powder that dissolves in water. Because an effective dose of the pure drug is almost invisible, it is mixed with other substances, such as sugar, and packaged in capsules, tablets, or solutions, or spotted on to gelatin sheets or pieces of blotting paper. The availability of LSD has increased in the United States in the last 2 to 3 years; the hallucinogen is available in at least retail quantities in virtually every state. The sources of supply for most of the LSD available in North America are believed to be centered in northern California. At the wholesale production and trafficking levels, LSD remains tightly controlled by relatively small, fraternal California-based organizations that have evaded drug law enforcement operations successfully for over two decades. Mid-level distribution networks generally are comprised of individuals who have known each other through long years of association and common interests. Over the past several years, an increasing number of individuals have attempted to manufacture LSD. Many of these individuals are not associated with the traditional northern California groups that are believed to have produced most of the LSD available in the United States since the late 1960's. Compared with methamphetamine, PCP, and other illicit drugs manufactured in the United States, few LSD laboratories have been located or seized. Six illegal LSD laboratories have been confiscated by the DEA since 1981; however, there have been no seizures since 1987. This is due primarily to the shifting of law enforcement focus to target and dismantle the rising number of cocaine trafficking organizations established during the crack epidemic that began during the mid-1980's and continues into the present. Public and private mail systems appear to be the primary means used for the transportation and distribution of wholesale and retail quantities of LSD. LSD is relatively inexpensive with an average street dosage unit or "hit" costing about $5 and often as little as $1 or $2. Retail-level doses are available primarily in paper form; microdot tablets and gelatin squares also have been encountered. LSD is ingested orally. A microdot tablet or square of the perforated LSD paper is placed in the user's mouth, chewed or swallowed. Paper squares are most common because their small size makes them easy to conceal and ingest. Also, because LSD is not injected or smoked, paraphernalia are not required. Physical Signs
of LSD Usage
Short-term effects appear soon after a single dose and disappear within a few hours. Appearing first are physical effects including: numbness; muscle weakness and trembling; rapid reflexes; increased blood pressure, heart rate, and temperature; impaired motor skills and coordination; dilated pupils; and, occasionally, nausea and seizures. One of most noticable signs is laughter, often at things that aren't particularly funny and often uncontrolable. Dramatic changes in perception, thought, and mood occur shortly after the physical effects. These may include:
Pseudo-hallucinations give way to terrifying true hallucinations, sometimes resulting in violence, homicide, or suicide. In some cases, this psychotic state lasts several days or even longer. Because adverse effects are particularly common among new users, early LSD trips are usually taken in the company of experienced users who can often curb acute panic reactions. No deaths resulting exclusively from LSD overdose have been reported. Cases of suicide, however, have occurred during or following LSD intoxication. Other results of violent or hazardous behavior include accidental (sometimes bizarre) fatalities, homicides, and self-mutilations. Long-term effects appear after repeated use over a lengthy period, or some time after the short-term effects of a single dose have worn off. "Flashbacks" (unpredictable, spontaneous recurrences of the original LSD experience without the user's taking the drug again) can occur weeks, months, or even up to a year after the last encounter with the drug. Typically, flashbacks last only a few minutes or less and are usually visual images ranging from formless colors to frightening hallucinations. The cause of the flashbacks is unknown, but they frequently occur after an LSD user smokes marijuana. Chronic LSD use may result in prolonged depression and anxiety. Tolerance
and Dependence Although some scientific research seems to indicate that using LSD doesn't produce physical dependency, there is no question that LSD is psychologically addicting. In fact, some regular LSD users become so psychologically dependent on the drug that the need to keep taking it becomes a compulsion. Common Nicknames
for LSD
PCP is a white crystalline
powder which is readily soluble in water or alcohol. It has a distinctive
bitter chemical taste. PCP can be mixed easily with dyes and turns up
on the illicit drug market in a variety of tablets, capsules, and colored
powders. It is normally snorted or smoked. When it is smoked, PCP is often
applied to a leafy material such as tobacco, mint, parsley, oregano or
marijuana. What Does
PCP Look Like? When PCP is made in illegal laboratories, the noxious chemicals used in the process are almost never removed from the final product. These impurities cause PCP to be a liquid at room temperature. The PCP available on the street is most often a mixture of PCP and industrial chemicals. Physical Signs
of PCP Usage At high doses, there is a drop in blood pressure, pulse rate, and respiration. This may be accompanied by nausea, vomiting, blurred vision, flicking up and down of the eyes, drooling, loss of balance, and dizziness. Psychological effects at high doses include hallucinations. PCP can cause effects that mimic certain primary symptoms of schizophrenia, such as delusions, mental turmoil, and a sensation of distance from one's environment. Often times, speech is sparse and mangled. People who use PCP for long periods of time report memory loss, speech difficulties, depression, and weight loss. When given psychomotor tests, PCP users tend to have lost their fine motor skills and short-term memory. Mood disorders have also been reported. PCP has sedative effects, and interactions with other central nervous system depressants such as alcohol can lead to coma or accidental overdose. Who Discovered
PCP? Where Does
PCP Come From? What Kind
of Drug is PCP? This inability to recognize one's own body parts coupled with the inability to feel pain allow the drug user to damage his or her own body. In one published account, a person jailed for drug possession blinded himself by mutilating his eyeballs with his bare hands. Later, he claimed to remember destroying his eyes but reported that he felt no pain while doing it. Other bizarre behaviors reported in the medical literature include biting one's forearms "almost to the bone," appearing nude outdoors for long periods of time in Winter, or "standing in the park like a statue." While people do not routinely blind themselves when taking PCP, violence or agitation occur in about a third of the people who take the drug. It is the combination of agitation or violent actions and the inability to feel one's own body parts that sometimes results in serious injuries to the PCP user. Common Nicknames
for PCP
There are at least three chemically different types of inhalants; volatile hydrocarbons, amyl and butyl (volatile) nitrites, and anesthetic gases. The users of these three types of substances use them for different reasons and experience different effects. Volatile hydrocarbons (including lighter fluid and typewriter correction fluid) are primarily used as solvents, refrigerants, and propellants. They act as central nervous depressants, inducing a "high" similar to alcohol. Volatile nitrites function as a vasodilator. They dilate blood vessels and increase heart rate. Butyl nitrite is marketed in room fresheners. Anesthetic gases product the loss of sensations and possibly loss of consciousness that is required for some dental and surgical procedures. Nitrous oxide is also used as an aerosol propellant and flavoring agent for whipping cream. Inhaling vapor's to alter one's state of mind dates back to the times of the ancient Greeks. In ancient Delphi, a priestess known as the pythoness' inhaled vapors from a rock crevice as a part of her priestly activities. In the 1840's the effects of diethyl ether and nitrous oxide were demonstrated to the general public in "ether frolics" and "laughing gas demonstrations." Experience with these early agents led to their use as anesthetics, and the new branch of medicine known as "anesthesiology." Evidence of inhalant abuse in the medical literature of the 1800's consists mainly of case reports. In 1849, Dr. Horace Wells died of chloroform abuse. He had introduced nitrous oxide and chloroform as dental and surgical anesthetics only five years before. A case of chloroform abuse in an adolescent was described in 1885. In America, gasoline sniffing became popular among teenagers in the 1950's, primarily in rural areas where alcohol and other commonly used drugs were unavailable. Glue sniffing became widespread in California in the early 1960's. By 1965 glue sniffing was occurring in every state and in many foreign countries. Inhalant abuse has experienced a steady increase in the United States, Mexico and Canada throughout the 1980's and early 1990's. Inhalant abusers begin using in early to middle adolescence. A significant minority continue into adulthood. How
are Inhalants Abused? Pressurized gases such as nitrous oxide and butane are sometimes inhaled by the abuser inside a plastic bag over the head. Loss of oxygen can lead to unconsciousness and death. Some abusers inhale gases directly from pressurized containers. When a gas suddenly has its pressure released, it becomes very cold. Inhalation directly from tanks can cause frozen tissue injury to the mouth and throat. Under certain circumstances, it may stop the heart. The choice of substance seems to be primarily a matter of what inhalant is the least trouble to obtain and use: Substances that are easy to abuse, widely available and inexpensive (or easy to steal) are the preferred agents. When there is a choice, abusers tend to pick substance with a rapid onset of action. By
definition, the usual route of inhalant abuse is absorption through the
lungs. However, some substances classified as inhalants have also been
mixed into soft drinks and swallowed. |
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