21st Century Drugs - Greenagel

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Century Drugsrvicesst21GreenagelCounselingSeA Quick, Yet Complete, Crash Course

rvicesFrank L. Greenagel Jr.elingSeLCSW, LCADC, ACSW, CJC, ICADCMPAP Candidate, CCS reenagel.comgreenage@rci.rutgers.eduflg2@aol.com

GreenagelCounselingSe Long suffering Viking fan 4th generation English teacher Vs. GroundhogsrvicesGetting to Know Me

GreenagnsouelC RX Drug Epidemic 21st Century DrugselingServicesTell ‘Em What You’re Going to Tell’Em

rvicesSeGreenagelCounselingWhat are the top 5 causes ofaccidental death in America?

GreenagelCounselingSe 5) Choking 4) Fires 3) FallsrvicesTop 5

rvicesThe RX Drug EpidemicGreenagelCounselingSe“Taking Adderall to do school work is as sociallyacceptable as drinking on the weekends”

ServicesThe RX Drug EpidemicGreenagelCounseling“In 2011, prescription drug overdoses surpassed carcrashes as the #1 cause of accidental death in America”

rvicesNew TrendsGreenagelCounselingSe Energy drinks w/alcohol Synthetic Marijuana - K2, Spice, Space Synthetic Speed - Bath Salts Adderall Soma Molly Hydrocodone The Ascension of Oxycodone Fentanyl

enagelCounseling24/7Four Loko (4 main ingredients)SparksJoose3 SumB E (Budweiser Energy)Liquid ChargeRock Star 21SpikeTiltTorqueGre-SeMost are 6% to 12% alcohol (12 to 24 proof)rvicesEnergy Drinks Alcohol

rvicesEnergy Drinks Alcohol:4 Biggest ProblemselingSe1. Mixing caffeine and alcohol can increase the risk of alcoholpoisoning.ns2. Mixing alcohol and caffeine can make your heart rate andblood pressure rise.agelCou3. Caffeine can make you feel energetic even if you’re drunk.Caffeine hides the depressive effects of alcohol. People can be“tricked” into thinking they are alert enough to do things likedrive a car, when they really aren’tGreen4. Caffeine and alcohol are both diuretics, leading todehydration (and really bad hangovers).

rvicesEnergy Drinks AlcoholGreenagelCounselingSe Banned on NJ College Campuses Fall 2010- Ramapo (Oct, 2010 – 17 students & 6 visitorshospitalized)- Farleigh Dickinson- Drew- Rider FDA issued warning, and most companies took outthe caffeine Drinks still sold with flashy cans and sweet flavors One can still buy energy drinks alcohol in somestates, as well as online Mixing Red Bull & Vodka is still popular Hard liquor Rock Star or Monster continues

Se Most likely to be used byrvicesSynthetic MarijuanaCounseling– Young teens– People on probation– Others that are being drug tested– Marijuana smokers who can’t find it that dayagel Still can be founden– Online, CanadaGre Illegal in: UK, Ireland, Germany, France,Romania, Sweden, Switzerland, Chile, NZ

GreenagelCounselingServicesK2, Spice, SpaceCloud Ten, Genie, etc .“NOT FOR HUMANCONSUMPTION”

rvicesSynthetic MarijuanaGreenagelCounselingSe Illegal in USA as of 3/1/2011: JWH-018, JWH-073, CP47,497, JWH-200, and cannabicyclohexanol(made a schedule I drug in July, 2012) JWH-018 can be detected in a special urine screen. Afew tests for other chemicals at this time (Redwood) More likely to induce delusions and/or hallucinationsthan marijuana Banned by the US Military Headaches, agitation, vomiting

rvicesSynthetic SpeedSe sold as “Bath Salts”eling designer stimulant out ofGermanyGreenagelCouns illegal in NJ: 4/28/11 chemical components bannedin NJ: 8/23/11 Banned by law signed byPresident Obama in July, 2012 schedule I drug use WAY down since ban

rvicesSynthetic SpeedelCounselingSe Methylenedioxypyrovalerone (MDPV) Can be smoked, snorted or injected Aura, Ivory Wave, Vanilla Sky, Ivory Soft, Loco-motionare some common names 3 – 20 mg dose Lasts 3-4 hoursGreenag Racing thoughts, hallucinations, can induce panicattacks High body temperature, high blood pressure, highheart rate, kidney problems

rvicesAdderallGreenagelCounselingSe Drugforum Introduced in 1996 schedule II drug Amphetamine/dextroamphetamine salts Ritalin, Concerta, Vyvanse, Focalin also abused overly prescribed for ADHD Sometimes prescribed for narcolepsy Higher potency than Ritalin Adderall IR(immediate release) Adderall XR (extended release)

rvicesAdderallGreenagelCounselingSe “study drug” for staying awake, increased energy andimproved concentration 5 to 40 at Rutgers increased blood pressure Insomnia chronic use can cause depression chronic use can cause delusions High level of dependence hurts natural ability to concentrate banned by NFL, UFC & NCAA w/o a prescription banned in Japan, Korea & Thailand ADHD in the NYTimes: deaths, overprescribing, collegecounseling centers “opting out,” young athletes abusingit, a doctor using it to “fight educational inequality”

rvicesBrave New World GreenagelCounselingSeAldous Huxley, 1931Dystopian novel set in 2540Few readers, everyone has lots of technologySoma – anti-anxiety, anti-depression,recreation, sex enhancement, "you do look glum! What you need is agramme of soma."

rvicesSomaGreenagelCounselingSeCreated in 1959CarisoprodolMuscle relaxantJanuary 11, 2012 – Schedule IV DrugRecreational use: sedative, euphoriaSide effects: drowsiness, decreased reactionPotentiating effects on alcohol & syntheticopiates “Soma Coma”

enagelCounselingSeUSA, 1955Depressant cross tolerance w/alcoholXanax, Valium, 70 other namesChlordiazepoxide & Diazepam - alcohol detox.25 mg to 100 mg pillsSedative, hypnotic (sleep aid), anti-anxietyGre rvicesBenzodiazepines

rvicesBenzodiazepinesGreenagelCounselingSe High social acceptablility Drowsiness, dizziness, nausea, lack ofcoordination, depression, delayed reaction,decreased libido, liver toxicity Withdrawal, ceiling and rebound effects Respiratory depression Overdose chances increase when used withopiates and/or alcohol (synergistic effect) Half-life in elderly is 2x as long (overdose)

rvicesMollyelingSe Schedule I drug in 1988 Less stigma than ecstasy, because it is said that is “pure, uncutMDMA”– “they are only fooling themselves” Dr. John Halpern, NYT, 6/23/13enagelCounsStimulant & hallucinogenSold as “Molly’s Plant Food”Songs by: Lil Wayne, Kanye West, Miley Cyrus, Rick Ross,Sold online 20 to 50 a doseBluelight MDMA drug info & forumCollege, suburban and club drug. Late 2012, moved to theinner cities .Gre

rvicesMollyGreenagelCounselingSe30 minute onset, lasts several hoursEuphoria, psychedelia, stimulation, energy, desireMassive dopamine & serontonin rushShort term effects: insomnia, aches, nausea, stiff jaw, fatigue,anxiety, teeth grinding, dehydration, irritability, gi problems Long term & more dangerous: depression, hypothermia,seizures, high blood pressure “Suicidal Tuesdays” As treatment for soldiers with PTSD?

rvicesHydrocodone GreenagelCounselingSeSchedule III drugGermany, 1920Semi-synthetic opiate, used to treat painTablet, capsule or syrupUsually paired with acetominapine oribuprofen Vicodin, Hycodan, Norco, Lorcet Respiratory depression when combined withalcohol

enagelCounselingSeOpiate – painkillerSchedule II DrugGermany, 1916overly prescribed for pain managementPurdue Pharma in 1996.Oxycontin 10, 15, 20, 30, 40, 60, 80 mg 1/mg at RutgersOxycontin 160 mg discontinued in 2001Percodan 4.8355 mg w/ 325 mg aspirinPercocet 2.5, 5, 7.5 & 10 mg w/ acetaminophenRoxicodone, “Blues” 15 & 30 mg, immediate releaseoral, intranasal, intravenous, intramuscularAdverse interactions with numerous other drugshigh level of dependenceMore than 50% of RX in USA come from FLAOxycontin Express documentaryGre rvicesOxycodone

OxycodoneelingServices memory loss, constipation, diarrhea, loss of appetite,stomach pain, fatigue, nausea, lightheadedness, dizziness,headache, dry mouth, anxiety withdrawal symptoms: anxiety, nausea, insomnia, muscleaches, weakness, fever, panic attacks, and vomitingGreenagelCouns gateway to heroin Far more young people are abusing opiates due to Oxycodone opiates were #1 for DMHAS funded facilities in NJ in 2011.Replaces alcohol, which had been #1 forever before that Older adults are also abusing and becoming addict in highnumbers OxyNeo – released in 2012 due to lawsuits & criticisms– Too sticky to chew– Can’t crush– Turns to thick gel when put in water

GreenagelCounsSeeling Medicine Cabinets Grandparents Pain management clinics Emergency Rooms Online Pharmacies DentistsrvicesOxycodone – Where To Get It

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110-11 yrs0100000000012-17 yrs711132127597474809518-20 yrs18296321-25 yrs4763 144 158 290 471 550 783 1080 1488 2304 2790OtherOpiatesTotal 025 yrs72 103 220 237 409 635 787 1113 1605 2172 3339 3878ouns0elingOtheropiatesServicesNJ Other Opiate Treatment AdmitsSAMHSA Data2058 100 144 210 271 451 610 956 993GreenagelC19

rvicesOpiates – Some Facts Most widely prescribed class of drugs in the USA2001 3.97B Opioid RX’s2001 181.7Melingouns Emergency Room Visits (non-H) 2001 299,498enagelC Overdose Deaths RX Opiates RX for Opioid TX Adolescents in TX at HazletonGre2012 8.34B 110%2012 240.4M 33%Se Sales of RX Opioids2011 885, 348 295%1999 4,0302010 16,6512002 100K2012 8M 8000%2001 15%2011 41% 26%* Source: New York Times, June 23, 2013 413%

enagelCounselingSeNarrative of the Life of Frederick DouglassA Long Way DownAn American’s ResurrectionNew JackDrown & The Brief Wondrous Life of OscarWaoGre rvicesMy English Teacher Thing

elingouns Emergency Room Visits (non-H) 2001 299,498enagelC Overdose Deaths RX Opiates RX for Opioid TX Adolescents in TX at HazletonGre2012 8.34B 110%2012 240.4M 33%Se Sales of RX Opioids2011 885, 348 295%1999 4,0302010 16,6512002 100K2012 8M 8000%2001 15%2011 41% 26%* Source: New York Times, June 23, 2013 413%

enagelCounselingSeNarrative of the Life of Frederick DouglassA Long Way DownAn American’s ResurrectionNew JackDrown & The Brief Wondrous Life of OscarWaoGre rvicesMy English Teacher Thing

Mar 21, 2014 · It is being sold as incense and the content (and websites) usually have warning labels: “NOT FOR HUMAN CONSUMPTION” K2, Spice, Pep Spice, Spice Gold, Spice Silver , Sence, Yucatan Fire, Skunk, Orange Dragon Smoke, Black Mamba, RedX Dawn, Zohai, Mr. Nice Guy, Bayou Blaster, Euphoria, Ho

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