The Truth About Prescription Drug Abuse
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drugfreeworld.org
the truth aboutprescription drug abuse
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PrescriPtion Drug AbuseA serious Problem
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PrescriPtion DrugsWhAt you Dont knoW
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Prescription drugs that are taken for recreational use
include the following major categories:1.Depessants: Often referred to as central nervoussystem (brain and spinal cord) depressants, these drugsslow brain function. They include sedatives (used to makea person calm and drowsy) and tranquilizers (intended toreduce tension or anxiety).
2.Opioids and mopine deivatives:* Generally referredto as painkillers, these drugs contain opium or opium-likesubstances and are used to relieve pain.
3.Stimuants: A class of drugs intended to increaseenergy and alertness but which also increase bloodpressure, heart rate and breathing.
4.Antidepessants: Psychiatric drugs that are supposedto handle depression.
* derivative: a chemical substance formed from a related substance.
tyPes oF AbuseD PrescriPtion Drugs
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s-m ff f l: Slow brain function Slowed pulse and breathing Lowered blood pressure Poor concentration Confusion Fatigue* Dizziness Slurred speech Fever Sluggishness Visual disturbances Dilated pupils Disorientation, lack of coordination Depression
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DePressAntsshort-term eFFects
* fatiue: exteme psica o menta tiedness. paanoia: suspicion, distust o fea of ote peope.
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DePressAntslong-term eFFects
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bad a Rohypnol
s a forget-me pill Mexican Valium R2 Roche roofies roofinol rope rophies
rohyPnol
rohypnol is a tranquilizer about 10 times more potent than
Valium. The drug is available as a white or olive-green pill andis usually sold in the manufacturers bubble packaging. Users crushthe pills and snort the powder, sprinkle it on marijuana and smokeit, dissolve it in a drink or inject it.
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r
ohypnol has been used tocommit sexual assaults because
it renders the victim incapable ofresisting, giving it the reputation of adate-rape drug.
Rohypnol users often describe itseffects as paralyzing. The effectsstart 20 to 30 minutes after taking
the drug, peak within 2 hours andmay persist for 8 or even 12 hours.A person can be so incapacitated(made unable to act) they collapse.They lie on the floor, eyes open, ableto observe events but completelyunable to move. Afterwards,
memory is impaired and theycannot recall any of whathappened.
The person experiences lossof muscle control, confusion,drowsiness and amnesia.
Rohypnol is sold in Europe and
Latin America as a sleeping pill,but it is illegal in the UnitedStates.
rohyPnol eFFects
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oPioiDs AnD morPhine DerivAtivesopioids are drugs that act on the nervous system to relieve pain.Continued use and abuse can lead to physical dependence and
withdrawal symptoms. They come in tablets, capsules or liquid.Some of the well-known brand and street names:
Fiorional with Codeine Robitussin A-C
Tylenol with Codeine Empirin with Codeine
Captain Cody Cody
Schoolboy Doors & Fours Pancakes & Syrup Loads
Actiq Duragesic
Sublimaze
Apache China girl
Dance fever Goodfella Murder 8
Tangoand Cash
China whit Friend Jackpot TNT
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oPioiDs AnDmorPhine DerivAtives
short-
term eFFects
Drowsiness Slowed
breathing Constipation
Unconsciousness
Nausea Coma
Short-termeffects ofopioids andmorphine
derivativesinclude:
Roxanol
Duramorph
OxyContin Percodan
Percocet Tylox
Demerol
Dilaudid
M
Miss Emma Monkey White Stuff
Oxy 80 Oxycat
Hillbilly heroin Percs Perks
Demmies Pain killer
Juice Dillies
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oPioiDsAnDmorPhineDerivAtiveslong-termeFFects
continued use or abuse of opioids can result in physicaldependence and addiction. The body adapts to the presenceof the drug and withdrawal symptoms occur if use is reducedor stopped. These include restlessness, muscle and bone pain,insomnia, diarrhea, vomiting, and cold flashes, with goose bumps(cold turkey). Tolerance can also occur, meaning that long-term
users must increase their doses to achieve the same high.
For more information about the abuse of painkillers, see The Truth About Painkillersin this seriesof booklets.
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stimulants, sometimescalled uppers,temporarily increasealertness and energy. Themost commonly used streetdrugs that fall into thiscategory are cocaine andamphetamines.
Prescription stimulantscome in tablets or capsules.When abused, they areswallowed, injected in liquidform or crushed and snorted.
Some of the well-knownbrand and street names:
stimulAntsbad a Ritalin
Concerta
Biphetamine Dexedrine
s a R-ball
Skippy The smart drug Vitamin R JIF Kibbles and bits
Speed Truck drivers Bennies Black beauties Crosses Hearts LA
turnaround Uppers
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stimulAntsshort-term eFFects
stimulAntslong-term eFFects
For more information about the abuse of prescription stimulants, the th abo rilin abe f kl.
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AntiDePressAntsAnother category of prescriptiondrugs that are sometimes abused areantidepressants. These include Prozac, Paxil,Celexa, Zoloft, Effexor and Remeron. Thesecome in multicolored capsules and tablets.
Studies have shown that the effects ofthese drugs can include:
One study found that 14% of theyoung people taking an antidepressantbecame aggressive and even violent.One 12-year-old boy developed violentnightmares about killing his classmates, thenbeing shot himself. The dream continuedto feel very real after awakening, and for
days he experienced dreams of killing thatseemed increasingly real. He became acutelysuicidal until the drug was stopped.
Insomnia
Irritability Nervousness andanxiety
Violent thoughtsand actions
Agitation
Suicidal thoughtsor suicide Tremors Hostility
Sweating Irregular heartbeat Aggression Criminal behavior Confusion and
incoherent thoughts Paranoia
Hallucinations Psychosis Akathisia
(a painful inneragitation; inabilityto sit still)
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bad a Ketaset Ketalar Ketalar SV Ketanest Ketanest S
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* dissociative anesthetic: a drug that distorts perception of sightand sound and produces feelings of detachment (dissociation)from the environment and self.
ketAmine
k
etamine, categorized as a dissociativeanesthetic,* is used in powdered or
liquid form as an anesthetic, usually onanimals. It can be injected, consumedin drinks, snorted, or added to joints orcigarettes. Ketamine was placed on the listof controlled substances in the US in 1999.
Short- and long-term effects include
increased heart rate and blood pressure,nausea, vomiting, numbness, depression,amnesia, hallucinations and potentiallyfatal respiratory problems. Ketamine userscan also develop cravings for the drug.At high doses, users experience an effectreferred to as K-Hole, an out of body
or near-death experience.
Due to the detached, dreamlike state itcreates, where the user finds it difficultto move, ketamine has been used as adate-rape drug.
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Abuse oF over-the-counter Drugs
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Visualhallucinations
Hyper-excitability Insomnia Lethargy
Physicaldependence (withprolonged use)
Dizziness Slurred speech
Delusions Sweating High blood
pressure Liver and brain
damage
Mixed with other drugs, cough syrup can alsocause central nervous system and heart problems.Combined with alcohol, it is particularly dangerous
and can result in death.
cough syruP (DXm) eFFects
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39%sDgcbnd45%
In 2005, 4.4 million teenagers (aged12 to 17) in the US admitted to takingprescription painkillers, and 2.3 milliontook a prescription stimulant such as Ritalin.2.2 million abused over-the-counter drugs
such as cough syrup. The average age forfirst-time users is now 13 to 14.
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Depessants, opioids andantidepessants ae esponsibe fomoe ovedose deats (45%) tancocaine, eoin, metampetamine andampetamines (39%) combined. In teUnited States, te most deats used to taepace in inne cities in Afican-Ameicanneibooods, but te ave no beenovetaen b ite ua communities.Te same tend can be seen in te ates ofospitaization fo substance abuse and
emeenc ospitaization fo ovedoses.Of te 1.4 miion du-eated emeenc
oom admissions in 2005, 598,542 eeassociated it abuse of pamaceuticasaone o it ote dus.
B suve, amost 50% of teens beieve
tat pesciption dus ae muc safe taiea steet dus60% to 70% sa tatome medicine cabinets ae tei souce odus.
Accodin to te Nationa Cente onAddiction and Substance Abuse at Coumb
Univesit, teens o abuse pesciptiondus ae tice as ie to use acoo,
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27
five times moe ie to usemaijuana, and teve to tenttimes moe ie to use ieasteet dus suc as eoin,Ecstas and cocaine tan teenso do not abuse pesciptiondus.
In 2007, te Du EnfocementAdministation found tat abuseof te painie Fentan iedmoe tan 1,000 peope tat
ea in te US. It is 30 to 50 timesmoe poefu tan eoin.
ieaized I as usin moeXanax on a eua basis. Itoo time off o to et offit. W nwldg
i wa addd, I entcod tue. Fo fou dasand nits I as bedidden.I didnt seep o eat. Ivomited. I ad aucinations.On about te tid da
itout Xanax I stated tobecome uncoodinated andunbaanced and bumped intotins. On about te foutda I became ea oieden I stated avintitcin sensations.
Paticia
T T
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Te Tut
About Dus
28
Drugs are essentially poisons. Theamount taken determines the effect.A small amount acts as a stimulant (speedsyou up). A greater amount acts as asedative (slows you down). An even larger
amount poisons and can kill.This is true of any drug. Only the amountneeded to achieve the effect differs.
But many drugs have another liability: theydirectly affect the mind. They can distortthe users perception of what is happeningaround him or her. As a result, the personsactions may be odd, irrational, inappropriateand even destructive.
Drugs block off all sensations, the desirableones with the unwanted. So, while providingshort-term help in the relief of pain, theyalso wipe out ability and alertness andmuddy ones thinking.
Medicines are drugs that are intended tospeed up or slow down or change somethingabout the way your body is working, to tryto make it work better. Sometimes they arenecessary. But they are still drugs: they actas stimulants or sedatives, and too muchcan kill you. So if you do not use medicines
as they are supposed to be used, they can beas dangerous as illegal drugs.
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Te ea anse is to ette facts and not to taedus in te fist pace.
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People take drugs because they want tochange something in their lives.
Here are some of the reasons youngpeople have given for taking drugs:
To fit in
To escape or relax
To relieve boredom
To seem grown up
To rebel
To experiment
They think drugs are a solution. Buteventually, the drugs become the
problem.Difficult as it may be to face onesproblems, the consequences of drug useare always worse than the problem oneis trying to solve with them. The realanswer is to get the facts and not totake drugs in the first place.
why DO PEOPlE TAkE DrUgS?
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rEFErENCES
Drug Scheduling, U.S. DrugEnforcement Administration
Selected Prescription Drugswith Potential for Abuse,
National Institute on Drug Abuse
International Narcotics ControlBoard
Office of Drug Control Policy
Prescription Sedatives &Tranquilizers, Partnership fora Drug-Free America
Statement by Leonard J.
Paulozzi before Senate JudiciarySubcommittee on Crimes andDrugs, 12 March 2008
Center for Substance AbuseResearch
National Survey on Drug Useand Health 2007
Suicidality, violence and maniacaused by SSRIs: A review and
analysis, P. Breggin.
Depressants, US Departmentof Health & Human Servicesand SAMHSAs NationalClearinghouse for Alcohol &Drug Information
Prescription drugs a gateway
for teen drug abuse, HoustonChronicle, 4 September 2008
PHOTO CREDITS:Page 2, page 9: Stockxpert;page 15: Sweet Faux Pas;page 24: Wes Tarca.
31
Millions of copies of booklets such asthis have been distributed to peoplearound the world in 22 languages. Asnew drugs appear on the streets and morinformation about their effects becomesknown, existing booklets are updated annew ones created.
The booklets are published by theFoundation for a Drug-Free World, anonprofit public benefit organizationheadquartered in Los Angeles, California
The Foundation provides educationalmaterials, advice and coordination for itsinternational drug prevention network.It works with youth, parents, educators,volunteer organizations and governmenagenciesanyone with an interest in
helping people lead lives free from drugabuse.
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Fo moe infomation o to obtain moe copiesof tis o ote booets in tis seies, contact:
Foundation for a Drug-Free World
1626 N. Wilcox Avenue, #1297
Los Angeles, CA 90028 USA
drugfreeworld.org e-mail: [email protected]
p: 1-888 no to drugs (1-888- 668-6378)
FACTS yOU NEED TO kNOw
This booklet is one in a series of publications that cover the facts about marijuana, alcohol,
Ecstasy, cocaine, crack cocaine, crystal meth and methamphetamine, inhalants, heroin,
LSD and prescription drug abuse. Armed with this information, the reader can make thedecision to live a drug-free life.
2008 Foundation for a Drug-Free World. All Rights Reserved. The Foundation logo is a trademark owned by theFoundation for a Drug-Free World. Item #C6231 US-ENG
TM