Transcript 2013 Synthetic Drugs - Preston County Schools

West Virginia Department of Health and Human Resources
Bureau for Behavioral Health and Health Facilities
Behavioral Health is Essential to Health
Prevention Works
Treatment is Effective
People Recover
Improving the quality of life for West Virginians with behavioral health needs
Funded by:
This training is funded by a grant from the U.S. Department of Health
and Human Services, Substance Abuse and Mental Health Services
Administration, Center for Substance Abuse Prevention, and the
West Virginia Department of Health and Human Resources,
Bureau for Behavioral Health and Health Facilities.
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This session will help the participant:
 Increase awareness about the impact of bath
salts and synthetic marijuana use/abuse in WV
 Recognize signs and symptoms and appeal of
synthetic drug use
 Identify the drug and packaging as well as the
dangers of use/abuse
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Bath Salts are synthetic stimulant drugs
VERY DANGEROUS: addictive and
potentially lethal
More potent than cocaine
Not organic-made with chemicals
They do not contain fragrant soaps or oils,
yet they are packaged to seem so
Crystalized powder that can be
white to brown, with shades in
between and even speckled.
 Typically an attractive package
about the size of a tea bag.
 The label says “Not for Human
Consumption”
 Manufactured mainly in China or
India. There are labs in the US…
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This is an example of packaging.
The size is slightly larger than a tea bag.
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According to the Drug Enforcement Administration,
active ingredients in bath salts are:
 Methylenedioxypyrovalerone (MDPV)
 and/or mephedrone
MDPV and mephedrone are
synthetic and addictive chemicals
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MDPV
(methylenedioxypyrovalerone)
CFT (cocaine analog)
mephedrone (amphetamine)
cathinone (khat)
naphyrone (like amphetamine)
2-dPMP (2diphenylmethylpiperidine or
desoxypipradrol - like
methylphenidate)
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Insect repellant
Pond scum remover
Jewelry Cleaner
Plant food
Toy cleaner
Water
softener
Legal
Cocaine
Aura
Bliss
Bloom
Blue Silk
Bolivian Bath
Charge +
Charge Plus
Cloud 9
Cloud Nine
Euphoria
Hurricane- Charlie
Ivory Coast
Ivory Wave
Lunar Wave
Ocean
Ocean Snow
Pure Ivory
Purple Wave
Raving Dragon
Red Dove
Scarface
Sextacy
Snow Leopard
Stardust
Tranquility
Vanilla Sky
White Dove
White Lightning
Zoom
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Prices range from $25 to $50 for 50 mg or ½
gram – depending where bought.
Some use up to 200 mg. depending on their
tolerance for drugs
Users say: “use 10th of what you would use
for cocaine”
Lots of stories about being careful about
using too much can cause a really bad
experience.
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Size of a 50 cent piece
Average price $30
Pictures provided by Lt. Thomas J. Reagan
Bangor Police Department
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Internet as bath salts and/or “legal high”
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Some local shops hide it behind the counter
(convenience stores)
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Head shops
Pictures provided by Lt. Thomas J. Reagan
Bangor Police Department
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Euphoria
Sociability
Stimulation
Sexual Arousal
Music Appreciation
Hallucinations
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Because “bath salts” are relatively new to the
drug abuse scene, scientists are still unsure
about what their long-term effects might be
for those who try to use them recreationally.
But one thing IS certain: it’s NOT worth the
risk of finding out.
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Males and females
Ages early 20s to 50s
Seeing more and more young men in their
20s and increase in females
Teenager use on the rise
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Bath Salts abuse and problems associated
with abuse are increasing at an alarming rate.
2009-no calls to Poison center for bath salts
2010-304 calls
(WV reported 4)
2011-6,138 calls
(WV reported 253)
2012-2,656 calls
(WV reported 45)
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Can be used in a variety of ways in a liquid
form:
 Smoked
 Snorted
 Injected
 Others
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By soaking cigarettes
With a crack pipe
Off of foil
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Oral
 Capsules, ‘bombing’-wrapping MDPV powder in
cigarette papers and swallowing, dabbing,
dissolved in liquid
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Rectal
 Enema (user report: 1 mg
mixed with 3 mL water)
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Vaginal
 Soak tampons in solution
200 times MORE
potent than Ritalin
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Paranoia
Hallucinations
Anger
Intense cravings to redose
Loss of coordination
Intense thirst
Dry mouth
Panic/anxiety
Vomiting
Dizziness
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Profuse Sweating
Hyper alertness
Violence
Elevated Blood
pressure
Jaw clenching/tooth
grinding (Bruxism)
Delusions
Mood swings
Depression
Suicidal thoughts
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“High” lasts 3-4 hours (or even days)
Physical effects may last 6-8 hours
May cause seizures, panic attacks, or
psychosis with high doses or increased
frequency of use
Average dose approx. 5 to 20mg
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Suicidal thoughts and actions
Self mutilation
Running around, screaming
There is no crash – effects can last for days
and wax and wane over the time
Paranoia can be extreme – think someone or
something is out to get them – weapons have
been involved – guns, knives, hatchets, etc.
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Agitation with or without violence
 May be catatonic (lights on – no one home)
 May get violent after catatonic state with little to
no warning
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Paranoia, yelling
Large pupils (not always)
 “The Stare”
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Sweat and thirst
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Jerky body movements
Grinding of teeth
Euphoria and stimulation for hours
Psychotic for hours to days or longer
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“Not for Human Consumption”
Printed warning loophole to evade scrutiny
from Food and Drug Administration (FDA)
That’s why manufactures pretend that they are
“bath salts, plant food, or water softeners”. But
think about it: since when does plant food or
bath powder cost $50 a milligram?
In 2010, the DEA reported that MDPV and
mephedrone were “related in chemical
structure” to illegal drugs like Ecstasy,
cathinone and methamphetamine. In other
words “bath salts” are essentially analogs,
or chemical cousins, to illegal drugs.
SUMMARY: Adding synthetic cannabinoids and
hallucinogens and stimulants to the Schedule I
list of controlled substances
What does this mean?
Now a misdemeanor to sell, buy, possess
synthetic drugs in W.V.
This bill was passed by both House and Senate
and approved by the Governor in April 2011.
SUMMARY: Added synthetic cannabinoids (K2,
Spice), methylenedioxypyrovalerone (MDPV) and
mephedrone (bath salts) to the Schedule I list of
controlled substances.
What does this mean?
Now a federal crime to sell, buy, or
possess synthetic drugs in the U.S.
This bill was passed by both House and Senate
and signed by the President on July 9, 2012.
Some think “this is not happening in my
county/city/town/neighborhood”
THINK AGAIN
It IS in our back yard
2011 Bath Salt Exposure Calls By County
Harrison County lead the
state with 45 Bath Salt
Exposure Calls
HANCOCK
BROOKE
Kanawha County
is second behind
Harrison County
with 39 Bath Salt
Exposure Calls
OHIO
MARSHALL
WETZEL
MONONGALIA
MORGAN
MARION
TYLER
PLEASANTS
WOOD
BERKELEY
PRESTON
MINERAL
TAYLOR
HARRISON
RITCHIE
DODDRIDGE
HAMPSHIRE
BARBOUR 1
TUCKER
JEFFERSON
GRANT
HARDY
WIRT
LEWIS
GILMER
JACKSON
RANDOLPH
ROANE
MASON
BRAXTON
Legend
PENDLETON
1-5 Calls
WEBSTER
PUTNAM
CABELL
UPSHUR
CALHOUN
CLAY
KANAWHA
NICHOLAS
POCAHONTAS
6-10 Calls
LINCOLN
WAYNE
BOONE
11-15 Calls
FAYETTE
GREENBRIER
MINGO
LOGAN
16-20 Calls
RALEIGH
WYOMING
SUMMERS
MCDOWELL
MONROE
MERCER
Source: National Poison Data System; Human exposure calls by
product code 1/1/2011 through 12/31/2011
20+ Calls
2011 Bath Salt Exposure Calls By Region
HANCOCK
BROOKE
Region 1: 34 Calls
OHIO
Region 4: 67 Calls
MARSHALL
WETZEL
Region 3: 20 Calls
MONONGALIA
MORGAN
MARION
TYLER
PLEASANTS
WOOD
BERKELEY
PRESTON
MINERAL
TAYLOR
HARRISON
RITCHIE
DODDRIDGE
HAMPSHIRE
BARBOUR 1
TUCKER
JEFFERSON
GRANT
HARDY
WIRT
LEWIS
GILMER
JACKSON
Region 5: 96 Calls
BRAXTON
PENDLETON
WEBSTER
PUTNAM
CABELL
RANDOLPH
ROANE
MASON
Region 2: 10 Calls
UPSHUR
CALHOUN
CLAY
KANAWHA
NICHOLAS
POCAHONTAS
LINCOLN
WAYNE
BOONE
FAYETTE
GREENBRIER
MINGO
LOGAN
RALEIGH
WYOMING
SUMMERS
MCDOWELL
MONROE
MERCER
Source: National Poison Data System; Human exposure calls by
product code 1/1/2011 through 12/31/2011
Region 6: 26 Calls
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Synthetic drugs
Synthesized to mimic effects of marijuana
More potent than THC
Not organic-made with chemicals (sprayed
on plant material)
When burned this substance usually has a
pleasant odor…
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America’s poison centers first received calls
about “synthetic marijuana” in late 2009
 2,960 calls in 2010--36 calls in WV
 6,955 calls in 2011--77 calls in WV
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80% of these calls placed from ER, compared
to 20% regularly
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West Virginia Poison Center
 36 human exposure calls received in 2010
 77 human exposure calls received in 2011
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West Virginia Poison Center has reported an
increase in K2 exposure calls in 2011 used in
combination with other drugs since 2010
House Bill 2505 banned the sale of synthetic
cannabinoids in June 2011
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Chemicals were developed in lab for research
for pain in cancer patients-much like
medicinal marijuana
Recipe was destroyed because of adverse
effects in lab animals
Not tested on humans, affects are not fully
known
Chemist in China and Korea started using
these chemicals for K2
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Marketed as incense
K2 is typically sold in small, silvery plastic
bags of dried leaves and marketed as incense
that can be smoked
Resembles potpourri (usually sprayed on
lemon grass or other herbs/plant material)
Marketed toward youth
It produces a high similar to that of marijuana
It doesn't contain tetrahydrocannabinol (THC), the
psychoactive chemical in marijuana
 K2 contains synthetic chemicals, known as JWH-018
and JWH-073, that mimic THC by acting on the
cannabinoid receptors in the brain
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 It binds with the CB1 receptor and produces a euphoric
effect or high in humans. JWH-018 binds with CB1
receptors at a rate four times greater than THC (natural or
synthetic)
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The common marijuana drug tests are calibrated to
detect THC and THC metabolites, not the synthetics
used in Spice or K2
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A mixture of herbs and spices (or just grass
clippings)
Typically sprayed with a synthetic chemical
such as: e HU-210, HU-211, JWH-018, and
JWH-073.
The chemicals are known to stay in the
human body for a long time.
The long term effects of the chemicals are
unknown.
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Smoked in joints
Smoked in pipes
Mixed in tea
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Spice
K2
Genie
Yucatan
Fire
Sense
Smoke
Black Mamba
Fake Weed
Designer drugs
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Skunk
Bliss
Bombay Blue
Zohai
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Mainly Online (Since 7-9-12)
“Head Shops”
Tobacco Outlets
Various Retail Outlets
Gas Stations/Convenience Stores
According to the DEA, “Manufacturers of this
product are not regulated and are often unknown
since these products are purchased via the Internet
whether wholesale or retail. Several websites that
sell the product are based in China.”
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$30 to $40 +/per 3 gram packet.
Price on Community:
 DUIs with fatalities
 Suicides
 Drug abused to evade
drug screenings
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Dizziness
Nausea
Vomiting
Anxiety
Paranoia
Rapid Heart Beat
Increased Blood Pressure
Loss of Consciousness
Paranoid Behavior
Intense Hallucinations
Agitation
Seizures
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Don’t feel helpless!
Become educated about synthetics drugs
Talk about it with neighbors, relatives, and
co-workers
The best prevention is setting clear
expectations and guidelines for your kids and
kids you know.
They will listen…
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Get the word out about “bath salts.” Contact
your local Drug Free Coalition and ask them
to have a forum or a community
presentation.
Get articles out in your local news papers.
If someone you know experiments with “bath
salts” don’t hesitate to get professional help.
Drug Enforcement Administration, www.dea.gov
 American Association of Poison Control Centers,
www.aapcc.org
 k2spicediamond.com (this is an internet store)
 stopthedrugwar.org
 k3spice.blogspot.com (this is an internet store)
 CADCA Webinar – Designer Drugs: The New Frontier
 www.fox59.com/news/wxin-lafayette-spice-ban081810,0,5699301.story
 Northern New England Poison Center, www.nnepc.org
 Bangor Police Department, Bangor, Maine
 Web MD www.webmd.com
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National Institute on Drug Abuse, www.nida.nih.gov
Office of National Drug Control Policy.
www.whitehousedrugpolicy.gov
House Bill 2505,
www.legis.state.wv.us/Bill_Status/Bills_history.cfm?input=2
505&year=2011&sessiontype=RS&btype=bill
Erowid, www.erowid.org
www.mainelegislature.org/legis/bills/bills_125th/billtexts/HP
119201.asp
Cathy Coontz, MA, MS, PSII, NPN
Prevention Lead for WV and
National Prevention Network for WV
Division on Alcoholism and Drug Abuse
Bureau for Behavioral Health and Health Facilities
350 Capitol Street, Room 350
Charleston, WV 25301
[email protected]