Updated Drug Trends, What you Need to Know

Prevention Resource
Center- Region 8
(210)225-4741
www.sacada.org

South Texas Centre
AT& T Building
7500 US Hwy 90 W Suite 100
San Antonio, TX. 78227
210-225-4741
www.sacada.org

Tobacco - Snus
 Camel Snus- SNUS
targets teens with a
marketing base that beats
smoke bans and appeals to
the renegade nature of
adolescents.

 It states in the advertising
“Wherever you are SNUS”
whether it be at a ball
game, in homeroom, or in
front of security at a
concert.

 Has been proven to cause
mouth, throat, and
pancreatic cancCenter- Region 8
Prevention Resource er.
(210)225-4741 www.sacada.org

Tobacco -dissolvable
 Camel Orbs
Pulled from test markets
12-17-10
 The products melt in the
mouth within three to 30
minutes. The pellet-size
Orbs last the longest.

 A cigarette smoker
typically takes in about 1
milligram of nicotine, the
Camel Dissolvables are
said to deliver about 0.6
to 3.1 mg of nicotine
each.

Prevention Resource Center- Region 8

The tablets are being marketed
by Camel as an alternative to
going tobacco-free in places
where smoking is off-limits.


Substance of Abuse:
Tobacco
 Camel Strips are very like the
dissolvable breath mints strips.

 Camels advertising says you can
put it between your cheek and gum
like dip.

 “So being the brave soul that I am I
placed one on my tongue. It lasted
about a minute and a half, turned
kind of chalky and disappeared.
The flavor was slightly minty, no
tobacco flavor at all. Sweet, but no
worse than most chewing gums.
Then the fun began.”


Minors & Tobacco
 $250 fine if found with tobacco
under the age of 18

 8-40 hours of community service

 Tobacco Awareness classes

 Driver’s License revoked for 180
days

 1 pack a day for a year costs
$2,555.00

 1 pack a day for 5 years =
$12,775.00

E-Cigarette
 HEALTH CONCERNS OVER SMOKING
VANISH IN A PUFF: Twisp electronic cigarettes
satisfies body’s demand for nicotine and
excludes cancer-causing chemicals associated
with traditional smoking.


Providing Alcohol
to a Minor
• Purchase for or giving alcohol to a
minor is illegal unless it is the
minor’s
• Adult parent
• Adult guardian
• Adult spouse
• Adult court custodian
• Provider must be visibly present

Penalties
Up to $4,000 fine Up to 1 year in jail

Minor In Possession
Attempt to
Purchase, Consumption, Purchase, Possession,
Misrepresentation of Age
PENALTIES
Community Loss of
Offense Fine Education Jail
Service License

1st Up to $500 8-12 hours 30 days Required None

Optional
2nd Up to $500 20-40 hours 60 days None
with judge
3rd or Optional Up to 180
$250-$2000 None 180 days
more with judge days

Deferred Disposition is conviction for enhancement.
No Deferred Disposition on 3rd or more.
Prevention Resource Center- Region 8 (210)225-4741 www.sacada.org

Social Access
Most underage drinkers in Bexar County obtain alcohol
from social sources

Source: Circles of San Antonio Community Coalition Environmental Strategies Instrument, 2008

Alcohol Related Motor Vehicle
Fatalities
• In 2008 Bexar County ranked 4 within the state for number
of alcohol-related crash fatalities with a rate of 4.62 per
100,000 residents
• Alcohol related motor vehicle fatalities have declined by
3% since 2007.


“Binge” Drinking
 “Binge” Drinking is defined as the consumption of five or
more alcoholic drinks (for men) on at least two occasions
within the past month. For women, it is defined as having
consumed four drinks or more on at least two occasions
within a month.

 “One Drink” of alcohol is defined as one, twelve-ounce can
of beer; one, four-ounce glass of wine; or 1.5 ounces of 80-
proof liquor.

 “Moderate Consumption” or “Social Drinking” of alcohol is
defined as No more than two drinks per day, once or twice
a week (for men) or, (for women), one drink per day, one or
two days per week.

Definitions provided by the American Medical Association, the National Institute on Alcohol Abuse
& Alcoholism, the Centers for Disease Control, and Rutgers University Center of Alcohol Studies.

Effective Sept 2011,applies to the 2.8 million teens and
20-year-olds in Texas.

The 911 Lifeline law (Senate Bill 1331) provides limited
immunity to minors under 21 for alcohol possession or
consumption offenses if they meet three conditions:

1. The minor is calling 911 for a possible alcohol overdose
by themselves or another minor;
2. The minor is the first person to call 911; and
3. The minor stays on the scene and cooperates with
medical and law enforcement

Over the Counter - Cough Syrup
(DXM)

Skittles

http://www.dextroverse.org/sources.html (210)225-4741 www.sacada.org

The Anti-Energy Drink

 Chill out

 Relax

 Slow your roll


Sippin’ on some Syrup
 Three 6 Mafia in
2000

 "Syrup" is slang for
codeine and
promethazine.

 “Lean”, “Sizzer”,
“Texas Tea”,
“leaning”

Songs Glorifying the use
•

•2.- Three 6 Mafia ft. UGK - Sippin On Some Sizzurp
•3.- Frayser Boy ft. Mike Jones Paul Wall - I Got That Drank
•4.- Bun B, Mike Jones, Slim Thug - City of Tha Syrup
•6.- DoughBoii ft. 20 20 - Sippin On Drank
•7.- LiL Flip ft. Magno - Syrup In My Cup
•8.- LiL Wayne -Me and My Drank
•9.- Big Moe ft. Hawk, Z Ro - Po It Up
•10.- LiL C - Get High Wit Me
•12.- 20 20 - Purn N Lean
•13.Pimp C - Pourin' Up
•14.- Paul Wall - Sippin Tha Barre

•Far East Movement –Like a G6
“Poppin bottles in the ice, like a blizzard
When we drink we do it right gettin slizzard
Sippin slizzurp in my ride, like Three 6
Now I'm feelin so fly like a G6
Like a G6, Like a G6
Now I'm feelin so fly like a G6”


A Lazy Cake is…

 A individually wrapped “dietary
supplement” in the form of a brownie
 Looks like a brownie
 Tastes like a brownie
 Smells like a brownie
 Marketed as a brownie that helps you
relax

THE RECIPE FOR LAZY CAKES!

•Melatonin
•Rose Hips
•Valerian Root Extract
•Hops Extract
•St. Johns Wort Extract
•Kava Kava Extract

What the label doesn’t tell
you...
 0.1 to 0.5 milligrams of melatonin is what is reasonable
to ingest
◦ Some lazy cakes don’t tell you how much is in their
brownie

 Melatonin side effects may include:
◦ drowsiness, dizziness, confusion, headache, irritability,
vivid dreams, and a temporary reduction in attention and
balance

 Melatonin shouldn’t be used by people with:
◦ autoimmune conditions , liver disease, clotting disorders

 Melatonin should not be mixed with:
◦ Herbs that cause sleepiness or drowsiness, such as
kava kava and valerian
◦ The herb St. John's wort About.com

What does the FDA have to
say about Lazy Cakes?
 In calling the product unsafe, Michael
Roosevelt of the FDA said in the letter that
the agency is not aware of data that
establishes the safety of melatonin for use
as an ingredient in foods.

 He cited medical research that has shown
concerns about potential reproductive,
cardiovascular, ocular and neurological
issues as side effects of using the drug.

What the FDA is saying about
this.
 Examples of factors and information that establish that the
product is represented as a conventional food are as follows:

 - the product is alongside snack foods;
 - the name of a marketed URL, www.mylazycakes.com2
(accessed 7-14-11), that directs people to your product
website, refers to a conventional food (cake);
 - the product is described on your website (accessed 7-14-11)
as having “the same ingredients your mother uses to make
brownies,” which is a conventional food;
 - the use of a combination of ingredients particular to a
brownie (including sugar, flour, oil, cocoa, egg, and salt, in
order of predominance by weight);
 - the appearance and packaging of the product as a brownie.
(7/28/2011) Prevention Resource Center- Region 8

Synthetic Marijuana
Now Illegal

One gram is about $40.00


Legal Status Update
 DEA Ban

 As of March 1st, 2011, five
cannabinoids, JWH-018, JWH-
073, CP-47,497, JWH-200, and
cannabicyclohexanol are now
illegal in the US.

K2 Spice
Texas Ban Sept. 1st
Possession or Distribution

2 oz or less Class B Misdemeanor
2 - 4 oz Class A Misdemeanor
4 oz – 5lbs state jail felony


Health Effects with Spice/K2
What is there to worry about?

Effects of Use K2/Spice
 Paranoia  Hallucinations
 Nausea  Loss of
 Anxiety Consciousness
 Vomiting  Dilated pupils
 Seizures  Increased
 High Blood Agitation
Pressure  Unsure about
withdrawal or
 Rapid Heart
dependence
Rates

Marijuana homolog exposures reported to the Texas
Poison Center Network during
1/1/10-11/1/11 (n=1,026), caller county
Atascosa – 2 Galveston – 12
Bell – 29 Guadalupe – 8
Bexar – 101 Harris – 168
Brazoria – 14 Hidalgo – 23
Calhoun – 1 Jefferson – 28
Comal – 10 Maverick – 1
Dallas – 44 Uvalde -3
Denton – 17 Van Zandt – 4
El Paso – 54 Victoria – 9
Fort Bend – 34 Wilson – 4
Frio – 1

These bath salts are not drugs

What is MDPV (bath salts)

◦ The term „bath salts‟ refer to commercially
available products that have as part of their
composition a legal stimulant called 3, 4-
Methylenedioxypyrovalerone, or MDPV.

◦ While they have become popular under the
guise of selling as „ bath salts ‟, they are
sometimes sold as other products such as insect
repellant , or plant food with names like
“Bonsai Grow” among others.


The Effects of MDPV
 MDPV is a powerful stimulant that functions
as a dopamine-nor epinephrine reuptake
inhibitor (NDRI). It has stimulatory effects
on the central nervous system and
cardiovascular system.

 Physical: rapid heartbeat, increase in blood
pressure, vasoconstriction, sweating.


Common names of Bath Salts
 They are sold mostly on the internet, but can also
be found in select shops locally.

 “Red Dove,” “Blue Silk,” “Zoom,” “Bloom,”
“Cloud Nine,” “Ocean Snow,” “Lunar Wave,”
“Vanilla Sky,” “Ivory Wave,” “White Lightning,”
“Scarface” “Purple Wave,” “Blizzard,” “Star
Dust,” “Lovey, Dovey,” “Snow Leopard,” “Aura,”
and
 “Hurricane Charlie.”


The Effects of MDPV
 Mental: euphoria, increases in alertness &
awareness, increased wakefulness and arousal,
anxiety, agitation, perception of a diminished
requirement for food and sleep.
 MDPV reportedly has four times the potency of Ritalin
and Concerta.

 Sometimes labeled online as legal cocaine or legal
amphetamines.

 The effects have a duration of roughly 3 to 4 hours,
with after effects such as tachycardia, hypertension,
and mild stimulation lasting from 6 to 8 hours.

 High doses have been observed to cause intense,
prolonged panic attacks in stimulant-intolerant users,
and there are anecdotal reports of psychosis from
sleep withdrawal and addiction at higher doses or
more frequent dosing intervals

Bath salts exposures reported to the Texas
Poison Center Network during 1/1/10-
11/1/11 (n=350), caller county
Bell – 11
Bexar – 10
Calhoun – 1
Comal – 2
Dallas – 10
Denton – 2
Dimmit – 1
El Paso – 16
Harris – 76
Jefferson – 33
Victoria – 1


Banned as of Sept 1st, 2011

 HB 2118 bans the sale of the drugs, adding
them to the list of Texas controlled
substances.

 The chemicals are Mephredrone and
Methylenedioxypyrovalerone, also known
as MDPV.


Dangers/Legal Issues
 In 2010 there were 303 calls about MDPV (bath
salt) products according to the American
Association of Poison Control Centers’ National
Poison Data System (NPDS).

 As of June 30, 2011 poison centers reported
3,740 calls (2,371 calls as of May 31, 2011).
This shows the trend of how popular this class
of drug has become, and the dangers
associated with its increased popularity ( over
12 times as many calls in the first 6 months of
2011 than there were for all of 2010 ).

Prescription Drug
Trends
In 2009
None of these
•Pain Relievers - 5.3 million (Vicodin, Oxycodone
OxyContin, Darvon, Dilaudid, Demerol & Lomotil)

should be
•Tranquilizers - 2.0 million (Nembutal, Seroquel,)
Benzodiazepines, (Valium, & Xanax)

combined with
•Stimulants - 1.3 million
(Adderal, Ritalin, Dexedrine, Concerta)

Alcohol!
Sedatives - 0.4 million (Valium, Xanax, Promethazine, Rohypnol)
2010 Monitoring the Future Study - University of Michigan

Did You Know?
 One in five teens (4.5 million) has
abused Rx drugs.

 One in three teens report knowing
someone who abuses prescription
drugs.

 One in three teens surveyed say there
is “nothing wrong” with abusing
prescription drugs “every once in a

Prescription Drug
Trends
•12 to 17 year olds abuse prescription drugs
more than they abuse
ecstasy, crack/cocaine, heroin, and
methamphetamine combined

•60% of teens who have abused prescription
painkillers did so before age 15

•There are as many new abusers age 12 to 17
of prescription drugs as there are of marijuana

Prescription Drug Trends
1999 = 4,000 deaths

 2008 = 14,800 deaths

 The number of Americans who died
from overdoses of prescription
painkillers more than tripled in the past
decade, according to the Centers for
Disease Control and Prevention
(CDC)
November 2nd 2011,
http://www.drugfree.org/join-together/drugs/number-of-prescription-painkiller-deaths-more-than-
tripled-in-last-10-years?utm_source=Join+Together+Daily&utm_campaign=4ba15a85a9-
JT+Daily+News%3A+Number+of+Prescription...&utm_medium=email


Marijuana Facts
Burns at a lower temp.

The lower the temp. the higher cancer causing chemicals

Marijuana is more dangerous than tobacco---it's smoke has 50% to
70% more known carcinogens than tobacco smoke.

Marijuana use during pregnancy has significant effect on school-age
intellectual development

Nationwide, as 14 states have legalized medical marijuana the
“treatment rate” for those seeking help for pot abuse rose 31% over
the ten-year span
http://blogs.laweekly.com/informer/2011/01/marijuana_addiction_calif.php


Marijuana Facts
 Heart attack risk is 5x higher than the ususal in
the hour after smoking marijuana (Harvard University)

NIH 5 joints a week is like smoking a pack of
cigarettes, they take in as much tar and cancer-
causing chemicals




Marijuana Facts
Yale School of Medicine, 2007
◦Long-term exposure to marijuana smoking is linked to the
same health problems as tobacco smoke,
◦Daily Cough,
◦Phlegm production,
◦Acute chest illnesses,
◦Heightened risk of lung infections,
◦Greater tendency toward obstructed airways

Smoking marijuana weakens the immune system


Marijuana Facts
Smoked marijuana has never been, and
will never be scientifically approved for
medical use

There are NO FDA approved medicines
that are “smoked”
Short Term & Long Term Memory
problems
Psychotic Symptoms
Speed of thinking
Depression (210)225-4741 www.sacada.org

Heroin- Signs of Use
Sleepy
Lazy
Peaceful
Nodding
off when in conversations
Very tired
Just look out of it
Needle tracks


Heroin
Withdrawal symptoms:

 Shooting pains in muscles

 Sweating

 Vomiting (feel sick)

 Very drowsy or agitated

 Heartbeat & breathing slow down to dangerous
levels

Heroin
 Major withdrawal symptoms peak
between 48 and 72 hours after the last
dose

 Typically subsides after about 1 week

 Heroin withdrawal is not usually fatal
unless the person is in very poor
health. http://www.nida.nih.gov/infofacts/heroin.html


Cocaine
 Signs of Use  Withdrawal

 Feels Euphoric Energetic  Depression
 Respiratory Failure  Anxiety
 Strokes  Paranoia
 Seizures  Insomnia
 Abdominal Pain  Muscle & Bone pain
 Nausea  Vomiting
 Increased Heart Rate  Cold flashes
 Weight loss (decreased  Increase in appetite
appetite)
 Malnourished
 Nose bleeds
 Needle marks


Signs of Problem Drinking,
Alcoholism, & Drug Abuse
Legal problems (including
DWI, MIP, DUI, PI)
Poor family relations
School behavior problems
Heavy smoking/drinking
Tolerance Increase/Decrease)
Genetics
Craving & preoccupation
with drug of choice
Using to cope

Referrals
 Mid-Coast Family Services 271-9452
www.midcoastfamily.org

 SACADA 225-4741
 Tobacco Awareness Course 1x mo. ($70.00) 2 Tuesday’s & 2
Thursdays
 Alcohol Awareness Course (MIP) 1 x mo. ($50.00) Tuesday &
Thursday
 Alcohol and Drug Abuse Education Program ($200.00) 1x Week for
12 weeks
 DWI Classes on weekends $70.00

 Circles of San Antonio Community Coalition (COSA)
 cosa@sacada.org
 www.facebook.com/circlesofsa (210)225-4741 www.sacada.org

 Blog: http://blog.mysanantonio.com/prevention-
resource-center/

Andrea Salazar asalazar@sacada.org 210-225-
4741
 Alexis Moreno amoreno@sacada.org 210-225-4741

 http://www.facebook.com/SACADATex
 www.twitter.com/sacadatexas

 www.sacada.org

Updated Drug Trends, What you Need to Know

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Updated Drug Trends, What you Need to Know