Current Drug TrendsCurrent Drug Trends

20142014

Common Occurrences with Drug Common Occurrences with Drug TrendsTrends

•• Increasing PotencyIncreasing Potency

•• Easy Access and Increasing Awareness Easy Access and Increasing Awareness (through Internet use)(through Internet use)

•• Deceptive Marketing Deceptive Marketing

2014 Global Drug Survey (GDS) 2014 Global Drug Survey (GDS) find users moving from local find users moving from local dealers to internet purchasesdealers to internet purchases

CountriesCountries participatingparticipating inin thethe surveysurvey werewere thethe USA,USA, UK,UK, Australia,Australia, Germany,Germany, France,France, Ireland,Ireland, Scotland,Scotland, Belgium,Belgium, TheThe Netherlands,Netherlands, Denmark,Denmark, NewNew Zealand,Zealand, Hungary,Hungary, Spain,Spain, Portugal,Portugal, Switzerland,Switzerland, Mexico,Mexico, SloveniaSlovenia andand Brazil)Brazil) MoreMore drugdrug usersusers areare buyingbuying theirtheir drugsdrugs onlineonline becausebecause theythey saysay thethe qualityquality isis better,better, therethere isis moremore choicechoice andand itit isis moremore convenientconvenient..

2014 Global Drug Survey2014 Global Drug Survey--contd.contd. •• . .

TheThe 20142014 GlobalGlobal DrugDrug SurveySurvey (GDS)(GDS) questionedquestioned almostalmost 8080,,000000 drugdrug usersusers fromfrom 4343 countriescountries.. ItIt indicatesindicates thatthat thethe majoritymajority ofof drugdrug usersusers useuse dealers,dealers, butbut aa growinggrowing numbernumber ofof peoplepeople areare purchasingpurchasing drugsdrugs fromfrom thethe internetinternet.. TheThe ## 11 drugdrug purchasedpurchased waswas marijuana,marijuana, ## 22 MDMA,MDMA, ## 33 LSDLSD andand ## 44 KetamineKetamine..

LEGAL LOOPHOLES USEDLEGAL LOOPHOLES USED

A COMMON THEME WITH DESIGNER DRUGS IS THE USE OF THE LABEL OF "NOT FOR HUMAN CONSUMPTION“. IT IS A LOOPHOLE THAT LEAVES STORE OWNERS AND PRODUCERS EXEMPT FROM CHARGES IF A USER HAS ADVERSE EFFECTS. THE LABEL “RESEARCH CHECEMICAL PELLETS” AND “INCENSE” IS ALSO USED.

Prevention Status Report 2013Prevention Status Report 2013 •• OpioidOpioid painpain relieversrelievers areare responsibleresponsible forfor

threethree--fourthsfourths ofof allall prescriptionprescription drugdrug overdoseoverdose deathsdeaths andand causedcaused moremore thanthan 1616,,600600 deathsdeaths inin thethe UnitedUnited StatesStates inin 20102010.. Nationally,Nationally, deathsdeaths involvinginvolving opioidsopioids havehave moremore thanthan quadrupledquadrupled sincesince 19991999.. TheThe sharpsharp riserise inin opioidopioid deathsdeaths closelyclosely parallelsparallels anan equallyequally sharpsharp increaseincrease inin thethe prescribingprescribing ofof thesethese drugsdrugs.. PeoplePeople inin thethe USAUSA consumeconsume 8080%% ofof allall thethe prescriptionprescription drugsdrugs inin thethe worldworld..

Alcohol SectionAlcohol Section •• AlcoholAlcohol altersalters thethe neurotransmitterneurotransmitter GABAGABA

(Gamma(Gamma--aminobutyricaminobutyric acid)acid).. NeuronNeuron activityactivity isis slowed,slowed, anxietyanxiety andand memorymemory areare affectedaffected.. AlcoholAlcohol alsoalso altersalters thethe neurotransmitterneurotransmitter GlutamateGlutamate.. GlutamateGlutamate affectsaffects cognitioncognition ((the activities of thinking, understanding, learning, and memory-Webster’s Dictionary).. (NIDA)(NIDA)

•• IfIf alcoholalcohol isis aa person’sperson’s drugdrug ofof choice,choice, findfind

thethe correctcorrect activityactivity thatthat helpshelps thatthat personperson relax,relax, unwindunwind andand forgetforget aboutabout stressfulstressful thingsthings forfor aa whilewhile.. TheyThey maymay benefitbenefit fromfrom passivepassive leisureleisure activitiesactivities..

ShootersShooters--20% alcohol20% alcohol

Whipped CreamWhipped Cream--1515--25% alcohol25% alcohol

AlcopopsAlcopops

Up to 12% alcoholUp to 12% alcohol

AlcopopsAlcopops

•• AlcopopsAlcopops areare flavoredflavored maltmalt beveragesbeverages.. AlcopopsAlcopops areare sodasoda--like,like, popularpopular beveragesbeverages thatthat appealappeal toto youthyouth andand areare farfar tootoo availableavailable atat cornercorner storesstores.. TheyThey includeinclude SmirnoffSmirnoff Ice,Ice, FourFour LokoLoko,, Blast,Blast, Mike'sMike's HardHard LemonadeLemonade andand BartlesBartles andand JamesJames..

•• AlcoholAlcohol companiescompanies likelike sellingselling AlcopopsAlcopops

becausebecause theythey effectivelyeffectively targettarget teenagersteenagers.. TheyThey cancan havehave muchmuch asas 1212%% alcoholalcohol inin aa 2424 ozoz.. singlesingle--servingserving containercontainer andand areare equivalentequivalent toto 33--55 beersbeers.. ManyMany statestate attorneyattorney generalsgenerals callcall themthem aa ""bingebinge inin aa cancan..""

AWOL (Alcohol without liquid AWOL (Alcohol without liquid machines)machines)

Inhaling or Smoking AlcoholInhaling or Smoking Alcohol

•• AWOLAWOL (Alcohol(Alcohol withoutwithout liquid)liquid) machinesmachines werewere inventedinvented inin 20042004 andand areare poweredpowered byby electricalelectrical airair compressorscompressors.. AWOLAWOL 22 andand AWOLAWOL 33 areare poweredpowered byby electricalelectrical oxygenoxygen generators"generators" whichwhich referrefer toto aa couplecouple ofof mechanismsmechanisms usedused forfor inhalationinhalation..

•• AWOLAWOL isis trademarkedtrademarked andand gimmickedgimmicked asas anan alcoholalcohol "vaporizer""vaporizer" (heat(heat thethe chemicalchemical toto vapor)vapor) butbut isis inin factfact aa nebulizernebulizer (mixes(mixes thethe chemicalchemical withwith oxygenoxygen intointo smallsmall mistmist droplets)droplets)..

AWOL VaporizersAWOL Vaporizers

•• VaporizedVaporized alcoholalcohol alsoalso entersenters thethe bloodstreambloodstream fasterfaster andand itsits effectseffects areare moremore immediateimmediate thanthan itsits liquidliquid counterpartscounterparts.. IfIf thisthis isis true,true, thisthis willwill resultresult inin anan enhancedenhanced euphoriceuphoric effect,effect, similarsimilar toto drinkingdrinking liquidliquid alcoholalcohol onon anan emptyempty stomachstomach.. MarketersMarketers encourageencourage purchaserspurchasers toto useuse thethe machinemachine nono moremore thanthan twicetwice inin aa 2424--hourhour periodperiod..

Legal Information on AWOL Legal Information on AWOL MachinesMachines

ManyMany legislatorslegislators areare promotingpromoting legislationlegislation toto banban alcoholalcohol inhalationinhalation machinesmachines.. MichiganMichigan hashas mademade itit illegalillegal toto possess,possess, sellsell oror useuse anan AWOLAWOL machine,machine, andand asas ofof JuneJune 20082008,, 2222 otherother statesstates havehave bannedbanned thethe devicedevice;; Arizona,Arizona, California,California, Colorado,Colorado, Connecticut,Connecticut, Florida,Florida, Idaho,Idaho, Illinois,Illinois, Indiana,Indiana, Iowa,Iowa, Kansas,Kansas, Kentucky,Kentucky, Louisiana,Louisiana, Maine,Maine, Michigan,Michigan, Minnesota,Minnesota, Nevada,Nevada, NewNew York,York, NorthNorth CarolinaCarolina,, Ohio,Ohio, Pennsylvania,Pennsylvania, SouthSouth CarolinaCarolina,, Tennessee,Tennessee, Virginia,Virginia, andand WyomingWyoming..

Freebasing Alcohol (the Vaportini)Freebasing Alcohol (the Vaportini)

Freebasing AlcoholFreebasing Alcohol

•• FreebasingFreebasing alcoholalcohol isis donedone throughthrough aa devicedevice calledcalled thethe VaportiniVaportini,, whichwhich retailsretails forfor $$3030 plusplus shippingshipping.. UsersUsers heatheat aa smallsmall amountamount ofof alcoholalcohol inin aa glassglass ballball overover aa teatea light,light, thenthen sucksuck thethe resultingresulting vaporsvapors throughthrough aa strawstraw.. WhetherWhether it'sit's "smoked""smoked" usingusing drydry iceice oror inhaledinhaled asas aa vapor,vapor, consumingconsuming alcoholalcohol inin thisthis wayway isis veryvery dangerousdangerous..

Pouring Alcohol over Dry IcePouring Alcohol over Dry Ice

Alcohol and Dry Ice MixAlcohol and Dry Ice Mix

AnAn individualindividual cancan pourpour alcoholalcohol overover drydry iceice andand inhaleinhale itit directlydirectly oror withwith aa strawstraw.. InhalingInhaling drydry iceice (with(with thethe alcohol)alcohol) whichwhich isis difficultdifficult toto humidifyhumidify insideinside thethe lunglung tissue,tissue, couldcould potentiallypotentially leadlead toto aa ““burn”burn” ofof thethe lininglining ofof thethe lungslungs.. Overall,Overall, thisthis practicepractice couldcould bebe eveneven riskierriskier forfor thosethose whowho smoke,smoke, oror havehave asthmaasthma oror COPDCOPD..

Homemade Alcohol VaporizersHomemade Alcohol Vaporizers

..

Homemade alcohol vaporizersHomemade alcohol vaporizers

TheThe alcoholalcohol ofof choicechoice isis pouredpoured intointo aa bottle,bottle, thethe bottlebottle isis corked,corked, andand aa bicyclebicycle pumppump needleneedle isis pokedpoked throughthrough thethe toptop ofof thethe corkcork.. AirAir isis pumpedpumped intointo thethe bottlebottle toto vaporizevaporize thethe alcohol,alcohol, andand thethe useruser inhalesinhales thethe vaporizedvaporized alcoholalcohol..

Dangers of Inhaling AlcoholDangers of Inhaling Alcohol

•• DrDr.. HarrisHarris Stratyner,Stratyner, RegionalRegional ClinicalClinical ViceVice PresidentPresident ofof CaronCaron TreatmentTreatment CentersCenters inin NewNew YorkYork sayssays “When“When youyou inhaleinhale alcohol,alcohol, itit goesgoes directlydirectly intointo thethe lungslungs andand circumnavigatescircumnavigates thethe liverliver..””

•• TheThe practicepractice isis moremore likelylikely toto leadlead toto deadlydeadly alcoholalcohol poisoningpoisoning thanthan drinkingdrinking liquor,liquor, hehe saidsaid.. InhalingInhaling alcoholalcohol vaporsvapors cancan drydry outout thethe nasalnasal passagespassages andand mouth,mouth, makingmaking aa personperson moremore vulnerablevulnerable toto infectioninfection.. IT’S LIKE BINGE-DRINKING IN AN INSTANT.

Cannabis Section (stimulant, Cannabis Section (stimulant, depressant & hallucinogen)depressant & hallucinogen)

Is marijuana getting stronger?Is marijuana getting stronger?

THC contents THC contents for marijuana in the USA:for marijuana in the USA:

1978 1978 -- 1.37% 1.37%

1988 1988 -- 3.59% 3.59%

1998 1998 -- 4.43% 4.43%

2008 2008 -- 8.49% 8.49%

The highest concentration of THC found in a The highest concentration of THC found in a single sample was 37.2%.single sample was 37.2%.

(The University of Mississippi's Potency Monitoring Project)(The University of Mississippi's Potency Monitoring Project)

Is marijuana stronger now than Is marijuana stronger now than in the past?in the past?

In the 1970s, 72% of cannabis was brought into In the 1970s, 72% of cannabis was brought into the U.S. rather than being produced here. the U.S. rather than being produced here. Between transportation and distribution time, it Between transportation and distribution time, it was much older due to the time it took to get was much older due to the time it took to get from the farm to the consumer. It was a mixture from the farm to the consumer. It was a mixture of leaves, stems, flowers, and hodgepodge of leaves, stems, flowers, and hodgepodge pieces of the plant.pieces of the plant. Very little of the product was Very little of the product was actually actually sinsemillasinsemilla which is the best source of which is the best source of cannabinoidscannabinoids in marijuana.in marijuana. Now, just a few Now, just a few years later, the potency of marijuana continues years later, the potency of marijuana continues to increase as the cannabis industry becomes to increase as the cannabis industry becomes more high tech than ever. (Anna Wilcox/more high tech than ever. (Anna Wilcox/LeaflyLeafly))

Cannabis (stimulant, sedative, Cannabis (stimulant, sedative, hallucinogen)hallucinogen)

(May 9(May 9thth, 2014) Police seize 2,593 pounds of , 2014) Police seize 2,593 pounds of brick marijuana in an empty warehouse in brick marijuana in an empty warehouse in

Kernersville, North Carolina. Kernersville, North Carolina.

Love Boat (hallucinogenLove Boat (hallucinogen-- 4 variations)4 variations)

Love Boat (hallucinogen)Love Boat (hallucinogen) TheThe namename LoveLove BoatBoat isis currentlycurrently

associatedassociated withwith threethree differentdifferent streetstreet drugsdrugs -- marijuanamarijuana soakedsoaked withwith embalmingembalming fluid/formaldehydefluid/formaldehyde,, marijuanamarijuana soakedsoaked withwith thethe dissociativedissociative hallucinogenhallucinogen inin PCPPCP,, marijuanamarijuana soakedsoaked inin bothboth formaldehydeformaldehyde andand PCP,PCP, andand aa cigarettecigarette soakedsoaked inin PCPPCP.. MarijuanaMarijuana andand PCPPCP areare bothboth hallucinogens,hallucinogens, withwith PCPPCP actingacting inin aa dissociativedissociative mannermanner byby blockingblocking chemicalchemical signalssignals sentsent fromfrom youryour consciousconscious mindmind toto otherother partsparts ofof thethe brainbrain.. BlockingBlocking thesethese signalssignals resultsresults inin varietyvariety ofof effectseffects rangingranging fromfrom sensorysensory deprivationdeprivation toto hallucinationshallucinations toto aa trancetrance--likelike statestate..

Marijuana Lollipops & candyMarijuana Lollipops & candy

Marijuana Lollipops & candyMarijuana Lollipops & candy AA greengreen vanvan withwith picturespictures ofof marijuanamarijuana onon itit pullspulls

upup atat UltraUltra FestFest 20142014.. TheThe vehiclevehicle isis oneone ofof twotwo dozendozen vehiclesvehicles calledcalled ““weedweed wagonswagons..”” TheyThey traveltravel fromfrom oneone musicmusic festivalfestival toto anotheranother fromfrom NewNew York,York, LosLos Angeles,Angeles, TexasTexas andand MiamiMiami toto sellsell andand handhand outout freefree samplessamples ofof candycandy whichwhich maymay oror notnot containcontain THCTHC.. TheThe productproduct isis alsoalso soldsold onlineonline.. DependingDepending onon whichwhich statestate they’rethey’re inin andand it’sit’s medicalmedical marijuanamarijuana laws,laws, notnot allall ofof thethe productproduct isis loadedloaded withwith THCTHC..

LollipopsLollipops inin FloridaFlorida don'tdon't containcontain THC,THC, butbut areare insteadinstead mademade ofof hemphemp oil,oil, whichwhich isis legallegal andand willwill notnot getget youyou highhigh.. MarijuanaMarijuana lollipopslollipops loadedloaded withwith THCTHC areare soldsold toto peoplepeople inin statesstates thatthat havehave medicalmedical marijuanamarijuana cardscards..

OneOne concertconcert goergoer saidsaid afterafter tryingtrying aa marijuanamarijuana lollipoplollipop.. “I“I waswas aa littlelittle disappointeddisappointed.. II didn’tdidn’t feelfeel anythinganything..””

THC Puppy ChowTHC Puppy Chow

..

THC Puppy ChowTHC Puppy Chow

PuppyPuppy chowchow isis aa commoncommon partyparty foodfood

mademade byby meltingmelting chocolate,chocolate, butterbutter

andand powderpowder sugarsugar andand ChexChex cerealcereal..

TheThe THCTHC oiloil isis addedadded toto thethe butterbutter

duringduring thethe cookingcooking processprocess.. UsersUsers areare

alsoalso mixingmixing thethe THCTHC oiloil withwith

CinnamonCinnamon ToastToast CrunchCrunch cerealcereal..

TransdermalTransdermal THC PatchesTHC Patches

TransdermalTransdermal THC PatchesTHC Patches

•• State troopers are seeing more marijuana State troopers are seeing more marijuana

hashhash--influsedinflused transdermaltransdermal patches (similar patches (similar

to a nicotine patch) being purchased from to a nicotine patch) being purchased from

Colorado and crossing state lines. Once Colorado and crossing state lines. Once

removed from the package, the patches removed from the package, the patches

have no markings. They do have a slight have no markings. They do have a slight

odor of marijuana and easily test positive odor of marijuana and easily test positive

for THC.for THC.

EE--cigarettes are used to smoke cigarettes are used to smoke Cannabis oil and Cannabis waxCannabis oil and Cannabis wax

Street names: Dabs, Butane Hash Oil, Wax.Street names: Dabs, Butane Hash Oil, Wax.

EE--Cigarettes are being used to Cigarettes are being used to Smoke Marijuana Smoke Marijuana

AA growinggrowing numbernumber ofof peoplepeople areare smokingsmoking marijuanamarijuana inin ee--cigarettescigarettes.. MarijuanaMarijuana inin liquidliquid ((BHOBHO oror butanebutane--extractedextracted hashhash oil)oil) andand waxwax formsforms ((8080%% THC)THC) usedused inin ee--cigarettescigarettes dodo notnot createcreate anan odorodor.. BecauseBecause thethe devicesdevices don’tdon’t produceproduce aa flame,flame, aa personperson smokingsmoking marijuanamarijuana inin anan ee--cigarettecigarette cancan taketake aa puffpuff andand thenthen quicklyquickly putput itit inin aa pocketpocket.. PeoplePeople areare usingusing thethe combinationcombination withoutwithout fearfear ofof detectiondetection inin publicpublic..

Synthetic Cannabinoids, Spice, K2Synthetic Cannabinoids, Spice, K2 (hallucinogen, stimulant)(hallucinogen, stimulant)

Spice and K2Spice and K2

Synthetic CannabinoidsSynthetic Cannabinoids

IllegalIllegal chemistschemists makemake syntheticsynthetic marijuanamarijuana byby usingusing thesethese chemicalschemicals:: JWHJWH--018018,, JWHJWH--073073,, HUHU--210210,, MM--694694,, CPCP--4747,,497497 andand otherother compoundscompounds ofof JWHJWH.. SyntheticSynthetic marijuanamarijuana sellerssellers getget aroundaround thethe lawlaw byby puttingputting “Not“Not forfor humanhuman consumption”consumption” onon thethe packagespackages..

IllegalIllegal chemistschemists areare keepingkeeping oneone stepstep aheadahead ofof

thethe lawlaw byby developingdeveloping newnew versionsversions ofof chemicalchemical compoundscompounds asas they’rethey’re bannedbanned byby statesstates..

Testing for Synthetic CannabinoidsTesting for Synthetic Cannabinoids

OnOn NovemberNovember 2222,, 20112011,, RedwoodRedwood ToxicologyToxicology LaboratoryLaboratory announcedannounced theythey cancan nownow testtest forfor 66 syntheticsynthetic cannabinoidcannabinoid chemicalschemicals:: JWHJWH--018018,, JWHJWH--073073,, JWHJWH--081081,, JWHJWH--250250,, AMAM--22012201 andand RCSRCS--44..

Scooby Scooby SnaxSnax (Synthetic (Synthetic CannabinoidCannabinoid))

Graham Crackers Graham Crackers CannabinoidCannabinoid

Scooby SnaxScooby Snax

ScoobyScooby SnaxSnax hashas beenbeen openlyopenly soldsold atat gasgas stationsstations andand

convenienceconvenience storesstores.. These types of products labeled as incense or potpourri are blamed for several deaths nationwide after people have smoked it. Patients show up in the emergency room confused, agitated, hallucinating, with blood pressure elevated and heart racing.

.

Crazy Clown (Synthetic Crazy Clown (Synthetic CannabinoidCannabinoid))

..

Crazy ClownCrazy Clown

• Crazy Clown is a new 4th generation synthetic marijuana similar to Spice with some serious and potentially fatal side effects. It's blamed for sending people to ER’s with violent reactions and causing death.

• Crazy Clown is smoked or burned in a small bowl and inhaled. Active chemicals in Crazy Clown are unknown. Symptoms include: nausea, vomiting, dry mouth, weakness, cardiac problems, psychotic episodes, paralysis and violent behavior.

•• ThisThis isis aa drugdrug thatthat isis notnot deceptivedeceptive withwith it’sit’s marketingmarketing namename..

Legal Information on Crazy ClownLegal Information on Crazy Clown

•• OnOn OctoberOctober 99thth 20132013,, FloridaFlorida AttorneyAttorney GeneralGeneral PamPam BondiBondi WednesdayWednesday filedfiled anan emergencyemergency rulerule criminalizingcriminalizing fourfour relatedrelated syntheticsynthetic cannabinoidcannabinoid drugs,drugs, includingincluding oneone beingbeing marketedmarketed underunder thethe namename "Crazy"Crazy Clown"Clown".. TheThe emergencyemergency movemove makesmakes thethe newnew syntheticssynthetics ScheduleSchedule II controlledcontrolled substancessubstances underunder FloridaFlorida lawlaw

•• TheThe fourfour substancessubstances areare BB--PINACA,PINACA, ABAB--FUBINACA,FUBINACA, ADBADB--PINACA,PINACA, andand FluoroFluoro ABDICAABDICA.. TheyThey havehave beenbeen tentativelytentatively identifiedidentified asas cannabinoidcannabinoid receptorreceptor agonists,agonists, similarsimilar toto anan earlierearlier roundround ofof syntheticsynthetic cannabinoidscannabinoids thatthat havehave beenbeen marketedmarketed underunder namesnames suchsuch asas "Spice""Spice" andand "K"K22.."" ThoseThose drugsdrugs areare bannedbanned underunder federalfederal lawlaw andand areare illegalillegal inin aa numbernumber ofof statesstates asas wellwell..

•• GeorgiaGeorgia bannedbanned thethe drugsdrugs inin SeptemberSeptember 20132013 underunder aa syntheticsynthetic drugsdrugs analoganalog lawlaw,, andand nownow neighboringneighboring FloridaFlorida hashas movedmoved toto dodo so,so, tootoo..

Spice, K2Spice, K2

• Spice is sold under many names—K2, fake weed, Yucatan Fire, Skunk, Moon Rocks, and others. They contain dried, shredded plant material along with manmade chemicals that cause mind-altering effects.

• For several years, Spice was easy to purchase in head shops and gas stations and online. Spice has a high potential for abuse and no medical benefit.

• One teen quoated “6 minutes felt like hours. I wanted to come down, but couldn’t. “

Spice, K2Spice, K2

• The Drug Enforcement Administration (DEA) has made it against the law to sell, buy, or possess Spice. People who make Spice products try to avoid these legal restrictions by using different chemicals in their mixtures. The DEA continues to watch the situation and review the need to update the list of banned chemicals.

How Does Spice, K2 Affect the How Does Spice, K2 Affect the Brain?Brain?

• Many Spice users have experience effects

that are stronger than those of marijuana. Some users report effects like extreme anxiety, paranoia, and hallucinations.

• Chemicals found in Spice attach to the same nerve cell receptors as THC, the main mind-altering component of marijuana. Some of the chemicals found in Spice, however, attach to those receptors more strongly, which could lead to a much stronger and more unpredictable effect.

Other Health Effects of Spice, Other Health Effects of Spice, K2K2

• People who abused Spice and were taken

to Poison Control Centers report symptoms like a fast heart rate, vomiting, agitation, confusion, and hallucinations. Spice can also raise blood pressure and cause less blood to flow to the heart. In a few cases, it has been associated with heart attacks. People who use Spice a lot may experience withdrawal and addiction symptoms.

Effects of Spice, K2 and kidney Effects of Spice, K2 and kidney damagedamage

•• TheThe CDCCDC issuedissued anan alertalert describingdescribing 1616 casescases ofof kidneykidney damagedamage fromfrom syntheticsynthetic marijuanamarijuana.. TheThe firstfirst warningwarning camecame fromfrom Wyoming,Wyoming, wherewhere threethree patientspatients werewere hospitalizedhospitalized withwith severesevere kidneykidney damagedamage;; othersothers camecame fromfrom Oregon,Oregon, NewNew York,York, RhodeRhode Island,Island, OklahomaOklahoma andand KansasKansas.. TheThe kidneykidney damagedamage fromfrom manymany ofof thesethese casescases waswas veryvery severe,severe, fivefive toto thethe pointpoint ofof requiringrequiring dialysisdialysis..

•• InIn December,December, 20122012,, thethe SubstanceSubstance AbuseAbuse andand MentalMental HealthHealth ServicesServices AdministrationAdministration (SAMHSA)(SAMHSA) releasedreleased aa reportreport showingshowing thatthat syntheticsynthetic marijuanamarijuana waswas responsibleresponsible forfor 1111,,400400 emergencyemergency roomroom visitsvisits inin oneone yearyear.. TheThe vastvast majoritymajority ofof thosethose admittedadmitted werewere betweenbetween thethe agesages ofof 1212 andand 2929..

Synthetic Marijuana 2009Synthetic Marijuana 2009--2013 2013 datadata

•• SyntheticSynthetic marijuanamarijuana isis thoughtthought toto havehave appearedappeared inin thethe UU..SS.. inin 20092009,, andand soonsoon afterafter camecame aa spikespike inin emergencyemergency roomroom visits,visits, eveneven deathsdeaths,, asas thethe drugdrug caughtcaught onon amongamong youngyoung peoplepeople..

•• AboutAbout 88 percentpercent ofof highhigh schoolschool seniorsseniors saidsaid they'vethey've usedused somesome typetype ofof syntheticsynthetic marijuanamarijuana inin 20132013,, accordingaccording toto thethe reportreport releasedreleased byby thethe NationalNational InstitutesInstitutes ofof HealthHealth.. That'sThat's aa sharpsharp dropdrop fromfrom thethe 1111 percentpercent ofof highhigh schoolschool seniorsseniors who'dwho'd experimentedexperimented withwith fakefake potpot inin 20122012..

EE--cigarettes used to smoke K2 ecigarettes used to smoke K2 e--liquidliquid

K2 eK2 e--liquid advertisementliquid advertisement

•• KK22 ee--liquidliquid LEGALLEGAL •• KK22 ee--liquidliquid waswas notnot developeddeveloped forfor humanhuman consumptionconsumption..

WhenWhen youyou buybuy thisthis product,product, itit cancan onlyonly bebe usedused forfor aromatherapyaromatherapy purposespurposes oror asas aa researchresearch chemicalchemical.. HereHere areare somesome otherother importantimportant thingsthings toto keepkeep inin mindmind::

•• OurOur productsproducts areare NOTNOT smokingsmoking blendsblends oror entheogenesentheogenes ofof anyany kindkind..

•• OurOur mixesmixes areare createdcreated forfor aromatherapyaromatherapy purposespurposes andand areare designeddesigned forfor useuse asas aa roomroom fragrancefragrance onlyonly..

•• OurOur productsproducts areare NOTNOT mademade fromfrom anyany ofof thesethese bannedbanned chemicalschemicals:: JWHJWH--018018,, JWHJWH--073073,, JWHJWH--200200,, CPCP--4747,,497497 andand cannabicyclohexanolcannabicyclohexanol Methylone,Methylone, MDPV,MDPV, AcetoneAcetone oror anyany Hallucinogens,Hallucinogens, SalviaSalvia Divinorum,Divinorum, HawaiianHawaiian BabyBaby WoodroseWoodrose (Argyreia(Argyreia nervosa),nervosa), BlueBlue EgyptianEgyptian waterwater lilylily (Nymphaea(Nymphaea caerulea)caerulea)..

Opiate and Opioid SectionOpiate and Opioid Section

•• Afghanistan exports over 80% of the Heroin used Afghanistan exports over 80% of the Heroin used in the world.in the world.

•• DrugDrug usersusers scamscam doctorsdoctors toto acquireacquire opiates,opiates, pharmaciespharmacies areare burglarized,burglarized, andand manymany opiatesopiates areare smuggledsmuggled inin fromfrom MexicoMexico..

..

Heroin ProductionHeroin Production

ZohydroZohydro (opiate)(opiate)

..

ZohydroZohydro (opiate)(opiate)

•• ZohydroZohydro ERER hithit thethe marketmarket inin MarchMarch 20142014

amidstamidst widespreadwidespread concernconcern thatthat thethe drugdrug

couldcould triggertrigger aa disastrousdisastrous spikespike inin

overdosesoverdoses andand deathsdeaths.. ZohydroZohydro isis aa potentpotent

extendedextended--releaserelease formform ofof

hydrocodonehydrocodone withoutwithout thethe additivesadditives ofof

aspirinaspirin oror acetaminophenacetaminophen andand withoutwithout antianti--

abuseabuse formulationformulation.. ZohydroZohydro containscontains 1010

timestimes thethe amountamount foundfound inin otherother painkillerspainkillers.. (Regional(Regional OrganizedOrganized CrimeCrime InformationInformation

Center)Center)

Triggering Dopamine Triggering Dopamine

DopamineDopamine isis thethe neurotransmitterneurotransmitter thatthat createscreates thethe sensationsensation ofof happinesshappiness.. DopamineDopamine productionproduction cancan bebe stimulatedstimulated naturally,naturally, withoutwithout usingusing drugsdrugs..

Triggering Dopamine Triggering Dopamine

1) Exercise daily. The Brookhaven National 1) Exercise daily. The Brookhaven National Laboratory reports that exercise stimulates Laboratory reports that exercise stimulates dopamine. Because it takes this long for dopamine. Because it takes this long for the dopamine to be triggered, you need to the dopamine to be triggered, you need to work out at least 20 to 30 minutes daily. work out at least 20 to 30 minutes daily. CardioCardio--vascular exercise such as walking, vascular exercise such as walking, swimming and joggingswimming and jogging are examples. Aim are examples. Aim to keep the heart rate elevated for this to keep the heart rate elevated for this period of time. period of time.

Normalizing Dopamine LevelsNormalizing Dopamine Levels

2) Eliminate foods high in sugars, fats and 2) Eliminate foods high in sugars, fats and cholesterol from the diet. In addition to cholesterol from the diet. In addition to being unhealthy foods, these can also being unhealthy foods, these can also cause a drop in dopamine levels.cause a drop in dopamine levels.

Normalizing Dopamine ProductionNormalizing Dopamine Production

33)) EatEat foodsfoods producingproducing dopaminedopamine.. FreshFresh fruitsfruits andand vegetables,vegetables, avocados,avocados, bananas,bananas, lowlow--fatfat dairy,dairy, fish,fish, poultry,poultry, limalima beans,beans, almonds,almonds, sesamesesame seeds,seeds, pumpkinpumpkin seeds,seeds, soy,soy, wholewhole grainsgrains andand legumeslegumes..

44)) EatEat antioxidantantioxidant foodsfoods:: orangeorange vegetablesvegetables andand fruits,fruits, asparagus,asparagus, broccoli,broccoli, beetsbeets..

VitaminVitamin CC:: Peppers,Peppers, oranges,oranges, strawberries,strawberries, cauliflower,cauliflower, BrusselsBrussels sproutssprouts

VitaminVitamin EE:: NutsNuts andand sunflowersunflower seeds,seeds, greens,greens, broccoli,broccoli, carrotscarrots..

Triggering Dopamine contd.Triggering Dopamine contd.

5) 5) Get plenty of rest. Dopamine has been Get plenty of rest. Dopamine has been tied to feelings of wakefulness, so in order tied to feelings of wakefulness, so in order to get that wakeful feeling, get 7 to 8 hour to get that wakeful feeling, get 7 to 8 hour of sleep a night. of sleep a night.

6) Reach a new goal. 6) Reach a new goal.

Triggering EndorphinsTriggering Endorphins

Endorphins relieve stress and enhance Endorphins relieve stress and enhance pleasure. pleasure.

1) Exercising releases endorphins when 1) Exercising releases endorphins when exercise level is moderate to high, "at the exercise level is moderate to high, "at the point when you are going from aerobic to point when you are going from aerobic to anaerobic exercise."Short bursts of activity anaerobic exercise."Short bursts of activity like weightlike weight--lifting or sprinting, don't lifting or sprinting, don't trigger endorphins enough. trigger endorphins enough.

Triggering EndorphinsTriggering Endorphins

2) 2) Eat hot peppers.Eat hot peppers. Cayenne peppers, Cayenne peppers, jalapeño peppers, banana peppers, and jalapeño peppers, banana peppers, and other hot peppers contain capsaicin, which other hot peppers contain capsaicin, which releases endorphins.releases endorphins. Try eating a piece of Try eating a piece of raw pepper. When the initial fiery pain raw pepper. When the initial fiery pain subsides, you should feel euphoria. If you subsides, you should feel euphoria. If you don't want to have to deal with the pain to don't want to have to deal with the pain to reap the pleasure of capsaicin, sprinkle a reap the pleasure of capsaicin, sprinkle a little cayenne pepper on your food for a little cayenne pepper on your food for a milder boost in mood.milder boost in mood.

Triggering EndorphinsTriggering Endorphins Physical treatments indirectly or directly Physical treatments indirectly or directly

(through muscle manipulation) release (through muscle manipulation) release endorphins. "endorphins. "Yoga, Pilates, Tai Chi, Yoga, Pilates, Tai Chi, acupuncture, acupressure and massageacupuncture, acupressure and massage stimulate nerves and improve overall stimulate nerves and improve overall physical, emotional and mental health. physical, emotional and mental health. This is part of the wellness movement," This is part of the wellness movement," meaning the shift away from meaning the shift away from medicalizedmedicalized treatment of ailments to maintaining treatment of ailments to maintaining wellness and taking responsibility for one's wellness and taking responsibility for one's own health and wellown health and well--being. being.

Normalizing Endorphin LevelsNormalizing Endorphin Levels •• Vanilla extract.Vanilla extract. The scent of vanilla has The scent of vanilla has

been shown to stimulate the production of been shown to stimulate the production of ginseng.ginseng. Try adding a drop to your coffee, Try adding a drop to your coffee, or stirring some into your yogurt. It's the or stirring some into your yogurt. It's the smell, not the taste, that affects your smell, not the taste, that affects your endorphins, so be sure to take a deep endorphins, so be sure to take a deep whiff. You can get the same benefits from whiff. You can get the same benefits from smelling a vanillasmelling a vanilla--scented candle, lotion or scented candle, lotion or essential oil.essential oil.

•• Lavender has similar properties and is also Lavender has similar properties and is also shown to stimulate endorphin production.shown to stimulate endorphin production.

Activating EndorphinsActivating Endorphins

Meditation is another effective way to Meditation is another effective way to trigger your endorphins. trigger your endorphins.

Sunlight triggers endorphins. Sunlight triggers endorphins.

Acetyl Fentanyl (Opioid)Acetyl Fentanyl (Opioid)

..

Acetyl Fentanyl (Opioid)Acetyl Fentanyl (Opioid)

FebFeb.. 1919thth,, 20142014--TheThe headhead ofof thethe state’sstate’s toxicologytoxicology lablab sayssays aa new,new, deadlydeadly syntheticsynthetic narcoticnarcotic thatthat causedcaused threethree fatalfatal overdosesoverdoses inin NorthNorth CarolinaCarolina lastlast monthmonth isis probablyprobably manufacturedmanufactured inin sophisticatedsophisticated labslabs outsideoutside thethe UnitedUnited StatesStates.. TheThe NN..CC.. DepartmentDepartment ofof HealthHealth andand HumanHuman ServicesServices issuedissued aa healthhealth advisoryadvisory WednesdayWednesday thatthat warnedwarned ofof acetylacetyl fentanylfentanyl,, aa synthetic,synthetic, opioidopioid drugdrug thatthat isis upup toto fivefive timestimes moremore powerfulpowerful thanthan heroinheroin.. TheThe drugdrug cancan bebe smoked,smoked, snorted,snorted, injectedinjected oror takentaken orallyorally..

•• TheThe statestate healthhealth advisoryadvisory comescomes inin thethe wakewake ofof threethree deathsdeaths relatedrelated toto thethe syntheticsynthetic drugdrug inin JanuaryJanuary.. ToxicologistsToxicologists inin thethe statestate medicalmedical examiner’sexaminer’s lablab foundfound evidenceevidence ofof acetylacetyl fentanylfentanyl associatedassociated withwith drugdrug deathsdeaths inin Sampson,Sampson, PersonPerson andand TransylvaniaTransylvania countiescounties.. ReadRead moremore herehere:: “People“People inin thethe streetstreet maymay notnot knowknow whatwhat theythey areare ingestingingesting inin theirtheir body,”body,” saidsaid DrDr.. JustinJustin Brower,Brower, whowho supervisessupervises thethe toxicologytoxicology lablab atat thethe statestate medicalmedical examiner’sexaminer’s officeoffice.. AcetylAcetyl fentanylfentanyl hashas propertiesproperties andand sideside effectseffects thatthat areare similarsimilar toto heroin,heroin, BrowerBrower said,said, butbut “people“people cancan diedie muchmuch moremore easily”easily” fromfrom thethe syntheticsynthetic drugdrug.. (News(News andand Observer)Observer)

SuboxoneSuboxone ((BuprenorphineBuprenorphine and and NaloxoneNaloxone))

..

Lean, Sprite or Dirty Sprite Lean, Sprite or Dirty Sprite (Opiate)(Opiate)

Lean, Sprite or Dirty Sprite Lean, Sprite or Dirty Sprite

ThisThis isis aa slangslang termterm forfor aa recreationalrecreational drugdrug popularpopular inin thethe southernsouthern UnitedUnited States,States, originatingoriginating inin Houston,Houston, TexasTexas inin thethe 8080’s’s.. ItsIts mainmain ingredientingredient isis prescriptionprescription--strengthstrength coughcough syrupsyrup containingcontaining codeinecodeine andand promethazinepromethazine.. CoughCough syrupsyrup isis typicallytypically mixedmixed withwith ingredientsingredients suchsuch asas SpriteSprite oror MountainMountain DewDew.. TheThe purplishpurplish huehue ofof LeanLean comescomes fromfrom dyesdyes inin coughcough syrupsyrup..

ThereThere areare numerousnumerous slangslang termsterms forfor LeanLean includingincluding PurplePurple Drank,Drank, SizzurpSizzurp,, Syrup,Syrup, Drank,Drank, BarreBarre,, PurplePurple Jelly,Jelly, TexasTexas Tea,Tea, andand TsikuniTsikuni.. “The high is as close as you can come to heroin”.

Effects of Lean, Dirty Sprite, Sprite Effects of Lean, Dirty Sprite, Sprite (Opiate)(Opiate)

•• Constricted pupils that do not respond well to light Constricted pupils that do not respond well to light •• Slow, slurred speech Slow, slurred speech •• Droopy eyes Droopy eyes •• Slowed heart rate Slowed heart rate •• Drowsiness Drowsiness •• Constipation Constipation •• Dental problems Dental problems •• An overdose of codeine could result in death. If Lean is used An overdose of codeine could result in death. If Lean is used

with alcohol or other drugs, the combination can also with alcohol or other drugs, the combination can also contribute to death. contribute to death.

One user states One user states “c“codeine cough syrup makes you drowsy. I sleep very well.” Another user described the effect as “mellow, lasts about five hours.”

Effects of Lean, Sprite and Effects of Lean, Sprite and Dirty Sprite mixed with Dirty Sprite mixed with alcoholalcohol One user described syrup and alcohol as

“a mean combination, one of the worst drunks you’ll ever have, including mood swings, blackouts, nausea, and headaches. In short, you can get downright ignorant on it and should avoid that combination.”

Go to the NIDA website for an excellent PDF “Leaning on Syrup”.

Candy Coated Fry Stick Candy Coated Fry Stick ((cannabinoidcannabinoid, hallucinogen and , hallucinogen and

opiate)opiate) A candy coated fry stick is marijuana joint

soaked in embalming fluid into which PCP has been suspended, then covered in codeine cough syrup and then smoked.

Candy Blunt (opiate and cannabinoid)

A candy blunt is a store-bought cigarillo that is emptied of tobacco, replaced with marijuana, re-rolled, and coated with codeine cough syrup. “Coat the paper before rolling and it makes a good burn. You could dunk the ends instead, but it’ll flame up on you.”

Nyquil is a recommended substitute when no codeine cough syrup is available.

Desomorphine, Krokodil (Opiate)

• Krokodil is a synthetic heroin product popular in Russia. Due to the poisonous ingredients, addict life expectancy usually only runs one to three years once they start on the drug.

• Desomorphine is a synthetic morphine. Krokodil became a popular replacement for Russian heroin, which can be made from chemicals like codeine, iodine, lighter fluid, gasoline and industrial cleaning oil combined in a process similar to cooking methamphetamine. The resulting drug is injected for about a 90-minute high which is more intense than heroin.

Codeine Cough SyrupCodeine Cough Syrup Original Intended PurposeOriginal Intended Purpose

•• Dr. George Dr. George FallierasFallieras stated that in its stated that in its intended usage "The codeine in the intended usage "The codeine in the medicine serves as a pain reliever and also medicine serves as a pain reliever and also suppresses coughing. A second drug in suppresses coughing. A second drug in the cough syrup, the cough syrup, promethazinepromethazine, is used as , is used as an antihistamine and to treat motion an antihistamine and to treat motion sickness and nausea.”sickness and nausea.”

Cheese HeroinCheese Heroin

..

Cheese Heroin

• Drug dealers are attempting to make narcotics more appealing to children. Cheese heroin is a mixture of Tylenol PM and 2-8% heroin. It is also known as “Tylenol with Smack.”

Stimulant SectionStimulant Section

•• Activates Activates NorepinephrineNorepinephrine (Adrenaline)(Adrenaline)

•• Walks, hot baths/showers, massage, Walks, hot baths/showers, massage, meditation, visualization and spirituality meditation, visualization and spirituality helps regain helps regain peace of mindpeace of mind. .

What is this?What is this?

. .

Methamphetamine (stimulant & Methamphetamine (stimulant & hallucinogen)hallucinogen)

Methamphetamine (stimulant & Methamphetamine (stimulant & hallucinogen) Meth Labshallucinogen) Meth Labs •• North Carolina pharmacies log all purchases of products containing pseudoephedrine North Carolina pharmacies log all purchases of products containing pseudoephedrine

throughthrough NPLExNPLEx. . The The NPLExNPLEx system connects North Carolina with 23 states nationwide system connects North Carolina with 23 states nationwide including neighboring states, making it harder for meth cooks to skirt the law by including neighboring states, making it harder for meth cooks to skirt the law by crossing state lines or shopping at multiple pharmacies The system also helps block crossing state lines or shopping at multiple pharmacies The system also helps block illegal sales of meth’s key ingredient. North Carolina pharmacies began using the illegal sales of meth’s key ingredient. North Carolina pharmacies began using the system January 1, 2012.system January 1, 2012. NPLExNPLEx automatically lets pharmacies know if the buyer has automatically lets pharmacies know if the buyer has reached the legal limit for pseudoephedrine purchases so the store can stop the reached the legal limit for pseudoephedrine purchases so the store can stop the sale. sale. State law limits purchases of products that contain pseudoephedrine to no more than State law limits purchases of products that contain pseudoephedrine to no more than two packages at once and no more than three packages within 30 days.two packages at once and no more than three packages within 30 days. Purchasers Purchasers must show a photo ID and sign a log.must show a photo ID and sign a log.

•• Meth lab busts by countyMeth lab busts by county State Bureau of Investigation agents responded to 561 meth labs in 2013, an State Bureau of Investigation agents responded to 561 meth labs in 2013, an increase from 460 labs found in 2012. Of those meth labs, 81 percent used the “one increase from 460 labs found in 2012. Of those meth labs, 81 percent used the “one pot” method, portable labs which make small amounts of meth.pot” method, portable labs which make small amounts of meth. Counties in both western and eastern North Carolina saw large numbers of meth labs Counties in both western and eastern North Carolina saw large numbers of meth labs last year. The North Carolina counties with the largest number of meth lab busts in last year. The North Carolina counties with the largest number of meth lab busts in 2013 were: 2013 were: Wilkes (50 labs), Onslow (46 labs), Anson (30 labs), Catawba (27 labs), Wilkes (50 labs), Onslow (46 labs), Anson (30 labs), Catawba (27 labs), Sampson (27 labs), Gaston (26 labs), Burke (23 labs) and Johnston (22 labs).Sampson (27 labs), Gaston (26 labs), Burke (23 labs) and Johnston (22 labs). Onslow, Lincoln, Gaston, Stanly and Sampson counties saw the largest increase in Onslow, Lincoln, Gaston, Stanly and Sampson counties saw the largest increase in meth labs in 2013 as compared to 2012.meth labs in 2013 as compared to 2012. Law enforcement and SBI agents also saw a Law enforcement and SBI agents also saw a significant increase in the number of meth labs in counties surrounding Charlotte in significant increase in the number of meth labs in counties surrounding Charlotte in 2013, including Anson (30 labs), Gaston (26 labs), Union (20 labs), Lincoln (19 labs), 2013, including Anson (30 labs), Gaston (26 labs), Union (20 labs), Lincoln (19 labs), Stanly (15 labs) and Rowan (10 labs) counties.Stanly (15 labs) and Rowan (10 labs) counties. (North Carolina Department of Justice)(North Carolina Department of Justice)

Methamphetamine Labs in Methamphetamine Labs in North Carolina countiesNorth Carolina counties

States that are part of NPLEx (National States that are part of NPLEx (National Precursor Log Exchange) that tracks Precursor Log Exchange) that tracks pseudoephedrine purchases at pseudoephedrine purchases at pharmaciespharmacies

..

Strawberry QuickStrawberry Quick

Strawberry QuickStrawberry Quick

• Strawberry Quick is methamphetamine mixed with strawberry flavoring that minimizes the acidic taste of the drug. It looks like the "Pop Rocks" candy that sizzle in your mouth. In it's current form, it is dark pink in color and has a strawberry scent to it. Police say it comes in other

flavors including chocolate.

PracticalPractical HelpHelp forfor ClientsClients

ExerciseExercise maymay helphelp reducereduce methamphetaminemethamphetamine useuse,,

researchersresearchers havehave concludedconcluded afterafter aa recentrecent studystudy (April(April 2727thth 20142014)).. TheThe abuseabuse ofof amphetamineamphetamine typetype psychomotorpsychomotor stimulantsstimulants remainsremains aa criticalcritical legallegal andand publicpublic healthhealth problemproblem inin thethe UnitedUnited StatesStates.. FederationFederation ofof AmericanAmerican SocietiesSocieties forfor ExperimentalExperimental BiologyBiology (FASEB)(FASEB) ScienceScience DailyDaily..

Hallucinogen SectionHallucinogen Section

BufoBufo AlvariusAlvarius (Hallucinogen)(Hallucinogen) SeveralSeveral speciesspecies ofof toadstoads produceproduce venomvenom thatthat

containscontains psychoactivepsychoactive chemicals,chemicals, butbut onlyonly BufoBufo alvariusalvarius (Colorado(Colorado RiverRiver ToadToad oror SonoranSonoran DesertDesert Toad)Toad) venomvenom containscontains 55--MeOMeO--DMTDMT,, whichwhich isis aa naturallynaturally occurringoccurring psychedelicpsychedelic presentpresent inin thethe venomvenom ofof thethe BufoBufo alvariusalvarius toadtoad.. ItIt isis somewhatsomewhat comparablecomparable inin effectseffects toto DMTDMT;; howeverhowever itit isis substantiallysubstantially moremore potent,potent, soso itit shouldshould notnot bebe confusedconfused withwith DMTDMT.. TheThe venomvenom ofof somesome BufoBufo species,species, includingincluding BB.. alvariusalvarius,, containscontains tracetrace amountsamounts ofof bufoteninbufotenin andand somesome maymay alsoalso containcontain toxictoxic chemicalschemicals.. BufoBufo toadtoad venomvenom isis poisonouspoisonous ifif eateneaten.. ((ErowidErowid))

Benzo Fury (Stimulant & Benzo Fury (Stimulant & Hallucinogen)Hallucinogen)

..

Benzo Fury (stimulant and hallucinogen)

Benzo Fury or 6-APB, is a colorless stimulant, in powder or pill form and is marketed as a “research drug”. Benzo Fury is similar to amphetamines and Ecstasy (MDMA). Effects of Benzo Fury are alertness, increased energy, euphoria, feelings of peace, dilated pupils, tingling feelings, tightening of jaw muscles, raised body temperature, increased heart rate, anxiety attacks and paranoid/confused states.

Marketing of Benzo FuryMarketing of Benzo Fury

Benzo Fury is sold primarily through websites claiming to be manufacturers of research chemicals. One UK website sells Benzo Fury for 10 British Pounds (around $15-16 U.S. dollars) per pill and shipping to the U.S. is available. Benzo Fury was banned in June of 2013.

Dragonfly (hallucinogen)Dragonfly (hallucinogen)

Dragonfly got it’s name from the dragonfly-like appearance of its chemical structure. ..

Bromo Dragonfly, B-Fly, Fly, 2C-B-fly or Europa

Dragonfly is a synthetic hallucinogenic that produces effects similar to LSD or ecstasy. This substance was originally developed as part of a legitimate medical research project, but has no legitimate or medical use. This drug causes long-acting vasoconstriction. This drug can be a powder, liquid or placed on blotter paper like LSD. The hallucinogenic effects of this drug are long-lasting, sometimes lasting up to 3 days. Effects after orally ingesting the drug can be delayed as long as 6 hours which may lead to double dosing and overdose. B-Fly (liquid form) can be concealed in small dropper bottle products. The good news is B-Fly, also classified as a form of 2C-B, has just recently been added to the Controlled Substance Act and is now illegal in the U.S.

22--CI, India, Smiles (Hallucinogen) CI, India, Smiles (Hallucinogen)

..

2C2C--I is replacing Bath Salts as the I is replacing Bath Salts as the hallucinogenic drug of choice. hallucinogenic drug of choice.

• The fluffy white powder is usually pressed into pill form. It produces LSD-like hallucinations and visual distortions, and MDMA-like empathy. The onset of effects is around 40 minutes with peak effects occurring at approximately 2 hours. It can last up to 8 hours.

• 2C-I can be taken orally in tablet or capsule form, snorted in its powder form and orally taken in the form of small squares of blotter paper similar to LSD ingestion. 2C-I is purchased primarily through Internet retailers, but it’s also been sold by street-level dealers. As of July 9th, 2012, 2C-I is a Schedule I controlled substance under the Controlled Substance Act, making possession, distribution and manufacturing illegal.

NN--Bomb (hallucinogen)Bomb (hallucinogen)

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NN--Bomb (hallucinogen)Bomb (hallucinogen)

•• NBOMeNBOMe isis aa clumpclump whitewhite powderpowder withwith aa

notablynotably bitterbitter andand metallicmetallic tastetaste.. ItIt isis oftenoften

soldsold asas LSDLSD oror mescalinemescaline.. ItIt maymay bebe

snorted,snorted, oror mademade intointo aa liquidliquid andand soakedsoaked

intointo blotterblotter paperpaper (like(like LSD)LSD) oror lacedlaced onon

somethingsomething edibleedible.. ItIt isis mostmost oftenoften takentaken onon

breathbreath stripsstrips andand dissolvesdissolves quicklyquickly inin thethe

mouthmouth..

Common Designer DrugsCommon Designer Drugs

ThereThere areare manymany designerdesigner drugsdrugs thatthat havehave beenbeen identifiedidentified inin thethe UnitedUnited StatesStates.. TheseThese areare foundfound inin aa numbernumber ofof differentdifferent categories,categories, includingincluding opioidsopioids,, dissociativesdissociatives,, stimulants,stimulants, hallucinogens,hallucinogens, andand othersothers.. TheThe followingfollowing isis aa listlist ofof somesome ofof thethe manymany newnew designerdesigner drugsdrugs..

Just a few new designer drugsJust a few new designer drugs AminotaldalafilAminotaldalafil,, AildenafilAildenafil,, SulfoaildenafilSulfoaildenafil,,

HydroxyacetildenafilHydroxyacetildenafil,, ThiosildenafilThiosildenafil,, THGTHG, , ProstanozolProstanozol,, MethasteroneMethasterone,, MadolMadol,, NorbolethoneNorbolethone,, ABAB--001,001, RCSRCS--8,8, CP 47,497CP 47,497, , HUHU--308,308, JWHJWH--167,167, JWHJWH--250,250, AMAM--1241, AM1241, AM--1220 (1220 (Dr. Dr. AlexandrosAlexandros MakriyannisMakriyannis developed this compounddeveloped this compound),), RCSRCS--4 4 (banned in Denmark and New Zealand(banned in Denmark and New Zealand),),

1,41,4--Butanediol,Butanediol, MebroqualoneMebroqualone,, EtizolamEtizolam,, PhanazepamPhanazepam,, PremazepamPremazepam,, GammaGamma--valerolactonevalerolactone,, 22--MethylMethyl--22--butanol,butanol, DimethocaineDimethocaine,, DiphenulprolinolDiphenulprolinol,, EthcathinoneEthcathinone,, FlephedroneFlephedrone,, GeranamineGeranamine,, NaphyroneNaphyrone,, MDPV, MDPV, MethylenedioxypyrovaleroneMethylenedioxypyrovalerone,, PentylonePentylone,, BuphedroneBuphedrone,, PMEA,PMEA, PMMA,PMMA, PMA,PMA, MMA,MMA, MethyloneMethylone,, MDEA,MDEA, 44--MTA,MTA, AET,AET, ButyloneButylone,, IAP,IAP, BZP,BZP, mCPPmCPP,, TenocyclidineTenocyclidine,, EthylketamineEthylketamine,, MethoxyketamineMethoxyketamine,, TMATMA--6, TMA6, TMA--2,2, AMTAMT DiPTDiPT,, LSB,LSB, ALDALD--52,52, NortilidineNortilidine, , DimetamineDimetamine..

Making designer drugs illegalMaking designer drugs illegal •• DesignerDesigner drugsdrugs areare simplysimply variationsvariations onon drugsdrugs

thatthat alreadyalready existexist.. TheseThese drugsdrugs areare specificallyspecifically designeddesigned toto avoidavoid andand fallfall outsideoutside ofof thethe lawslaws ofof thethe DEADEA inin thethe UnitedUnited StatesStates.. TheThe variationvariation ofof thethe chemicalchemical structurestructure allowsallows thethe drugdrug toto bebe temporarilytemporarily usedused andand createdcreated withoutwithout thethe fearfear oror expectationexpectation ofof criminalcriminal chargescharges sincesince itit doesdoes notnot fallfall underunder anyany currentcurrent regulationsregulations.. AlthoughAlthough thesethese drugsdrugs oftenoften dodo notnot fallfall underunder regulations,regulations, thethe DEADEA hashas beenbeen givengiven thethe powerpower toto temporarilytemporarily scheduleschedule aa drugdrug thatthat itit isis investigatinginvestigating.. DuringDuring anan investigation,investigation, thethe drugdrug isis likelylikely toto bebe scheduledscheduled asas aa ScheduleSchedule II drug,drug, whichwhich prohibitsprohibits itsits use,use, salesale,, andand distributiondistribution inin thethe UnitedUnited StatesStates.. (Project(Project KnowKnow--UnderstandingUnderstanding Addiction)Addiction)

What is This?What is This?

..

LSDLSD

LSDLSD producesproduces hallucinationshallucinations dissociatingdissociating thethe useruser fromfrom realityreality.. UsersUsers oftenoften reportreport havinghaving thethe abilityability toto seesee andand hearhear thingsthings withoutwithout stimulusstimulus.. ""SynesthesiaSynesthesia"" isis anotheranother effect,effect, causingcausing thethe useruser toto hearhear mattermatter thatthat isis onlyonly visiblyvisibly perceptiveperceptive suchsuch asas hearinghearing colorscolors oror associatingassociating odorodor toto audibleaudible soundssounds suchsuch asas "smelling"smelling voicesvoices.."" EachEach squaresquare piecepiece representsrepresents aa singlesingle dosedose whichwhich costscosts $$55--77 eacheach..

LSA (dLSA (d--lysergic acid amide) lysergic acid amide) hallucinogenhallucinogen

..

LSALSA--hallucinogenhallucinogen

LSALSA isis aa psychedelicpsychedelic ergolineergoline alkaloidalkaloid closelyclosely relatedrelated toto LSDLSD,, roughlyroughly oneone--tenthtenth thethe potencypotency ofof LSDLSD .. ItIt isis mostmost commonlycommonly takentaken byby consumingconsuming anan extractionextraction mademade fromfrom IpomoeaIpomoea tricolortricolor ((MorningMorning gloryglory),), ArgyreiaArgyreia nervosanervosa ((HawaiianHawaiian babybaby woodrosewoodrose)) oror StipaStipa robustarobusta :: SleepySleepy GrassGrass (The(The fungusfungus thatthat infectsinfects SleepySleepy GrassGrass hashas alsoalso infectedinfected andand causedcaused diseasesdiseases inin humans)humans).. ItIt hashas aa widewide rangerange ofof effectseffects includingincluding auditoryauditory andand visualvisual hallucinations,hallucinations, spatialspatial andand temporaltemporal distortion,distortion, introspection,introspection, andand sideside effectseffects suchsuch asas nauseanausea andand

vomitingvomiting..

Peyote (hallucinogen)Peyote (hallucinogen)

..

Peyote (hallucinogen)Peyote (hallucinogen) •• PeyotePeyote changeschanges thethe chemistrychemistry inin thethe brainbrain

toto induceinduce anan alteredaltered mentalmental statestate inin thethe user,user, knownknown asas aa "trip"trip.."" TheThe substancesubstance isis cultivatedcultivated fromfrom thethe peyotepeyote cactuscactus plantplant thatthat growsgrows inin thethe wildwild inin thethe southwesternsouthwestern UnitedUnited StatesStates.. ProtrudingProtruding nubsnubs oror "buttons""buttons" areare pulledpulled fromfrom thethe crowncrown ofof thethe plantplant andand ingestedingested toto experienceexperience variousvarious psychedelicpsychedelic effectseffects.. TheThe mainmain chemicalchemical compoundcompound inin peyotepeyote isis mescaline,mescaline, anan amphetamineamphetamine.. MescalineMescaline cancan bebe extractedextracted fromfrom peyotepeyote oror producedproduced syntheticallysynthetically..

Peyote (hallucinogen)Peyote (hallucinogen)

WhyWhy StopStop Using?Using? PeyotePeyote affectsaffects thethe user'suser's brainbrain chemistrychemistry.. AlteredAltered perception,perception, delusions,delusions, hallucinations,hallucinations, psychosispsychosis andand flashbacksflashbacks areare psychologicalpsychological sideside effectseffects ofof PeyotePeyote..

ItIt cancan causecause anan alteredaltered--mentalmental statestate inin whichwhich thethe

individualindividual isolatesisolates himselfhimself.. OverOver time,time, thisthis isolationisolation cancan developdevelop intointo aa psychosis,psychosis, sappingsapping thethe person'sperson's desiredesire toto dodo anythinganything otherother thanthan livelive inin thatthat imaginaryimaginary placeplace.. TheThe dreamdream--statestate becomesbecomes preferablepreferable toto thethe trialtrial ofof realreal life,life, untiluntil thethe personperson wakeswakes upup oneone dayday andand findsfinds thatthat hehe oror sheshe isis unableunable toto copecope effectivelyeffectively withwith realityreality.. (Project(Project Know)Know)

Nightshade Plants (hallucinogen)Nightshade Plants (hallucinogen)

BelladonnaBelladonna

Belladonna (hallucinogen)Belladonna (hallucinogen)

•• AtropaAtropa BelladonnaBelladonna hashas beenbeen usedused becausebecause ofof thethe vividvivid hallucinationshallucinations andand deliriumdelirium theythey produceproduce.. However,However, thesethese hallucinationshallucinations areare mostmost commonlycommonly describeddescribed asas veryvery unpleasantunpleasant,, andand useuse isis consideredconsidered extremelyextremely dangerousdangerous becausebecause ofof thethe highhigh riskrisk ofof unintentionalunintentional fatalfatal overdoseoverdose.. InIn addition,addition, thethe centralcentral nervousnervous systemsystem effectseffects ofof atropineatropine includeinclude memorymemory disruption,disruption, whichwhich maymay leadlead toto severesevere confusionconfusion..

Angels Trumpet, BrugmansiaAngels Trumpet, Brugmansia

Angels Trumpet, Brugmansia • Angels Trumpet is an herbal drug derived

from a South American tropical tree whose flowers are consumed as a tea, smoked, boiled and eaten (abusers often eat the flowers) for hallucinogenic effects. All parts of Brugmansia are poisonous. In low doses, it’s considered a mild hallucinogen, but higher doses can result in an “eternal” trip or even death.

Sides Effects of Angels TrumpetSides Effects of Angels Trumpet

• Reported side effects include dilated pupils, inability to urinate, severe thirst, confusion, drowsiness, constipation, dry and warm skin, fast heartbeat, anxiety, headaches, hallucinations and memory loss. Users explain this drug as similar in effect to psilocybin mushroom and have also indicated that the drug can remove all capacity for free will.

Henbane (hallucinogen)Henbane (hallucinogen)

Henbane (Nightshade plant)Henbane (Nightshade plant)

HenbaneHenbane isis knownknown asas stinkingstinking nightshadenightshade oror BlackBlack HenbaneHenbane.. SideSide effectseffects includeinclude drydry mouth,mouth, redred skin,skin, constipation,constipation, overheating,overheating, reducedreduced sweating,sweating, visionvision disturbances,disturbances, increasedincreased heartheart rate,rate, difficultydifficulty withwith urinating,urinating, drowsiness,drowsiness, restlessness,restlessness, hallucinations,hallucinations, delirium,delirium, manicmanic episodesepisodes andand deathdeath..

Morning Glory seeds (hallucinogen)Morning Glory seeds (hallucinogen)

Morning Glory (hallucinogen)Morning Glory (hallucinogen)

•• TheThe seedsseeds givegive aa LSDLSD--likelike highhigh whenwhen swallowedswallowed byby thethe hundredshundreds andand areare found to be one-tenth as potent as LSD. The seeds are eaten whole or ground up.

• When the seeds are chewed up, the effects of the drug will take affect within 30 to 90 minutes. Effects are anxiety or panic attacks, distortion of time, space and body image, difficulty concentrating and thinking clearly, severe mood swings, often ranging from a hyper-interested mood to a withdrawn disinterested mood.

Datura, Jimson Weed (hallucinogen)Datura, Jimson Weed (hallucinogen)

Jimson Weed, Datura, Thorn Apple Jimson Weed, Datura, Thorn Apple (hallucinogen)(hallucinogen)

•• DaturaDatura StramoniumStramonium growsgrows 33--55 feetfeet talltall.. ItIt growsgrows wildwild inin mostmost partsparts ofof thethe USUS andand hashas beenbeen calledcalled GreenGreen Dragon,Dragon, Locoweed,Locoweed, Devil'sDevil's Trumpet,Trumpet, Devil'sDevil's Apple,Apple, Devil'sDevil's Weed,Weed, MadMad AppleApple andand StinkweedStinkweed.. TheThe toxictoxic effectseffects areare:: dilateddilated pupils,pupils, elevatedelevated bodybody temperature,temperature, drydry mucusmucus membranes,membranes, urinaryurinary retention,retention, decreaseddecreased gastrointestinalgastrointestinal motility,motility, agitation,agitation, deliriumdelirium,, seizures,seizures, visualvisual hallucinations,hallucinations, amnesia,amnesia, spasmodicspasmodic movementmovement andand comacoma.. SymptomsSymptoms usuallyusually appearappear 11--44 hourshours afterafter ingestioningestion andand maymay persistpersist forfor daysdays..

Salvia (hallucinogen)Salvia (hallucinogen)

SalviaSalvia--hallucinogenhallucinogen

• Salvia (Salvia divinorum) is an herb found

in southern Mexico and Central and South America.

• The dried leaves of Salvia are smoked as a joint, inhaled through water pipes, or vaporized and inhaled. (NIDA)

EffectsEffects of Salviaof Salvia

• People who abuse Salvia generally experience hallucinations or a loss of contact with reality. Effects last 1-30 minutes. They include changes in visual perception, mood and body sensations, emotional swings, and feelings of detachment. People also report a very different perception of reality and trouble interacting with their surroundings.

Nutmeg (deleriant, hallucinogen)Nutmeg (deleriant, hallucinogen)

. .

Nutmeg (deliriant)Nutmeg (deliriant)

Nutmeg contains myristicin, which belongs to the deliriant Nutmeg contains myristicin, which belongs to the deliriant drug family.drug family.

Nutmeg produces Nutmeg produces a hallucinogenic high that most people a hallucinogenic high that most people consider unpleasant.consider unpleasant. Nutmeg Nutmeg takes up to six hours for an takes up to six hours for an individual to even begin feeling minimal effectsindividual to even begin feeling minimal effects. Effects can . Effects can range anywhere from a mild high or stoned feeling similar range anywhere from a mild high or stoned feeling similar to marijuana coupled with alcohol to a fullto marijuana coupled with alcohol to a full--blown deliriant blown deliriant experience with auditory and visual hallucinations, experience with auditory and visual hallucinations, closedclosed--eye visualseye visuals, and shifts in perception. , and shifts in perception. The taste and texture The taste and texture alone can cause nausea and gagging.alone can cause nausea and gagging. Other side effects Other side effects during the primary experience include a proneness to panic during the primary experience include a proneness to panic attacks and inability to focus. Depending on dosage, a user attacks and inability to focus. Depending on dosage, a user may continue to experience a feeling of airy lightness and may continue to experience a feeling of airy lightness and spaceyness for spaceyness for up to five daysup to five days. These persistent effects can . These persistent effects can take the form of a stupor with a lack of ability to focus on take the form of a stupor with a lack of ability to focus on certain tasks or carry on conversations for very long.certain tasks or carry on conversations for very long.

Shamboiling or bubblingShamboiling or bubbling--hallucinogenhallucinogen

ShamboilingShamboiling--boiling shampoo for a boiling shampoo for a hallucinogenic effecthallucinogenic effect

•• ShampooShampoo isis broughtbrought toto aa rapidrapid boilboil andand thenthen thethe fumesfumes areare inhaledinhaled forfor aa hallucinogenichallucinogenic effecteffect.. ShamboilingShamboiling hashas manymany potentialpotential risksrisks includingincluding pneumonia,pneumonia, cardiaccardiac failurefailure oror arrest,arrest, andand aspirationaspiration ofof vomitvomit.. TheThe inhalinginhaling ofof AmmoniumAmmonium LaurylLauryl SulfateSulfate inin shampooshampoo cancan causecause hearinghearing loss,loss, limblimb spasms,spasms, andand damagedamage toto thethe centralcentral nervousnervous systemsystem andand brainbrain.. SeriousSerious butbut potentiallypotentially reversiblereversible effectseffects includeinclude liverliver andand kidneykidney damagedamage andand bloodblood--oxygenoxygen depletiondepletion.. DeathDeath fromfrom inhalantsinhalants isis generallygenerally causedcaused byby aa veryvery highhigh concentrationconcentration ofof fumesfumes..

Molly, MDMA, Ecstasy (stimulant & Molly, MDMA, Ecstasy (stimulant & hallucinogen)hallucinogen)

..

Molly (old drug/new name)Molly (old drug/new name)

•• MollyMolly isis aa purepure formform ofof Ecstasy,Ecstasy, “X”,“X”, “XTC”“XTC” (MDMA)(MDMA).. ThereThere havehave beenbeen manymany recentrecent deathsdeaths fromfrom youngyoung peoplepeople usingusing MollyMolly.. PerformingPerforming artistsartists havehave beenbeen promotingpromoting thethe useuse ofof MollyMolly atat theirtheir concertsconcerts.. After being inhaled, swallowed or parachuted (folded(folded inin aa tissuetissue andand swallowed)swallowed) itit floodsfloods thethe brainbrain withwith thethe neurotransmittersneurotransmitters-- serotonin,serotonin, norepinephrinenorepinephrine andand dopaminedopamine makingmaking themthem feelfeel elated,elated, empathicempathic andand fullfull ofof energyenergy..

EE--Cigarettes and liquid PCPCigarettes and liquid PCP

•• School administrators in a New Hanover School administrators in a New Hanover county school reported a problem with county school reported a problem with students smoking liquid PCP in estudents smoking liquid PCP in e--cigarettes.cigarettes.

Synthetic Synthetic CathinoneCathinone section section (stimulant and hallucinogen) (stimulant and hallucinogen)

OriginOrigin--the the KhatKhat PlantPlant

Khat (stimulant)Khat (stimulant) AA mindmind--alteringaltering chemicalchemical foundfound inin Khat,Khat,

cathinone,cathinone, isis anan illegalillegal ScheduleSchedule II drugdrug.. KhatKhat leavesleaves areare typicallytypically chewedchewed inin thethe cheekcheek likelike chewingchewing tobaccotobacco.. CertainCertain migrantmigrant communitiescommunities inin thethe UnitedUnited StatesStates useuse KhatKhat.. EffectsEffects beginbegin toto subsidesubside afterafter aboutabout 9090 minutesminutes toto 33 hours,hours, butbut cancan lastlast 2424 hourshours.. AfterAfter usingusing Khat,Khat, aa personperson maymay experienceexperience aa depresseddepressed mood,mood, irritabilityirritability,, lossloss ofof appetite,appetite, andand difficultydifficulty sleepingsleeping.. LongLong--termterm useuse includesincludes toothtooth decaydecay andand periodontalperiodontal diseasedisease;; gastrointestinalgastrointestinal disordersdisorders,, constipation,constipation, ulcers,ulcers, inflammationinflammation ofof thethe stomach,stomach, andand increasedincreased riskrisk ofof upperupper gastrointestinalgastrointestinal tumorstumors;; andand cardiovascularcardiovascular disordersdisorders suchsuch asas irregularirregular heartheart--beat,beat, decreaseddecreased bloodblood flow,flow, andand heartheart attackattack..

Bath Salts (stimulant & Bath Salts (stimulant & hallucinogen)hallucinogen)

Bath SaltsBath Salts

“Bath salts” are a new family of drugs

containing cathinone, an amphetamine-like stimulant from the khat plant.

Severe effects include paranoia, agitation, and hallucinations; some even lose contact with reality and act violently. Chemically, they are similar to amphetamines

(methamphetamine and cocaine) and to MDMA (Ecstasy).

Other Health Effects of Bath SaltsOther Health Effects of Bath Salts

• Bath Salts users have needed medical attention for heart problems (racing heart, high blood pressure, and chest pains) and paranoia, hallucinations, and panic attacks.

• Patients with the syndrome known as “excited delirium” from taking bath salts also may have dehydration, breakdown of skeletal muscle tissue, and kidney failure. Intoxication has caused death.

Hallucinogenic and stimulant Hallucinogenic and stimulant effects of Bath Saltseffects of Bath Salts

• A recent study found that MDPV—the most common manmade cathinone found in the blood and urine of patients admitted to emergency departments after taking bath salts—raises brain dopamine in the same way as cocaine but is at least 10 times stronger.

• The hallucinatory effects often reported in users of bath salts are similar to the effects caused by other drugs such as MDMA or LSD. These drugs raise levels of another neurotransmitter, serotonin, in a way that is similar to MDMA.

Gravel (synthetic Gravel (synthetic cathinonecathinone))

..

Gravel (synthetic Gravel (synthetic cathinonecathinone))

•• GravelGravel isis aa highlyhighly addictiveaddictive formform ofof

syntheticsynthetic cathinonecathinone.. ItsIts primaryprimary

component,component, alphaalpha--PVP,PVP, isis oftenoften usedused inin

combinationcombination withwith otherother drugsdrugs.. SeizuresSeizures ofof

thethe drugdrug havehave beenbeen foundfound toto containcontain

methamphetamine,methamphetamine, KlonopinKlonopin,, andand bathbath

saltssalts..

DXM based drugs (cold DXM based drugs (cold medicine)medicine)

Lemon Drop (DXM)Lemon Drop (DXM)

..

Lemon DropLemon Drop • Lemon Drop is a homemade hallucinogen

produced by mixing a painter’s solvent (Naphtha with ammonia, Robitussin Cough Syrup, Sucrets or Vicks Formula 44). Lighter fluid can be used to replace Naphtha. The mixture is heated to extract the DXM (Dextromethorophan). Lemon juice or Country Time powder is added and cooled, which causes the juice/lemonade and DXM to bond. DXM has been a long running form of legal high and various recipes have been published.

Triple C’s (hallucinogen, sedative)Triple C’s (hallucinogen, sedative)

Triple C’s (hallucinogen, sedative)

Coricidin HBP is an over-the-counter drug containing dextromethorphan (cough suppressant, dissociative), Acetominophen (pain reliever, dangerous at high dose), Pseudoepherine (nasal decongestant, also risky at high dose). In large doses dextromethorphan can cause hallucinations. There is a risk of coma, a dangerous decrease in breathing, and even seizures. The abuse of cough medications including DXM can contain other ingredients, such as acetaminophen, which can be very dangerous when taken in large quantities. For example, large quantities of acetaminophen can damage the liver.

Legal drugsLegal drugs

Another New Designer DrugAnother New Designer Drug

MXE, M-Ket, Mexxy or Kmax

MXE or Methoxetamine is a new designer

“research chemical” taken for its hallucinogenic and dissociative effects. It’s usually sold as a white powder. Although not currently scheduled under the U.S. Controlled Substance Act, MXE is considered to be an analog of the drug Ketamine. However, MXE is longer acting and more potent than Ketamine. (Science Daily)

Pump It Powder Pump It Powder (stimulant and hallucinogen) (stimulant and hallucinogen)

..

Pump It Powder (stimulant and Pump It Powder (stimulant and hallucinogen)hallucinogen)

This is another new synthetic drug advertised as an “enhanced plant vitamin” labeled

“not-intended-for-human-consumption” . One of the primary ingredients is Geranamine or Methylhexanamine, which is an amphetamine-related stimulant and decongestant found naturally in the geranium plant. Methylhexanamine hasn’t been widely studied and isn’t listed as an illegal substance under U.S. law.

Signs and Symptoms of Pump ItSigns and Symptoms of Pump It Signs and symptoms are increased heart rate

and body temperature, dilated pupils, sensory distortions and psychotic symptoms. The onset of effects may be delayed which may lead to taking more of the contents and increasing the chances of overdose. The high lasts 4-12 hours. Some users have suffered seizures, Some users have suffered seizures, hallucinations and paranoia. It produces effects hallucinations and paranoia. It produces effects considered to be more powerful than cocaineconsidered to be more powerful than cocaine

and methamphetamine.and methamphetamine.

Marketing of the drug Pump ItMarketing of the drug Pump It

Pump-It has been sold at gas stations, convenience stores, novelty shops and on the Internet, and appears to be most popular in the Midwest states. Pump-It is usually packaged in a 500 mg or 1000 mg tin container and costs around $30 for a 500 mg.

Kratom (stimulant and sedative)Kratom (stimulant and sedative)

KratomKratom • WILMINGTON, NC (WECT) - The DEA calls

Kratom one of its "drugs of concern." It's legal and it's growing in popularity in Wilmington.

• Kratom comes from the Mitragyna Speciosa plant indigenous to Southeast Asia, primarily in Thailand. It acts as a stimulant at lower doses with effects to include alertness, physical energy, talkativeness and giddiness. With higher doses, Kratom mimics an opiate with sedative effects and euphoria. These effects are usually felt within 5–10 minutes after ingestion and the high can last from 2–5 hours.

Negative Side Effects of KratomNegative Side Effects of Kratom

• Negative side effects include nausea, sweating, itching, dry mouth and constipation. Long-term use can potentially result in anorexia, insomnia, weight loss and in some cases psychotic episodes, such as confusion, delusions and hallucinations.

Marketing of KratomMarketing of Kratom Kratom is typically sold via the Internet, at

convenience stores and head shops in the form of green leaves (whole or crushed) and green powder or pills (capsules). Individuals can ingest it orally, smoke it or drink it as a tea when in leaf form. Kratom has been sold as incense with labels on the package stating “not for human consumption,” resembling the packaging and marketing common with Spice and Bath Salts. The DEA’s Office of Diversion Control states Kratom is a drug and chemical of concern with no legitimate medical use, but it remains legal to sell and use.

At least three states, At least three states, Indiana, Tennessee and Indiana, Tennessee and Vermont, have banned Vermont, have banned KratomKratom and others are and others are considering a ban.considering a ban.

Kava (left) and Kratom (right) are being served up in Wilmington

Kava in Wilmington, N.C.Kava in Wilmington, N.C.

•• April 24April 24thth, 2014. People drink Kava, a muddy , 2014. People drink Kava, a muddy looking and tasting substance, to relax.looking and tasting substance, to relax.

•• "It's been described as "It's been described as Cape Fear River Cape Fear River waterwater," ," BoyattBoyatt said. "Somebody said it tastes said. "Somebody said it tastes like summer camp. like summer camp. Most people say it tastes Most people say it tastes like mud."like mud."

•• Kava can cause mouth numbness, which is why Kava can cause mouth numbness, which is why in some countries it is used as a local anesthetic in some countries it is used as a local anesthetic for dental work. for dental work.

•• (WECT) (WECT)

Kava (sedative)Kava (sedative)

Kava (sedative)Kava (sedative)

•• ThereThere areare safetysafety concernsconcerns aboutabout KavaKava.. ManyMany casescases ofof liverliver damagedamage andand eveneven somesome deathsdeaths havehave beenbeen tracedtraced toto kavakava useuse.. KavaKava hashas beenbeen associatedassociated withwith liverliver--relatedrelated injuries,injuries, includingincluding hepatitis,hepatitis, cirrhosis,cirrhosis, andand liverliver failurefailure.. AsAs aa result,result, KavaKava hashas beenbeen bannedbanned fromfrom thethe marketmarket inin Switzerland,Switzerland, Germany,Germany, andand CanadaCanada.. KavaKava isis usedused forfor anxietyanxiety,, stress,stress, andand restlessness,restlessness, andand treattreat sleepsleep problemsproblems.. ItIt isis alsoalso usedused forfor attentionattention deficitdeficit--hyperactivityhyperactivity disorderdisorder ((ADHDADHD),), epilepsyepilepsy,, psychosis,psychosis, depressiondepression,, migrainesmigraines andand otherother headachesheadaches,, chronicchronic fatiguefatigue syndromesyndrome (CFS),(CFS), commoncommon coldcold andand otherother respiratoryrespiratory tracttract infections,infections, tuberculosistuberculosis,, musclemuscle painpain,, andand cancercancer preventionprevention..

Mary Jane’s Relaxing SodaMary Jane’s Relaxing Soda (Anti(Anti--Energy DrinkEnergy Drink--sedative type sedative type

effect)effect) ..

Anti-Energy Drinks

• Commercial bottlers have now produced drinks like Sippin Syrup, Unwind and Mary Jane’s Relaxing Soda which are sold at convenience stores and online and are advertised as an “Extreme Relaxation Beverage.” These products contain sedating-type ingredients, such as Melatonin, Valerian root and Kava.

Effects of AntiEffects of Anti--Energy DrinksEnergy Drinks

• Effects are similar to alcohol intoxication or cold medicines. Anti-energy drinks have warning labels stating “This product may cause drowsiness … Not recommended more than 2 servings within a 24-hour period”. These products are abused in a manner similar to cough syrup or cold medicines.

Lazy Cakes and ½ Baked Lazy Cakes and ½ Baked BrownzzBrownzz (sedative type effect)(sedative type effect)

½ Baked Brownzz advertisement½ Baked Brownzz advertisement

“A great way to relieve tension or take the edge off after a long day at work or home…”

Powered by Sippin Syrup’s natural proprietary relaxation blend including chamomile, lavender, valerian root, rose hips, l-theanine (People use theanine for treating anxiety and high blood pressure-WebMD) , hops, St John’s Wort, skullcap and kava extracts and melatonin. “So...If your amped or want to decompress here’s the solution.”

Lazy Cakes have been sold in convenient stores in N.C.

Valerian Root (sedative)Valerian Root (sedative)

Valerian Root (sedative)Valerian Root (sedative)

•• ValerianValerian isis mostmost commonlycommonly usedused forfor sleepsleep disorders,disorders, especiallyespecially thethe inabilityinability toto sleepsleep (insomnia)(insomnia).. ItIt isis frequentlyfrequently combinedcombined withwith hops,hops, lemonlemon balm,balm, oror otherother herbsherbs thatthat alsoalso causecause drowsinessdrowsiness.. SomeSome peoplepeople whowho areare tryingtrying toto withdrawwithdraw fromfrom thethe useuse ofof “sleeping“sleeping pills”pills” useuse ValerianValerian toto helphelp themthem sleepsleep afterafter theythey havehave taperedtapered thethe dosedose ofof thethe sleepingsleeping pillpill.. ThereThere isis somesome scientificscientific evidenceevidence thatthat ValerianValerian worksworks forfor sleepsleep disorders,disorders, althoughalthough notnot allall studiesstudies areare

positivepositive..

Melatonin Melatonin MelatoninMelatonin isis aa hormonehormone mademade byby thethe pinealpineal glandgland ,, aa smallsmall

glandgland inin thethe brainbrain.. MelatoninMelatonin helpshelps controlcontrol youryour sleepsleep andand wakewake cyclescycles.. YouYou cancan alsoalso buybuy itit asas aa supplementsupplement.. YourYour bodybody hashas itsits ownown internalinternal clockclock thatthat controlscontrols youryour naturalnatural cyclecycle ofof sleepingsleeping andand wakingwaking hourshours.. InIn part,part, youryour bodybody clockclock controlscontrols howhow muchmuch MelatoninMelatonin youryour bodybody makesmakes.. Normally,Normally, MelatoninMelatonin levelslevels beginbegin toto riserise inin thethe midmid-- toto latelate evening,evening, remainremain highhigh forfor mostmost ofof thethe night,night, andand thenthen dropdrop inin thethe earlyearly morningmorning hourshours..

LightLight affectsaffects howhow muchmuch melatoninmelatonin youryour bodybody producesproduces.. DuringDuring thethe shortershorter daysdays ofof thethe winterwinter months,months, youryour bodybody maymay produceproduce melatoninmelatonin eithereither earlierearlier oror laterlater inin thethe dayday thanthan usualusual.. ThisThis changechange cancan leadlead toto symptomssymptoms ofof seasonalseasonal affectiveaffective disorderdisorder (SAD(SAD),), oror winterwinter depressiondepression..

Common drugs used by Common drugs used by Adolescents in North CarolinaAdolescents in North Carolina

CommonCommon drugsdrugs usedused byby adolescentsadolescents inin NorthNorth CarolinaCarolina differdiffer byby regionregion.. WhatWhat isis popularpopular inin oneone countycounty maymay notnot bebe widelywidely usedused inin thethe adjacentadjacent countycounty.. TheThe toptop threethree drugsdrugs ofof choicechoice byby adolescentsadolescents inin NorthNorth CarolinaCarolina areare alcohol,alcohol, marijuana,marijuana, thenthen syntheticsynthetic marijuanamarijuana.. AA trendtrend duringduring thethe lastlast tenten yearsyears isis anan increaseincrease inin opiateopiate useuse.. NotNot onlyonly areare teensteens usingusing nonprescriptionnonprescription pills,pills, theythey areare usingusing heroinheroin andand streetstreet methadonemethadone..

20122012--2013 Illicit Use of Drugs among 2013 Illicit Use of Drugs among 1212thth Graders Nationwide Graders Nationwide

20122012 20132013 •• MarijuanaMarijuana--36.4 % 36.4 % 36.4 % 36.4 % •• Synthetic MarijuanaSynthetic Marijuana--11.3 % 7.9 %11.3 % 7.9 % •• AdderallAdderall--7.6 % 8.7 %7.6 % 8.7 % •• VicodinVicodin--7.5 % 5.3 %7.5 % 5.3 % •• Cough MedicineCough Medicine--5.6 % 5.0 %5.6 % 5.0 % •• TranquilizersTranquilizers--5.3 % 4.6 %5.3 % 4.6 % •• HallucinogensHallucinogens--4.8 % 4.5 %4.8 % 4.5 % •• SedativiesSedativies--4.5 % 4.8 %4.5 % 4.8 % •• SalviaSalvia--4.4 % 3.4 %4.4 % 3.4 % •• OxycontinOxycontin--4.3 % 3.6 %4.3 % 3.6 % •• MDMA (Ecstasy)MDMA (Ecstasy)--3.8 %3.8 % •• InhalantsInhalants--2.9 % 2.5 %2.9 % 2.5 % •• Cocaine (any form)Cocaine (any form)--2.7 % 2.6 %2.7 % 2.6 % •• RitalinRitalin--2.6 % 2.3 %2.6 % 2.3 %

• 2013 national Monitoring the Future (MTF) survey

How are Illegal Drugs Coming in to How are Illegal Drugs Coming in to North Carolina?North Carolina?

•• Methamphetamine production laboratories Methamphetamine production laboratories frequently are located in the mountains and frequently are located in the mountains and woods of western and central North Carolina and woods of western and central North Carolina and cannabis cultivation is widespread in areas cannabis cultivation is widespread in areas including the Pisgah and Nantahala National including the Pisgah and Nantahala National Forests in the western part of the state. Forests in the western part of the state.

•• Most drugs are transported into and through Most drugs are transported into and through North Carolina via private and commercial North Carolina via private and commercial vehicles.vehicles. Criminal groups commonly use Criminal groups commonly use interstate highways to transport drugs into the interstate highways to transport drugs into the state for distribution in local communities. state for distribution in local communities.

How are Illegal Drugs Coming in How are Illegal Drugs Coming in to North Carolina?to North Carolina? •• Mexican criminal groups, in particular, take Mexican criminal groups, in particular, take

advantage of the large volume of goods shipped advantage of the large volume of goods shipped in tractorin tractor--trailers from Mexico to North Carolina trailers from Mexico to North Carolina to transport drugs into the state. Criminal groups to transport drugs into the state. Criminal groups also use commercial buses and passenger trains also use commercial buses and passenger trains to transport drugs into North Carolina, though on to transport drugs into North Carolina, though on a more limited basis.a more limited basis.

•• Criminal groups also transport drugs into and Criminal groups also transport drugs into and through North Carolina by air. North Carolina's air through North Carolina by air. North Carolina's air transportation network includes the transportation network includes the Charlotte/Douglas, RaleighCharlotte/Douglas, Raleigh--Durham, Piedmont Durham, Piedmont Triad, and Wilmington International Airports. Triad, and Wilmington International Airports.

How are Illegal Drugs Coming in How are Illegal Drugs Coming in to North Carolina?to North Carolina? •• Criminal groups sometimes transport drugs into North Criminal groups sometimes transport drugs into North

Carolina via package delivery services. Carolina via package delivery services.

•• North Carolina has two deepwater ports: Wilmington and North Carolina has two deepwater ports: Wilmington and Morehead City. Legitimate goods are received at these ports Morehead City. Legitimate goods are received at these ports of entry from commercial vessels arriving primarily from the of entry from commercial vessels arriving primarily from the Far East and Europe. Very few drug seizures occur at these Far East and Europe. Very few drug seizures occur at these ports.ports.

•• Mexican criminal groups are the dominant transporters of Mexican criminal groups are the dominant transporters of cocaine and marijuana in North Carolina. These criminal cocaine and marijuana in North Carolina. These criminal groups also distribute methamphetamine and a limited groups also distribute methamphetamine and a limited amount of heroin. Mexican criminal groups routinely use amount of heroin. Mexican criminal groups routinely use Mexican illegal immigrants in North Carolina as couriers to Mexican illegal immigrants in North Carolina as couriers to transport cocaine, marijuana, and methamphetamine. transport cocaine, marijuana, and methamphetamine.

Information SourcesInformation Sources

•• www.nida.nih.govwww.nida.nih.gov

•• www.webmd.comwww.webmd.com

•• www.lawofficer.com/article/investigationwww.lawofficer.com/article/investigation

/emerging/emerging--drugdrug--trendstrends

•• National Institute of HealthNational Institute of Health

•• Monitoring the Future surveyMonitoring the Future survey--20132013

•• NDICNDIC--National Drug Intelligence CenterNational Drug Intelligence Center

•• WECT (Wilmington News Station)WECT (Wilmington News Station)

•• The News and ObserverThe News and Observer

•• DEA (Drug Enforcement Administration)DEA (Drug Enforcement Administration)

•• WPD and New Hanover County Sheriff’s Dept.WPD and New Hanover County Sheriff’s Dept.

Information SourcesInformation Sources

•• Project KnowProject Know--Understanding AddictionUnderstanding Addiction

•• North Carolina Department of JusticeNorth Carolina Department of Justice

•• North Carolina SBI North Carolina SBI

• The Brookhaven Natural Laboratory

•• Regional Organized Crime Information Regional Organized Crime Information CenterCenter

Pervitin (Methamphetamine)Pervitin (Methamphetamine)

•• Pervitin is methamphetamine that was produced Pervitin is methamphetamine that was produced by a German company in 1938. It was used by by a German company in 1938. It was used by German soldiers in WWII. Adolf Hitler’s personal German soldiers in WWII. Adolf Hitler’s personal physician gave him three injections of liquid physician gave him three injections of liquid methamphetamine daily during WWII.methamphetamine daily during WWII.