Lieutenant John Harless Mississippi Bureau of Narcotics

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Lieutenant John Harless Mississippi Bureau of Narcotics Discuss current trends in drug abuse Increase awareness of the dangers of drug abuse Become familiar with the signs and symptoms of drug use 1

Controlled Substance a drug, substance or immediate precursor in Schedules I-V of the Mississippi Code Prescription Drug a drug that requires a prescription from a doctor or pharmacist Over the Counter Medication (OTC) substances available for purchase with no restrictions Intoxicant a substance that intoxicates Combining multiple intoxicants versus using a single substance Increased level of intoxication and greater potential for overdose Synergism and Potentiation ie 1+1=3 Common with alcohol+marijuana, alcohol+narcotic, narcotic+depressant Stimulants+Depressants=ups and downs 2

A habit-forming substance whose use may lead to the abuse of drugs that are more addictive or more dangerous. Alcohol Tobacco Synthetic Herbal Blends Marijuana Obtained by legitimate prescriptions, fraudulent prescriptions, illicit purchases, or theft of friends and family s prescriptions Narcotics Depressants Stimulants 3

Manufacture to relieve pain, suppress cough, induce anesthesia, and alleviate diarrhea The majority of narcotics are derived from the opium poppy. Lack of Concentration Pupils Constricted Droopy Eye Lids Slurred Speech Lethargic Dry Itchy Skin Reduced Heart Rate Nausea and Vomiting Constipation 4

Oral Rectal Crushed and Snorted Crushed and Injected Various 5

MBN Initiated Cases 2012 24 cases - total seizures of approximately 109 grams 2013 38 cases total seizures of approximately 6,657 grams (14.66 pounds) A rise in heroin abuse is commonly seen in areas in which prescription drug abuse is ongoing. 6

The 2010 Mississippi Smart Track Survey reveals that 4% of students in grades 6-11 have illicitly used a prescription drug in the past 30 days. 2011 survey of lifetime illicit usage of prescription drugs: Mississippi 15.7% National 20.7% 7

Hydrocodone Most commonly abused legal narcotics Diverted from licit uses Smuggled from foreign sources of supply Obtained from internet sources 8

Hydrocodone became a Schedule II Controlled Substance under Federal law on October 1, 2014 It will become Schedule II under Mississippi state law this legislative session This makes it harder to obtain and more severe to criminally posses 9

Extremely powerful synthetic narcotic approximately 100 times more potent than morphine Delivered through transdermal patches or lollipops Danger of contact exposure DO NOT TOUCH PATCHES 10

OPANA HARDER TO BREAK DOWN AND ABUSE OXYCONTIN-NO LONGER MANUFACTURED DOMESTICALLY 11

Buprenorphine a Schedule III semi-synthetic opioid utilized to treat opioid addiction and treat moderate pain. Most commonly seen as sublingual tablets. Also contains and opioid receptor antagonist that may block the effects of more traditional narcotics. Often crushed and snorted in an attempt to obtain a rush or taken sublingually. Often used by opioid addicts for selfmedication to prevent withdrawals from other narcotics of choice (hydrocodone, oxycodone, etc). Legitimate Suboxone treatment is expensive. This leads to self-addiction treatment via illicit Suboxone purchases. Specific drug tests for Suboxone are available. False positives for other opioids may result in normal testing. 12

Benzodiazepines -anti-anxiety drugs similar effects to alcohol 13

Sleep Aids Amphetamines used to treat ADD/ADHD and for weight loss Very powerful drugs, similar in effect to methamphetamine 14

Promethazine codeine syrup often mixed with fruit juice or Sprite (Purple Drank Sizzuryp) - narcotic Euphoric, psychedelic, and dissociative properties when administered in doses well above those which are considered therapeutic medically Popular with adolescents Robotripping 15

Each participant is required to bring a bottle of pills The pills are all poured into a bowl and mixed Everyone has a handful Leads to dangerous combinations and reactions Strong Benzodiazepine No longer Manufactured in US Obtained in Mexico 16

Tranquilizer effect K Hole coma like Out of body experiences Injected, snorted, or drank Displaces oxygen in the brain and causes high Common inhalants include spray paint, air cleaner, nitrous oxide propellant, glue, white out, magic markers, gasoline May cause brain damage on first use May also displace air in lungs and lead to suffocation 17

Reported use in previous month 3.3% of students in grades 6-11 The inhalant is normally put into a paper sack or on clothing or a rag and inhaled. 18

Drug abuse is always evolving. You must stay educated to not get left behind. Don t be afraid to talk about drug abuse issues. This is how you gain current and correct information. Ask questions and share the knowledge if you encounter something new. Lieutenant John Harless 1-800-844-NARC jharless@mbn.ms.gov QUESTIONS? 19