What is abuse?

- Taking more of prescription drug than youíre supposed to
- Taking a prescription drug that is not yours
- Taking a prescription drug for a reason other than youíre supposed to

Parents are the most useful tool in identifying signs and symptoms of teen drug use. This is because parents know their child, and therefore are able to recognize when things ďjust aren't right.Ē Here are some steps you can do and some signs to look for:

1. Trust your instincts. If things donít feel right, they more than likely arenít.

2. Search your childís room and/or car. Look for sudden locked doors, unusual smells, strange wrappers, empty pill bottles, orange caps, missing spoons from the home, and other out of place items.

3. Ask your child if he or she is using drugs. Donít be surprised if he/she denies use, but also do not be afraid of risking upset by raising the subject.

4. If you are unsuccessful in getting the evidence you need to substantiate your suspicion, do not give up. Repeat steps 1-3 over, and over, and over again until you do. Again, realize that as the parent you know your child better than anyone else and you are most likely to know when there is a problem.

5. If you do identify there is a problem, seek help immediately. The following resource is available to guide you through this difficult and trying time:

http://www.drugfree.org/know-child-using/i-know-my-child-is-using/

Remember, just one pill, one time can be deadly. Mixing alcohol or other drugs with prescription drugs can be deadly. Many combinations of prescription drugs are toxic and can be fatal.



Signs & Symptoms of Drug Use

Personality Changes
- Drop in grades and/or skipping school
- Depression, mood swings
- Inability to explain large chunks of time
- Avoidance behaviors
- Paranoia
- Withdrawn and secretive
- Defensive, hostile, uncooperative

Track marks on arms or legs from IV injection
- Unexplained bruising
- Wearing inappropriate clothing for the season, such as long sleeves in summer

Changes in sleeping patterns
- Excessive sleepiness: Opiates/heroin, Depressants, Marijuana, Alcohol
- Excessive hyperactivity: Stimulants

Eyes
- Marijuana: red with dilated pupils
- Alcohol: red with inability to focus
- Opiates/heroin: pin-point, constricted pupils
- Avoids making eye contact

Face
- Alcohol: red, flushed cheeks
- Sores or spots around the mouth
- Marijuana or Ecstasy: licking of lips or excessive thirst
- Frequent nosebleeds from inhaling
- Discoloration around the mouth: Over the counter cough medications

Hygeine
- Bad breath, or excessive gum chewing to cover up the smell
- Strong cologne/body spray to cover drug smells
- Changes in bathing habits
- Sudden carelessness about appearance

Unusual Weight Gain or Loss
- Heroin: decrease in weight
- Marijuana: increase due to "munchies" or sudden, voracious appetite



Commonly Abused Prescription Drugs

DEPRESSANTS

Intoxication Effects: Sedation/drowsiness, reduced anxiety, feelings of well-being, lowered inhibitions, slurred speech, poor concentration, confusion, dizziness, impaired coordination and memory

Potential Health Consequences: lowered blood pressure, slowed breathing, tolerance, withdrawal, addiction; increased risk of respiratory distress and death when combined with alcohol

Also for barbiturates: euphoria, unusual excitement, fever, irritability, life-threatening withdrawal in chronic users

Name Commercial Names Street Names DEA Schedule Administration Method
Barbituates Arnytal
Nembutal
Seconal
Phenobarbital
barbs
reds
red birds
phennies
tooies
yellows
yellow jackets
II
III
V
injected
swallowed
Benzodiazepines Ativan
Halcion
Librium
Valium
Xanax
candy
downers
sleeping pills
tranks
IV swallowed
Sleep Medications Ambien (zolpidem)
Sonata (zaleplon)
Lunesta (eszopiclone)
forget-me pill
Mexican Valium
R2
Roche
roofies
roofinol
rope
rophies
IV snorted
swallowed

OPIOIDS & MORPHINE DERIVATIVES

Intoxication Effects: Pain relief, euphoria, drowsiness, sedation, weakness, dizziness, nausea, impaired coordination, confusion, dry mouth, itching, sweating, clammy skin, constipation

Potential Health Consequences: Potential Health Consequences - slowed or arrested breathing, lowered pulse and blood pressure, tolerance, addiction, unconsciousness, coma, death; risk of death increased when combined with alcohol or other CNS depressants

Also for fentanyl: 80-100 times more potent analgesic than morphine

Also for oxycodone: muscle relaxation/twice as potent analgesic as morphine; high abuse potential

Also for codeine: less analgesia, sedation, and respiratory depression than morphine

Also for methadone: used to treat opioid addiction and pain; significant overdose risk when used improperly

Name Commercial Names Street Names DEA Schedule Administration Method
Codeine Empirin w/ Codeine
Fiorinal w/ Codeine
Robitussin A-C
Tylenol w/ Codeine
Captain Cody
Cody
schoolboy
doors & fours
loads
pancakes & syrup
II
III
V
injected
swallowed
Morphine Roxanol
Duramorph
M
Miss Emma
monkey
white stuff
II
III
injected
swallowed
smoked
Methadone Methadose
Dolophine
fizzies
amadone
chocolate chip cookies
II swallowed
injected
Fentanyl & Analogues Actiq
Duragesic
Sublimaze
Apache
China girl
China white
dance fever
friend
goodfella
jackpot
murder 8
TNT
Tango & Cash
II injected
smoked
snorted
Other Opioid Pain Relievers Tylox
Oxycontin
Percodan
Percocet
Vicodin
Lortab
Lorcet
Dilaudid
Opana
Numporphan
Numorphone
Demerol
Meperidine HCL
Darvon
Darvocet
Oxy
O.C.
oxycotton
oxycet
hillbilly heroin
percs
Vike
Watson-387
juice
smack
D
footballs
dillies
biscuits
blue heaven
blues
Mrs. O
octagons
stop signs
O bomb
demmies
pain killer
II
III
V
chewed
swallowed
snorted
injected
suppositories

STIMULANTS

Intoxication Effects: Feelings of exhilaration, increased energy, mental alertness

Potential Health Consequences: increased heart rate, blood pressure, and metabolism, reduced appetite, weight loss, nervousness, insomnia, seizures, heart attack, stroke

Also, for amphetamines: rapid breathing, tremor, loss of coordination, irritability, anxiousness, restlessness/delirium, panic, paranoia, hallucinations, impulsive behavior, aggressiveness, tolerance, addiction

Also, for methylphenidate: increase or decrease in blood pressure, digestive problems, loss of appetite, weight loss

Name Commercial Names Street Names DEA Schedule Administration Method
Amphetamines Biphetamine
Dexedrine
Adderall
bennies
black beauties
crosses
hearts
LA turnaround
speed
truck drivers
uppers
II injected
swallowed
smoked
snorted
Methylphenidate Concerta
Ritalin
JIF
MOH
R-ball
Skippy
the smart drug
vitamin R
II injected
swallowed
snorted



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