Sue Scheff: Dangers of Drugs – HEROIN

by Sue Scheff on Nov 19, 2009


Personally, I don’t think parents of kids today can hear enough about the dangers of drug abuse.  It has never been more deadly, and that is not saying it was not deadly years ago, however the access seems to be easier and the peer pressure is growing.  When I hear parents tell me their teen is “only smoking pot” it bewilders me that many don’t understand that is the gateway to many other substances for many kids.  I won’t say all, but many will start with pot and graduate to meth, crack, and so many others on the streets now.  One of the most dangerous, in my opinion, is heroin.  Take a few minutes to read a recent article by Connect with Kids about this drug and some parenting tips.

heroinSource: Connect with Kids

HEROIN

“Yeah, you can snort heroin. Definitely snort heroin. That’s what I do.”

– Christina, 18 years old

In Illinois, Oregon, New York, Alabama and several other states, police are reporting an increase in the number of deaths of young people from an overdose of heroin. In fact, today government surveys show that over 25 percent of high school seniors say heroin is “fairly easy to buy.”

“Smack”, “H”, “Junk” … they’re all street names for heroin. And anecdotal evidence suggests the use of this drug may be on the rise for two reasons, experts say.

First, many kids already using prescription drugs are looking for a new and cheaper high.

“Kids are looking for something different. And this is something different. Every addict- anybody who’s ever been addicted to drugs is always looking for that perfect high, the thing that will get them feeling the way that they want to feel, but they still want to convince themselves that they’re in control. And so addicts are constantly looking for new drugs, new combinations, new ways to take drugs and this is just an extension of that,” explains substance abuse counselor, Dr. Robert Margolis.

Second, heroin today is purer and more refined, which means it can be snorted instead of injected.

“Yeah, you can snort heroin, definitely snort heroin. That’s what I do,” says 18-year-old Christina.

That makes heroin more appealing to kids afraid of sticking a needle in their arm.

“It’s a way for kids to rationalize doing a drug that is highly addictive and highly dangerous. Of course, it’s in no way safe, it’s in no way ok, but it’s a way that in their minds they convince that it’s safe,” says Margolis.

That’s exactly what Christina thought. “I won’t do it because I know shooting things up is stronger and it makes it more addictive.”

But, Margolis warns, it won’t be long until they’re looking for a stronger high. “Give them time. After a few years of snorting, they’ll be shooting up. There’s no doubt about it.”

Heroin is an illegal, highly addictive drug. It is both the most abused and the most rapidly acting of the opiates. Heroin is processed from morphine, a naturally occurring substance extracted from the seed pod of certain varieties of poppy plants. It is typically sold as a white or brownish powder or as the black sticky substance known on the streets as “black tar heroin.”

According to the National Institutes on Drug Abuse, although purer heroin is becoming more common, most street heroin is “cut” with other drugs or with substances such as sugar, starch, powdered milk, or quinine. Street heroin can also be cut with strychnine, fentanyl or other poisons. Because heroin abusers do not know the actual strength of the drug or its true contents, they are at risk of overdose or death. Heroin also poses special problems because of the transmission of HIV and other diseases that can occur from sharing needles or other injection equipment.

Tips for Parents

Heroin enters the brain, where it is converted to morphine and binds to receptors known as opioid receptors. These receptors are located in many areas of the brain (and in the body), especially those involved in the perception of pain and in reward. Opioid receptors are also located in the brain stem—important for automatic processes critical for life, such as breathing (respiration), blood pressure, and arousal. Heroin overdoses frequently involve a suppression of respiration.

After an intravenous injection of heroin, users report feeling a surge of euphoria (“rush”) accompanied by dry mouth, a warm flushing of the skin, heaviness of the extremities, and clouded mental functioning. Following this initial euphoria, the user goes “on the nod,” an alternately wakeful and drowsy state. Users who do not inject the drug may not experience the initial rush, but other effects are the same.

With regular heroin use, tolerance develops, in which the user’s physiological (and psychological) response to the drug decreases, and more heroin is needed to achieve the same intensity of effect. Heroin users are at high risk for addiction—it is estimated that about 23 percent of individuals who use heroin become dependent on it.

References

  • National Institutes on Drug Abuse

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Sue Scheff – ADHD and Drug Abuse

by Sue Scheff on Jan 31, 2009


As a parent that has an ADHD child, I know firsthand the pros and cons of RX meds for children. It was a major decision for us to choose medication, however it was the best choice for my son. Each child and family are different. I believe it is best to have a second opinion, like I said, making this decision is major.

Since I speak with parents I know that many have concerns with their teens abusing this medication – selling it at school or even purchasing it to get a high. Be an educated parent – learn more about the medications used for ADD/ADHD.

Source: Connect with Kids

“In a way that athletes have used steroids and other medications in the past to enhance their athletic performance, Adderall is actually being used to kind of pseudo-enhance their academic performance.”

– Heather Hayes, M.Ed., Counselor.

Nineteen-year-old Marisa McCorkle has been using Adderall for two years.

“I use it for various reasons,” she says, “like tests, it helps me on tests. [And it] helps me stay awake, and [with] studying.”

It sounds like a wonder drug. Adderall – an amphetamine commonly used to treat ADHD.  But, studies show it’s being abused more and more.

“In a way that athletes have used steroids and other medications in the past to enhance their athletic performance, Adderall is actually being used to kind of pseudo-enhance their academic performance,” states Heather Hayes, a licensed professional counselor.

One of the biggest problems with using the drug recreationally is that most teens are unaware of its dangers.

Twenty-year-old “Dave,” a college student, says, “I think it’s pretty safe unless you’re taking five at a time.”

But experts say even in small doses, the dangers of taking Adderall can range from headaches, increased heart rate and insomnia to things far worse.

“Any amphetamine has the potential to give someone an amphetamine psychosis,” warns Hayes. “So when you take a lot of amphetamines and you’re not sleeping, then you will literally hallucinate. … [You] will absolutely leave reality and become delusional and paranoid.”

Hayes says parents need to make the dangers of taking Adderall clear to teens. Otherwise, they may continue to believe it’s a cheap and easily available drug that helps them study. Marisa and Dave are examples of students with this belief.

“I get it for free, but I know people who will give … maybe two to five dollars [per pill],” says Marisa.

“Actually, I’m gonna go to my doctor and, uh, try to get a prescription next semester,” says Dave, “’cause I think it’s a really effective way to get good grades. I wouldn’t think it was that hard to, uh, fake having ADD.”

But others say Adderall fools you – that it only seems like it’s helping kids study. Amanda Mattison, 17, has seen first-hand what can happen.

“[Students taking Adderall] can focus when they’re taking it, and they study and they cram for five or six hours and they’re good-to-go for the exam,” she says, “but by the time the exam rolls around, they’re either too worn out or … it’s lost it’s effect.”

“Bottom line,” says Hayes, “Adderall is as dangerous of a drug when unsupervised as any other medication. It’s addictive and it is dangerous.”

 

Tips for Parents

Adderall, manufactured by Shire Pharmaceuticals Group of the United Kingdom, is a stimulant prescribed for attention-deficit hyperactivity disorder, or ADHD. Shire states, “Adderall isn’t intended to enhance test scores and should only be used under medical supervision.”

Adderall is a fast-acting mixture of amphetamines. Amphetamines act on the brain by mimicking the neurotransmitter dopamine, which increases alertness and concentration. Studies conducted by the National Institutes of Health in the late 1970s found that low-dose stimulants increase concentration and alertness in everyone, not just people with attention disorders. Here are some things to know about ADHD:

  • ADHD is a medical condition linked to a chemical imbalance in the brain. Doctors believe it stems from biological, not environmental, conditions.
  • Generally, people with ADHD have trouble focusing on tasks or subjects, and they may act impulsively and often get in trouble.
  • Approximately 3 to 7 percent of school-age children and 4 percent of adults suffer from ADHD.
  • Adderall is one of a handful of stimulants prescribed for ADHD.
  • Side effects of Adderall can include loss of appetite, insomnia and weight loss.

During late-night study marathons, students from grade school to med school have long relied on stimulants– which include everything from caffeine to cocaine. But with Adderall, and other similar prescription drugs, some high school and college students are hoping to improve scores on standardized (and even classroom) tests. Other students are turning to alternative medicine, such as hypnosis or herbal supplements, for an extra edge.

The concern with Adderall is not from a single use. One pill won’t kill you. But one pill is likely to lead to a second pill, then a third and a subsequent snowball effect where physical damage can occur. Also, Adderall is relatively easy to obtain. Overall, prescriptions for stimulants have risen from 1.6 million in 2000 to 2.6 million a month in 2004. Adderall XR, a once-a-day, extended-release form of the drug, is the leader in its class, capturing about a third of the market. Consider the following:

  • Prescription drug use was once rare, but it has now crossed into the mainstream.
  • Prescriptive amphetamines have figured prominently in calls to emergency departments and poison control centers.
  • Kids, and even their parents, are desperate for any available academic edge and willing to go to the extreme to obtain it.
  • Some students feel extra pressure because they feel they are not just failing themselves, but also failing their parents and other family members.
  • The College Board, the nonprofit administrator of the SAT, has no rules explicitly prohibiting drug use. Spokeswoman Chiara Coletti says, “We certainly do not recommend that students take any drugs or stimulants in hopes of affecting their scores.”
  • Some kids taking Adderall have valid prescriptions, but not all. Under federal law, it’s illegal to knowingly possess a “schedule II” drug (like Adderall) without a prescription. But prosecutions for possession are rare.
  • Many schools would suspend or expel a student caught using marijuana or other street drugs but might not punish students taking prescription drugs to help with test taking.

References

  • ADHD Support and Resources from Eli Lily
  • National Institutes of Health
  • Nature Magazine
  • Shire Pharmaceuticals Group
  • TeensHealth
  • The Wall Street Journal

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