D&A Class PPT - Opiate Info

Harvested since 4000 BC in countries such as,Egypt & Persia.
Opium popular 200 years ago, when it was introduced to Europe

plethora of issues: diarrhea - coughing.
Early 1800s, used to make morphine.

1979, afghan govt. began to loose control, when it was invaded by the Soviet Union.
Invasion led to an increase in opium production to get money for guns.
When they left, warlords took control, promoted opium production

Afghanistan produces 92% of non-pharmaceutical opiates.
Afghan opium takes 100,000 lives around the world

30,000 deaths a year, due to heroin.
2009 - 2.5 mil. addicts.

new users 95-02 ranged from 121,000 - 164,000.
Actual findings, 281,000 received treatment in 2003.
314,000 used in the past year.

respiratory problems, dry mouth, nausea, vomiting, itchy skin/rash

depends on purity, user, method of administration

china white, black pearl, brown sugar, junk, tar, snow, snowball, smack, scag, scat, sack, skunk

similar to heroin

minimum 200mg

mister blue, morpho, dreamer, god's drug

similar to others: irregular heartbeat, muscle pain, yellowing skin/eyes, dizziness, dark urine, fever/chills

usually 200mg

blue, cotton, ox, hillbilly heroin, pills

vicodin = short acting version

vikes, viko, hydro, norco

1% prescribed become addicted.
2/3 of users report having been physically/sexually abused as a child.
symptoms compared to the "super flu"

Desired dose (mg/kg) x person’s weight (kg) = n (mg) of the drug

schedule II analgesic. used to reduce opiate usage.
created in germany.
even though it acts on the same opiate receptors & has similar effects, it is chemically different

methadose, dollies, junk, metho, jungle juice, fizzies, wafter

patients usually start at a low dose & observed for any adverse effects.
Majority of patients require 80-125mg/day

not usually covered by insurance.
welfare is encouraged
can cost upwards of $500/month!

Schedule I drug
2nd line treatment if patients do not respond to methadone.
Starting dose = 20-40mg

only administered 2-3 times/week, rather than daily.
LAAM does not produce a high like methadone.
Found more effective in reducing heroin dependence

majority in teens - as young as11
method of use: oral, smoking, snorting, injecting

robert downey jr.
kurt cobain
courtney love
angelina jolie

1st clinic founded after WWII
clinics focus on treatment of chronic pain associated with cancer, back problems, & other chronic pains

"Pain Mills" disguised as pain clinics.
in 2010 enough painkillers were prescribed to supply every adult with a 1 month supply.
Most selling states = Florida, New Mexico, Oklahoma

prescription-drug od kill 7 floridians a day.
In past years, loose laws in Florida allowed pain clinics to flourish