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Agency Services Resources

 GHB

 Ecstasy

Herbal Ecstasy

 Special K

 Psilocybin

 Ice

 Rohypnol

 LSD

Drug Update

2002 PEER Services’ Update on Current Drugs of Abuse
DRUG: GHB
SUMMARY
GHB is an analog and catabolic metabolite of the neurotransmitter gamma amino butyric acid (GABA). It is most commonly known as Gamma Hydroxybutyric Acid, but other technical names include sodium oxybate, CAS 502-85-2 (sodium salt), Wy-3478 (sodium salt), and NSC-84223 (sodium salt). In 2000 it was made a Schedule I controlled substance (no medical use, high potential for abuse). GHB powerfully and rapidly induces sleep, and depresses the central nervous system (CNS), resulting in decreased pulse and breathing rates, lowered blood pressure, and sedation. Users of GHB may quickly develop tolerance to the drug. In high doses, GHB use can be fatal.

GHB is used for a number of different purposes. It may be taken in order to achieve an alcohol-like or downer type of intoxication. It is sometimes mixed with alcohol to intensify its effects, which may result in respiratory depression and coma. Strangely enough, GHB has also been used as an alternative to anabolic steroids among body-builders and athletes who either do not want to take steroids or are concerned that a urine test might disclose their use of steroids.

GHB has been sold already mixed in liquid and dispensed by the water-bottle cap to the user. The saturation and concentrations of these "home-brews" have varied so that the user is not usually aware of the actual dose they are drinking. The onset of effects occurs within 15-30 minutes, and lasts 3-6 hours.

GHB has been linked to at least 58 deaths nation-wide since 1990, and in 2000 there were over 4,900 GHB-related hospitalizations. The sedating effects of GHB make it an extremely dangerous drug to mix with alcohol. Many drug-assisted sexual assaults have been the result of GHB.


OTHER NAMES
"G-riffic"
"Liquid-X"
"Liquid-6"
Scoop
Somatomax
Grievous Bodily Harm
Georgia
Home Boy

WHAT IT LOOKS LIKE
A white powder or a colorless, tasteless, odorless liquid
HOW IT IS USED
Orally, usually through the adulteration of liquid beverages, such as alcohol

NEGATIVE EFFECTS
Central nervous system depression
Seizure-like Movements
Sedation
Unconsciousness
Drowsiness
Vomiting
Dizziness
Tremor
Respiratory or cardiac arrest

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DRUG: ECSTASY
SUMMARY
Ecstasy, or MDMA (Methylenedioxymethamphetamine), is a synthetic drug that acts simultaneously as a stimulant and a hallucinogen. It is a synthetic analog of Methamphetamine developed by the German pharmaceutical company Merk in 1915 as a diet drug. Merk never marketed MDMA because of its unwanted side effects. It stimulates the central nervous system and produces hallucinogenic effects. The price of Ecstasy depends on the supply and demand in the area, but usually ranges from $10 to $40 per dose. Ecstasy, a designer drug, is created in clandestine laboratories and can be extremely dangerous; there have been numerous reports of buyers unknowingly receiving drugs other than Ecstasy.

Brain scans comparing a repeat Ecstasy user with someone who has never used Ecstasy show significant decline in functioning of Serotonin, a critical neurochemical that regulates mood, emotion, learning, memory, sleep, and pain. The scans show that the serotonin sites are still not present in the Ecstasy user, even after 3 weeks without using any drugs.

Users who take Ecstasy at raves risk exhaustion and dehydration from a combination of the drug and non-stop dancing, and users have died from heat stroke. Another problem with Ecstasy emergencies is hyponatremia (low salt), which comes from drinking too much water, commonly known as water intoxication. In addition, a number of deaths have been reported from drugs sold as ecstasy that were actually PMA (paramethoxyamphetamine), a related amphetamine with even more severe side effects. During 1999-2000 there was a 58% increase in Ecstasy overdose cases from 2,840 to 4,511.

While designer drugs, including Ecstasy, have received much attention in recent years due to their increase in popularity, a vast majority of teenagers and young adults don’t use Ecstasy or other club drugs. In fact, the 2000 national Monitoring the Future Study reports that 89% or 12th graders have never tried Ecstasy (the most frequently used of the club drugs).


OTHER NAMES SLANG TERMS
XTC
Adam
Rolling
Stacking
Candy
E X
Flipping
Blowing-up
Beans
Rolls
Rolling Donuts

WHAT IT LOOKS LIKE
Tablet (over 600 head stamps designs, pill colors and shapes), capsule, powder.

HOW IT IS USED
Swallowed
Rectal administration

NEGATIVE EFFECTS
Muscle tension
Nausea
Blurred vision
Fainting
Reduced appetite
Sleep problems
Permanent Kidney Damage
Tremors
Increased heart rate & blood pressure
Death
Psychiatric disturbances, including panic, anxiety, depression, and paranoid thinking
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DRUG: HERBAL ECSTASY
SUMMARY
Herbal ecstasy is a term used to describe a combination of herbs which are legal, inexpensive, and marketed as a "natural high." Herbal ecstasy can be purchased over the counter in some drug stores, music stores, and shops around the country at a cost of approximately $3 per pill. Producers generally suggest that the recommended dose for the "natural high" is approximately 4 pills.

The packaging on these products, including brand names "Herbal Ecstasy" (sic), "Cloud 9" and "Ultimate Xphoria," promises "increased energy," "inner visions," "sexual sensations," and "cosmic consciousness." Users report feeling relaxed, tingly, and energetic. These sensations are caused primarily by caffeine and ephedra (also known as ma huang), which is the key ingredient in herbal ecstasy. Ephedra is an herb that has been used in China for 2,000 years to treat respiratory problems. The active chemical of the herb ephedra is ephedrine, which is a chemical used pharmaceutically in decongestant and asthma medications. Ephedrine used in large doses can be very dangerous.

In 1996, the Food and Drug Administration (FDA) issued a warning about "Herbal Ecstasy" over-the-counter supplements, citing some cases of liver failure, heart attacks, seizures, strokes, and deaths associated with use. In 2000 the FDA issued a Federal Register notice announcing the availability of a guidance for industry entitled "Street Drug Alternative," which states that the FDA considers any product promoted as a street drug alternative to be an unapproved new drug and a misbranded drug. Many states have banned the sale of herbal ecstasy following the reports of deaths of users.

OTHER NAMES - By brand name:
Herbal Ecstasy
Cloud 9
Rave
Energy
Ultimate Xphoria
X

WHAT IT LOOKS LIKE

Pills sold in colorful packaging, may come in various sizes and colors.
HOW IT IS USED
Swallowed
NEGATIVE EFFECTS
Seizures
Strokes
Heart attacks
Death
Increased heart rate & blood pressure
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DRUG: SPECIAL K
SUMMARY
Special K is made from ketamine hydrochloride, a drug widely used as an animal tranquilizer by vets in pet surgery. It was first used by the military during the Viet Nam war as a field painkiller. It is a powerful hallucinogen, similar to LSD and PCP. A dose of Special K costs about $25-$50.

Special K is frequently used in combination with other drugs, such as Ecstasy, heroin and cocaine. A combination of cocaine and special K is known as "CK." Users sometimes call the high caused by Special K "K land" and describe profound hallucinations that include visual distortions and a lost sense of time, sense and identity. The high lasts anywhere from 1 to 6 hours.

Special K users will display involuntary eye jerking, increased heart rate and blood pressure, increase in body temperature and insensitivity to pain. It produces a dissociative effect; memory, perception of reality and control over movement are all dissociated from each other. Ketamine has a very high potential for psychological addiction. An overdose, (roughly 1 gram of the drug), will produce unconsciousness, a total lack of pain response and convulsions leading to death. At high doses Ketamine produces a memory blackout, which also makes Special-K a sexual assault risk.

Special K is usually snorted, but it is sometimes sprinkled on tobacco or marijuana and smoked. The most potent, and most dangerous way to use ketamine is by injection. It can also be mixed into drinks. It is often combined with other drugs such as Ecstasy, heroin and cocaine.

OTHER NAMES
Vitamin K
Super Acid
psychedelic heroin
Super K
Kit-Kat
New Ecstasy

WHAT IT LOOKS LIKE
White powder, similar to cocaine
HOW IT IS USED
Snorted, smoked, mixed into drinks, or injected (as a liquid)
NEGATIVE EFFECTS
Delirium
Amnesia
Impaired motor function
Nervousness
Difficulty breathing
Potentially fatal respiratory problem
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DRUG: PSILOCYBIN/PSILOCIN
SUMMARY
Certain types of naturally occurring mushrooms contain hallucinogenic chemicals- psilocybin and psilocin. These mushrooms are typically grown in Mexico and Central America and have been used in native rituals for thousands of years.

Dried mushrooms contain only about 0.4% psilocybin and only trace amounts of psilocin. Hallucinogenic effects can be obtained by ingesting 4-8 milligrams of the active hallucinogenic chemicals or about 2 grams of the dried mushrooms. The mild hallucinogenic effects of the mushrooms lasts about 6 hours.

The effects of the mushrooms are unpredictable each time they are used due to varying potency, the amount ingested, and the users expectations, mood, surroundings, and frame of mind.

Once ingested, mushrooms typically cause feelings of nausea and other physical symptoms, before the desired mental effects appear. The high from using mushrooms is mild and consists of distorted perceptions. The effects may include different perception of stimuli like touch, sight, sound, and taste. The effects are similar to LSD but milder.

Some users order kits with spores and grow their own mushrooms in a closet or basement. Others look for naturally growing mushrooms, running the risk of mistakenly selecting poisonous mushrooms that can cause death or permanent liver damage within hours of ingestion. Some dealers sell regular grocery store mushrooms lased with LSD or PCP as "magic mushrooms."

OTHER NAMES
Mushrooms
Shrooms

WHAT IT LOOKS LIKE
Small brown mushrooms sometimes crumbled or in cubes
HOW IT IS USED
Eaten or brewed into tea

NEGATIVE EFFECTS
Increased blood pressure
Sweating
Nausea
Disorientation
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DRUG: ICE
SUMMARY
"Ice" (D-methamphetamine) is a slang term for a smokable form of the freebase methamphetamine. It is an extremely addictive stimulant. Its effects are similar to those of cocaine but longer lasting. "Ice" can cause erratic, violent behavior among its users. The nickname "ice" is derived from its translucent rock-like appearance. "Ice" is expensive and difficult to produce.

The effect of "ice" is similar to crack cocaine, but the high lasts much longer, about 10 hours. "Ice" concentrates Its effects on the brain and produces less effect on the body. After taking "ice", users (especially those beginning) experience a crash that can last as long as 3 days.

OTHER NAMES
Methamphetamine
Crystal Meth
Glass
Designer Crystal

WHAT IT LOOKS LIKE
Translucent, rocklike substance
HOW IT IS USED
Smoked
NEGATIVE EFFECTS
Interference with sleeping behavior
Mood swings and unpredictable, violent behavior
Tremors and convulsions
Nausea, cramps, and vomiting
Increased blood pressure,
irregular heart rate
Coma or death
Stroke
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DRUG: ROHYPNOL
SUMMARY
Rohypnol is the brand name for a drug called Flunitrazepam, which is a sedative that is 10 times more powerful than Valium. Rohypnol is not legally available for prescription in the United States, but is legal in many countries worldwide for treatment of insomnia. The drug has gained popularity in the last few years as a recreational drug called "roofies" among young people, especially in the South and Southwest. Use of the drug creates a sleepy, relaxed, and drunk feeling that lasts about 8 hours and a single dose costs about $3.

"Roofies" are sometimes used at the end of an Ecstasy or other Club Drug high to counter the negative effects of withdrawal. High doses of the drug, or in combination with alcohol and other drugs, will produce vomiting and a decrease in respiration rate. Used with alcohol, "roofies" produce disinhibition and complete memory loss for a period of 8 to 24 hours after consumption.

"Roofies" have recently gained a reputation as the "date rape" drug. One primary effect of the drug can be anterograde amnesia. Females around the county have reported being raped after being involuntarily sedated with "roofies," which were often slipped into their drink by an attacker. The drug has no taste or odor so the victims don’t realize what is happening. About 10 minutes after ingesting the drug, the woman may feel dizzy and disoriented, simultaneously too hot and too cold, and nauseated. She may experience difficulty speaking and moving, and then pass out. Such a victim will have no memory of what happened while under the drug’s influence.

OTHER NAMES
Roach
Roofies
the forget pill
Landing gear
roofanol
RZ
La roche
Mexican Valium
rope

WHAT IT LOOKS LIKE
A small white tablet with no taste or odor when dissolved in a drink
HOW IT IS USED
Swallowed as a pill, dissolved in a drink
NEGATIVE EFFECTS
Blackouts, with a complete loss of memory
Dizziness and disorientation
A sense of fearlessness and aggression
Nausea
Tolerance & Addiction
Decreased heart rate & blood pressure
Slurred speech
Loss of coordination
Death
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DRUG: LSD
SUMMARY
LSD is the most common hallucinogen. LSD was discovered in 1938 by Dr. Albert Hoffman, and is one of the most potent mood altering chemicals. It is manufactured from lysergic acid, which is found in ergot, a fungus that grows on rye and other grains. LSD is classified under Schedule I of the Controlled Substances Act, which includes drugs with no medical use and/or a high potential for abuse.

LSD, commonly referred to as "acid," is sold on the street in tablets, capsule, or occasionally in liquid form. It is odorless and colorless, with a slightly bitter taste, and is usually taken by mouth. Often, LSD is sold as "blotter acid," where the drug is imprinted on small colorful sheets of paper. A single dose costs around $4-$5 and lasts for 3 to 12 hours.

Users refer to the experience with LSD as a "trip," and adverse reactions as a "bad trip." The user may experience panic, confusion, suspicion, anxiety, and loss of control. Flashbacks can even occur when use has ceased. Most users of LSD voluntarily decrease or stop its use over time. LSD is not considered to be a physically addictive drug.

WHAT IT LOOKS LIKE
LSD is sold in tablets, capsules, and occasionally liquid form. Many users buy "blotter acid" where the LSD is imprinted on colorful paper.
HOW IT IS USED
LSD is usually taken by mouth, can also be absorbed through the skin or mucous membrane.
NEGATIVE EFFECTS
Potentially devastating psychiatric effects
Muscle Tremors
Elevated body temperature
Disorientation
Elevated blood pressure
Sleeplessness
Chronic recurring hallucinations (flashbacks)
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