synthetic marijuana and the latest trends in substance abuse nancy v rodway md ms mph medical...
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Synthetic marijuana Synthetic marijuana and the latest trends and the latest trends in substance abusein substance abuse
Nancy V Rodway MD MS MPHNancy V Rodway MD MS MPHMedical Director Occupational Medical Director Occupational Services and Employee HealthServices and Employee Health
Lake HealthLake Health
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ObjectivesObjectives
Describe the origin of novel substances Describe the origin of novel substances and their marketingand their marketing
Review the manufacture of these Review the manufacture of these substancessubstances
Describe the human effects of these Describe the human effects of these substances and signs of overdosesubstances and signs of overdose
Legality of these substancesLegality of these substances Screening for abuse of novel Screening for abuse of novel
substancessubstances
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Synthetic MarijuanaSynthetic Marijuana
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Synthetic marijuana killed nine Synthetic marijuana killed nine adults in 2010 in the U.S.adults in 2010 in the U.S.
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Synthetic MarijuanaSynthetic Marijuana
An 18 year old in Iowa smoked Spice An 18 year old in Iowa smoked Spice and “felt like he was in hell” and shot and “felt like he was in hell” and shot himself with a shotgunhimself with a shotgun
A Hawaii man threw his girlfriend off an A Hawaii man threw his girlfriend off an 1111thth floor balcony while high on Spice floor balcony while high on Spice
A customs agent seized 1500 packets of A customs agent seized 1500 packets of Spice at an express parcel service hub Spice at an express parcel service hub in Wilmington Ohio in 2009in Wilmington Ohio in 2009
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Tripoint Medical Center Tripoint Medical Center admitted 11 in January and admitted 11 in January and
February due to dangerously February due to dangerously high BP and pulse after high BP and pulse after
smoking synthetic marijuanasmoking synthetic marijuana
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Synthetic marijuanaSynthetic marijuana
Blaze
Red X Dawn
Yucatan Fire
Genie
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Synthetic marijuanaSynthetic marijuana Structurally related to THC, the Structurally related to THC, the
active compount in marijuanaactive compount in marijuana Basically, five types:Basically, five types:
– JWH-018JWH-018– JWH-073JWH-073– JWH-200JWH-200– CP-47,497CP-47,497– CannabicyclohexanolCannabicyclohexanol
Two synthesized at Clemson in the Two synthesized at Clemson in the 1980s for research purposes1980s for research purposes
Most made in China, India and Asia Most made in China, India and Asia then routed through Europethen routed through Europe
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Synthetic marijuana isn’t Synthetic marijuana isn’t marijuanamarijuana
Plant matter dried Plant matter dried Chemical is dissolved in a Chemical is dissolved in a
liquid then sprayed on liquid then sprayed on plant matterplant matter
Mixture is then smoked or Mixture is then smoked or ingestedingested
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Synthetic MarijuanaSynthetic Marijuana
Sold as herbal incenseSold as herbal incense– Substances have no odorSubstances have no odor
Sold as plant food (Bonsai-18)Sold as plant food (Bonsai-18)
““Not for human consumption”Not for human consumption”
Sold at head shops, internetSold at head shops, internet
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A brand new way A brand new way to traffic drugsto traffic drugs
Over the counterOver the counter
“I assumed it was safe because it was legal”
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What it does to youWhat it does to you
HIGH heart rate (120-150)HIGH heart rate (120-150) ConvulsionsConvulsions Anxiety attacksAnxiety attacks HIGH blood pressureHIGH blood pressure DisorientationDisorientation Hallucinations and paranoiaHallucinations and paranoia
– Monsters demons aliensMonsters demons aliens– Suicidal thoughts and actionsSuicidal thoughts and actions
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It looks like marijuana but It looks like marijuana but it feels like LSDit feels like LSD
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Legal actionLegal action
On March 1, the DEA temporarily On March 1, the DEA temporarily made synthetic marijuana a made synthetic marijuana a Schedule 1 substance of the Schedule 1 substance of the Controlled Substance ActControlled Substance Act
Like LSD, heroin and cocaineLike LSD, heroin and cocaine Illegal to manufacture, distribute Illegal to manufacture, distribute
possess, import and export synthetic possess, import and export synthetic cannabinoidscannabinoids
Done to avoid an imminent Done to avoid an imminent hazard to public safetyhazard to public safety
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Bath SaltsBath Salts
They are not your grandma’s bath They are not your grandma’s bath salts!salts!
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According to the Ohio According to the Ohio Dept of Alcohol and Dept of Alcohol and
Drug Addiction Services, Drug Addiction Services, bath salts are used most bath salts are used most
frequently in Dayton frequently in Dayton and Clevelandand Cleveland
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Hurricane Charlie
Ivory Wave
Cloud 9
White Rush
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Bath saltsBath salts
A Kentucky woman became A Kentucky woman became convinced that her 2 year old was a convinced that her 2 year old was a demon. She picked the child up and demon. She picked the child up and dropped him on his headdropped him on his head
A Mississippi man cut his face and A Mississippi man cut his face and stomach with a hunting knife stomach with a hunting knife
A Mentor man tried to hang himself A Mentor man tried to hang himself with a belt after snorting bath saltswith a belt after snorting bath salts
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Bath saltsBath salts
No legitimate use for bath No legitimate use for bath water—marketed “for novelty water—marketed “for novelty use only”use only”
Mimics cocaine, LSD and Mimics cocaine, LSD and methamphetaminemethamphetamine
Snort, inject and ingest Snort, inject and ingest
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What it does to youWhat it does to you
Cause paranoia, hallucinations, Cause paranoia, hallucinations, suicidalsuicidal
Can’t sleepCan’t sleep Bizarre behaviorBizarre behavior Rapid heart rateRapid heart rate Difficulty breathingDifficulty breathing Much longer duration than synthetic Much longer duration than synthetic
marijuanamarijuana
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Bath saltsBath salts Contain the chemical Contain the chemical MephedroneMephedrone
and/or and/or MDPVMDPV (methylenedioxypyrovalerone)(methylenedioxypyrovalerone)
Synthesized from the naturally Synthesized from the naturally occurring stimulant occurring stimulant CathinoneCathinone
Cathinone from the Khat plantCathinone from the Khat plant
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CathinoneCathinone
Schedule 1 Schedule 1 drugdrug
AmphetamineAmphetamine
Khat is common Khat is common in Columbus in Columbus Ohio!Ohio!
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Legal ActionLegal Action
None at the federal level yetNone at the federal level yet
Ten states have banned bath Ten states have banned bath saltssalts
Ohio ban currently in legislationOhio ban currently in legislation
Arrest on disorderly conductArrest on disorderly conduct
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Urine Drug ScreeningUrine Drug Screening
These two drugs are These two drugs are not detectednot detected on routine urine drug screenson routine urine drug screens
To add urine testing for these drugs, To add urine testing for these drugs, the cost is approximately $75 to the cost is approximately $75 to $100 per group (synthetic marijuana $100 per group (synthetic marijuana group and bath salts group)group and bath salts group)
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Lake CountyLake County