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Gen Rx Collegiate Presentation: Illicit Drugs, Just the Tip of the Iceburg

Updated May 29, 2013
by

Ryan Crass

on 27 March 2014

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Transcript of Gen Rx Collegiate Presentation: Illicit Drugs, Just the Tip of the Iceburg

GRCP Presentation
Illicit drugs: Just the Tip of the Iceberg
So how does Wisconsin stack up?
What do they Do?
Bind to pain receptors in the brain and spinal cord
Block pain signals from reaching the brain
This binding in the brain can cause feelings of euphoria and relaxation
Side-effects of Opioid Drugs
Common
Nausea and Vomiting
Drowsiness
Constipation
Dry Mouth
Serious
Breathing Problems
Tolerance/ Dependance
Psychosis
Opiate Abuse in the U.S.
Dangers of Opioids
Alcohol
Increases risk of side effects and central nervous system depression (i.e. breathing problems)
Depdendence
Physical & Psychological
~
2 million people
are opiate dependent
Stimulant Medications
Stimulants
What do you think of?
Psychoactive drugs which improve mental function, physical function, or both
Amphetamines
Adderall

Vyvanse
Methylphenidate
Ritalin
Concerta
What Can Go Wrong?
What do they do?
Block the reuptake of excitatory chemicals in the brain
Ampthetamines also directly stimulate receptors
Increase concentration, alertness, and arousal
Clinical Uses
Attention Deficit Hyperactivity Disorder (ADHD)
Narcolepsy
Misuse
Study Aid
Energy Boost
All Night Parties
Lessens Effects of Alcohol
Unhealthy Weight Loss
So What Else Can You Do?
Ideas?
Adequate Sleep
What does sleep do?

Learning and Memory
Metabolism and Weight
Wakefulness
Mood
Cardiovascular Health
Keep Up
Study a little bit each day
Avoid Cramming
Brain can make connections more easily

Do not procrastinate
Start early
Waiting until the last minute induces stress

STAY ORGANIZED
Use Your Resources!!
Professors
TAs
Campus Tutoring/Help Services
Peers
Group Study!
Reducing Test Anxiety
Chew Gum
10 Minute Free Write
Why are you anxious?
Exercise beforehand
Arrive Early
Go Slow!
What Questions Do You Have?
Do stimulants improve college performance?
Keep you awake?
Decrease memory

Decreased problem solving
Improve Concentration?
Over all aspects:

More concentrated on distractions
Memory?
Does not improve complex memory tasks
Works Cited
1. CDC. Unintentional Drug Poisoning in the United States. Poison Issue Brief. July 2010. Online

2. Wisconsin State Council on Alcohol and Other Drug Abuse Prevention Committee - Controlled Substances Workgroup. Reducing Wisconsin’s Prescription Drug Abuse:
A Call to Action. Jan 2012. Online

2. Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (January 24, 2013). The DAWN Report: Emergency Department Visits Involving Attention Deficit/Hyperactivity Disorder Stimulant Medications. Rockville, MD.

3. Healy, Melissa. Emergency room visits for ADHD medications rise sharply, report says. LA Times; Jan 25, 2013. Online

4. NIH. Stimulant ADHD Medications - Methylphenidate and Amphetamines. DrugFacts; 2009. Online

5. NIDA. Prescription Drugs: Abuse and Action. NIH Publication Number 11-4881
Printed July 2001, Revised October 2011.

6. NIDA. Prescription Drug Abuse. Topics in Brief; Revised December 2011

7. CDC. Policy Impact: Prescription Painkiller Overdoses. Home and recreational safety - Poisonings; Nov 2011; Online.

8. Lakhan S E, Kirchgessner A. Prescription stimulants in individuals with and without attention deficit hyperactivity disorder: misuse, cognitive impact, and adverse effects. Brain and Behavior, 2. 2012; 661–677. doi: 10.1002/brb3.78
Collegiate Presentation
Prescription Drug Misuse in WI, Ages 12+
WI falls
ABOVE
the national average for prescription drug misuse!
Which type of prescription Medication do you believe is driving that trend?
Opioid Analgesics
What are they?
Can you think of any examples of opioid painkillers?
hydrocodone
Vicodin
oxycodone
OxyContin
Percocet
fentanyl
Duragesic
meperidine
Demerol
codeine
Are illegal drugs more dangerous than legal prescription and OTC medications?
Non-medical
use of legal drugs led to an
equivalent
number of ER visits as illicit drugs
Over 1 million in 2008!
Norepinephrine
Dopamine
Common Side-effects
Headache
Loss of Appetite
Rapid heart rate
Insomnia
Serious Side-effects
Psychosis/Mania
Depression/ Anxiety
Dependence/ Withdrawal
Stimulant Related ER Visits
Age-related prevalence of Stimulant Misuse and Abuse
Case Studies
Benzodiazepines
Stimulants
Dextromethorphan Cough Suppressants
Opioid Analgesics
Medical Uses:
Anti-anxiety, anti-panic, anti-convulsant (Prevents Seizures), hynotic (sleep aid)
Adverse Effects:
Tolerance (need higher doses), sedation, memory impairment, cognitive difficulties
Examples:
Valium (diazepam), Xanax (alprazolam)
What immediate effects do you expect JP to experience after taking this medication?
What long term effects might this have on his life?
Case:
JP is a 20 year old who works as a Milio’s Subs delivery driver. He is a good student and swims recreationally. He is planning to go to grad school for a PhD in neurobiology.
Medical Uses:
Attention Deficit Hyperactivity Disorder (ADHD), narcolepsy
Adverse Effects:
Agitation, anxiety, insomnia, tachycardia (rapid heart rate), loss of appetite
Examples:
Adderall (amphetamine), Ritalin (methyphenidate)
Case:
EP is a 22 year old female with an undiagnosed underlying heart condition. She is pre-med and plans to take her MCAT in the summer.
What immediate effects do you expect EP to experience after taking this medication?
What long term effects might this have on her life?
Medical Uses:
Treatment of moderate to severe pain
Adverse Effects:
Tolerance/Dependence, Respiratory Depression, Constipation, Psychosis, Cognitive Impairment
Examples:
Vicodin (hydrocodone/APAP), OxyContin (oxycodone)
Case:
RC is an 18 year old freshman girl who just moved into the dorms. She is planning to go to a frat party this evening after being invited by a friend from one of her classes.
What immediate effects do you expect RC to experience after taking this medication?
What long term effects might this have on her life?
Medical Uses:
Anti-tussive (Cough Suppressant)
Adverse Effects:
Tolerance/Dependence, Respiratory Depression, Constipation, Psychosis, Cognitive Impairment
Examples:
Robitussin-DM, Mucinex-DM, NyQuil
Case:
DC is a 21 year old male. He is taking a girl he likes from his class to dinner and then out to the bars afterward. He has a history of depression and is taking an antidepressant.
What immediate effects do you expect DC to experience after taking this medication?
What long term effects might this have on his life?
Further questions contact:
Ryan Crass (rcrass@wisc.edu)
Amy Sunderland (asunderland @wisc.edu)
Stimulants at UW-Madison
National College Health Assessment (2011)
Last 12 months
7.1%
(
7.8%
National Avg)
Opioids at UW-Madison
National College Health Assessment (2011)
Last 12 months
5.4%

(
7.5%
National Avg)
UW-Madison AODA (2011)
Last 30 days:
12%
Since starting college:
16%
UW-Madison AODA (2011)
Last 30 days:
6%
Since starting college:
10%
Full transcript