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America’s deadliest and fastest-growing drug problem

As we have talked about before, prescription drug abuse is a growing epidemic. Whether you are experiencing physical or emotional difficulty, there are pills for everything and more and more people are abusing them. Recently the feds announced new initiatives to address what has been called “America’s deadliest and fastest-growing drug problem.”

According to the CDC, US emergency department visits involving nonmedical use of opioid analgesics and benzodiazepines more than doubled from 2004 to 2008, and most unintentional poisonings in the US are due to drugs, both prescribed and illegal.

This week, the White House released their Prescription Drug Abuse Prevention Plan, targeting four areas of needed improvement: education, monitoring, proper medication disposal, and enforcing elimination of improper prescribing and drug-seeking behavior.

The FDA also took initiative with a Risk Evaluation and Mitigation Strategy (REMS) targeting doctors and patients.

Truly the reoccurring theme with this epidemic is education with the doctors and patients. So get educated about any prescription written for you or a loved one.

Click here for the full article from the San Francisco Chronicle.  

How long are drugs detectable in your system?

How long after last use are drugs detectable?

The answer depends on which drug; type of specimen; each person’s own metabolism; drug concentration and/or dosage; how often the drug was used; and the sensitivity of the testing procedure.

Oral Fluid: Very recent use up to 2 days, depending on the drug
Blood: Most drugs are non-detectable after five to 48 hours, depending on the drug. A good rule of thumb is only use blood for drug testing if the person is impaired at the time of collection.
Urine: May allow detection for several days, sometimes even more than a week.  However, urine analysis does not generally permit any toxicological evaluation of drug impairment, merely drug use.
Hair: Drugs stay in the hair, so detection is dependent on the length submitted for testing.  A standard hair drug test is 1 ½”, or 90 days
Nails: This includes Nail Clippings (from the tips of the nails) and Nail Shavings/Scrapings (from the surface of the nail).  Nail clippings yield an approximate thirty (30) day timeframe, six (6) months prior to collection.  Nail clippings and shavings yield up to a six (6) month timeframe

Poison Prevention for your Household

On behalf of last week’s Poison Prevention Week, we have the Top 5 Tips to help keep you and your children safe from all poisons in your home.

According to the New York State Department of Health, people should keep all poisons, including medications, cosmetics, household cleaners and chemicals, plants and other poisonous substances out of the reach of children.

  1. Child Proofing/Education – Always keep medication in its original container, away from children. Remember to secure all lids after use. Never tell your children that medicine is candy. Educate your children on the dangers of misusing medication. Make sure to read labels carefully before giving medicine to your children or other family members.
  2. Dispose of Medication Properly – while you may have heard that the best solution to dispose of expired or unwanted medication is to flush it or pour it down the drain, that is not safe. Instead, crush the pills and mix them with old coffee grounds, sand or kitty litter.
  3. Storage Solutions – We recommend that you do not store medication in the bathroom or kitchen. The bathroom is warm and moist and can cause changes or disintegration of the product. Poisonous or toxic products should be kept in a locked cabinet.
  4. Do Your Research – You should be aware of household plants that are dangerous to pets, but there are also plants that are poisonous to humans. Do your research on plants in your house and keep them out of the reach of children.
  5. Garage Poisons – Anti-freeze, windshield washing fluid and other similar products should be stored in a locked cabinet. Childproof safety latches can be purchased at your local hardware store.

An unknown poison and toxin analysis tests for unknown chemicals, poisons and toxins that include but are not limited to pesticides, organic exposure chemicals, painting or cleaning products, rodent poison, volatiles and inhalants. This analysis does not test for drugs or heavy metals. No two situations are alike, so contact ExperTox for assistance if you suspect poisoning or toxic exposure.

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Bath Salts Blamed for Deaths

March 21, 2011: In the last six months, a rash of crimes and deaths have swept across the Southern states as the result of a street drug called bath salts. Joel Eisenbaum reports. Click here for the video and the full article.

http://www.click2houston.com/video/27271268/index.html

Top Signs Your Child May Be Using Drugs or Alcohol

Drugs and Alcohol

According to the National Institute on Drug Abuse’s (NIDA) 2008 “Monitoring The Future” study on illicit drug and alcohol use by teens and youth, drug use trends that concern both parents and schools reflect:

Schools

  • 10.9% of 8th graders, 23.9% of 10th graders and 32.4% of 12th graders use marijuana
  • 15.4% of 12th graders have used prescription drugs for non-medical purposes. Vicodin continues to be abused at high levels.
  • 2.7% of 8th graders, 7.2% of 10th graders and 9.6% of 12th graders had abused Vicodin
  • 1.8% of 8th graders, 3.9% of 10th graders and 5.2% of 12th graders had abused OxyContin for nonmedical purposes at least once in the year prior to being surveyed

From peer pressure to looking for a way to deal with family and life challenges, drug and alcohol use by teens is a problem. More importantly, parents and schools may work hand-in-hand in monitoring and managing substance abuse.

What are some of the signs and symptoms of teen drug and/or alcohol use? The short list includes:

  • Behavioral issues
    • Changes in relationships with family members or friends
    • Mood changes or emotional instability
    • Withdrawn or depressed; uncommunicative
    • Periods of sleeplessness or high energy, followed by long periods of sleeping
  • Absenteeism or loss of interest in school or extracurricular activities
  • Failure to fulfill responsibilities at school or home
  • Disappearance of prescription and over-the-counter drugs, as well as alcohol or money
  • Personal appearance, habits or action changes
    • Poor hygiene and personal care
    • Track marks on arms or legs
    • Frequently breaking curfew
    • Using over-the-counter eye reddening washes and/or breath mints and gum more frequently

ExperTox supports both parents and schools through its drug and alcohol testing services designed to target those most vulnerable areas of substance abuse by youth and teens. Alternative specimen testing options allow for drug detection over varying time periods, from recent use to six months or more, including oral fluid, blood, urine, hair and nails.

These tests include:

  • Drug Tests
  • Alcohol Tests
  • Synthetic Opiates such as Hydrocodone and Oxycodone (OxyContin)

The Dangers of Energy Drinks and Alcohol

When you consume a combination of Uppers and Downers, do they cancel each other out?

The answer is No. Since the latest fad drink, Four Loko, hit the scene, red flags have been raised with law enforcement and physicians around the country. Why are they worried about this drink?

Mixing caffeine with alcohol is nothing new. Party goers and bar patrons have been combining these two substances ever since energy drinks hit the market. But it wasn’t until recently that they were both sold in one colorful can.

The “Four” in Four Loko came from the main ingredients: alcohol, caffeine, taurine and guarana. These drinks also include carbonated water, sugar and natural and artificial flavoring.

Taurine is an organic acid. Despite being present in many energy foods, it has not been proven to be energy giving.

Guarana is an effective stimulant that contains twice the caffeine found in coffee beans. A review published by the Journal of the American Pharmacists Association states that the amounts of taurine and guarana found in popular energy drinks are far below the amounts expected to deliver therapeutic benefits or unfavorable actions. But like most things in excess, too much guarana may contribute (alone or in combination with caffeine and taurine) to onset of seizures in some people.

Caffeine is a stimulant. It increases blood pressure and heart rate. Caffeine can cause headaches, jitteriness, agitation, stomach problems and abnormal breathing. It’s the equivalent of an adrenaline rush.

On the other hand, alcohol is a depressant. Alcohol slows down the brain’s functioning and impairs one’s ability to walk, talk and think clearly. Combined, the stimulant and the depressant do not cancel each other out. “Some people have the idea that the caffeine will negate the effect of alcohol, but that’s simply not true,” said Glenn Whelan, assistant professor at the University of South Florida’s College of Pharmacy.

According to Dr. Anthony Cardell, a cardiologist at Centre Medical and Surgical Associates, consuming one can (of Four Loko) equals about three glasses of wine or three to four bottles of beer. The caffeine content is about 135 milligrams, which is the equivalent of three cola sodas, one and a half Red Bulls or one cup of Starbucks coffee.

The main problem is that caffeine appears to override the natural sleepiness that occurs when someone drinks alcohol. Caffeine also postpones that feeling of drunkenness, so those who mix alcohol and caffeine in a drink are likely to keep drinking beyond their normal limits.

Scientists aren’t exactly sure how the body processes the mixture of caffeine and alcohol because the combination (based on the quantity found in alcoholic energy drinks) is too dangerous to test on humans in scientific experiments.

Researchers from the University of Florida conducted a study in 2008 where they interviewed college-age adults leaving bars. They found that bar patrons who reported drinking alcohol mixed with energy drinks (6.5 percent of study participants) were three times more likely to be intoxicated than the drinkers who consumed alcohol only. The average breath-alcohol concentration reading for those who mixed alcohol and energy drinks, was 0.109. Consumers of energy drink cocktails also left bars later at night, drank for longer periods of time, ingested more grams of ethanol and were four times more likely to express an intention to drive within an hour than patrons who drank alcohol only.

Like the conclusion in most of the articles written on this subject, the fact is, you should always drink responsibly. If you choose to drink, know what you are consuming. Know the dangers of mixing alcohol and caffeine. On the home page of the Four Loko website, their is information on how to drink responsibly and several links to responsible drinking resources.

References:

  • Clauson, KA; Shields, KM; McQueen, CE; Persad, N. “Safety issues associated with commercially available energy drinks”. Journal of the American Pharmacists Association : JAPhA 48 (3): e55–63
  • Johannes, Laura (March 2, 2010). “Can a Caffeine-Packed Plant Give a Boost?”. The Wall Street Journal: p. D3
  • Iyadurai SJ, Chung SS (May 2007). “New-onset seizures in adults: possible association with consumption of popular energy drinks”. Epilepsy Behav 10 (3): 504–8
  • “Dicey alcohol-caffeine mix not fully understood” Article from: The Washington Post Article date: December 5, 2010 Author: Linda Shrieves Copyright

Natural Healing for Alcoholics

As you can imagine, alcoholics have several nutritional deficiencies in their bodies. According to Mark A. Stengler, NMD with Stengler Center for Integrative Medicine, he believes that nutritional approaches to treat alcoholism are vastly underrated but very effective in the alcohol recovery process.

The Problems

A study was done by the late Abram Hoffer, MD, PhD, one of the pioneers in the use of vitamins to treat psychiatric disorders and coauthor with Andrew W. Saul, PhD, of The Vitamin Cure for Alcoholism, testing the blood sugar levels of more than 300 alcoholics. Like you can assume, none were normal. The people in the study were pre-diabetic, diabetic or hypoglycemic. Cravings for sugar and carb-rich foods become more pronounced when a person’s blood sugar is imbalanced. Foods rich in sugar and carbs raise blood sugar fast, but the body’s insulin response lowers the blood sugar and creates a roller coaster effect, which simulates an addiction and withdrawal cycle. In turn, this rise and fall intensifies alcohol cravings.

Alcohol also tears the lining of your stomach. It lowers digestion and absorption of B vitamins and other nutrients, which leaves the stomach vulnerable to inflammation.

The Solutions

Similar to the solution for weight gain, the key to success for people with alcoholism is to follow healthy dietary guidelines with the combination of the right supplements.

The recommended diet contains fresh foods, healthy proteins and high fiber vegetables. These foods help to stabilize blood sugar swings. When people make the switch to a healthier diet, it is not uncommon to have withdrawal symptoms like sweet cravings.

Below are the supplements that can help. Side effects are noted. These supplements can all be taken indefinitely, according to Stengler, which is helpful because alcoholism is a lifelong illness.

  • B-complex. A high-potency B-complex vitamin can help restore normal liver function and ease alcohol cravings. By high potency, I mean a B-50 complex, which delivers 50 milligrams (mg) each of vitamins B-1, B-2 and B-3, or a multivitamin with at least 50 milligrams (mg) each of these vitamins.
  • Vitamin B-1. Alcoholics often are deficient in this vitamin because it gets used up breaking down alcohol, sugars and carbohydrates. Take 100 mg of vitamin B-1 daily (in addition to the B-complex mentioned at left).
  • Vitamin B-3 (niacin). High doses of vitamin B-3, or niacin, are helpful in reducing alcohol cravings, stabilizing mood and reducing the effects of alcohol toxicity on the brain. Start with 500 mg three times daily, and work up to 1,000 mg three times daily. Note: Niacin can cause intense facial flushing that lasts for about one hour. If you take vitamin B-3, have your liver enzymes monitored. Enzymes can be elevated, an indication of inflammation.
  • Vitamin C. Healthy brains have high concentrations of vitamin C, which might alter the activity of opiate receptors in the brain and reduce interest in drugs, including alcohol. Take 3,000 mg to 5,000 mg daily in divided doses. If this amount results in stomach upset or diarrhea, cut back the dosage.
  • Kudzu. A Harvard Medical School study found that the herb kudzu (Pueraria lobata) decreased the desire to consume alcohol. The effect was rapid — within 90 minutes of taking kudzu extract capsules. Take 1,000 mg three times daily.
  • Silymarin. This antioxidant is the active ingredient in extracts of the herb milk thistle. It improves blood sugar and liver function, both of which may be impaired after long-term alcohol abuse. Take 100 mg to 300 mg daily.
  • N-acetylcysteine (NAC). This is one of the most promising supplements for alcoholism. Several human studies have found that it reduces the desire for cocaine in those who are addicted to the drug, and animal studies suggest that it may have a similar benefit in countering the desire for alcohol. Try 1,000 mg to 2,000 mg daily.

Stengler recommends that his patients who are struggling with alcoholism to take these supplements and participate in an established recovery program. Spiritual support is also recommended. Patients who have been sober after following Stengler;s treatment plan say that they make the decision no to drink each day. By reducing cravings, a healthy diet and supplements can make that decision a little bit easier.

Mark A. Stengler, NMD, is a naturopathic medical doctor and leading authority on the practice of alternative and integrated medicine. Dr. Stengler is editor of the Bottom Line Natural Healing newsletter, author of The Natural Physician’s Healing Therapies (Bottom Line Books), founder and medical director of the Stengler Center for Integrative Medicine in Encinitas, California, and adjunct associate clinical professor at the National College of Natural Medicine in Portland, Oregon. To learn more about his work, visit www.DrStengler.com.

Sources:

http://www.bottomlinesecrets.com/article.html?article_id=100002506

The Dangers of New Fad Drugs

We’ve recently shared with you some information related to the new fad drugs that are currently legal. With more kids ending up in the emergency room, there are more and more details surfacing about danger of these drugs.

In our recent article Rub-a-dub-dub, Drugs in my tub? We told you a little bit about the latest fad drug, bath salt, which has been banned in Europe and is now getting the attention of teens in America. Recent articles say that this drug is much worse than the other fad drug, fake marijuana, K2 or Spice.

According to Dr. J Ward Donovan, central Pennsylvania’s go-to doctor for emergency room physicians on poison questions, since November he has averaged a call a day about bath salt or “synthetic cocaine.” Donovan says that synthetic cocaine is really a synthetic amphetamine like product, meaning its chemical makeup is more similar to meth.

Unfortunately blogs and internet message boards talk about the legal substitute for cocaine becoming all the rage. Being high on fake cocaine has some similarity to the high from smoking synthetic marijuana. The difference, Donovan said, is this: A mild reaction to bath salt is comparable to a bad trip of K2.

Bath salts also come with side effects like delusion, confusion, violence, agitation, high blood pressure, sweating and fast heart rate. According to Donovan, there is one upswing. You can’t get addicted to it.

Rust Payne, spokesman for the federal Drug Enforcement Agency says, “We’re hearing a lot of reports. Poison centers, emergency rooms… The same trends among teens.”

Like synthetic marijuana, bath salts are being sold in head shops. The powdery white substance is priced by the gram and looks like cocaine.

Both synthetic marijuana and bath salts are extremely dangerous. Be smart. Just because something isn’t illegal doesn’t mean it is harmless. There are a lot of unsafe substances out there. These new fad drugs are just two examples.

Tips for Parents from www.theantidrug.com

Get Educated: Learn as much as you can.

Have the Talk: Let them know that you know.

Be Specific: Tell your kids what you see and how you feel about it.

Don’t Make Excuses: You’re not helping if you make excuses for why they miss school or family functions if you suspect drug use.

Remain Calm: Don’t get mad, or start accusing. Be firm, but loving.

Electronic Cigarettes, Will it Catch On or Stay a Fad?

Did you see the crazy episode of The Real Housewives of Beverly Hills, when a dinner party guest was smoking an electronic cigarette? Since then, electronic cigarettes have become a hot topic with bloggers and the FDA. So what is the appeal and benefit of electronic cigarettes?

Currently the FDA is appealing the initial ruling by U.S. District Judge Richard J. Leon. The judge’s decision gives the FDA no authority to regulate or stop electronic-cigarette makers Smoking Everywhere Inc. and NJoy from entering the country.

The FDA’s fight is to ensure these electronic cigarette companies, with products that contain tobacco, are marketing their products correctly and not as a safer alternative to traditional tobacco.

ECigarette is the only alternative to smoking tobacco cigarettes that addresses your habit of having something in your hand and in your mouth without containing tobacco or nicotine.

From our research it seems that most electronic cigarettes are being marketed as a safer alternative even though some still contain nicotine. These electronic cigarette websites still have this warning label in small print at the bottom of the webpage:

Warning: Nicotine is highly addictive. This product is not intended to diagnose, treat,  cure, or mitigate any 
disease or condition. You must be over the age of 18 to buy and/or use this product with a nicotine option. If 
you have a demonstrated allergy or sensitivity o nicotine or any combination of inhalants, if you are pregnant or 
breast feeding, or if you have heart disease, diabetes, high bold pressure, asthma, consult your physician 
before using this product.

Although, these electronic cigarettes do eliminate the dangers of second-hand smoke so you can smoke around others without causing ill effects.

Electronic cigarettes emit a virtually odorless vapor that simulates actual smoke, but dissipates quickly in the air. This enables smokers to smoke these electronic cigarettes in places where regular cigarettes are prohibited. One website even advertised that you can smoke these cigarettes in bed and not bother your partner.

Actress, Katherine Heigl, recently appeared on David Letterman and smoked an electronic cigarette raving about the benefits. Watch the video here.

Do you think this electronic cigarette fad will catch on or fizzle out?

Top Signs that Point to Prescription Drug Abuse

If you are worried about a friend or loved one abusing prescription drugs, you aren’t alone. The use and abuse of prescription drugs has amplified in the last 20 years.

According to the Center for Disease Control, narcotic prescription use rose 1,000 percent in the U.S. between 1990 and 2009. As well, nationally we experienced a 500 percent increase in the number of prescription narcotic-related deaths.

Psychiatrist and author, Stephen Seager, wrote an article on the dangers of abusing prescription health meds. In this article he states, in an effort to treat pain more effectively and with the advent of may newer forms of opiod (narcotic) pain relievers – Oxycontin, Lortab, Methadone, Percodan, Percocet, Tramadol, Fentanyl – millions of Americans now take these medications on a regular basis for a wide range of diagnoses. While generally meant for short-term use, opiate pain medications have slowly been used for longer periods and for many ailments previously untreated with narcotics. While some benefit has been noted, an unfortunate, tragic consequence ensued.

We find ourselves in the midst of what the U.S. government and many state health agencies have called an accelerating “epidemic of prescription drug misuse, addiction and overdose.” This new narcotic epidemic seems to be almost the exclusive province of middle-age and older people. The number of narcotic overdose cases peaks in the 34-54 age group, while the total number of people who overdose in their 60s, 70s and 80s has doubed in the past five years. Before you or some one you love becomes a statistic, be aware of the seven sure signs of narcotic addiction and impending problems.

• Has a trusted loved one or family member expressed concern about your prescription opiate use?

• Do you have more than one doctor who prescribes the same medication? Or multiple prescriptions from multiple providers?

• Do you have medications secretly hidden in more than one location around your home?

• Have you taken these medications on a regular basis for more than two weeks? Or a month?

• Do these medications help you to function? Have you returned to work? If not, why? What tasks do the medications help you to perform? If you cannot answer these questions and you continue taking opiates, this is a very dangerous sign.

• Take a step back and look at your life since you began taking opiate medications. Are things getting better or worse? Have bad things begun to happen? Lose your job? Wreck your car? Divorce? Arrest?

• Last, and most importantly, have you ever been admitted to a hospital, for any reason, due to prescription drug use?

Solutions to the national prescription opiate problem are elusive and multi-factorial. But two issues stand out. Doctors give these medications too liberally, for longer periods than are warranted and for pain issues that might better be treated by other modalities. But patients ask for these medications specifically and often insist upon them. More education on both parts seems to be in order.

If these medications are part of your life or the life of someone about whom you care, take a look at the issue of opiate use. Be honest. Talk with your family. Talk with your doctor. Ask if there aren’t other less dangerous medications that might also be effective. Ask if there are other treatment options — physical therapy, acupuncture, support groups — which might allow you to talk a lower dose of narcotic medications or perhaps wean off them entirely. And, equally importantly, discuss whether a formal drug detox and rehabilitation program might be needed.

Stephen Seager is a psychiatrist and author of “The God Gene: The Promise of Prometheus.” Please click here for more information.

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