Focus: Students will analyze how prescription drug abuse can be deadly Focus: Students will analyze how prescription drug abuse can be deadly. Goal: To understand prescription drug misuse. Standard: NHES# 1 – Health Promotion Warm-up: 1. What are prescription drugs? Name a few. 2.What do you think misuse of prescription drugs means? Explain. 3. Create a critical thinking question

Notes: 1. Prescription drug misuse occurs when a person takes a prescription medication that is not prescribed to him/her, or takes it for reasons or in dosage other than as prescribed. (***Break down: Medicine that a doctor writes a prescription for is being abused and used for reasons other than for what they are really used for.)

2. The nonmedical use of prescription medications has increased in the past decade and has surpassed all drug usage except marijuana in the United States. **(Break down: Pill use has gone up over the passed ten years over all the other drugs except marijuana.)

Doctors prescription pad Prescription Medications Two Types of Heroin

3. Staten Island residents have the highest rate of unintentional heroin overdose deaths compared with residents of the other four New York City boroughs.

Notes : Heroin Facts: 4. Heroin is an opioid drug made from seed pods of the Asian Opium Poppy plant. 5. Heroin can be injected, inhaled by snorting or sniffing, or smoked. 6. All three ways to take in heroin will deliver the drug to the brain very rapidly which adds to the risk of addiction.

4. Heroin overdoses usually involve the inability to breathe (hypoxia) 4. Heroin overdoses usually involve the inability to breathe (hypoxia). This can lead to coma and permanent brain damage. 5. People who inject drugs are at a high risk of contracting HIV and hepatitis C (a liver disease) through the transmission through body fluids.

6. Chronic (constant) use leads to physical dependence 6. Chronic (constant) use leads to physical dependence. If a dependant user reduces or stops use of the drug abruptly (suddenly), he or she may experience severe symptoms of withdrawal (EX: restlessness, bone and muscle pain, diarrhea, vomiting…etc).

Short term effects of Heroin

Long term effects of Heroin

Some Facts (READ ONLY) Opioid analgesics (pills) are one of the most commonly misused drugs by New Yorkers aged 12 years and older. From 2000 to 2012, rates of unintentional overdose death from opioid analgesics increased 233 percent. In 2012, 201 New Yorkers died from unintentional opioid analgesic (pills) overdoses — that’s at least one death every other day. Rates of unintentional opioid analgesic (pill) overdose death vary by borough; in 2012, the rate of unintentional opioid analgesic overdose death in Staten Island was more than three times as high as other boroughs.

To address the public health crisis of unintentional opioid analgesic and heroin overdose deaths, the Department of Health has launched a multi-pronged, public health response. These efforts include enhancing the drug surveillance system, promoting safe and careful opioid prescribing among health care providers, promoting overdose prevention by increasing access to naloxone (a chemical used to reverse the effects of narcotic) , improving access to treatment, and conducting public education media campaigns.

Some famous people such as Lil Wayne and Justin Bieber have been arrested with the “drank” (liquid in cup or water bottle) version in public. Youths between ages 12 to 17 showed high misuse of prescription drugs and young adults ages 18 to 25 misuse marijuana first and illegal drugs second. Nearly half of young people who inject heroin surveyed in three recent studies reported abusing prescription opioids (pills) before starting heroin.

Some individuals reported taking up heroin because it is cheaper and easier to obtain than prescription opioids (pills). Some street names are: purple drank, sizzurp, lean, DEX, DXM, Triple C, Barr, or Robo.

Mug Shots – Side by Side Comparison Over The Years

Some Famous Folks Who Chose To Stop Their Addiction and Drug Abuse

River Phoenix Drew Barrymore Former child star Drew Barrymore's drug abuse in her teenage years found her controversial fame, including two trips to rehab that motivated her to get back on track with her career. Angelina Jolie told 60 Minutes TV Show in 2011, “’I took just every drug possible – coke, ecstasy, heroin, everything,’ In 1996, Angelina told the UK’s Mirror: “I have done just about every drug possible: cocaine, ecstasy, LSD and, my favorite, heroin.”

Robert Downey Jr. Although actor Robert Downey Jr. first tried drugs at the young age of six, it wasn't until 1996 that he faced his first drug-related arrest. After a troubling period with drug abuse, Downey Jr. has achieved an inspiring comeback from addiction Actress Nicole Richie has struggled with numerous addictions, including heroin, cocaine, and marijuana, resulting in three arrests and five car accidents

Samuel L. Jackson overdosed three times on heroin Samuel L. Jackson overdosed three times on heroin.  He told biographer Jeff Hudson, “The third time I OD’d on heroin I quit the drug completely. It’s too dangerous, I was mad. I was crazed. I was not happy with who I was.” Rock star P!nk  “I overdosed in ’95, and then I never took drugs again, ever.”  “Heroin is a horrible thing. I’ve seen first hand what it can do to people and it’s not pretty. I was never that much into it to need treatment. “But you name it, I took it. I buried three friends from heroin overdoses. She recently told Britain’s The New Review (speaking about her daughter), “No, she (is) never gonna touch heroin. I’m gonna make sure of it. And if she wants to hate me for it, that’s fine.”

Famous People Who Died From Drug Abuse

Joan Rivers – Prescription Pills

Philip Seymour Hoffman – Mixed Drug Use

Corey Monteith – Heroin and Alcohol Use

Whitney Houston – Cocaine, marijuana, and pills

Lisa Robin Kelly – Multiple Drugs

Michael Jackson – Prescription Medicine

Name Notable Fame Cause of Death Drug Category When Age Joan Rivers Actress Complications with sedative Prescription drugs 2014 81 Philip Seymour Hoffman Actor Heroin overdose Illegal drug 46 Cory Monteith Actor (Glee) and singer Toxic mix of heroin and alcohol Illegal drug and alcohol 2013 31 Lisa Robin Kelly Actress (That '70s Show) Multiple drug intoxication 43 Chris Kelly Rapper (Kris Kross) Fatal overdose, cocaine and heroin 34 Jeff Hanneman Musician (Slayer) Cirrosis due to alcoholism Alcohol 49 Whitney Houston Singer and Cocaine and heart disease – flexeril, marijuana, xanax and benedryl 2012 48

Famous Rappers Who Sold Drugs Jeezy was indicted with trafficking charges after a witness claimed Jeezy received kilos of cocaine from BMF.

At age 19, Curtis “50 Cent” Jackson was arrested and plead guilty to selling crack cocaine

Snoop Dog served time in the county jail for intent to sell Snoop Dog served time in the county jail for intent to sell. He was also a noted weed dealer during his high school days where actress Cameron Diaz was one of his loyal customers.

In 1997, T.I. was arrested and charged with manufacturing and distributing crack cocaine and he served seven months in prison. So when he talks that trap talk – he isn’t lying

And probably the most storied hustler to rapper transformation is Brooklyn’s own Jay Z. Hov was a known hustler in the 80’s and early 90’s before he went legit.

Group Activity This is a medicine for allergies. Antihistamines help stop itching and sneezing. Directions: With your peers, look at the sample label. Answer the questions. Under what circumstances should a person take this over-the-counter medicine? At what time(s) should the person take this medicine? What is the right amount of this medicine to take? What are some possible side effects from taking this medicine?