1. Narcotic/Opiates: Opium, Morphine, Heroin, & Codeine
Brittney Sturm, Corinne Golzer, Valarie Starbuck

2. Oh the Beloved Poppy
The Opium Poppy, mother to some well known natural narcotics
3 Forms:
Natural: Contained in the resin of the poppy
Semi-Synthetic: Created from poppy extracts
Fully Synthetic: Man-made
The term ‘Narcotic’ is considered a central nervous system depressant but In U.S. legal context, it specifically refers to opium, opium derivatives, and their semi-synthetic or fully synthetic substitutes.
Natural: Opium & Codeine ( derived from the brown waxy exudation from the unripe seed capsules)
Semi-Synthetic: Heroin, Hydrocodone, OxyCodone
Fully Synthetic: Methadone

3. Schedule of Drugs Category: Depressant Schedule II Schedule I
Have a high abuse potential with severe or physical dependence liability even though it has medical uses
Opium
Morphine
Codeine
Has a high abuse potential and supposedly no accepted medical use
Heroin
Codeine is also considered in schedule III as well because its usually mixed with an aspirin or tylenol because the amount of the narcotic is reduced and the mixture reduces the chances of narcotic side effects

4. Slang Terms Opium Heroin Big O O Joy Dopium Poppy Dreamer Plant Emma
Gum
Blackjack
Hop
Smack
Dope
Horse
China White
Crank
Ferry Dust
Candy
Glass
Junk
Harry
Black Tar
Heroina
Brown Sugar
Girl
Skag
Dr. Feelgood
Spoon
TNT
Heaven

5. Even More Slang Morphine Codeine Miss Emma Morpho Morf Monkey Mother
Lydia
Sister
Murphy
Unkie White
Mud C
Loads
Co-Dine
Sets
School Boy
4’s
Doors
Syrup
Lean & Dean
Pancakes & Syrup
Candy Blunt
Pancakes & Syrup is a combo of glutethimide and codeine cough syrup while a candy blunt is a joint soaked in codeine

6. Trends In Use Opium Heroin
Used most often in the 18th, 19th, and early 20th century in Asia and European countries.
However, in the United States opium is used most often in the form of heroin.
Used by people under the ages of twenty-six.
The mean age of heroin use is 20.7, which indicates more young people at the college level are using.
Currently an estimated 4.6 million Americans use prescription opiates illicitly EVERY month.
There are 5 million to 10 million regular heroin users worldwide.

7. Trends In use (continued…)
Morphine
Codeine
Like morphine in that it is abused by the elder population.
However, codeine is also becoming very popular with the teenage and young adults.
There is a new culture springing up around Houston, Texas called “Cough Syrup Abuse”
Also, upper and middle class people are prone to codeine abuse, not only because it’s readily available but also most shun illegal street drugs.
Most of the time codeine is mixed in with alcohol or soft drinks
Morphine addiction usually happens when someone is in the hospital
Older adults often become addicted, and need higher and higher amounts of the drug because of increased tolerance.
Also, teens are becoming known to abuse morphine because of the increase in prescription drug abuse.
-Explain how the codeine given out now a days is a prescription form most commonly combined with tylenol or aspirin used for alleviating pain or in cough syrups for cough suppression
-The older population abuses codeine prescriptions Many times due to the fact that they do not understand dosage directions.
-The Cough syrup abuse: This is where there are parties were teen and young adults will sit around and drink as much cough syrup as they can often times till they pass out.

8. Legal Usage?
Under Controlled Substance Act, all Schedule I drugs are considered ILLEGAL and any one is possession is punishable by law.
Heroin
Schedule II drugs are only to be dispensed directly from doctor, other than a pharmacist to user; they may NOT be written in prescription form unless emergency situations
Opium
Morphine
Methadone
Pure Codeine/Hydrocodone
Is the drug legal? Under what conditions? Any legitimate uses? Can it be used safely?
-Opium for illegal use is often converted into heroin, which multiplies its potency to approximately twice that of morphine,
-Schedule 2 drugs are tricky: usually CANNOT be given out via prescription but only in emergency situations and only after consultation with the attorney general; after which no refills may be permitted

9. Legal (continued..)
Codeine is also considered a Schedule III drug by the CSA, therefore it is allowed by prescription BUT only in the forms of:
Codeine in combination with aspirin or acetaminophen (Tylenol w/Codeine)
Robitussn A-C
Codeine is

10. Do the Time if You Commit The Crime…
OPIUM: If someone is caught in possession they could be given a maximum fine of $2,000 or five yrs in prison
HEROIN: 1st time possession is 1 yr in prison or a $5,000 fine. The 2nd time they can get up to two years in prison or a $10,000 fine. The maximum charge is up to seven years in jail and up to a $50,000 fine.
MORPHINE: Penalties include at minimal level: civil penalty and up to a $10,000 fine. The maximum penalty an abuser can face is five to twenty years in prison and a fine of $5,000 plus.
CODEINE: Any prescription drug used for any reason other than legitimate medical reason is considered an illegal drug under the law

11. Effects Short Term Long Term ‘Rush’ Flushing of the skin Dry mouth
Heavy feelings in extremities
Nausea
Vomiting
Severe itching
Cloudy mental functioning
Slowing of cardiac system
Slowed breathing
Addiction
Infectious diseases
Collapsed veins
Bacterial infections
Abscesses
Heart lining/valve infections
Arthritis &/or other rheumatologic problems
Effects on the mind and body with use; both long and short term with use and abuse

12. The Tell-Tale Signs.. Slurred speech
Appear unbalanced and uncoordinated
Appear tired, fall in and out of sleep
Extremely constricted pupils
Have a hard time sitting or standing straight
In a trance or sleep like state, unable to function normally
If someone is using or abusing

13. What’s the Likelihood?
Withdrawal symptoms can enhance the likelihood of an individual returning to opiate use
Likelihood at dependency can develop with higher does of the drug
Increased tolerance calls for a higher-high
Increased tolerance on hydrocodone may make people abuse or want a better high and switch to heroin, etc
(4:45)