2. Opiates What are opiates? How do they effect the body? Signs of use Prevention

3. What are opiates? Opiates are narcotic drugs. Narcotic drugs are derived from opium and include legal and illegal drugs such as Oxycodone and Heroin.

4. Examples of prescription opiates Fentanyl (Duragesic®) Hydrocodone (Vicodin®) Oxycodone (OxyContin®) Oxymorphone (Opana®) Propoxyphene (Darvon®) Hydromorphone (Dilaudid®) Meperidine (Demerol®) Diphenoxylate (Lomotil®)

6. Among teenagers, prescription drugs have the highest abuse rate after marijuana with about half of the teens abusing painkillers over any other prescription drug.

7. Effects These drugs are depressant drugs – they slow down the Central Nervous System (CNS) CNS is the brain and spinal cord. Includes the heart, muscles, and lungs.

9. Effects Opiates reduce: Tension Anxiety Aggression Pain Opiates cause: Drowsiness Inability to concentrate Apathy

10. Signs of use Physical effects include: Constriction of the pupils Flushing of the face and neck Constipation Nausea Slowed breathing Slowed activity

11. How are they used? Pills are swallowed. However…. Pills are crushed and snorted Pills are crushed and smoked Pills are crushed and injected

12. How do they get them? Prescription Friend/relative Internet “If your kids aren’t taking your opiates their friends are.”

13. How does this start? Experimentation Friend Prescription Top two doctors who write opiate prescriptions Dentists Orthopedics And let’s not forget “Free heroin Sundays”

14. Dependence vs. Addiction Chronic long term use of ANY drug will lead to tolerance and dependence. Dependence is not addiction. Dependence can quickly turn into addiction. It is approximately 27 days to addiction.

15. Prevention Education Monitor Prescriptions Question necessity Question dosage Question length of time Get rid of partially used prescriptions – yours, kids, parents, elderly. Take to police departments or drug take back events Open houses

16. Resources learn2cope.org Officer Fiore anthony.fiore@wpsk12.com Health teachers Lisa Federici – lisa.federici@wpsk12.comlisa.federici@wpsk12.com Megan Moskal – megan.moskal@wpsk12.commegan.moskal@wpsk12.com Drug Enforcement Agency http://www.dea.gov/druginfo/factsheets.shtml Webmd.com Mayoclinic.org