1. IOWA’S EMERGING DRUG TRENDS 2012 Region VII – VPPPA Conference

3. Meth Labs, Synthetics & Rx

6. Yearly Meth Lab Incident Response Totals

7. Adult Meth Treatment Admissions (IDPH)

8. WHAT TO LOOK FOR

9. Hydrogen Peroxide Psuedophedrine (contained in certain types of cold and sinus medication) Lithium Metal (contained in certain types of batteries) Sodium Hydroxide (lye and some drain openers) Ammonium nitrate (used in fertilizer or some instant cold packs) 32 oz sports drink or two- liter pop bottle (used as the ‘pot’) Funnel Camping fuel or ether in starting fluids Combined, ordinary products are dangerous when used to make meth

10. EFFECTS OF METHAMPHETAMINE Immediate Effects Insomnia Decreased Appetite Irritability/Aggression Anxiety Nervousness Convulsions Heart Attack Chronic/Long Term Effects Paranoia Hallucinations Repetitive Behavior (compulsively cleaning or grooming) Delusions of parasites or insects crawling under their skin (causes obsessive scratching) Violent Behavior

11. Synthetic Cannabinoids

13. Synthetic Cannabinoid Signs & Symptoms Nausea / Vomiting Drowsiness “Shakiness" Palpitations Headache Suicidal Tendencies Dizziness Panic / Hallucinations Agitation/Hypertension Tachycardia Paranoia Anxiety

14. Synthetic Cathinones

15. Natural Cathinone? Schedule I controlled substance Found naturally in Khat

16. Synthetic Cathinones Signs & Symptoms Physical Effects Tachycardia Elevated Blood Pressure Sleeplessness Loss of Appetite Agitation Nausea Psychological Effects Extreme Paranoia Delusions / Hallucinations Suicidal Tendencies Extreme Agitation or Anxiety, Aggression and Violence

17. Exposure to K2 or Bath Salts to Calls from Iowans (ISPCC)

18. Iowa Board of Pharmacy took emergency action in the summer of 2010, making K2 an illegal imitation controlled substance. Iowa passed Legislation banning six synthetic cannabinoid compounds and two synthetic cathinones in July 2011: Synthetics Legislation CannabinoidsCathinones CP 47,497 JWH-018 JWH-073 JWH-200 HU-210 HU-211 Mephedrone MDPV

19. Prescription Drug Abuse

20. Doses of Controlled Substances Prescribed to Iowans in CY 2010

21. Hydrocodone And Oxycodone ID Calls From Iowans (ISPCC)

22. Iowa Rx Overdose Deaths Methadone & Other Opioids (IDPH)

23. Effects of Opioids Short -Term Effects Relief from Pain Euphoria Drowsiness Constipation Slowed Breathing Long-Term Effects Physical Dependence and Addiction Withdrawal symptoms include – Restlessness – Muscle & Bone Pain – Insomnia – Vomiting – Cold Flashes

24. What are we doing? Enforcement Increased emphasis on synthetic drugs. Increased emphasis on diversion investigations. Additional drug take-back events. Utilizing tools available for meth lab investigations. Education PSA’s on dangers of synthetics drugs. Presentations on synthetics and prescription drugs. Focus on young people (future workers) Educating legislatures on these issues.

25. Special Thank You to the Following: Division of Criminal Investigation – Criminalistics Laboratory Governor’s Office of Drug Control Policy Iowa Statewide Poison Control Center Iowa Department of Public Health

26. IOWA’S EMERGING DRUG TRENDS 2012 Region VII – VPPPA Conference