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Terrence D. Walton, MSW, CSAC Terrence D. Walton, MSW, CSAC

Terrence D. Walton, MSW, CSAC - PowerPoint Presentation

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Terrence D. Walton, MSW, CSAC - PPT Presentation

Terrence D Walton MSW CSAC Chief of Standards National Association of Drug Court Professionals Latest Street Drugs and Use Patterns Trends Traits Signs amp Symptoms Synthetic Cannabinoids Spice K2 Scooby ID: 766143

amp synthetic opiate drug synthetic amp drug opiate powder mixed detection codeine alpha caffeine county superman flakka pvp opiates

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Terrence D. Walton, MSW, CSAC Chief of StandardsNational Association of Drug Court Professionals Latest Street Drugs and Use Patterns Trends, Traits, Signs, & Symptoms

Synthetic Cannabinoids Spice, K2, Scooby Snax, Cloud 9, Mojo, Relax, Crown

Synthetic Weed Use & Detection Smoking, vaping GCMS DetectableScent: incense or potpourri Foil packages$30-$40 per 3 gm bagSide EffectsRed eyesDilated pupilsAccelerated heartbeatHypertension NauseaBlurred visionHallucination AgitationSpecial DangersAddictionAcute psychosisPsychosis reemergenceChronic psychosis in vulnerable users

Synthetic Cathinones Flakka, gravel, alpha-PVP, Bath Salts

Crack and Heroin Crack and MethamphetamineHeroin and Methamphetamine What It Is Not

Alpha-PVP alpha-Pyrrolidinopentiophenone What It Is

Cathinone Alkaloid found inKhat LeafWhat It Is From

Synthetic Speed: Flakka Use & Detection Swallowed, snorted, smoked, vaped, injected GCMS DetectableSmall plastic or foil packages 5 gm for $40$.80 per dose Side EffectsRacing heart High blood pressureChest painParanoia Hallucinations, Panic attacksSpecial DangersAddictionExcited deliriumDehydrationBreakdown of skeletal muscle tissueKidney failure

The worst-case after effects of the drug to what can happen, in rare instances, to someone who runs a marathon, wherein muscle tissue starts to decompose and break down into the blood stream. That can lead to kidney failure and death. Flakka at its Worse

According to Broward County Sherriff’s office, Alpha-PVP use jumped from zero to 190 in 2014. In the first three months of 2015, police have already seen 275 cases. The numbers pushed synthetic drug reports in Broward county to account for 34% of all narcotic cases, eclipsing cocaine for the first time in his two-decade tenure with the county sheriff's office.

Synthetic Hallucinogens (and Hallucinogenic amphetamines)Ecstasy, Molly, N-Bomb, 251-NBOMe, Smiles , 2C-I

Synthetic Hallucinogen: 2C-I ~ NBOMe Use & Detection Blotter or powder (mixed with candy)Psychedelic and stimulantHarder to detect via urine testing$.25-$5.00Side EffectsStrong chemical tasteMouth numbingNauseaVomiting Anxiety Panic attacksSpecial DangersFatal dehydration, arrhythmia and strokePsychotic break (self harm)

Smiles/ 2c-I Mixed with candy or chocolate Combines stimulant and hallucinogenic effects

Synthetic Opiates (and Semi-Synthetics)Fentanyl, Dilaudid, Methadone, Buprenorphine, OxyContin (Thebaine) , Zohydro (Codeine), Opana (Thebaine)

Synthetic Opiates: Opana Use & Detection Injected or snorted Detectable in urine $35 to $150 per pillSide EffectsConstipation, Nausea, Vomiting, Dizziness, Dry mouth Drowsiness Special DangersAddictionHIV/AIDSOverdoseDeath

Signs of Prescription Opiate Misuse Crushing BuyingGettingFakingDrinkingLosingPanicking

Natural Opiates Morphine, Heroin, Codeine, Thebaine, Oripavine, Syrup (Codeine)

Syrup Codeine ~ prescription strength cough syrup ~ mixed with an antihistamine (promethazine) Mixed in soda or with hard candiesSizzurp, Purple Drank, Lean, Purple Lean,

Opiate Intoxication Pupils will contract and appear smallMuscles are slack and droopyThey might “nod out”Scratch a lot due to itchy skinSpeech may be slurredThey might be out of it, but they will respond to outside stimulus like loud noise or a light shake from a concerned friend.

Opiate Withdrawal NauseaVomitingDiarrheaFeverSweatingCold and flu-like symptoms RestlessnessMuscle and bone painMuscle spasmsIrritability and mood swingsSeizures

Opiate Overdose Awake, but unable to talkBody is very limp Face is very pale or clammyFingernails and lips turn blue or purplish blackFor lighter skinned people, the skin tone turns bluish purple, for darker skinned people, it turns grayish or ashen.Breathing is slow & shallow, erratic, or has stoppedPulse (heartbeat) is slow, erratic, or not there at allChoking sounds, or a snore-like gurgling noise VomitingLoss of consciousnessUnresponsive to outside stimulus

Emergency Overdose Intervention Naloxone

Dishonorable Mentions Caffeine Powder, e-Cigarettes, Superman pills, Desomorphine ( Krokodil)

Caffeine Powder Bulk bags of pure caffeine powder One teaspoon = 25 cups of coffee Fast & erratic heartbeatSeizuresVomitingDiarrheaDisorientation

E-Cigarettes Flavored nicotine aerosol No burning tobaccoDelivers highly-addictive nicotineVapors found to contain carcinogens and other toxinsCan be used to vape other drugs

Superman Pills Being sold in Europe as Ecstasy (MDMA) Actually containing a lethal dose of a different, drug (PMMA)Distinctive Superman logSeveral deaths in the U.K., not yet reported in U.S.

Krocodil Semi-synthetic Opiate Ravishing poor, rural RussiaCodeine tablets combined with lighter fluid or industrial cleanersMore powerful than heroin, but shorter high

National Drug Early Warning System

Terrence D. Walton, MSW, CSAC Chief of StandardsNational Association of Drug Court ProfessionalsTwalton@allrise.org