February 2006

Substance Abuse and Youth


Generation Rx Prescription Drug Abuse and Teens


One of the latest substance abuse trends among teens is prescription drug abuse. The Partnership for a Drug Free America (PDFA) has coined the description “Generation Rx.” Teens think that prescriptions are safe because they have legitimate uses, but “taking them without a prescription to get high or ‘self-medicate’ can be as dangerous – and addictive – as using street narcotics and other illicit drugs” says the PDFA Web site (www.drugfree.org) For many teens, all it takes is a walk to the parents’ medicine cabinet or a visit to a website offering non-prescription drugs through the mail. It is illegal to import a controlled substance from a foreign country. Usually drugs sold over the Internet without a prescription originate outside the U.S. says the U.S. Department of Drug Enforcement Administration (www.deadiversion.usdoj.gov/consumer_alert.htm).

“The ease of obtaining substances which can be abused makes it all the more important that the use of substances is not dismissed,” notes George Sweat, secretary of North Carolina’s Department of Juvenile Justice and Delinquency Prevention (www.ncdjjdp.org). Sweat is a member of the Governor’s Crime Commission (www.gcc.state.nc.us). “Everyday we see youth in our juvenile justice system who are grappling with substance abuse problems. The use of them is often reflective of other issues in their lives,” Sweat adds.

Reprinted from the PDFA website.

 

[1] Conducted by Roper Public Affairs and Media for the Partnership. Survey of adolescents in grades 7 through 12. Total sample: 7,314 teenagers nationwide.
[2] For example, the data indicate teens who have abused Ritalin® and/or Adderall® are seven times more likely than average teens to have used Ecstasy and four times more likely to have smoked marijuana. The data show similar patterns with teens who have abused Vicodin®, OxyContin® and cough medicine.


Frequently asked questions (FAQ’s)

What are the signs and symptoms that young people may be abusing or mis-using prescription drugs?

Abuse of prescription drugs like all substance abuse problems create some observable warning signs in young people

  • Withdrawal, depression, tiredness, lack of personal grooming
  • Hostility, frequent curfew violations, lack of cooperation
  • Deteriorating relationships with family members
  • Hanging around with a new group of friends
  • Slipping grades, missed school
  • Lack of interest in hobbies, sports, other favorite activities
  • Change in eating and sleeping patterns
  • Difficulty with concentration
  • Disappearance of household money
  • Paraphernalia: pipes, rolling papers, small medicine bottles, eye drops, butane lighters, homemade pipes or bongs (pipes that use water as a filter) made from soda cans or plastic beverage containers.

Which prescription drugs are the most popular?

According to the PDFA, there are three categories of prescription drugs being mis-used: pain medications, amphetamines and sedatives (sedative-hypnotics and tranquilizers). A partial listing follows:

  Pain medications:
  Vicodin, OxyContin, Percocet, Percodan, Darvon, Darvocet, Dilaudid, Tylox, Lortab, Lorcet, Codeine
   
  Amphetamines:
  Ritalin, Concerta, Adderall, Focalin, Dexedrine and Meridia.
   
  Sedatives:
  Valium, Xanax, Ativan, Klonopin, Restoril, Ambien, Lunesta, Mebaral, Nembutal, Librium.

How are kids using them?

Some teens swallow the pills or drink the liquids says the PDFA. Others may crush pills before snorting or smoking the powder. Some melt or dissolve medications and then inject them. Another popular way is to mix the prescription drug with alcohol or street drugs and make a “cocktail.”

Where do they get them?

Medicine cabinets, kitchen cabinets, bureau tops or purses – anywhere in the home that parents and other family members have stored their prescription medicines. Some young people have found non-prescription pharmacies on the Internet that will send drugs to their home. Youth Radio recently reported activities at UNC Chapel Hill where some students “fake” illness to get an Adderall prescription and then sell the pills for $5 each. At Forsyth County high schools, the students sell Adderall for a $1 a pill.

How can I prevent and protect?

Do an inventory of the drugs you have stored in the home and monitor pill quantities and medicine levels in your prescription containers. Put the drugs away where you can get to them for your current medical needs a place where your child is unlikely to look. Get rid of leftover drugs and urge your friends – especially parents of your children’s friends to do the same. Review credit card bills to note charges that may have been made to an on-line pharmacy.

What damage can they do?

Mis-used pain relievers, amphetamines and sedatives are addictive, and may be life threatening – especially when they are mixed with other drugs. They can cause a wide range of withdrawal problems:

  • Sudden withdrawal from pain relievers can cause intense restlessness, muscle and bone pain, insomnia, diarrhea, vomiting and cold flashes.

  • High doses of amphetamines over a short time can lead to feelings of hostility, intense fear and paranoia. High doses may result in dangerously high body temperature and irregular heartbeat with possible cardiovascular failure or seizures. Incorrect usage can result in insomnia, digestive problems and erratic weight change.

  • When sedatives are reduced or stopped, seizures and other withdrawal symptoms can follow.

    (Source: Getting High on Prescription and Over-the-Counter Drugs is Dangerous: A Guide to keeping your teenager safe in a changing world, Partnership for a Drug Free America)

What do I do or say if I suspect mis-use?

Have a discussion with your child when you are calm and rational. Express your love and concern and tell your child of signs of drug misuse that you have observed. Avoid direct accusations but be open about your suspicions. Listen! Consider everything your child has to say. If you need help getting this conversation started involve another family member, a guidance counselor, or a physician says the PDFA.

For a great detailed guide about youth Rx abuse: www.drugfree.org/Files/rx_guide.


 

The Next Step
Editor: Leanne Murray
Writer: Rose Walsh
Designer: Virginia Hart

Partnership for a Drug-Free NC
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Winston-Salem, NC 27101
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