1 1 Drugs, Alcohol & Volatile Substances What you need to know DRUGS? WHAT’S THE BIG DEAL ...? 2 Everyone has something to say about drugs Even so, it’s still an issue wrapped in myths, and often fiction gets in the way of the facts. Knowing the score isn’t just about knowing the buzz different drugs can give. It’s also about being aware of the effects they can have on your mind, your body and even the way you live your life. There are serious risks linked to drug taking, so it’s vital to get your hands on information you can trust. Contents Crucial questions page 4 999 page 6 No problem! Page 7-10 Quiz page 11 Bad deal page 12 The law unlocked page 13-14 This booklet puts you squarely in the picture about drugs. It answers questions, sorts problems, explains the risks and drops in on dilemmas and debates. Whatever your viewpoint - there’s something inside for everyone. pure And if it’s info you’re after, our DRUG FILES are one essential source you’ll return to again and again. You’ll find no preaching here - the facts speak for themselves. Electronic copies are available at: www.wales.gov.uk/substancemisuse DRUG FILES Alcohol Anabolic steroids page 15 page 17 page 19 Cocaine Crack page 20 Ecstasy GHB page 22 Heroin page 24 Cannabis page 21 page 23 Ketamine page 25 LSD (acid) page 26 Magic mushrooms page 27 Methylamphetamine page 28 Poppers (alkyl nitrites) page 29 Volatile Substances page 30 Speed (amphetamines) page 31 Tobacco page 32 Tranquillisers page 33 3 44 DIFFERENT DRUGS HAVE DIFFERENT EFFECTS People take certain drugs to make them feel confident and excited. Others use drugs to relax them or affect the way they see things. It’s impossible to accurately predict the effects of any drug. Much depends on the amount taken, the user’s mood and their surroundings. However, some drugs can be divided into broad groups: STIMULANTS: DEPRESSANTS: Drugs which act on the central nervous system and increase brain activity. (Anabolic steroids; cocaine; crack; ecstasy; poppers; speed; tobacco) Drugs which act on the central nervous system and slow down brain activity. (Alcohol; gases, glues and aerosols; tranquillisers) HALLUCINOGENS: ANALGESICS: Drugs which act on the mind, distorting the way users see and hear things. (Cannabis; ketamine; LSD; magic mushrooms) Drugs which have a painkilling effect. (Heroin) CRUCIAL QUESTIONS ‘WHAT DOES THE PICTURE ON A TAB OF There is NO connection between the picture and the effects of the acid tab. Users can experience trips differently every time. The effects depend on the user’s mood, where they are and who they’re with at the time. There is no way of predicting what a trip will be like. ‘WHAT ARE THE ACID SAY EFFECTS OF TAKING ABOUT THE TRIP?’ NOTHING! LONG-TERM ECSTASY?’ Basically, no one really knows. The chemical name for ecstasy is MDMA and what we do know is that MDMA: dramatically affects the brain chemistry of animals; has also been linked to liver and kidney problems; heavy long-term use may increase the chance of severe depression and other mental illnesses in later life. In many ways, ecstasy users are human guinea pigs. ‘IS CANNABIS SAFE? ‘WHEN PEOPLE You may have heard people say that cannabis is risk free. This isn’t true. Heavy use of cannabis over a long period of time can lead to users relying on the drug as a way of relaxing and being sociable. Heavy, long-term cannabis use can make you feel less energetic than normal. This can have a negative effect on the way you live your life. Smoking cannabis with tobacco causes lung damage. In fact it’s reckoned that smoke from an unfiltered spliff carries more risks than a cigarette. However, people tend to smoke many more cigarettes than spliffs. “SMOKING AND DRINKING AREN’T ILLEGAL SO WHAT’S THE PROBLEM?” OK, so you can buy cigarettes at 18, and if you’re 18 pubs can sell you alcoholic drinks, but tobacco and alcohol can be abused like any drug. Smoke and you risk cancer, heart disease and serious lung problems. In the UK, about people die every hour because of smoking-related diseases. Drink too much alcohol and you risk damage to the heart, liver, stomach and brain. 1.8 percent of the 15,000 referrals into alcohol treatment services in 2006-07, were under 15 years old. 13 TALK ABOUT 5 FLASHBACKS WHAT DO THEY MEAN?’ LSD and magic mushrooms are hallucinogenic drugs - they change the way a user sees and hears things. This is called a trip. A flashback is something that: can happen later - days, months, even years after taking the drug; is a sudden memory of something from a previous trip; may not last long, but can seem very real. If you’re doing something like crossing a road at the time it could leave you exposed to serious danger. ALL DRUGS CARRY RISKS The effects may be unexpected. Many drugs sold on the ‘street’ have been mixed with other substances, so users can never be sure what they’re getting. Users may become tolerant to some drugs (e.g. alcohol, heroin and speed). This means their bodies have become so used to the drug they need to take more to get the effect they want. Users may overdose (take too much for their bodies to handle). With alcohol, heroin and gases, glues and aerosols, an overdose can prove fatal. 999 6 Drugs affect everyone differently. Sometimes people suffer a bad reaction. If it all goes horribly wrong, don’t be the one who stands back helpless. 999 NOTE: If you’ve called an ambulance and you know what drugs have been taken, always tell the crew. IT MIGHT SAVE A LIFE and you won’t get into trouble. For information on first aid courses, call the Red Cross (0844 871 8000) or St John Ambulance (08700 104 950). Know what you can do if someone: GETS REALLY DROWSY Calm them and be reassuring. NEVER give coffee to rouse them. If symptoms persist, place them in the recovery position (see picture). Call an ambulance if necessary. A risk with heroin, tranquillisers and misuse of gases, glues and aerosols. GETS TENSE AND PANICS Calm them and be reassuring. Explain that the feelings will pass. Steer them clear of crowds, noisy music and bright lights. If they start breathing very quickly, calm them down and encourage them to take long, slow breaths. RECOVERY POSITION Ecstasy and speed affect the body’s temperature control. If users dance energetically without taking regular breaks or keeping up fluids, there’s a real danger that their bodies could overheat and dehydrate (lose too much body fluid). Warning signs include: cramps, fainting, headache or sudden tiredness. BECOMES UNCONSCIOUS Call an ambulance. Place them in the recovery position (see picture). Check breathing. Be prepared to do mouth-toCan occur with ecstasy, LSD, mouth resuscitation. Keep them warm, magic mushrooms and speed. but not too hot. GETS TOO HOT AND DEHYDRATES THE Encourage them to sip non-alcoholic fluids such as fruit juice and isotonic sports drinks (about a pint every hour). If symptoms persist call an ambulance, but make sure someone stays with them. Move them to a cooler, quiet area (outside is often best). Remove excess clothing and try to cool them down. A danger for: Someone on alcohol; gases, glues and aerosols; heroin; poppers; tranquillisers. People who suffer a bad reaction to ecstasy. Ecstasy users who dance and don’t keep up fluids (see page 20) Annie is a drugs counsellor working with a local project. Here she sorts out your LSD trips acid scooby doos tabs WHO SHOULD I BELIEVE? My best mate Gary’s bugging me to take an acid trip with him. He says there’s no way I’ll have a bad trip on his tabs, but I’ve read somewhere that you can never predict the effects of LSD. I’m scared I’ll have a bad experience. Dear Steffan Steffan, 14, Swansea Just because your friend says he had a good time on acid doesn’t mean you will too. In fact there’s NO GUARANTEE he’ll repeat his last experience. Like many drugs, the effects of an LSD trip are different for everyone. Much depends on your mood, where you are and who you’re with when you take the acid - not what batch it came from - and a bad trip can be a terrifying experience. Get to know the facts about drugs, and the risks involved will become clear. As for the info you’re after, always be sure of your sources. This booklet and the DAN 24/7 Helpline (see below) are two you can trust. questions: HIS HIGHS LEAVE ME LOW My boyfriend’s into ecstasy. He says it doesn’t do any harm, but after a night out he’s always exhausted and snappy with me. He really upsets me when he’s like this. He also blows most of his cash this way and sometimes I wonder whether he’s more interested in E than he is in me. Katie, 16, Wrexham Dear Katie Frequent and heavy use of some drugs can have a bad effect on users’ lives. Obviously this isn’t doing you any favours. But don’t bottle up your worries - talk. Just choose your moment wisely - if he’s feeling low he won’t react well. Ultimately, it’s down to him to wise up - not just to the damage he could do to himself but to your relationship too. e doves disco biscuits hug drug 7 If you’re worried about any drug issue, call DAN 24/7 HELPLINE on 0800 6 33 55 88. They can also put you in touch with your local drug agency. Ring in an emergency or just call for info and advice. whizz speed billy uppers sulphate 8 WOULD SPEED HELP ME PASS MY EXAMS? SHE’S DROWNING HER SORROWS Recently I mentioned to a mate that I was worried about exams. She suggested speed could help me focus, and give me the confidence I need to pass. Is this true? A good friend was dumped recently by her boyfriend. She pretends it’s no big deal, but I know she’s hiding her real feelings. We’ve been to a few parties since it happened, and every time she’s got badly drunk. It’s really unlike her, but I don’t know how to help. Rob, 15, Bangor Gemma, 16, Monmouth Dear Rob Speed is a stimulant. The drug works by stepping up the heart rate, making users feel confident and able to concentrate for longer periods. But speed can’t make you perform any better in exams. It may make you THINK you’ve done brilliantly, but when you get the results you’ll probably GET A shock. What’s more, speed can bring on mood swings, irritability and paranoia - three things you don’t want at the best of times, especially not during exams! To do your best you don’t need drugs. A revision plan and a clear head will be much more helpful. Dear Gemma Alcohol is a depressant drug. Your friend may be boozing to blank out her problems but it’s likely to leave her feeling worse. To help herself, she has to recognise that getting drunk won’t make things better. First she needs to deal with her feelings about the split, but you can’t force her to open up. Instead, make her aware that you’re prepared to listen when she’s ready to talk. To sober up she needs to find her selfrespect again. Being her friend will help her back on her feet. For more advice call DRINKLINE on 0800 9178282. Give her the number too. alcohol booze alcopops spirits FAT? I was at a party with my mates when the neighbours called the police because of the noise. When the police arrived at the house, they searched a few of us for drugs. This lad had some speed on him and they took him down the police station. I’ve seen him around, but my mates told me he got cautioned. Does that mean he’s got away with it? Gareth, 14, Haverfordwest Dear Gareth A ‘formal caution’ is sometimes given by the police where an offence has been committed, but they decide not to take the person to court because that person has admitted TO the offence and agreed to be cautioned. However, a formal caution is a very serious matter and it will stay on police records for five years. If the boy commits another offence, the fact that he has a formal caution on his record could mean he is more likely to end up in court. If he was found guilty he could get a harsher sentence. Getting a formal caution does not mean he got away with it. tobacco fags cigarettes ciggies Class ‘A’ drugs Class ‘B’ drugs WILL QUITTING MAKE ME I’m a smoker but I really want to give up. I know I can do it, but I’ve heard that quitting means you put on weight. I’m a big girl as it is, and I really don’t want to get any bigger. Mari, 16, Aberdare Dear Mari Packing in cigarettes doesn’t mean you’ll automatically pile on the pounds. However, nicotine is known to dull the appetite. This means people giving up often find they’re tempted to reach for the fridge instead of a smoke. It’s then that the calories can start mounting. Eating like this is also a comfort thing - a way of replacing the buzz you get from the nicotine in tobacco - but the craving WILL pass. In the meantime, if you have to snack, make sure you’re stocked up on healthy, low-fat foods. Give up smoking this way and you’ll be doing your body a double favour - while the only pounds you’ll gain are those that fill your pocket! For more help call Smokers Helpline Wales 0800 1690169. 9 DON’T MIX DRUGS AND ALCOHOL My boyfriend smokes cannabis and he also likes to drink alcohol. But if he’s smoking and then starts drinking booze, he just ends up feeling dizzy and sick. Lisa, 15, Carmarthen Dear Lisa Mixing any drug with alcohol can be very dangerous. As your boyfriend has discovered, it can make people feel very ill. Driving after you’ve taken both cannabis and alcohol is particularly dangerous. Drinking alcohol on top of drugs like heroin or tranquillisers can even kill. It’s important that your boyfriend is made aware of the risks of mixing drugs and alcohol. Show him this booklet if he won’t listen to you. SMOKING ‘BROWN’ IS BAD NEWS At the clubs I go to, a lot of people are smoking ‘brown’ to chill out. Some of my friends have told me that “brown” is just a stronger form of cannabis - is this true? Jo, 16, Cardiff Dear Jo ‘Brown’ is actually a smokeable form of heroin. It carries all the same risks as heroin - the fact that it’s smoked doesn’t make it ‘safe’ or less addictive. Read about the effects of heroin use in the Drug Files at the end of this booklet and warn your friends about the risks that What you need to know... 10 they could be running. heroin scag H smack gear junk TRUE FALSE 1. Alcohol is a stimulant drug. 2. Snorting cocaine can permanently damage the inside of the nose. 3. Using heroin for the first time can cause vomiting. 4. If you’re on tranquillisers, alcohol doesn’t have any effect. 5. The maximum penalty for possession of speed is two years’ imprisonment. 6. The ‘head rush’ felt by users when they breathe in poppers is caused by a surge of blood through the heart and brain. 7. A bad trip on LSD (acid) is more likely to happen to first time users. 8. The high from smoking crack lasts for about ten minutes. 9. The effects of ketamine can leave users unable to move for hours. 10. Many drugs sold on the ‘street’ have been mixed with other substances, so users can never be sure what they’re getting. The answers 1. FALSE 2. TRUE 3. TRUE 4. FALSE 5. FALSE 6. TRUE 7. FALSE 8. TRUE 9. TRUE 10.TRUE - A bad trip can happen to anyone, whether they’re taking LSD for the first time or not.It’s more likely if a user is feeling anxious, uncomfortable or nervous. - Mixing tranquillisers with alcohol is very dangerous. - Possession carries a maximum penalty of five years’ imprisonment and/or a fine. - Alcohol is a depressant drug. It slows down brain activity. GET YOUR FACTS RIGHT! When it comes to DRUGS, are you clued up or clueless? Find out with this true or false quiz. All the answers are in the drug files (and at the foot of the page). 11 Recently this girl was caught by the police with some ecstasy tabs in her pocket. This is her story… Name: Age: Lives in: Occupation: Bethan 16 Aberystwyth Student Criminal charge: POSSESSION WITH INTENT TO SUPPLY ‘I STILL DON’T THINK OF MYSELF AS A DRUG DEALER. As I see it, dealers are big time gangsters or those people outside clubs trying to sell Es, trips and whizz. All I did was try to sort a few friends with ecstasy. Like I told the police, my mates asked me. I wasn’t going to push it on them. In fact I thought I was doing them a favour. I even said that none of the tabs were for me, but it didn’t make any difference. AWAITING PUNISHMENT The police haven’t told me what’s going to happen yet. I could get a formal warning or a caution - which means a police record. I might even have to appear in court. The fact that ecstasy is a Class A drug isn’t going to help. Apparently it’s the most serious drugs category of all, and can carry the heaviest penalties. Also a lot depends on the amount of drugs the police find. I was only carrying a few Es, and I was on my own when they stopped me. Still, the police were convinced that they weren’t just for my own personal use. SO DISAPPOINTED It’s been a big shock for my parents - when they turned up at the station, my mum was white as a sheet. Dad wouldn’t even look at me. They’ve said they’ll stand by me, but I know they feel let down. THE FUTURE Word’s already spreading through school. My teachers are bound to find out - and then what? What really hurts is that everyone’s talking about me behind my back. No one undestands how bad I feel. I wish I’d known about the risks I was taking. But it’s too late now. I’ve just got to face what’s coming.’ Police may spend more time looking for professional dealers, but they still treat cases like Bethan’s very seriously. Possession with intent to supply is a major offence. sorted for Es and whizz? 12 THE LAW U N LOC K E D If the police have reason to suspect that you are carrying an illegal drug, they have the right to make you turn out your pockets. They can also take you to the police station and search you. If drugs are found, you could be charged with one of TWO offences: POSSESSION This means being caught with an illegal drug for your own use. The police can tell your parent(s) or carer. They could also inform the Social Services and the Probation Service. As for punishment, the police have these options: a formal warning (which is put on local police files - if you offend again this may influence the police to charge you, rather than caution you) a formal caution (a central police record held for five years - if you offend again, this can be used against you) to charge you with an offence leading to a Youth Court hearing (this is more likely for repeat offenders, who may end up with a fine or a custodial sentence). IF YOU HAVE A DRUGS RECORD: Obtaining a visa to travel to some countries may become difficult or could even be denied. A drugs record could affect your job prospects. When applying for a job, an employer may check if you have a criminal record or any past convictions. POSSESSION WITH INTENT TO SUPPLY DRUGS If you had any intention of dealing (which can include giving and sharing drugs), you may be charged with this more serious offence. Decisions over whether you’re charged with intent to supply are based on the circumstances in which you were caught and the quantity of drugs you were caught with. The police can take the same course of action as in simple possession cases, but this time you’re more likely to be charged. If your case goes to court, the penalties are likely to be heavier. 13 14 law Ignorance won’t wash with the The Misuse of Drugs Act 1971 divides drugs into three classes and sets maximum sentencing penalties: CLASS CLASS CLASS A B C Cocaine, crack, ecstasy, heroin, LSD (acid), magic mushrooms, speed (amphetamines) if prepared for injection. Methylamphetime (Methamphetamine/Crystal Meth) MAXIMUM PENALITIES: possession 7 years’ prison and/or a fine supply life imprisonment and/or a fine Speed (amphetamines), methylphenidate (Ritatin) Pholcodine, Cannabis MAXIMUM PENALITIES: possession 5 years’ prison and/or a fine supply 14 years’ prison and/or a fine Anabolic Steroids, Tranquillisers (including Temazepam (mazzies)), Gamma hydrox-ybutyrate (GBH), Ketamine MAXIMUM PENALITIES: possession 2 years’ prison and/or a fine supply 14 years’ prison and/or a fine Some other drugs are controlled by the Medicines Act. As for alcohol, gases, glues and aerosols, poppers and tobacco, the law handles each of these differently. ALCOHOL (Illegal to sell to under-18s) Alcohol is found in drinks like beer, lager, alcopops, cider, wine and spirits. The facts Alcopops often contain more alcohol than many beers, lager or cider. drugs is Alcohol comes in different strengths and measured as a % by volume. The higher the % the stronger the drink will be. The stronger the strength the more units will be contained in a drink. For men, it is recommended that they drink no more than 3 to 4 units of alcohol a day and no more than 21 units over the course of the week. For women, it is recommended that they drink no more than 2 to 3 units of alcohol a day and no more than 14 units over the course of the week. Individuals should not save up their daily units through the week and binge on the weekend.” with other Police have a range of powers to tackle underage drinking ranging from powers to confiscate alcohol from under-18s who drink in public, tackling those that drink irresponsibly and as well as tackling those that persistently sell or supply under 18s with alcohol. SERIOUSLY DANGEROUS It is illegal to sell alcohol to under 18s. Young people aged 16 or 17 can however drink beer, wine or cider with a meal if it is bought by an adult and they are accompanied by an adult. It is illegal for this age group to drink spirits in pubs, even with a meal. alcohol Mixing 15 16 The risks Alcohol is a depressant drug. Users can end up feeling very down. Women get more drunk than men on the same amount of alcohol. They can also develop drinkrelated health problems earlier. Overdose (drinking far too much) can lead to loss of consciousness. Users then risk choking on their own vomit. This can kill. Overdose can also cause alcoholic poisoning, which can be fatal. Long-term over-use can lead to serious liver, heart and stomach problems. The number of alcohol related deaths in the UK has more than doubled from 4,144 in 1991 to 8,724 in 2007. The effects Many people enjoy drinking alcohol. In small amounts it can help them to relax and feel more sociable. Some people use alcohol to escape from their problems. The effect depends on the strength of the drink and how fast it is consumed. It also varies according to when a person last ate, and their weight, mood and surroundings. Speech can become slurred, co-ordination affected and emotions heightened. A hangover (the after-effects of alcohol) can leave you feeling ill for a day or so. ANABOLIC STEROIDS (Supply is against the law) 17 The facts Anabolic steroids can only be supplied lawfully by a pharmacist to someone with a doctor's prescription, unlawful supply is against the law and Class C penalties apply. Anabolic steroids are synthetic equivalents of the male hormone, testosterone. They are used in medicine to treat persistent anaemia and muscle weakness after surgery. Don’t confuse them with the type of Some body-builders use think it’ll improve their Some can be swallowed but most need an intramuscular Use in regulated sports is prohibited. A positive test for the drug can ruin a sporting career. steroids used to treat eczema/asthma*. anabolic steroids, as well as people who body image. injection. The effects Users claim steroids make them feel more aggressive and able to train harder. With intensive exercise, anabolic steroids can help build up muscle. However, there is some debate about whether they improve muscle power and athletic performance. 18 The risks Taking anabolic steroids carries many health risks and can stop young people from growing properly. The physical risks for MEN include: erection problems, breast growth (Bitch tits), shrinking testicles, reduced sperm and even sterility, acne, increased chance of heart attack and liver damage. The physical risks for WOMEN include: growth of facial hair, shrinking breasts and It is very risky for a steroids, as the seriously affected. deepening of the voice, disturbed menstrual cycle. pregnant woman to take unborn baby could be Trade names include: Sustanon 250, DecaDurabolin, Dianabol, Anavar and Stanozolol. May be referred to by users as ... ‘roids Steroid use can produce temporary mental health problems including aggression, mood swings, sleep disorder and paranoia. Sharing needles or syringes puts users at risk of dangerous infections like hepatitis and HIV. * Some countries treat asthma using Clenbuterol, which is also used for its anabolic effects. Cannabis is a natural substance from a plant commonly called ‘hemp’. It comes in a solid, dark lump known as ‘resin’ or as leaves, stalks and seeds called ‘grass’ or as a sticky oil. It can be rolled with tobacco in a spliff or joint, smoked on its own in a special pipe, or eaten. There are different types of cannabis - some (e.g. skunk) are very strong. Getting ‘stoned’ on cannabis makes most users relaxed and talkative. It heightens the senses, especially when it comes to colours, taste and music. Prolonged use can leave people feeling tired and lacking energy. Cooking and eating hash makes the effects more intense and harder to control. Hash may bring on cravings for food, especially sweet things. The RISKS The facts (Class B) The effects CANNABIS 19 Cannabis (including cannabis oil) is a Class B drug Smoking cannabis over a long period of time may increase the risk of respiratory disorders, including lung cancer. Cannabis use can affect the ability to concentrate and cause short-term memory loss. Getting stoned affects co-ordination, increasing the risk of accidents. It impairs driving skills, so never get in a car with someone who is stoned. Combining cannabis and alcohol substantially increases the chances of being involved in a road accident. Cannabis can make users paranoid and anxious, depending on their mood and situation. Many heavy regular users find cannabis hard to give up. Known as marijuana, draw, blow, weed, puff, shit, hash, ganja. 20 Cocaine (Class A) The facts Cocaine is a white powder which is usually snorted but is sometimes injected. It is a Class Known as A drug. coke, charlie, snow, The risks C. Users may find their habit expensive and hard to control. Cocaine use increases the heart rate and can cause chest pain and heart problems. Large or frequent doses over a short period can leave users agitated, anxious, confused and paranoid. Continued use may lead to a state of mind similar to paranoid psychosis. Snorting cocaine may permanently damage the membranes inside the nose. The effects Cocaine is a powerful stimulant. The buzz creates a sense of well-being, making users feel alert, confident and exhilarated. The effects last about 30 minutes. Users are often left craving more. People may also take more to delay the comedown (tiredness and depression). 21 (Class A) The facts Crack is a smokeable form of cocaine. The effects THE RISKS Crack is highly addictive. Crack cocaine ‘rocks’ Because the high can be so intense, crack use is often difficult to control Smoking crack can seriously After the high, feelings of harm the lungs and cause chest pains. The effects of smoking crack are similar to snorting cocaine but much more intense. The effects are very short-lived, lasting as little as ten minutes. Users often ‘chase’ the high by repeating the dose, which can rapidly lead to dependence. Heavy users may take heroin to dull the craving caused by the use of crack. restlessness, Heavy use can lead to potentially nausea fatal heart problems. Heavy users risk convulsions. Regular users may find their habit very expensive Users have died from . overdose and sleeplessness are common. Large or frequent doses over a short period can leave users confused, depressed and paranoid. Known as rock, wash, stone . It is a Class A drug. Crack pipe made from a car ariel (Class A) Ecstasy is a Class A drug. The effects The effects of MDMA are unpredictable. Users can feel alert and in tune with their surroundings and with other people too. Sound, colour and emotions can seem much more intense. The energy buzz from ecstasy means users may dance for hours. The effects last anything from three to six hours. 24 hour party people The facts Ecstasy usually comes in tablets of different shapes, size and colour (but often white). A tablet might not contain MDMA. Other drugs which might be sold as MDMA can have very different effects. Known as E, XTC, doves, disco biscuits, echoes, hug drug, eccies, burgers, fantasy (chemical name: MDMA). ecstasy 22 CHILL eeeeee The risks As ecstasy starts working (known as ‘coming up’) users may feel a tightening of the jaw, nausea, sweating and an increase in heart rate. The comedown can leave users feeling tired and depressed, often for days. Use has been linked to liver and kidney problems. Studies into the effects of ecstasy are still at an early stage. However, research shows that MDMA dramatically affects the brain chemistry of animals. There have been about sixty ecstasy-related deaths in the UK. Ecstasy affects the body’s temperature control. Dancing for long periods in a hot atmosphere increases the chances of users overheating and dehydrating (losing too much body fluid). The risks can be reduced if users: 1. Chill out regularly. 2. Sip about a pint of non-alcoholic fluid such as fruit juice, isotonic sports drinks or water every hour. Excessive doses can lead to sickness, stiff muscles, fits and even collapse. If incorrectly produced, The effects GHB has sedative properties and can produce feelings of euphoria. GHB can badly The effects have been known to last for a day. burn the mouth It is VERY DANGEROUS and can be fatal when mixed with alcohol or other drugs. The facts GHB comes as a colourless liquid and is sold in small bottles or capsules. The liquid is measured out in capfuls and then swallowed. GHB has no smell but a salty taste. It was originally developed as an anaesthetic for use during surgery. GHB is a Class C drug - illegal to have, give away or sell. Class C penalties apply - possession can get you up to two years in jail and/or an unlimited fine. Supply can get you up to 14 years in jail and/or an unlimited fine. GHB is also known as The long-term effects of GHB are not yet fully known. GAMMA OH GHB (sometimes known as GBH) is short for gammahydroxybutyrate. The risks 23 24 HEROIN The effects In small doses, heroin gives users a sense of warmth and well-being. Higher doses can make them drowsy and relaxed. (Class A) The facts Heroin is a painkilling drug made from morphine which is derived from the opium poppy. It comes as a white powder when pure. Street heroin is usually off-white or light brown. It is snorted, smoked or injected. The risks Heroin is a Class A drug. Excessive amounts can result in overdose, coma, and in some cases death. First-time use often leads to side-effects like dizziness and vomiting. Heroin is very addictive. Getting the next fix can dominate a user’s life. Tolerance develops, which means the user needs more heroin to get the same effect. Users who form a habit may end up taking the drug just to feel normal. If heroin is taken with alcohol or other drugs, overdose is much more likely. Smoking heroin does not make the drug ‘safe’ or less addictive. Those who start by smoking or snorting heroin sometimes switch to injection to maximise the high. Injecting can damage veins and leads to gangrene. Sharing needles or syringes puts users at risk of dangerous infections like hepatitis and HIV. Withdrawing from heroin can be very hard. Many people manage to kick the drug, but mentally it may take years to be free. Known as brown, gear, H, horse, junk, skag, smack. k anaesthetic Ketamine is a powerful drug which has been used for operations on humans and animals. Ketamine comes as tablets or as powder snorted up the nose. Ketamine is a prescription-only medicine. Ketamine is a Class C drug illegal to have, give away or sell. Class C penalties apply possession can get you up to two years in jail and/or an unlimited fine. Supply can get you up to 14 years in jail and/or an unlimited fine. Like LSD, the effects of ketamine are influenced by the user’s mood and environment. The risks As ketamine numbs the body, users risk serious injury without feeling pain. The effects can be very disorientating and this will probably be worse if the user is already anxious or depressed. Special Excessive doses carry some risk of breathing problems and heart failure. Ketamine is particularly dangerous when mixed with depressant drugs such as alcohol, barbiturates, tranquillisers and heroin. The long-term effects of recreational use of ketamine are still not really known. Known as K, special K, vitamin K The facts (Class C) Ketamine has painkilling effects but also alters perception. Ketamine makes users feel detached from themselves and others around them. This creates ‘out of body’ and hallucinatory experiences, followed by numbness and strange muscle movements and possibly nausea and vomiting. During this time, a user may be physically unable to move. ampule of ketamine k ETAMINE The effects 25 26 (acid) LSD is a hallucinogenic drug The effects It has a powerful effect on the mind. The effects of LSD are known as a ‘trip’ and can last as long as eight to twelve hours. The effects can vary depending on the user’s mood, where they are and who they’re with. Users report visual effects such as intensified colours, distorted shapes and movement in stationary objects. Changes in the sense of time and place are also common. [Class A] The risks Once the The facts LSD usually comes in tiny squares of paper, often with a picture on one side. It also comes in ‘microdot’ tablets. The strength of the drug no trip starts, there’s way of stopping it. A bad trip can be terrifying. Users may feel very threatened and can forget that the drug is responsible.It’s impossible to predict a ‘bad’ trip, but it’s more likely to happen if the user is feeling anxious, nervous or uncomfortable. Users experience trips differently every time. Feeling paranoid or out of control can leave users shaken for a long time afterwards. and effect varies greatly. LSD is a Class Accidents may happen while users are hallucinating. Users may experience flashbacks, where parts of a trip are briefly re-lived some time after the event. A drug. LSD can complicate mental problems, for example by triggering a psychotic reaction. Known as acid, blotters, dots, microdots, tabs, trips (chemical name: Lysergic acid diethylamide) [Class A] The risks Magic mushrooms may cause stomach pains, sickness and The effects Magic mushrooms have a similar effect to LSD, but the trip is often milder and shorter. diarrhoea. Magic mushrooms can make users feel very relaxed and ‘spaced-out’. The effects depend on the user’s mood, where they are and who they’re with. The greatest risk is in eating the wrong type of mushroom and being poisoned. If users feel sick, they should go straight to hospital with a sample of the mushroom and explain what’s happened. Bad trips can happen and can be very frightening. Once the trip has started, there’s no going back. Like any hallucinogen, magic mushrooms can complicate mental problems. Magic mushrooms can be confused with some poisonous and even deadly species. Magic mushrooms may cause hallucinations objects, colour and sound become distorted. The facts Several types of mushroom can produce hallucinations when eaten. The most common is the Liberty Cap which contains psilocybin. There are also species that look similar to magic mushrooms but which are poisonous. It is illegal to possess Magic raw magic mushrooms, mushrooms are it is also an offence eaten raw, dried, cooked in to possess any food or stewed preparation of them (e.g. when they’re dried or stewed). into a tea. Magic mushrooms are Class A drugs. Known as ‘shrooms, mushies, majies Magic mushrooms 27 n! Methylamphetamine (commonly referred to as methamphetamine) is one of a group of stimulant drugs called amphetamines that act on the brain and nervous system. Like cocaine and amphetamines, methylamphetamine has stimulant properties but is much longer acting. The crystalline form sometimes called ‘Ice’ - like ‘crack cocaine’ can be easily smoked and can rapidly lead to high blood levels. The risks The drug can cause a rapid heart rate and a rise in blood pressure. The higher the dose, the greater these effects. There is some evidence of long-term brain changes that may gradually improve after sustained abstinence. In cases of overdose - stroke, and lung, kidney and gastrointestinal damage can develop, and coma and death can occur. Can be associated with injecting and with sharing of paraphernalia with attendant risks of HIV and hepatitis virus infections. May increase libido and risky sexual behaviour thereby increasing further the risk of blood borne virus transmission in some. io at la r hi ex awake! [Class A] It can bring on a feeling of exhilaration and produces increased arousal and activity levels. People feel more awake and it suppresses appetite. Smoking the purer crystalline form (also known as ‘crystal meth’ or ‘ice’) produces a very intense ‘rush’ similar to that produced by crack cocaine but longer-lasting - between 4 and 12 hours. RUSH Trade names include: Ice, glass, Tina, Christine, yaba Crystal Meth The effects Rush 28 (alkyl nitrites) [Restricted supply] Poppers is a term used for the group of chemicals known as alkyl nitrites. Alkyl nitrites include: amyl nitrite, butyl nitrite and isobutyl nitrite. The risks 29 Poppers come as a clear or straw-coloured liquid in a small bottle or tube. The vapour is or nose. breathed in through the mouth Over recent years, use of poppers has become more common in dance culture. Amyl Nitrite is very rarely used in medicines these days but when in a medicinal product it is controlled under the medicines legislation. Possession is not illegal but supply can be an offence. There have been cases where the Medicines Act was used to fine shops for selling them, but they are still sold as ‘Room Aromas’ or Deodorisers in sex shops and some clubs. The effects Because the drug reduces blood pressure, taking alkyl nitrites is very dangerous for people with Users get a very brief but intense ‘head-rush’. This is caused by a sudden surge of blood through the heart and brain. Blood vessels dilate (enlarge), resulting in a flushed face and neck. Some users say they experience the impression of time Poppers may be fatal if swallowed. The effects last two to five minutes after use. Can make some people feel faint and sick, especially when taken while dancing. Users often experience a headache afterwards. Regular use causes skin problems around the mouth and nose. anaemia, glaucoma and breathing or heart problems. slowing D O W N . Trade names include: Ram, Kix, TNT, Liquid Gold. POPPERS The facts HEAD Rush 30 Volatile Substances Abusing gases, glues or aerosols can lead to nausea, Solvents (Illegal to sell to under-18s when abuse is suspected) vomiting, black-outs and fatal heart problems. The facts Volatile Substances are sniffed or breathed into the lungs. It is illegal for shopkeepers to sell to under-18s, or to people acting for them, if they suspect the product is intended for abuse. The effects Users feel thick-headed, dizzy, giggly and dreamy. They may also hallucinate (see or hear things which aren’t real). The effects disappear after fifteen to forty-five minutes. Afterwards, users feel drowsy and The risks The greatest danger with Volatile Substance Abuse is that death can occur the first time a person ‘sniffs’. Squirting the stuff down the throat may cause the body to produce fluid that These substances are found in: lighter gas refills and fuel canisters, aerosols containing products such as hairspray, deodorants and air fresheners, tins or tubes of glue, some paints, thinners and correcting fluids. floods the lungs. This can be fatal. may suffer a ‘hangover’ effect. Accidents can happen when the user is high because their senses are affected. There is risk of suffocation if the substance is inhaled from a plastic bag over the head. Heavy Heavy regular regular use use can can damage damage the the brain, brain, liver liver and and kidneys. kidneys. Sniffing gases, glues or aerosols KILLS one person every week, in the UK. Speed The RISKS The comedown (tiredness and depression) lasts for one or two days and sometimes longer. Sleep, memory and concentration are all affected in the short-term. High doses repeated over a few days may cause panic, hyperactivity and paranoia. Regular heavy use often leads to lack of APPETITE and sleep and lowers resistance to disease. Long-term users may become dependent on the buzz speed gives them. Tolerance can develop, which means the user needs more to get the same effect. Long-term use puts a strain on the heart. Overdose can be fatal. Use of speed can lead to mental illness such as psychosis. Injecting amphetamine is particularly dangerous because the strength and purity of the street powder is unknown. amphetamines CLASS B The facts 31 Known as Amphetamines are synthetic stimulants. They usually come in a grey or white powder, or sometimes in tablet form. speed Speed can be snorted, swallowed, smoked, injected or dissolved in a drink. whizz Speed is the most impure illegal drug in the UK - the purity of street powders is less than 10 per cent. Amphetamines are Class B drugs (but carry Class A penalties if prepared for injection). uppers amph billy The effects Speed is a stimulant It quickens the heart beat and breathing rate and intensifies emotions. sulphate Users may feel confident and energetic. Some people also become tense and irritable and experience mood swings and depression. Speed suppresses the appetite, but doesn’t satisfy the body’s need for nourishment. 32 TOBACCO [Illegal to sell to under-18s] The risks Most smokers wish they’d never started. But this isn’t easy - most people who smoke become dependent and feel restless and anxious if they try to stop. Smoking is expensive. Ten cigarettes a day will cost upwards of £500 a year. Regular long-term smoking greatly increases the risk of a number of serious diseases including lung and other cancers, heart disease, bronchitis, bad circulation and ulcers. Breathing in other people’s smoke (second-hand smoking) can cause breathing difficulties, asthma and even cancer. It is estimated that The facts the effects Nicotine is a powerful and fast-acting stimulant drug which is used to relieve stress and anxiety. When smoke is inhaled, the effects of nicotine hit the brain about eight seconds later. Nicotine speeds up the heart rate and increases blood pressure. First-time users may feel sick and dizzy. Smoking causes around 6,000 Tobacco is the dried leaf of the tobacco plant which is usually sold in the form of cigarettes. Cigars are made from stronger, darker tobacco which can also be smoked in a pipe. Tobacco contains a drug called nicotine which is very addictive. It is illegal for shopkeepers to sell tobacco products to under-18s. People who quit smoking notice a real improvement in their health. For friendly, practical help and advice on stopping smoking ring Smokers Helpline Wales free on 0800 169 0169 premature deaths in Wales each year. 33 Class C Known as benzos, tranx. Temazepam (mazzies) is known as green eggs, jellies, tems or yellow eggs. Trade names include Ativan, Mogadon (moggies) and Valium. The effects In small doses, tranquillisers relieve tension and anxiety. Higher doses can make users drowsy and forgetful. The facts Tranquillisers are prescribed by GPs as short-term treatment for depression, stress and sleep problems. They are misused by some people to counter the effects of stimulant drugs, or taken in combination with alcohol or heroin. Tranquillisers can be supplied lawfully only by a pharmacist to someone with a doctor’s prescription. Tranquilisers (such as Rohypnol) are a Class C drug - illegal to have (unless they have been prescribed for you by a doctor), give away or sell. Possession without a prescription can get you up to two years in jail and/or an unlimited fine. Supply can get you up to 14 years in jail and/or an unlimited fine. THE RISKS Tranquillisers slow down reactions, making accidents more likely. They are very dangerous if mixed with alcohol because of the risk of a fatal overdose. Tolerance can develop. Users can become dependent, especially if they rely on the drug to calm them or help them to sleep. Users trying to quit may suffer panic attacks. Sudden withdrawal from very high doses can be dangerous and result in confusion and serious convulsions. Injecting crushed tablets or the contents of capsules is VERY DANGEROUS and can be lethal. 34 Help is always out there it’s just a question of asking… DAN 24/7 0800 6 33 55 88 DAN 24/7 is a national, confidential service providing 24 hour advice to drugs and alcohol users and anyone wanting information on substance misuse. Local information ISBN 0 7504 5209 0 © Crown copyright February 2010 CMK-22-10-120 E1040910
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