Substance Abuse/Addiction

Prescription medicines taken properly help heal illness, relieve pain, control disease and bring balance to your life. But when others take your medications, they can be very dangerous.

An alarming trend is occurring. When youth in Trumbull County schools were asked during the2015-2016 school year whether they had taken a prescription drug not prescribed to them, 10% said they had done so within the last 30 days. This is a higher number than the national average of 6%.  Commonly abused prescription drugs range from pain relievers and depressants to stimulants and over-the-counter medicine.


Some disturbing facts from LockYourMeds.org:

  • One in four teens has abused prescription drugs.
  • 3.1 million 12 to 25 year olds  have used over-the-counter cough and cold medications at least once to get high.
  • Prescription drugs are the #1 choice among 12-13 year olds.
  • 13 is the average age of the non-prescribed user of sedatives and stimulants.
  • One in seven boys and one in five girls has shared or borrowed a prescription drug.
  • Nearly one in 10 high school seniors admit abusing pain relievers.
  • Girls age 12-17 are more likely than boys to misuse over-the-counter medications, but the trend reverses with 18- to 25-year-olds.

Your nightstand. Their drug supplier.

What’s in your medicine cabinet? On your nightstand or the kitchen counter? In your purse? Naturally, you keep prescription medicines and cold and cough remedies handy for you to take when needed. But, they are also handy for teens to take without you knowing it.

Adolescents believe that since the medicines were prescribed by a doctor, they provide an inexpensive, legal and “medically safe high.” In the case of over-the-counter remedies, most children have been given these medicines by their parents for common illnesses, such as fevers, colds and coughs. So, teens believe it is safe to take these drugs whenever they choose. The spread of pharmaceutical ads on television as well as the Internet and peer misinformation helps contribute to this attitude.

Source of Pain Relievers for Abusers

Ages 12 and older

 

 

More disturbing facts from LockYourMeds.org:

  • More teens have been offered prescription drugs than other illegal ones, except marijuana.
  • Four out of 10 teens believe prescription and over-the-counter medicines are less addictive and dangerous than street drugs.
  • 7.3 million young people believe there’s "nothing wrong" with using non-prescribed medicines periodically and that parents “don’t care as much if you get caught.”
  • More than one-third say they feel peer pressure to take prescription or over-the-counter drugs.

We often ask: Why? Teens give many reasons for abusing prescription and over-the-counter drugs, such as wanting to “fit in,” relieve depression and anxiety, help them cope with life’s stresses, sleep better or increase their alertness and concentration power so they can do better in school. Some want to control their weight with stimulants. Others want to self-medicate to relieve pain. They want to experiment. They want to be accepted by their peers. They want to escape reality or make their reality more bearable.

The abuse of over-the-counter drugs by teens is largely with cough and cold medicines that contain dextromethorphan (DXM) to get high. Some young people are also abusing laxatives, diuretics and diet pills to control their weight. Some herbal or “natural” products can be just as dangerous as diet pills because they act like a stimulant on the nervous system.

The most commonly abused prescription drugs are:

1. Pain relievers (opioids). These powerful medications are used primarily to treat pain and can be found in some cough medicines:

Types: Prescribed For: Sample Brand Names:
Morphine Severe Pain Kadian, MS Contin, Oramorph SR
Oxycodone Severe Pain OxyContin, Roxicodone, Percodan, Percocet
Codeine Coughs, mild pain Tylenol with Codeine, Robitussin with Codeine
Others Pain Darvon, Dilaudid, Demerol, Ultram, Vicodin, Tramadol

 

Appeal: Can produce quick, intense feeling of pleasure followed by a sense of well being and a calm drowsiness


2. Depressants, also known as tranquilizers and sedatives:

Prescribed For:

Sample Brand Names:

Anxiety, tension, sleep disorders, severe stress reactions, panic attacks

Mebaral, Nembutal, Seconal, Soma, Phenobarbital, Klonopin, Xanax, Valium, Librium, Halcion, Ativan, Rozerem, Ambien, Lunesta

 

Appeal: Causes euphoria or relaxation and sleep


3.  Stimulants or uppers:

Prescribed For:

Sample Brand Names:

Respiratory problems, sleep disorders (narcolepsy), attention-deficit / hyperactivity disorder (ADHD), short term treatment of obesity, depression

Adderall, Ritalin, Dexedrine, Focalin, Methylin, Concerta, Vyvanse, Daytrana

 

Appeal: Increases alertness, attention and energy, feeling of extreme joy, gives them energy to stay awake, increases concentration, become more talkative, and lose weight


4.  Over-the-counter drug abuse with dextromethorphan (DXM), which is called  “robo-tripping” by teens:

Used to Treat:

Sample Brand Names:

Cough, colds, sinus pressure (with DXM) , Sleep Problems

Alka-Seltzer, Contac, Coricidin, NyQuil, Robitussin, Sudafed, TheraFlu, Vicks, Nytol, Benadryl, Unisom, Tylenol PM

Weight control:
Laxatives, diuretics
Diet Pills, with ingredients, such as Ephedrine, caffeine, laxatives

Ex-lax, Dulcolax, MiraLax
Alli, Apidexin, Phenphedrine, Liporexall, DecaSlim, Colovox

 

Appeal: Creates a high, relieves pain, reduces anxiety, suppresses appetite, helps them sleep or lose weight, and gives them an edge in sports or school


If you suspect a friend or family member is using drugs, do not wait to act. Call 211 for Help.


Your words. Today’s slang.

Every generation has their own slang, but the lingo today’s teenagers use could mean something dangerous if they are abusing prescription or over-the-counter (OTC) drugs. For example, you go “fishing” for salmon or walleye, they go “phishing” for pharmaceuticals. Words that sound innocent to your ears may have another meaning on the street.

Click here and see if you can guess the drug culture’s definition of these common words or expressions:  Close the Communication Gap


Your lifesaver. Their lifetaker.

When your doctor prescribes medicine for you, the effects are closely monitored. But when others abuse medicines that are prescribed for someone else, no one is monitoring their dosage or frequency of use. They can become addicted, poisoned or even die from an overdose.

All too often, prescription or over-the-counter drugs are combined with other substances, like alcohol or marijuana, which can lead to dangerous consequences. And, sometimes teens attend “pharm or rainbow parties” where various prescription medications are dumped into a bowl and randomly ingested.

Watch for these signs and symptoms

Drug:

Short-Term Effects of Abuse:

Long-Term Effects of Abuse:

Pain relievers (opioids)

Physical side effects: relief from pain, lack of energy, drowsiness, constriction of the pupils, flushing of the face and neck, nausea, constipation, vomiting, slowed breathing, nightmares

Psychological side effects: anxiety, impaired judgment, inability to concentrate and learn, apathy, agitation, depression

Addiction, physical dependence, paranoia, hallucinations, dementia

Severe withdrawal symptoms when teen stops taking the drug, including deep depression and suicidal thoughts

Need to take more of the drug or a combination of drugs to produce the same high, possibly leading to overdose

Higher risk of graduating to heroin

Depressants

Physical side effects: loss of coordination, dilated pupils, slurred speech, relaxed muscles, shallow breathing, sluggishness, fatigue, dizziness, drowsiness, fever, hyperactivity, visual hallucinations

Psychological side effects: poor concentration, feelings of confusion, disorientation, impaired judgment and memory, lowered inhibitions, rage, hostility, depression, amnesia, paranoia

Addiction, dependence

Severe withdrawal symptoms

Need to take larger doses to achieve the same effects

Shallow breathing, clammy skin, weak and rapid pulse, seizures, overdose, coma

Stimulants

Physical side effects: decreased appetite, loss of coordination, collapse, increased heart and respiratory rates, elevated blood pressure, dizziness, tremors, headache, flushed skin, chest pain, excessive sweating, vomiting, abdominal cramps

Psychological side effects: restlessness, delusions, hostility, irritability, insomnia, anxiety, agitation, nightmares

Addiction, high fever, convulsions, heart failure, overdose

 

 

Paranoia, aggressiveness, extreme anorexia, thinking problems, visual and auditory hallucinations, delusions, panic, suicidal tendencies, severe dental problems

Over-the-Counter Drugs

Physical side effects: nausea, headache, blurred vision, dizziness, vomiting, loss of consciousness, numbness of fingers and toes, loss of coordination, abdominal pain, irregular heartbeat, aches, seizures

Psychological side effects: impaired judgment, restlessness, euphoria, cold flashes, dizziness, diarrhea

Addiction, insomnia, panic attacks, psychosis, high-blood pressure, damage to nerves, muscles and tissues in large intestine, coma

 

If you suspect your friend or family member has overdosed on any of these drugs, seek medical help immediately.

 

 

           

What is Problem Gambling?

According to the National Council on Problem Gambling, the term "problem gambling" refers to the urge to gamble, despite harmful negative consequences or a desire to stop. This definition may also include the condition known as "pathological gambling,” a progressive addiction whereby a person gambles compulsively to such an extent that the activity has a severe negative effect on his/ her job, relationships, mental health and/or other important aspects of life. People who suffer from pathological gambling may continue to gamble even after they have developed social, economic, interpersonal or legal problems as a result of the gambling.

Problem gambling is a widespread. Two million (1 percent) of U.S. adults are estimated to meet criteria for pathological gambling in a given year, according to the National Council on Problem Gambling. Another four to six million (2-3 percent) would be considered problem gamblers; that is, they do not meet the full diagnostic criteria for pathological gambling, but meet one of more of the criteria and are experiencing problems due to their gambling behavior. Based on national prevalence data, in Ohio it is estimated that 264,000 adults and approximately 38,000 adolescents exhibit problem gambling behaviors.



Problem Gambling Diagnostic Questions

Are you concerned that you have been or are currently a problem gambler? Here are some warning signs.

Do you:

  • Find yourself reliving past gambling experiences, planning the next venture, or thinking of ways to get money to gamble?

  • Need to gamble with increasing amounts of money in order to feel the excitement?

  • Become restless or irritable when attempting to cut down or stop gambling?

  • Gamble as a way of escaping from problems or relieving guilt, anxiety or depression?

  • Often return another day in order to get even or chase your losses after gambling?

  • Lie to family members, friends, therapist or others to conceal the extent of involvement with gambling?

  • Participate in illegal activities (e.g. forgery, fraud or theft) in order to finance your gambling?

  • Jeopardize or lose a significant relationship, job or educational or career opportunity because of gambling?

  • Rely on others to provide money to relieve a desperate financial situation caused by gambling?

  • Attempt to control, cut back or stop gambling but are unable to do so?

If you score:

1-2: You are at-risk.
3-4: You are a problem gambler.
5 or more: You are a compulsive gambler.  Please consider seeking help by calling 211. 

For more information on gambling visit:

Recovery by Meridian
Ohio for Responsible Gambling (ORG)
National Council on Problem Gambling
Gamblers Anonymous
Gam-Anon
First Step to Change Online Workbook

One of the best things we can all do to help address the opioid crisis in our county is to safely dispose of unneeded prescription medications.


Prescription Drug Disposal Pouches are FREE at the following locations:


  • Mercy Health/St. Joe’s at the Eastwood Mall

  • Hubbard Public Library

  • Kinsman Public Library

  • Vienna Police Department

  • Vienna Fire Department

  • Warren-Trumbull County Public Libraries in Warren, Howland, Cortland and Liberty

  • One Health Ohio locations in Newton Falls, Warren West, Lloyd McCoy Health Center

  • Kidz First Pediatrics, 1821 E. Market Street, Warren

  • RISE Recovery locations in the Lloyd McCoy Health Center and at 3132 Belmont Avenue

  • SCOPE of Trumbull County, 375 North Park Avenue in Warren

  • New Start Treatment Center, 1296 Tod Place, #205, Warren.


Learn more about using the Deterra Drug Disposal Pouch by watching this short video: https://youtu.be/V1RxmAMWKOU


 

Designated prescription medicine drop off locations:


DRUG DROP BOXES AVAILABLE IN TRUMBULL COUNTY

Recovery Housing is an important component of the “Recovery Model” continuum of services.  It is characterized as a safe and healthy living environment that promotes abstinence from alcohol and other drugs while promoting participation in recovery supports. Recovery houses do not provide drug or alcohol treatment.  Recovery housing focuses on the social model of recovery, peer support, accountability, relapse prevention strategies, and employment skills training as residents transition to living independently and productively in the community. Living with like-minded people can be a great boost to maintaining sobriety. Click here for a list of local housing providers.

For more information on recovery housing visit www.ohiorecoveryhousing.org