This is a presentation I did last year in Chicago for Cook County juvenile probation officers. It is an update on patterns of drug abuse by adolescents. Among other things, it acquaints viewers with the problem of street drug misrepresentation. Not only are the same street drugs sold in different forms, but drugs that look the same may contain completely different drugs.

1. NEW DRUGS OF ABUSE & NEW MEDICATIONS FOR THE TREATMENT OF ADDICTION Randall Webber, M.P.H. Director of External Training TASC, Inc.

2. Trends in Adolescent Drug Use: 2008 Update Randall Webber, M.P.H. Director of External Training TASC, Inc of Illinois

4. The Problem with Pill Identifications: New York City May 2000 Amphetamine Chicago May 2000 MDMA Tucson AZ July 2000 PMA Portland Oct 2000 MDMA

6. Major Neurotransmitters Inhibitory Endorphins Excitatory Acetylcholine Inhibitory GABA Excitatory Glutamate Inhibitory Serotonin Inhibitory/Excitatory Dopamine

7. Methamphetamine Methamphetamine

8. Methamphetamine and MDMA A hydrogen atom shifts position   two oxygen atoms are added MDMA Methamphetamine

9. DXM Examples – No Urine Test Available Produces Olney’s Lesions On Lower Cortex “ Pink Molly” Buffalo NY “ Star” Indianapolis IN “ Clover” Wide spread across US “ Orange Julius” Seattle WA “ Green Triangle” Wide spread

10. Age of First Non-Medical Use of Rx Drugs & Lifetime Diagnosis of Substance Abuse

11. Annual Numbers of New Non-medical Users of Opiate Pain Relievers: 1965–2002

12. Number of New Users of Illicit Drugs: 2006

13. Number of Rx Opiate Users: 2005 Vs 2006

14. Source of Rx Opiates

15. Number of American 12+ y.o. who have used OxyContin VS Heroin (In Millions)

16. % of Youth Who Believe that Trying Heroin Once or Twice Does NOT pose a “Great Risk”

18. Brown & White Heroin

19. Black Tar Heroin (“El Chicle”)

20. Vicodin

21. Vicodin

22. Generic Hydrocodone

24. OxyContin

25. OxyContin

29. ADHD Medications

31. Ritalin

32. Reported Sources of Rx ADHD Medications Among Past-Year Non-medical Users, 2005* * Among adults ages 18 to 49 without a prior diagnosis of or prescription for ADHD

38. Medicines containing DXM may also contain other substances

42. SEDATIVE/HYPNOTICS

43. Ambien: Regular Release

44. Ambien: Sustained Release

51. Lunesta (eszopiclone )

56. Rozerem (Ramelteon )

57. Rozerem (Ramelteon )

59. Nystagmus