Drug Identification and Enforcement<br />FTO Damon Dees 184<br />BJH Dept. of Public Safety<br />
<ul><li>Identify Drug Schedules
Identify Drug Categories and Examples
Identify Signs and Symptoms
Identify Missouri Criminal Code</li></ul>Lesson Objectives	<br />
Each of the controlled substances is identified under one of five schedules.<br />Controlled Substances and appropriate sc...
Schedule I Drugs<br /><ul><li>High potential use for abuse and no accepted medical use or lacks accepted safety for use in...
Examples:
LSD, Marijuana, Heroin, GHB, Methaqualone aka Quaalude, Amphetamine Variants aka Ecstasy, Psilocybin aka shrooms, Phencycl...
Schedule II Drugs<br /><ul><li>High potential for abuse but has a currently accepted medical use (Opium is an example)
Examples:
Amphetamine, Cocaine, Methamphetamine, Methyl-phenidate aka Ritalin, Tetrahydrocannabinol aka THC, Codeine, Methadone, Mor...
Drug Schedules<br />Schedule III Drugs<br /><ul><li>A less potential for abuse but has a currently accepted medical use an...
Examples:
Ketamine, Anabolic Steroids</li></li></ul><li>Drug Schedules<br />Schedule IV Drugs<br /><ul><li>Low potential for abuse –...
Examples:
Benzo- diazepines aka Xanax or Valium</li></li></ul><li>Drug Schedules<br />Schedule V Drugs<br /><ul><li>Similar to Sched...
Examples from RSMo §195.017</li></ul>(a) Not more than two and five-tenths milligrams of diphenoxylate and not less than t...
CNS Depressants<br />CNS Stimulants<br />Hallucinogens<br />Dissociative Anesthetic<br />Narcotic Analgesics<br />Inhalant...
Alcohol<br />Barbiturates (Mebural and Nembutal)<br />Benzodiazepines (Xanax and Valium)<br />Gamma-hydroxybutyrate (GHB)<...
Signs and Symptoms<br />CNS Depressants<br />
Horizontal Gaze Nystagmus – Present<br />Vertical Gaze Nystagmus – Present in high dose<br />Lack of Convergence – Present...
Uncoordinated<br />Disoriented<br />Sluggish<br />Thick, slurred speech<br />Drunk like behavior<br />Gait ataxia<br />Dro...
CNS Depressants<br />Barbiturates<br />
Cocaine/ Crack<br />Amphetamines, Desoxyn, Dexadrine *(ADHD)<br />Methamphetamines<br />Ritalin<br />Adoral<br />CNS Stimu...
CNS Stimulants<br />Signs and Symptoms<br />
Horizontal Gaze Nystagmus – None<br />Vertical Gaze Nystagmus – None<br />Lack of Convergence – None<br />Pupil Size – Dil...
Restlessness<br />Body Tremors<br />Excited<br />Euphoric<br />Talkative<br />Anxiety<br />Grinding Teeth (Bruxism)<br />L...
CNS Stimulants<br />Cocaine<br />Meth<br />
CNS Stimulants<br />
CNS Stimulants<br />Ice Meth<br />
CNS Stimulants<br />
CNS Stimulants<br />
Lysergic Acid Diethylamide, “LSD”<br />Psilocybin Mushrooms<br />Peyote<br />Methylenedioxymethamphetamine, MDMA, “Ecstasy...
Hallucinogens<br />Signs and Symptoms<br />
<ul><li>Horizontal Gaze Nystagmus – none
Vertical Gaze Nystagmus – none
Lack of Convergence – none
Pupil Size – Dilated
Reaction to Light – Normal (3)
Pulse – Up
Blood Pressure – Up
Body Temperature – Up
Muscle Tone – Rigid</li></ul>3 Certain psychedelic amphetamines cause slowing<br />Hallucinogen Signs<br />
Dazed Appearance<br />Body Tremors<br />Synesthesia (4)<br />Hallucinations<br />Paranoia<br />Uncoordinated<br />Nausea<b...
Hallucinogens<br />Ecstasy<br />
Hallucinogens<br />LSD<br />
Hallucinogens<br />LSD<br />
Hallucinogens<br />
Hallucinogens<br />
Ketamine<br />Phencyclidine “PCP”<br />Dissociative Anesthetic<br />
Dissociative Anesthetic<br />Signs and Symptoms<br />
Horizontal Gaze Nystagmus – Present<br />Vertical Gaze Nystagmus – Present<br />Lack of Convergence – Present<br />Pupil S...
<ul><li>Perspiring
Warm to the Touch
*Blank Stare
Difficulty in Speech
Incomplete Verbal Responses
Repetitive Speech
*Increased Pain Threshold
Cyclic Behavior
Confused and Agitated
Hallucinations
Possibly Violent & Combative</li></ul>Dissociative Anesthetic Symptoms<br />
Dissociative Anesthetic <br />
Dissociative Anesthetic<br />
Heroin<br />Morphine<br />Oxycotin<br />Demerol<br />Fentanyls<br />Narcotic Analgesics<br />
Narcotic Analgesics<br />Signs and Symptoms<br />
Horizontal Gaze Nystagmus – None<br />Vertical Gaze Nystagmus – None<br />Lack of Convergence – None<br />Pupil Size – Con...
<ul><li>Droopy eyelids
“On the Nod”
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  • Drug Identification And Enforcement

    1. 1. Drug Identification and Enforcement<br />FTO Damon Dees 184<br />BJH Dept. of Public Safety<br />
    2. 2. <ul><li>Identify Drug Schedules
    3. 3. Identify Drug Categories and Examples
    4. 4. Identify Signs and Symptoms
    5. 5. Identify Missouri Criminal Code</li></ul>Lesson Objectives <br />
    6. 6. Each of the controlled substances is identified under one of five schedules.<br />Controlled Substances and appropriate schedules listed under RSMo §195.017<br />Schedule I<br />Schedule II<br />Schedule III<br />Schedule IV<br />Schedule V<br />Drug Schedules<br />
    7. 7. Schedule I Drugs<br /><ul><li>High potential use for abuse and no accepted medical use or lacks accepted safety for use in treatment under medical supervision.
    8. 8. Examples:
    9. 9. LSD, Marijuana, Heroin, GHB, Methaqualone aka Quaalude, Amphetamine Variants aka Ecstasy, Psilocybin aka shrooms, Phencyclidine & Anologs aka PCP</li></ul>Drug Schedules<br />
    10. 10. Schedule II Drugs<br /><ul><li>High potential for abuse but has a currently accepted medical use (Opium is an example)
    11. 11. Examples:
    12. 12. Amphetamine, Cocaine, Methamphetamine, Methyl-phenidate aka Ritalin, Tetrahydrocannabinol aka THC, Codeine, Methadone, Morphine, Opium, Oxycodone</li></ul>Drug Schedules<br />
    13. 13. Drug Schedules<br />Schedule III Drugs<br /><ul><li>A less potential for abuse but has a currently accepted medical use and abuse may lead to moderate or low physical dependence, or high psychological dependence (amphetamines are an example)
    14. 14. Examples:
    15. 15. Ketamine, Anabolic Steroids</li></li></ul><li>Drug Schedules<br />Schedule IV Drugs<br /><ul><li>Low potential for abuse – may lead to limited physical or psychological dependence (diazepam or certain concentrations of codeine are examples)
    16. 16. Examples:
    17. 17. Benzo- diazepines aka Xanax or Valium</li></li></ul><li>Drug Schedules<br />Schedule V Drugs<br /><ul><li>Similar to Schedule IV, but specifically includes preparations containing limited quantities of certain narcotic drugs.
    18. 18. Examples from RSMo §195.017</li></ul>(a) Not more than two and five-tenths milligrams of diphenoxylate and not less than twenty-five micrograms of atropine sulfate per dosage unit; <br />(b) Not more than one hundred milligrams of opium per one hundred milliliters or per one hundred grams; <br />(c) Not more than five-tenths milligram of difenoxin and not less than twenty-five micrograms of atropine sulfate per dosage unit; <br />
    19. 19. CNS Depressants<br />CNS Stimulants<br />Hallucinogens<br />Dissociative Anesthetic<br />Narcotic Analgesics<br />Inhalants<br />Cannabis<br />Drug Categories<br />
    20. 20.
    21. 21. Alcohol<br />Barbiturates (Mebural and Nembutal)<br />Benzodiazepines (Xanax and Valium)<br />Gamma-hydroxybutyrate (GHB)<br />CNS Depressants<br />
    22. 22. Signs and Symptoms<br />CNS Depressants<br />
    23. 23. Horizontal Gaze Nystagmus – Present<br />Vertical Gaze Nystagmus – Present in high dose<br />Lack of Convergence – Present<br />Pupil Size – Normal (1)<br />Reaction to Light – Slow<br />Pulse – Down (2)<br />Blood Pressure – Down<br />Body Temperature – Normal<br />Muscle Tone – Flaccid<br />1 – Soma & Quaaludes usually dilate<br />2 – Quaaludes & Alcohol may elevate<br />CNS Depressant Signs<br />
    24. 24. Uncoordinated<br />Disoriented<br />Sluggish<br />Thick, slurred speech<br />Drunk like behavior<br />Gait ataxia<br />Drowsiness<br />Droopy Eyes<br />Fumbling<br />CNS Depressant Symptoms<br />
    25. 25. CNS Depressants<br />Barbiturates<br />
    26. 26.
    27. 27. Cocaine/ Crack<br />Amphetamines, Desoxyn, Dexadrine *(ADHD)<br />Methamphetamines<br />Ritalin<br />Adoral<br />CNS Stimulants<br />
    28. 28. CNS Stimulants<br />Signs and Symptoms<br />
    29. 29. Horizontal Gaze Nystagmus – None<br />Vertical Gaze Nystagmus – None<br />Lack of Convergence – None<br />Pupil Size – Dilated<br />Reaction to Light – Slow<br />Pulse – Up<br />Blood Pressure – Up<br />Body Temperature – Up<br />Muscle Tone - Rigid<br />CNS Stimulant Signs<br />
    30. 30. Restlessness<br />Body Tremors<br />Excited<br />Euphoric<br />Talkative<br />Anxiety<br />Grinding Teeth (Bruxism)<br />Loss of Appetite<br />Insomnia<br />Irritability<br />Dry Mouth<br />CNS Stimulant Symptoms<br />
    31. 31. CNS Stimulants<br />Cocaine<br />Meth<br />
    32. 32. CNS Stimulants<br />
    33. 33. CNS Stimulants<br />Ice Meth<br />
    34. 34. CNS Stimulants<br />
    35. 35. CNS Stimulants<br />
    36. 36.
    37. 37. Lysergic Acid Diethylamide, “LSD”<br />Psilocybin Mushrooms<br />Peyote<br />Methylenedioxymethamphetamine, MDMA, “Ecstasy”<br />Hallucinogens<br />
    38. 38. Hallucinogens<br />Signs and Symptoms<br />
    39. 39. <ul><li>Horizontal Gaze Nystagmus – none
    40. 40. Vertical Gaze Nystagmus – none
    41. 41. Lack of Convergence – none
    42. 42. Pupil Size – Dilated
    43. 43. Reaction to Light – Normal (3)
    44. 44. Pulse – Up
    45. 45. Blood Pressure – Up
    46. 46. Body Temperature – Up
    47. 47. Muscle Tone – Rigid</li></ul>3 Certain psychedelic amphetamines cause slowing<br />Hallucinogen Signs<br />
    48. 48. Dazed Appearance<br />Body Tremors<br />Synesthesia (4)<br />Hallucinations<br />Paranoia<br />Uncoordinated<br />Nausea<br />Difficulty in Speech<br />Perspiring<br />Poor Perception of Time and Distance<br />Memory Loss<br />4 – Brain’s misinterpretation of senses<br />Hallucinogen Symptoms<br />
    49. 49. Hallucinogens<br />Ecstasy<br />
    50. 50. Hallucinogens<br />LSD<br />
    51. 51. Hallucinogens<br />LSD<br />
    52. 52. Hallucinogens<br />
    53. 53. Hallucinogens<br />
    54. 54.
    55. 55. Ketamine<br />Phencyclidine “PCP”<br />Dissociative Anesthetic<br />
    56. 56. Dissociative Anesthetic<br />Signs and Symptoms<br />
    57. 57. Horizontal Gaze Nystagmus – Present<br />Vertical Gaze Nystagmus – Present<br />Lack of Convergence – Present<br />Pupil Size – Normal<br />Reaction to Light – Normal<br />Pulse – Up<br />Blood Pressure – Up<br />Body Temperature – Up<br />Muscle Tone - Rigid<br />Dissociative Anesthetic Signs<br />
    58. 58. <ul><li>Perspiring
    59. 59. Warm to the Touch
    60. 60. *Blank Stare
    61. 61. Difficulty in Speech
    62. 62. Incomplete Verbal Responses
    63. 63. Repetitive Speech
    64. 64. *Increased Pain Threshold
    65. 65. Cyclic Behavior
    66. 66. Confused and Agitated
    67. 67. Hallucinations
    68. 68. Possibly Violent & Combative</li></ul>Dissociative Anesthetic Symptoms<br />
    69. 69. Dissociative Anesthetic <br />
    70. 70. Dissociative Anesthetic<br />
    71. 71.
    72. 72. Heroin<br />Morphine<br />Oxycotin<br />Demerol<br />Fentanyls<br />Narcotic Analgesics<br />
    73. 73. Narcotic Analgesics<br />Signs and Symptoms<br />
    74. 74. Horizontal Gaze Nystagmus – None<br />Vertical Gaze Nystagmus – None<br />Lack of Convergence – None<br />Pupil Size – Constricted<br />Reaction to Light – Little or None Visible<br />Pulse – Down<br />Blood Pressure – Down<br />Body Temperature – Down<br />Muscle Tone - Flaccid<br />Narcotic Analgesic Signs<br />
    75. 75. <ul><li>Droopy eyelids
    76. 76. “On the Nod”
    77. 77. Drowsiness
    78. 78. Low, slow raspy speech
    79. 79. Dry mouth
    80. 80. Facial Itching
    81. 81. Euphoria
    82. 82. Nausea
    83. 83. Fresh puncture marks
    84. 84. Track marks</li></ul>Narcotic Analgesic Symptoms<br />
    85. 85. Narcotic Analgesics<br />
    86. 86. Narcotic Analgesics<br />
    87. 87. Narcotic Analgesics<br />
    88. 88.
    89. 89. Volatile Solvents<br />Glue, acetone, gasoline<br />Aerosols<br />Hair spray, cooking spray<br />Anesthetic Gases<br />NO₂ , ether<br />Inhalants<br />
    90. 90. Inhalants<br />Signs and Symptoms<br />
    91. 91. Horizontal Gaze Nystagmus – Present<br />Vertical Nystagmus – Present in high dose<br />Lack of Convergence – Present<br />Pupil Size – Normal (5)<br />Reaction to light – Slow<br />Pulse – Up<br />Blood Pressure – up/down (6)<br />Body Temperature – up/down/normal<br />Muscle Tone – flaccid<br />5 Normal but may be dilated<br />6 Down with anesthetic gases – up with volatile solvents & aerosols<br />Inhalants Signs<br />
    92. 92. Residue of substance around mouth and nose<br />Odor of substance<br />Possible nausea<br />Slurred Speech<br />Disorientation<br />Confusion<br />Bloodshot, watery eyes<br />Lack of muscle control<br />Flushed face<br />Non-communicative<br />Intense headaches<br />Inhalants Symptoms<br />
    93. 93. Inhalants<br />
    94. 94.
    95. 95. Marijuana<br />Hashish<br />Cannabis<br />
    96. 96. Cannabis<br />Signs and Symptoms<br />
    97. 97. Horizontal Gaze Nystagmus – none<br />Vertical Nystagmus – none<br />Lack of convergence – present<br />Pupil size – dilated (7)<br />Reaction to light – normal<br />Pulse – up<br />Blood Pressure – up<br />Body Temperature – normal<br />Muscle Tone – normal<br />7 Possibly normal<br />Cannabis Signs<br />
    98. 98. Marked reddening of conjunctiva<br />Odor of Marijuana<br />Body tremors<br />Eyelid tremors<br />Relaxed inhibitions<br />Increased appetite<br />Impaired perception of time & distance<br />Disorientations<br />Possible paranoia<br />Cannabis Symptoms<br />
    99. 99. Cannabis<br />
    100. 100. Cannabis<br />Nepalese<br />Columbian<br />Thai<br />
    101. 101. Cannabis<br />Maui<br />
    102. 102. Cannabis<br />
    103. 103. Cannabis<br />
    104. 104.
    105. 105. Chapter 195 RSMo defines and regulates the use of controlled substances.<br />http://www.moga.mo.gov/statutes/c195.htm<br />Missouri Criminal Code<br />
    106. 106. A person commits the crime of possession of a controlled substance if he/she:<br />Knew of the presence of the substance; AND<br />Knew of the illegal nature of the substance; AND<br />Had actual or constructive possession of the substance; AND<br />The substance was a controlled substance.<br />Penalty varies<br />§195.202 Possession or control of a controlled substance, penalty.<br />
    107. 107. A person to whom or for whose use any controlled substance in Schedule II has been prescribed, sold, or dispensed by a physician, dentist, podiatrist, or pharmacist, or other person authorized under the provisions of section 195.050 and the owner of any animal for which any such drug has been prescribed, sold, or dispensed, by a veterinarian, may lawfully possess it only in the container in which it was delivered to him by the person selling or dispensing the same. <br />§195.110 User of controlled substance to keep it in container in which obtained. <br />
    108. 108. Knowingly<br />Distributes; OR<br />Delivers; OR<br />Manufactures; OR<br />Produces<br />A controlled substance; OR<br />Attempts to<br />Distribute; OR<br />Deliver; OR<br />Manufacture; OR<br />Produce<br />A controlled substance; OR<br />Knowingly possesses with the intent to<br />Distribute; OR<br />Deliver; OR<br />Manufacture; OR<br />Produce<br />A controlled substance<br />§195.211 Distribution, delivery, manufacture or production of a controlled substance, violations and attempted violations, penalty.<br />
    109. 109. A person commits the crime of possession or use of drug paraphernalia if he/she:<br />Uses, or possesses with the intent to use<br />Paraphernalia;<br />To plant propagate, cultivate, grow, harvest manufacture, compound, convert, produce, process, prepare, test, analyze, pack, repack, store, contain, conceal, inject, ingest, inhale, or otherwise introduce into the human body<br />A controlled substance or imitation controlled substance.<br />§195.233Use or Possession of Drug Paraphernalia<br />
    110. 110. A person commits the crime of possession of ephedrine if he/she:<br />Possesses any methamphetamine precursor drug; AND<br />Possesses such substance with the intent to manufacture methamphetamine or its analogs.<br />Class D Felony<br />See §195.400 for list of regulated chemicals<br />§195.246Possession of Ephedrine<br />
    111. 111. It is unlawful for any person to possess chemicals listed in subsection 2 of section 195.400, or reagents, or solvents, or any other chemicals proven to be precursor ingredients of methamphetamine or amphetamine, as established by expert testimony pursuant to subsection 3 of this section, with the intent to manufacture, compound, convert, produce, process, prepare, test, or otherwise alter that chemical to create a controlled substance or a controlled substance analogue in violation of sections 195.005 to 195.425.<br />A person who violates this section is guilty of a class C felony. <br />The state may present expert testimony to provide a prima facie case that any chemical, whether or not listed in subsection 2 of section 195.400, is an immediate precursor ingredient for producing methamphetamine or amphetamine.<br />§195.420Creation of Controlled substance<br />
    112. 112. When dealing with unknown pills call Poison Control and they can Identify them by the numbers on the pill.<br />1-800-392-9111<br />Additional Information<br />
    113. 113. Corporal Scott Connor – Sullivan Police Dept. <br />Instructor at The Law Enforcement Training Institute at the University of Missouri – Columbia<br />www.erowids.org<br />Special Thanks to:<br />

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