DrugCocktails.ca: A Website for Youth and Health Care Professionals

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Sandy Whitehouse of the BC Children's Hospital reviews the use and risk among youth of mixing prescription medications and substances of abuse, as well as a web based app geared to youth and professionals caring for youth with drug dependencies: DrugCocktails.ca Presented at YTH Live 2014 session "Calling all HIV Providers: Resources and New Media for You."

Health & Medicine

www.drugcocktails.ca
Facts about mixing medicine, booze and
street drugs
Sandy Whitehouse MD
Sabrina Gill, RN
Dean Elbe, PhD Pharmacy
We have nothing to disclose
April 6-8, 2014
San Francisco, CA
Annual Conference on Youth + Tech + Health

Medication Misuse & Overdose
Many celebrities have died after combining
medications with substances of abuse
While we are fascinated by celebrities…
MANY, MANY more average citizens and
youth suffer harm due to adverse reactions
from prescription medication & substance
cocktails
http://en.wikipedia.org/wiki/List_of_drug-related_deaths

Substance Experimentation in
Youth
Youth with chronic illness are as, or more likely to
use substances than those in good health
Substances taken may interact with medications
prescribed for chronic conditions
These questions come up all the time during
medication counseling sessions with youth
Adolescent health survey: chronic illness & disability among youth in BC.
Burnaby, BC, The McCreary Centre Society, 1994
Suris JC, Parera N. Sex, drugs and chronic illness: health behaviours among chronically ill youth.
Eur J Public Health 2005; 15: 484-8.

Harm Reduction
One pillar of the “Four Pillars” approach
One of 4 defined mental health priorities
for all British Columbians
Reduce harm to individuals and communities
from problematic substance use (legal or
illegal)
Accept that abstinence may not be
a reasonable goal for some users
DrugCocktails.ca supports harm reduction
http://vancouver.ca/people-programs/four-pillars-drug-strategy.aspx
BC Ministry of Health Services & Ministry of Family Development. (2010). Healthy Minds, Healthy People:
A 10-Year Plan to Address Mental Health and Substance Use. Victoria: Government of British Columbia

JF: 20-year old Female
Formerly dependent on heroin,
now taking methadone
maintenance
Ongoing marijuana use
Admitted with Dx: psychosis, Rx: quetiapine
During discharge counselling, she asks if there
are any problems with taking quetiapine
together with methadone or marijuana?

Where would you look?
Methadone interactions in the CPS and drug
databases… but what about cannabis?
Pubmed & Journal search: time
consuming, not all info is in primary literature
Vaults of Erowid (erowid.org): info often
promotes substance use: if you’re looking to
grow bigger plants, or for pot brownie
recipes; no consistent interaction information

DrugCocktails.ca – Substance Info
Substance Information Courtesy of Here To Help – www.heretohelp.bc.ca

Design Considerations: Youth Friendly
Consulted BCCH Youth Advisory Council
Visually pleasing
Works on smartphones
Plain language warnings
Hide the indication/purpose
‘Hide This Page’ button
No personal information collected

DrugCocktails.net version 1.0
The Research Site

DrugCocktails.ca Warnings
Keep it Simple
Harm-Reduction approach
Followed youth-friendly style used in
original 2002 Handbook
Clinical pharmacist made final determination
(and standardization) of warning levels

DrugCocktails.ca Warning Icons
Does any particular colour seem to be missing?

DrugCocktails.ca Warning Icons
Key Point: There are no ‘green lights’ in DrugCocktails.ca
There is risk with taking any substance into your body.
Often, there is no information. Everyone reacts differently.
X X X X X

Research Survey Results
Research Survey
Ease of Use
Satisfaction
Use Site again
Recommend
Need Changes
Youth (n=45) Professionals (n=45)
85% 87%
85% 91%
82% 100%
82% 98%
27% 56%

Websites Now Available
Youth Professionals
drugcocktails.ca drugcocktails.ca/pro

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