Notes
Slide Show
Outline
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Nature & Trends of Prescription (Rx) and Over-the-Counter (OTC) Drug Misuse Among Youth
  • Rachel Gonzales Ph.D.
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The Good News…
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Every Generation of Teens Looks for New Ways to Get “High”
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"Generation Rx“
  • Today's teens are more likely to have abused Rx and OTC drugs than most illicit drugs.
  • Every day 2,500 teens 12 -17 try a painkiller for the 1st time.
  • Rx drugs are the “drugs of choice” for 12 & 13 yr olds.
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"Epidemiology of Rx and OTC..."
  • Epidemiology of Rx and OTC Drug Misuse Among Youth
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Commonly Misused Rx Drugs
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OTC Medicine Abuse
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Examples of Popular OTC Products
  • Coricidin HBP Cough & Cold
  • Robitussin Cough products
  • Sudafed Cough medicines
  • Dimetapp DM
  • Tylenol Cold products
  • Vicks 44 Cough Relief
  • Vicks NyQuil and Dayquil
  • Triaminic Cough syrups
  • Alka-Seltzer Plus Cold & Cough


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Top 5 Drugs Used by 12th Graders
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OTC Medications Misused by Teens
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Demographics of Rx & OTC Drug Misusers
  • Recent studies have highlighted medicine abuse—both Rx and OTC—as alarming trends among:


    • Adolescents 12-17
    • Young Adults 18-25
    • Teen Females
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Extent of Rx and OTC Drug Abuse among Youth in California
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Use of Rx drugs by CA Adolescents
    • Taking painkillers without a prescription:
    • 15% of 11th graders
    • 9% of 9th graders
    • 4% of 7th graders
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Los Angeles
  • Sales sharply increased for oxycodone (84%) and hydrocodone (47%) between 2001 and 2005.


  • Codeine, hydrocodone, and morphine were distributed in the largest amounts when compared with the grams of other opiates distributed .
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"The Pharming Subculture"

  • The Pharming Subculture: Generation Rx
  • Risk Factors
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Reasons Teens Abuse Rx & OTC Drugs
  • Social - Pharm Parties
  • Legal - Widely Available
  • Easily Accessible - Online
  • Affordable: Low Cost/Free
  • Prescribed - Safe
  • Medicine: Non-addictive
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"Recent Research"
  • Recent Research: Why Teens Use?
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Access & Availability
  • The Home


  • Retail Pharmacies


  • The Internet


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Social Networking Web Sites:

Medicine Abuse Subculture
  • MySpace
  • YouTube
  • LiveJournal
  • Facebook
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Teen Rx & OTC Drug Slang
  • Xbrs or xanabars: anti-anxiety Xanax
  • Vic: Vicodin
  • Skittles, Dex, Robo, Tussin,  (any OTC cold pill containing DXM)
  • Triple Cs or CCC: Coricidin Cough & Cold
  • SIZ’zurp: cough syrup & ETOH
  • Trail Mix:  Pharm Party
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"The Pharming Subculture"

  • The Pharming Subculture:
  • Generation Rx


  • Consequences/Effects
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Teens Don’t Understand the Risks & Effects of Abusing Rx and OTC Medicines
  •   Over 50% believe that abusing these medicines to get high is NOT risky…
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The “High”
  • Slurred speech
  • Flushed skin, sweating
  • Loss of appetite
  • Mild distortions of color/sound
  • Confusion, forgetfulness
  • Clumsiness/loss of motor control
  • Mood swings, irritability
  • Excessive energy or sleepiness
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The “Lows”
  • Delusions
  • Panic attacks
  • Memory problems
  • Blurred vision
  • Stomach pain, nausea, vomiting
  • High blood pressure & Rapid heart beat
  • Numbness of fingers/toes
  • Drowsiness & Dizziness
  • Fever & headaches
  • Rashes/itchy skin
  • Loss of consciousness
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Side effects can be Lethal if…
  • Combining Rx drugs & OTC medications.
  • Taking Rx and OTC meds with alcohol.
  • Using Rx and OTC with other illicit drugs.
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Rx & OTC Drug Over Doses

  • Last week: Rapper Pimp C (Chad Butler): cough syrup & Hennessey – “sizerp”
  • Last Month: Heath Ledger: lethal cocktail of Rx drugs - pain, sleeping, anti-anxiety
  • Last Year: Anna Nicole Smith & Son (Daniel) both died due to Rx drugs
  • Last 1.5 years: Rapper Ol’ Dirty Bastard: fatal mixture of Rx drugs and cocaine
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Parents Don’t Know About
Dangers & Risks
  • Only 8% of parents are aware of Rx & OTC abuse.



  • 75% don’t talk to their kids about the problem.


  • Unaware that the drug supply can come from their own home.
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Nor has it been on the radar screens of…
  • Educators
  • Policymakers
  • Researchers
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Prevention Activities
  • ONDCP
    • 12 week national public awareness campaign
    • Began with 2 Ads aired during Super Bowl
    • 1st paid TV advertising targeting parents in 2 years.
  • DARE
    • New School Curriculum Addresses Rx and OTC Drug Abuse
  • Five Moms Campaign
    • Stopping Cough Medicine Abuse
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Future Efforts
  • Increased monitoring efforts at the state and local levels.


  • Developing intervention strategies for Rx & OTC drug abuse in youth treatment settings.


  • Statewide prescription drug workgroup/task force.


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Contact Information

  • Rachel: rachelmg@ucla.edu
  • (310) 267-5316