On the frontline
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On the Frontline. Gareth Balmer Dundee Direct Access Service. Remit to provide substance misuse advice, information and support service to People of Dundee. 2008 Bubbleluv ecstasy alternative amongst recreational users 2009 Sudden increase in reports Enquiries from schools Schools

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On the Frontline

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On the frontline

On the Frontline

Gareth Balmer

Dundee Direct Access Service

Remit to provide substance misuse advice, information and support service to People of Dundee


In the beginning

2008 Bubbleluv

ecstasy alternative amongst recreational users

2009 Sudden increase in reports

Enquiries from schools

Schools

White ones

Pink ones

Blue ones

LSD Ketamine Ecstasy combo?

Never credible

A mix up on reported effects

“mephedrone; its very moreish”

In the beginning….


In the beginning1

In the beginning….

Reports continue…..

“Doctors in Dundee have issued a warning about the legal high drug 'bubbles' after five people suffered non-fatal overdoses last weekend in the city” BBC News Nov 2009

‘Bubbles’ take man to brink of suicide in weeks” DC Thomson Jan 2010

Party drug bubbles ‘destroyed our son’Feb 2010

“Mephedrone teenager risked blowing up petrol station” STV NEWS April 2010

“Party drug mephedrone contributed to suicide death of my son, reveals grief-stricken mum” Daily Record July 2010


Prevalence

Prevalence..?

“Mephedrone use and associated adverse effects in school and college/university students before the UK legislation change” Dargan PI, Albert S, Wood DM.QJM. 2010 Jul 30. [Epub ahead of print]

1006 individuals completed the survey [501 (49.8%) males and 505 (50.2%) females]

349 classified their educational institute as a school and 657 as a college/university

205 (20.3%) reported previous use of mephedrone

23.4% reported using only using mephedrone on one occasion previously

4.4% reported daily use

56% of those who had used mephedrone, reported at least one unwanted effect associated with its use


What s in a bubble

What's in a Bubble?

Most recent info from official sources…

Methylmethcathinone (mephedrone)

MDPV

Methylone

Butylone

NRG-?

MDAI

ERIC!

Dose?


Who comes to see us and why

Who comes to see us and why?

Drop-in service

Accident and Emergency

Psychiatric liaison

Inpatient psychiatric services

Dragged in by parents

Cost/Benefit

Dose related problems

Daily use


Presenting issues

Presenting issues?

Anxiety

Palpitations

Hallucinations

Paranoia

Cravings

Anger

Despair

Family problems

Money problems

Dopamine psychosis?

Why are we surprised: KHAT


What are we doing

What are we doing?

Reassurance

Coping with comedowns

Harm reduction message

Most problems dose related

Coping with cravings


On the frontline1

On the Frontline


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