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CLUB/PARTY DRUGS. Overview of popular club/party drugs, their side effects and what to look for:. Presentation Overview. Drug overviews, what they are and what are their effects. How to handle overdose How to interact with clients who may be using substances. ALCOHOL. ALCOHOL POSITIVE.

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club party drugs

CLUB/PARTY DRUGS

Overview of popular club/party drugs, their side effects and what to look for:

presentation overview
Presentation Overview
  • Drug overviews, what they are and what are their effects.
  • How to handle overdose
  • How to interact with clients who may be using substances.
alcohol positive
ALCOHOL POSITIVE
  • relaxation
  • mood lift
  • lowered inhibitions / reduced social anxiety
  • kills pain
alcohol neutral
ALCOHOL NEUTRAL
  • slurred speech
  • flushed skin
  • drowsiness, sleepiness
  • difficulty focusing eyes
  • tolerance with repeated use within a few days
alcohol negative
ALCOHOL NEGATIVE
  • decreased coordination
  • nausea, vomiting (vomiting while unconscious can kill)
  • reduced impulse control
  • emotional volatility (anger, violence, sadness, etc)
  • dizziness and confusion
  • blackouts and memory loss at high doses
  • coma and death at extreme doses
  • brain and liver damage (cirrhosis) with heavy use
  • lowered inhibitions and increased confusion can lead to unwanted and negative sexual encounters (date rape)
  • hangover, lasting 12-36 hours, from mild to severe after heavy use
how to tell if someone is using alcohol
HOW TO TELL IF SOMEONE IS USING ALCOHOL
  • Smell of alcohol on clothes or breath,
  • glazed eyes.
  • Intoxication
  • slurred speech
  • unsteady walk
  • impaired coordination
  • slowed reflexes.
marijuana effects positive
MARIJUANA EFFECTS POSITIVE
  • mood lift
  • relaxation, stress reduction
  • creative, philosophical or deep thinking : ideas flow more easily
  • increased awareness of senses. (eating, drinking, smell)
  • change in experience of muscle fatigue. Pleasant body feel. Increase in body/mind connection.
  • pain relief (headaches, cramps)
  • reduced nausea, increased appetite (used medically for this)
marijuana effects neuteral
MARIJUANA EFFECTS NEUTERAL
  • general change in consciousness increased appetite, snacky-ness
  • slowness
  • tiredness
  • blood shot eyes
  • mouth dryness,
  • racing thoughts (especially at high doses)
marijuana effects negative
MARIJUANA EFFECTS NEGATIVE
  • nausea, especially in combination with alcohol, some pharmaceuticals, or other psychoactives
  • coughing, asthma, upper respiratory problems
  • difficulty with short term memory during effects and during periods of frequent use
  • racing heart, agitation, feeling tense
  • mild to severe anxiety
  • panic attacks in sensitive users or with very high doses (oral use increases risk of getting too much)
marijuana effects negative 2
MARIJUANA EFFECTS NEGATIVE (2)
  • headaches
  • dizziness, confusion
  • paranoid & anxious thoughts more frequent
  • possible psychological dependence on cannabis
  • clumsiness, loss of coordination at high doses
  • can precipitate or exacerbate latent or existing mental disorders
how to tell if someone is using marijuana
HOW TO TELL IF SOMEONE IS USING MARIJUANA
  • blood shot eyes
  • Slow talking/ slow moving
  • sticky-mouth/ cotton mouth
  • interrupts linear memory. Difficulty following a train of thought.
viagra15
VIAGRA
  • Viagra (sildenafil) belongs to a group of medicines that helps to maintain an erection that is produced when the penis is physically stimulated.
  • Two new drugs for erectile disfunction, Levitra and Cialis are new to the market. Their side effect and interactions are similar to Viagra.
viagra side effects
VIAGRA SIDE EFFECTS

Common

  • flushing
  • headache
  • nasal congestion
  • stomach discomfort following meals

Less Common

  • abnormal vision including blurred vision, seeing shades of colors differently than before, or sensitivity to light
  • bladder pain
  • cloudy or bloody urine
  • dizziness
  • increased frequency of urination
  • diarrhea
viagra drug interactions
VIAGRA DRUG INTERACTIONS
  • Protease Inhibitors (Crixivan, Invirase, Norvir, Viracept, Fortovase, Agenerase, Lopinavir): Increases the amount of Viagra in your blood and prolongs the action of Viagra. Cimetidine (e.g. Tagamet)
  • Mibefradil (e.g. Posicor): These medicines may increase the unwanted effects of Viagra, unless lower starting doses of Viagra are used.
  • Nitrates, such as nitroglycerin (e.g. Nitrostat or Transderm-Nitro): Viagra increases the lowering of blood pressure by nitrates too much and their use together is not recommended.
viagra drug interactions 2
VIAGRA DRUG INTERACTIONS (2)
  • The combination of Viagra and poppers is dangerous because the two drugs affect the human body in about the same way, lowering a person's blood pressure. The vessels get larger and that lowers your blood pressure and that lowers the amount of blood that goes through your heart and into your brain.
  • Crystal and Viagra can cause a sudden shift in heart pressure causing chest pains, heart attacks or a stroke.
  • Figures show men who have sex with other men and use both crystal methamphetamines and Viagra were six times more likely to contract syphilis than those who do not use either.
crystal or speed
CRYSTAL OR SPEED:
  • Speed (amphetamine or methamphetamine) is a stimulant drug.
  • It produces alertness, confidence and raises levels of sexual energy and stamina.
  • It reduces appetite and lessens the desire and ability to sleep.
  • Regular use can produce a need to increase the dose to get the same effect, and can lead to physical dependence on the drug. Speed can produce a powerful craving for more of the drug. Long-term use can result in serious mental and physical problems.
how is speed used
HOW IS SPEED USED?

·  Speed can be swallowed, snorted, smoked, or injected.

·  Swallowing is the safest method of using speed. The effects come on gradually and last longer than with other methods.

·  Snorting speed takes effect faster than swallowing but it can damage the nose.

·   Smoking speed takes effect immediately and can more easily lead to addiction.

·    Injecting is the riskiest method of using speed.

what are the risks of injecting
WHAT ARE THE RISKS OF INJECTING?

· The dose reaches the brain almost immediately, increasing the possibility of overdose.

· Impurities are introduced directly into the bloodstream and can cause infections.

· Repeated injections damage the veins, leading to abscesses.

· Sharing syringes can cause hepatitis and HIV, the virus that can cause AIDS.

side effects to look for
SIDE EFFECTS TO LOOK FOR:

·Hyperactivity

· The 'comedown' off speed can make your patron tired, lethargic and depressed. This may tempt users to take more.

·  Paranoia. Extended use of speed can cause psychosis. The user may think that everybody is out to get them, or that they are being followed or watched.

·  Mixing speed with other drugs, particularly other stimulants, can increase the risk of adverse reactions.

·  Speed users are at higher HIV and hepatitis risk through unsafe sex and needle sharing.

·  Although rare, speed can cause seizures, heart attacks, strokes, and death from overdose.

how to tell if someone is using crystal
HOW TO TELL IF SOMEONE IS USING CRYSTAL
  • grinding teeth
  • obsessive picking of the face or body
  • hallucinations, (auditory or visual), euphoria
  • extreme energy
  • no sleep for 2-3 days
  • dramatic weight loss
  • paranoia and aggressive behavior
  • Watery eye’s
  • Runny nose
what is ketamine
WHAT IS KETAMINE?

·Ketamine hydrochloride ("KITTY" or "K") was originally created for use as a human anesthetic, and is still used as a general anesthetic for children, persons of poor health, and in veterinary medicine.

· Ketamine belongs to a class of drugs called "dissociative anesthetics," which separate perception from sensation. Other drugs in this category include PCP, DXM and nitrous oxide (laughing gas).

·  Ketamine usually comes as a liquid in small pharmaceutical bottles, and is most often cooked into a white powder for snorting.

what are the effects
WHAT ARE THE EFFECTS?

· At lower doses it has a mild, dreamy feeling similar to nitrous oxide. Users report feeling floaty and slightly outside their body. Numbness in the extremities is also common.

· Higher doses produce a hallucinogenic (trippy) effect, and may cause the user to feel very far away from their body.

· This experience is often referred to as entering a "K-hole" and has been compared to a near death experience with sensations of rising above one's body. While in a K-hole it is very difficult to move. People usually remain seated or lying down during the experience.

what is the dosage
WHAT IS THE DOSAGE?

· Most people snort small lines or "bumps" for a mild, dreamy effect. The effect comes on within about 5 to 10 minutes.

· 100mg is usually enough to enter a K-hole.  

· If liquid is injected into the muscle, less is needed to enter a K-hole. Effects can be felt within four minutes. (Ketamine is never injected into the vein).

· If swallowed, the effects come on in 10 - 20 minutes.

how to tell if someone is using ketamine
HOW TO TELL IF SOMEONE IS USING KETAMINE
  • impaired motor function
  • sense of invulnerability
  • muscle rigidity
  • aggressive/violent behavior
  • slurred or blocked speech
  • an exaggerated sense of strength
  • and/or a blank stare.
what is ghb
WHAT IS GHB?
  • GHB (Gamma hydroxybutyrate) usually comes as an odorless liquid, slightly salty to the taste, and sold in small bottles. It has also been found in powder and capsule form.
  • It is classified as a sedative-hypnotic, and was originally developed as a sleep-aid.
what are the effects32
WHAT ARE THE EFFECTS?

· At lower doses GHB has a euphoric effect similar to alcohol, and can make the user feel relaxed, happy and sociable.

· Higher doses can make the user feel dizzy and sleepy, and can sometimes cause vomiting, muscle spasms, and loss of consciousness.

· Overdoses will always cause loss of consciousness (temporary coma), and will slow down breathing. Sometimes, and particularly if mixed with alcohol, GHB can slow breathing down to a dangerously low rate, which has caused a number of deaths.

what is the dosage33
WHAT IS THE DOSAGE?

· It's hard to find the proper dose with GHB. A teaspoon might be perfect one time, but an overdose the next time. It depends on body weight, and how much food is in the stomach, and other random factors.

· The effects may not peak for up to two hours, and many overdoses have occurred from people not waiting long enough before taking more.

· Mixing GHB with alcohol or other depressants is extremely dangerous and has caused many deaths due to respiratory failure.

· Passing out on GHB by itself is also dangerous and potentially life-threatening.

how to tell if someone is using ghb
HOW TO TELL IF SOMEONE IS USING GHB
  • It vary vastly between each use and individual users, but can include;
  • Euphoria , sweating, tremors
  • difficulty breathing, weakness, nausea
  • drowsiness, dizziness, confusion, impaired coordination
what is ecstasy
WHAT IS ECSTASY?

· Ecstasy is MDMA, or 3,4-Methylenedioxymethamphetamine. It belongs to a family of drugs called "entactogens," which literally means "touching within." Other drugs in this category include MDA, MDE and MBDB.

· Before it was made illegal in 1985, MDMA was used by psychiatrists as a therapeutic tool.

what are the effects37
WHAT ARE THE EFFECTS?
  • MDMA is a "mood elevator" that produces a relaxed, euphoric state. It does not produce hallucinations.
  • MDMA takes effect 20 to 40 minutes after taking a tablet, with little rushes of exhilaration which can be accompanied by nausea. 60 to 90 minutes after taking the drug, the user feels the peak effects.
  • Sensations are enhanced and the user experiences heightened feelings of empathy, emotional warmth, and self-acceptance.
what are the effects cont
WHAT ARE THE EFFECTS?Cont.

· The effects of 'real' ecstasy subside after about 3-5 hours.

· Users report that the experience is very pleasant and highly controllable. Even at the peak of the effect, people can usually deal with important matters.

· The effect that makes MDMA different from other drugs is empathy, the sensation of understanding and accepting others.

what is the dosage39
WHAT IS THE DOSAGE?
  • E is almost always swallowed as a tablet or capsule. A normal dose is around 100-125 mg. MDMA releases the brain chemical serotonin, elevating mood and acting as a short-term antidepressant. Compulsive users may be unconsciously trying to self-medicate for depression.
  • Frequent or high doses have been linked to neurotoxic damage in humans.
what is are the risks
WHAT IS ARE THE RISKS ?
  • There have been some deaths associated with MDMA. Usually these have been a result of heatstroke from physical exertion over long periods of time in hot clubs without replenishing lost body fluids.
  • Much of what is sold as "ecstasy" on the black market actually contains other drugs, some of which can be more dangerous than MDMA, like PMA, speed, DXM and PCP.
how to tell if someone is using ecstasy
HOW TO TELL IF SOMEONE IS USING ECSTASY
  • muscle tension
  • involuntary teeth clenching
  • rapid eye movement
  • abundant energy
  • chills
  • sweating
  • dilated eyes
poppers
POPPERS
  • Poppers" is the popular name for various alkyl nitrites,
  • Amyl nitrite is made and sold illegally, but most poppers are isobutyl nitrite or butyl nitrite sold in small brown bottles as "video head cleaner," "room deodorizer," or "leather cleaner."
  • The exact contents of these products are not known, and they are not safety tested.
what are the effects and risks
WHAT ARE THE EFFECTS AND RISKS?
  • Poppers are used by sniffing the vapors from an open bottle. The effects are felt within a few seconds and last for 1-2 minutes.
  • Poppers cause muscles around blood vessels to relax, making your heart speed up to pump more blood. Oxygen-rich blood reaching the brain produces a "rush" sensation.
  • Because poppers cause muscles in the anus to relax, they are often used during sex.
  • If swallowed call 911 or Poison Control.
  • Contact with the skin causes irritation and rashes. Extensive use can damage the nose and lungs.
what are the effects and risks cont
WHAT ARE THE EFFECTS AND RISKS?Cont.
  • Some people experience headaches, sensations of spinning or falling, and loss of erection.
  • Poppers are highly flammable. Keep away from cigarettes, candles, and lighters.
  • Studies show that poppers reduce the functioning of the immune system for several days after use.
  • Because poppers cause blood vessels to open, it is easier to get an infection, including sexually transmitted diseases such as HIV.
what are the effects and risks cont46
WHAT ARE THE EFFECTS AND RISKS?Cont.

· Poppers pose extra risks for people who have suppressed immune systems, heart problems, low or high blood pressure, a history of cerebral hemorrhaging, anemia, or are pregnant.

· Combining poppers with stimulants like speed and cocaine increases risks. Combining poppers and Viagra is dangerous because both cause blood pressure to drop.

how to tell if someone is using poppers
HOW TO TELL IF SOMEONE IS USING POPPERS
  • headache,
  • flushing of the face
  • increased pulse
  • dizziness
what is cocaine
WHAT IS COCAINE?

· Cocaine Hydrochloride ("coke," "blow") is a white powder derived from the leaves of the coca plant, which grows mainly in South America.

· Crack cocaine is made by chemically altering cocaine powder into crystals or "rocks" which are easily smokable.

cocaine usage
COCAINE USAGE

· Most often cocaine is snorted in small lines. The effects come on gradually and peak after about 15-30 minutes.

·When injected or smoked, in the form of "crack," the effects come on immediately and much more intensely.

what are the effects of cocaine
WHAT ARE THE EFFECTS OF COCAINE?

· Cocaine is a stimulant drug like speed, but much shorter acting.

· It causes a sudden increase in heart rate, blood pressure and breathing.

· It also leads to feelings of confidence, alertness and euphoria.

· Cocaine and crack are very short-acting. This can lead to using too much or too often.

· Many users become compulsive in their use of cocaine, which can lead to physical or psychological addiction.

what are the effects of cocaine cont
WHAT ARE THE EFFECTS OF COCAINE?Cont.

· The after-effects can include depression, agitation, anxiety and paranoia.

· The intensity of these effects depend on how much and how often cocaine is used, and are more intense when cocaine is smoked as crack.

· High or frequent doses have caused seizures, strokes or heart attacks in some people.

how to tell if someone is using cocaine
HOW TO TELL IF SOMEONE IS USING COCAINE
  • Alertness
  • talkativeness
  • wakefulness
  • loss of appetite
  • mood elevation
  • watery eyes
  • runny nose
hiv drug interactions
HIV DRUG INTERACTIONS
  • Taking recreational or illicit drugs with HIV antiviral drugs can be dangerous. The effects are unpredictable, but are influenced by a few variables, including
  • the level of anti-HIV drugs in your bloodstream (the time at which you took the last dose);
  • how well your liver breaks down certain drugs (there is no way of measuring this);
  • the potency, purity and amount of other drugs you take.
hiv drug interactions 2
HIV DRUG INTERACTIONS(2)
  • Ecstasy and amphetamines (speed and E) and protease inhibitorsHIV protease inhibitors, particularly ritonavir (Norvir) can interact dangerously with speed or with ecstasy. The interaction between ritonavir and ecstasy has been linked to a death in the UK. Using E and ritonavir together could possibly push up the level of ecstasy in the bloodstream, causing an E overdose. Don’t take E and ritonavir (or another protease inhibitor) at exactly the same time.
hiv drug interactions 3
HIV DRUG INTERACTIONS(3)
  • Combining other amphetamines – like speed – with protease inhibitors could cause potentially fatal interactions.
  • Cocaine There are no well-documented reports of particular interactions. Some recent research does suggest that cocaine may cause HIV to multiply faster.
hiv drug interactions 4
HIV DRUG INTERACTIONS(4)
  • Cannabis and SustivaSustiva can make you feel a little disoriented. Particularly for the first 2-3 weeks, some people say the drug makes them feel dizzy, and report symptoms similar to “being stoned”, or “tripping”. Cannabis or dope might make these feelings worse.
tips for talking to people who may be high
Tips for talking to people who may be high.
  • Reduce your expectations. Drug-altered minds do not operate like yours. Drug-altered minds are not easily capable of rational, reason-based thoughts and processes and their ability to perceive consequence and assess risk is considerably altered. So you can try to reason with clients, but it probably won't work. Try reason first, then quickly resort to:
tips for talking to people who may be high 2
Tips for talking to people who may be high. (2)
  • Persistence. You can hold your ground longer than a drug-induced mind probably can. Stay firm to your message and simply keep repeating it. Over and over again. Calmly and respectfully. Calm and respectful is very important.
tips for talking to people who may be high 3
Tips for talking to people who may be high. (3)
  • Focus on behavioral specifics, not just simply accusations that the person is drunk or high. If you focus on the drugs, people will automatically become defensive because of illegality, stigma, etc. Instead, focus your message on specific behaviors. "You're having trouble walking... Your language is threatening... Your breath smells of alcohol...so therefore I can not let you in the club." is better than saying "I think you're high so I can't let you into the club." Being high or drunk is arguable, specific behavior is less arguable.
tips for talking to people who may be high 4
Tips for talking to people who may be high. (4)
  • Again, use a calm and respectful tone of voice. Do not agitate. Just keep repeating your message calmly and slowly.
  • Be specific what you want the client to do.
  • Humor and a "hey, drugs are OK but just not in the club" attitude can be helpful. Even if you don't really believe drug use is OK, projecting a more tolerant attitude may help reduce an antagonistic situation.
tips for talking to people who may be high 5
Tips for talking to people who may be high. (5)
  • If you're asking someone to leave the club due to drug use, ask if you can offer some help. Do they need a cab? Can you call a friend to pick them up? Can staff escort them outside or help clean up personal belongings?
what if someone overdoses
WHAT IF SOMEONE OVERDOSES?

· While waiting for an ambulance, lay the person on their side (recovery position) so if they vomit they won't choke. Make sure their air passage is clear and their chin is not pressed up against their chest.

he s unconscious
HE'S UNCONSCIOUS ?
  • Open his airway
  • Tilt his head back and gently lift his chin with your fingers. This stops his tongue falling back and blocking the airway and prevents him from choking.
  • Shout for help.
is he breathing
Is he breathing?
  • Kneel down and put your cheek close to his face.
  • Can you feel his breath on your cheek, see his chest moving or hear him breathing?
he s not breathing
HE'S NOT BREATHING.
  • Call an ambulance (ideally get someone else to call). Begin mouth-to-mouth ventilation - this means that you breathe into your friend's mouth to get oxygen into his lungs.
  • Check that there's nothing in his mouth that might cause him to choke.
  • Tilt his head back.
  • Pinch his nostrils shut, seal your lips over his and breathe into his mouth; watch his chest rise and fall.
  • Give another breath and then check the pulse on the side of his neck.
does he have a pulse
Does he have a pulse?
  • Put your index and middle finger on the side of his neck in the hollow between the Adam's apple and the neck muscle. Can you feel a pulse (the throb felt in an artery with each heartbeat)?
  • If there is a pulse, continue mouth-to-mouth ventilation, rechecking for a pulse every minute.
  • If you can't feel a pulse, the heart has stopped beating and you need to start chest compressions .
chest compression70
Chest compression
  • Remove your two fingers from the chest. Put the heel of this hand on top of the other and interlock your fingers.
  • Press down on the chest with the heel of your hand (to a depth of about 4-5 cm). Do this 15 times.
  • Then give two breaths of mouth-to-mouth ventilation. Repeat chest compressions and mouth-to-mouth ventilation until help arrives
  • QUICK THINKING AND ACTION CAN SAVE LIVES!