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“The Faces of Substance Abuse in America” It’s Ugly and Getting Uglier. by Paul L. Doering, M.S. Distinguished Service Professor, Emeritus College of Pharmacy University of Florida. The Two Faces of Drug Abuse. Faces of those who use and abuse.

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The faces of substance abuse in america it s ugly and getting uglier

“The Faces of Substance Abuse in America”It’s Ugly and Getting Uglier


Paul L. Doering, M.S.

Distinguished Service Professor, Emeritus

College of Pharmacy

University of Florida

The two faces of drug abuse
The Two Faces of Drug Abuse

  • Faces of those who use and abuse.

  • Faces of the drugs being used.

    • News Flash: Quaalude is “out”

    • Breaking News: “Bath Salts” are “in” out

Health professionals know a lot about drugs but

  • Many curricula do not contain coursework in substance abuse

  • Thus, they are not schooled in this “other” use of pharmaceutical products

  • Most have limited personal experience with recreational drugs (thankfully)

  • But, these persons are often sought out by parents, family members, etc. for help

The faces of three drug experts from the 1960s
The Faces of Three Drug Experts From the 1960s

James Marshall Hendrix

Born- 11/27/42

Died- 9/18/70

Paul Louis Doering

Born- 2/25/49

Not Dead Yet

Janis Lyn Joplin

Born- 1/19/43

Died- 10/4/70

Florida is the face of drug abuse in our country
Florida IS the Face of Drug Abuse in Our Country

Marijuana: The flowering top of the pistillate plant (or female) of the genus and species, Cannabis Sativa, Family Moraceae.

Lecture by Prof. Carl Johnson in Weeds and Seeds course, circa 1969

The new face of marijuana aka spice or k2
The New Face of Marijuana Miami (aka Spice or K2)

Synthetic marijuana
“Synthetic Marijuana” Miami






For more information http info publicintelligence net spicealert pdf
For More Information: Miami

Dea re scheduling
DEA Re-Scheduling Miami

On November 24, 2010, the DEA notified the public through

the Federal Register of their intent to temporarily control five

synthetic cannabinoid chemicals found in so-called “fake pot”

products such as K2 and Spice.

The face of real bath salts
The Face of Real Bath Salts Miami

  • magnesium sulfate (Epsom salts)

  • sodium chloride (table salt)

  • sodium bicarbonate (baking soda)

  • sodium hexametaphosphate (Calgon, amorphous/glassy sodium metaphosphate)

  • sodium sesquicarbonate

  • borax

The face of not real bath salts
The Face of “Not Real” Bath Salts Miami

Methylenedioxypyrovalerone (MDPV)

Some Brand Names:

Cloud 9, Ivory Wave, Ocean, Charge Plus, White Lightning, Scarface, Hurricane Charlie, Red Dove and White Dove.

In your face nitrous oxide
In Your Face: Nitrous Oxide Miami

  • Synonyms:

    • nitrous, laughing gas, whippets, “Blue Nun”

  • Mental effects:

    • giddiness, silly laughter, buzzing or ringing in ears

  • Duration of effect is only 2-3 minutes

  • Danger:

    • hypoxia, possible nerve damage with prolonged use

Whip its
Whip-Its Miami

An impromptu drug delivery device
An Impromptu Drug Delivery Device Miami

This is called a “stem” on the street

Meth Bugs Miami

Oxycontin express
Oxycontin Express Miami

Pharmaceutical drugs are in
Pharmaceutical Drugs are “In” Miami

  • Obtained from legal prescriptions

  • Given or sold among friends

  • Stolen from medicine cabinets

  • Stolen from pharmacies

The ugly face of prescription drug abuse in america
The Ugly Face of Prescription Miami Drug Abuse In America

The figures fit the face
The Figures Fit the Face Miami

  • >27,000 deaths from Rx drug Ods in 2007

    • five-fold increase since 1990

  • declining mortality rates for all other conditions

    • including heart disease and cancer

  • OD deaths from Rx opioids are exceeding deaths from heroin and cocaine overdoses combined.

The figures fit the face cont d
The Figures Fit the Face Miami(cont’d)

  • Drug-induced deaths (which includes all drugs) is approaching the number of deaths from motor vehicle crashes.

  • Drug abuse deaths have also surpassed deaths from suicide, homicide, and fire arms.

Pharmaceutical vs street drugs
Pharmaceutical vs Street Drugs Miami

  • Safer

    • identity

    • purity

    • less HIV / hepatitis risk

  • Safer because "it's just a prescription drug"

  • Low or no acquisition cost

    • Medicaid, Workers’ Comp, private insurance, VA, Indian Health Service

The Different Faces of “Ritalin” Miami

Concerta ER 54 mg

Concerta ER 18 mg

Concerta ER 36 mg

Ritalin 10 mg

Ritalin 5 mg

Ritalin SR 20 mg

Ritalin LA 20 mg

Ritalin LA 30 mg

Ritalin LA 40 mg

Stimulant Miami


The face of codeine aka methoxymorphine
The Face of Codeine Miami(aka methoxymorphine

Comparing the faces
Comparing the Faces Miami







Depressants benzodiazepines and non benzodiazepines
Depressants: Benzodiazepines and non-benzodiazepines Miami

Valium 2 mg

Valium 5 mg

Valium 10 mg

Xanax 0.5 mg

Xanax 1 mg

Xanax 2 mg

Depressants Identification Miami

Restoril 30 mg

Skittling new drug of choice for some teens product sold on store shelves october 22 2003
'Skittling' New Drug Of Choice For Some Teens: MiamiProduct Sold On Store ShelvesOctober 22, 2003



Chlorpheniramine Maleate