Go ask Alice When she is 10 feet tall! Drugs (toxicology) Drug - a natural or synthetic substance that is used to produce physiological or psychological effects in humans or other animals ◦ Drug abuse is epidemic in proportions ◦ Accounts for >75% of evidence currently being evaluated in crime labs Psychological dependence (need it mentally): “the conditional use of drug caused by underlying emotional needs” ◦ Intensity of dependence depends on drug used High dependence: alcohol, heroin, amphetamines, barbiturates, cocaine Lower dependence: marijuana, codeine Physical dependence (need it physically): “physiological need for a drug that has been brought about by its regular use. Characterized by withdrawal sickness when administration of the drug is abruptly stopped.” Narcotics - relief from pain and causes sleep (now generally means a socially unacceptable drug) Hallucinogens - alter normal thoughts, perceptions and moods Depressants - depress functions of central nervous system, cause calm and bring about sleepiness Stimulants - increase alertness and activity Steroids - promote muscle growth Inhalants - breathable substances that produce mind-altering results and effects Provides relief from pain and produces sleep Repeated, prolonged use will result in physiological dependence Source: opium from poppy plant pod Morphine content ranging from 14%-21% Heroin – morphine derivative Narcotics Analgesic - relieve pain by depressing central nervous system (opium, morphine, heroin, codeine, opiates). Cocaine (stimulant), Marijuana (hallucinogen), etc are NOT classified as narcotics even though they are frequently called that. Most narcotics are opium derived. Opium from Poppy plants (sap is 4- 21% opium). Opium Poppy Synthetically prepared Similar effects as opium derivatives Oxycontin Methadone – taken with heroin or morphine, highs CH3 N Acetic anhydride Morphine HO Water Soluble: easy IV use Rapid onset but short term (2-3 hrs) effects Field test uses reagent called marquis: purple color indicates positive test Chemical derivative of morphine Usually street drug 20-30% pure CH3 N O OH H 3C CH3 O O O O O Heroin Heroin Packages Black Tar Heroin Heroin Powder Drugs that cause marked changes in normal thought processes, perceptions and moods (ex Marijuana, PCP, LSD, mescaline, MDMA, ecstasy). Marijuana • slang terms vary from one part of the country to another • Older terms: pot, herb, grass, weed, Mary Jane, and reefer • Newer terms: Aunt Mary, skunk, boom, gangster, kif, or ganja • Prior to 1970, classified as a narcotic drug • Mind altering • Hashish is the concentrated preparation • Active ingredient is tetrahydrocannabinol (THC) • Can tentatively be identified by the Duquenois-Levine color test • NOT synthesized from Canniabis sativa THC is readily absorbed by fatty tissues in various organs Generally, traces of THC can be detected by standard urine testing methods several days after a smoking session In heavy, chronic users, traces can sometimes be detected for weeks after they have stopped using marijuana Other Hallucinogens • Phencyclidine (PCP) Some common street Names: Angel Dust, Wack, Embalming Fluid • Mescaline (Mesc) • Psilocybin Some common street Names: Shrooms, Magic Mushrooms • LSD Some common street Names: Acid, Yellow Sunshines, Trips • Ecstacy From lysergic acid, derived from ergot fungus that attacks certain grasses and grains Very potent; little needed to cause vivid visuals hallucinations that can last for 12 hours Produces marked changes in mood – anxiety and tension PCP Easily synthesized Mixed with LSD or amphetamines and sold as “angel dust” Effects: Feelings of strength, vulnerability and a dreamy sense of detachment Unresponsive, confused & agitated Irritability, isolation, hallucinations and paranoia Depressants • alcohol, barbituates, tranquilizers Create a relaxed feeling of well-being, produces sleep Usually taken orally Depresses central nervous system Major problems: chemical exposure causes permanent liver, kidney, heart and brain damage Continued use may lead to physical dependency No. 1 Abused drug in U.S. with more related deaths per year than any other The degree to which the CNS function is impaired is directly proportional to the concentration of alcohol in the blood “Hangover” Causes: effects of ethanol: alcohol upsets your body's water balance. Causes “dry mouth” and thirst. When alcohol is metabolized, it causes your blood to become more acidic than normal (this is called acidosis). Causes nausea and sweating. Alcohol alters the normal daily rhythm of certain body functions (lose about 6 hours). Nothing you can do will speed the process of alcohol elimination ...not exercising, vomiting, nor drinking 30 glasses of espresso Alcohol Effects Mild Intoxication (BAC = 0.050 %w/v) - Feeling of warmth, skin flushed, impaired judgment, decreased inhibitions. Obvious Intoxication in most people (BAC = 0.100 %w/v) Increased impaired judgment, inhibition, attention, slowed reflexes. Obvious Intoxication in all "normal" people (BAC = 0.150 %w/v) - General lack of muscle coordination, slurred speech, double vision, memory and comprehension loss. Extreme intoxication (BAC = 0.250 %w/v) - Reduced responsiveness, inability to stand, vomiting, incontinence, sleepiness. Coma occurs around 0.350 %w/v and death is likely at 0.500 %w/v. % w/v is g per 100 mL Legal Aspects Schmerber v. California (1966) ◦ Pled 5th Amendment (not to self-incriminate). ◦ Supreme court ruled against him, stating the 5th Amendment protects testimonial evidence not physical evidence - therefore, he had to give his blood for testing. ◦ Also ruled against Schmerber on Search and seizure stating that blood sampling is an “emergency” procedure since by the time a search warrant was obtained the BAC would have dropped (destruction of evidence) ◦ Sample must be taken in a medically acceptable way without unreasonable force and related to an accident or arrest. ◦ Federal Law - driving on road gives “implied consent” for testing (either take test or lose license). “Downers” Derivatives of barbituric acid (not natural) Impaired motor control, dizziness, and slower breathing and heart rate Barbiturates are medications used for treating headaches, insomnia, andseizures. Slang terms: • Usually stem from color of capsule or tablet: Yellow jackets Blue devils Reds Considered depressants, but do not impair higher level thinking skills Used to reduce anxiety in patients Mild tranquilizers are prescribed to deal with everyday tensions Increase alertness and activity “uppers” or “speed” Synthetic drugs that stimulate the CNS Can be taken by injection, ingestion or inhalation Once a stimulant wears off, severe depression usually sets in, requiring more stimulant (speed binge) Cocaine Amphetamines Methamhetamine Amphetamines are not the exact same drug as methamphetamine. They have similar effects but amphetamines can be prescribed by a medical doctor. Highly addictive Used to treat narcolepsy and attention deficit disorder with hyperactivity ADHD (ex. Adderall) Full-time college students are twice as likely to abuse Adderall than their peers who aren’t in college Nearly 90% of college students who abuse Adderall also report binge drinking, and over 50% were regular heavy alcohol users Primary route: injection ◦ Looking for more intense experience Prolonged speed binges result in sleeping for a couple of days followed by severe depression following the high Smokeable form known as “ice” Produces effects similar to crack cocaine, but last longer Chronic users exhibit violent destructive behavior and acute psychosis like paranoid schizophrenia Repeated use results in psychological dependency Rapid Speech Ears Ringing Problems Voiding Body Waste Passing Out Heart Races Irregular Rapid Jaw Movement Translucent Skin Misses Work Frequently Equilibrium Problems Poor Bathing Habits Brittle Hair Impaired Judgment Blurred Vision Dizziness Euphoria / Dreamlike Stage Nose Flesh Eaten Menstrual Cycle Stops Loss of Fetus Paranoia / Phobic Disorders Fighting Dehydration Kidney Problems Biting Finger Nails Can't Sleep, Days & Weeks Can't Eat, Days & Weeks Can't Drink, Days & Weeks Picking at Skin / Bloody Scabs Rapid Weight Loss Spending Tons of Money Extreme Sex Drive / No Sex drive Nightmares / Hallucinations Pushes Away Friends & Family / Lives in Seclusion Slurred Speech / Rapid Speech False Sense of Motivation Morals & Values Diminish Obsessive Lying Panic Attacks / Aggression Extreme Fatigue / Increased Alertness Gazing / Blank Stare Enamel on Teeth Rot Respiratory Disorders Dizziness Tooth Grinding Dry or Itchy skin Acne / Sores Numbness Extreme Sweating Chest pain Hypertension / Elevated Blood Pressure Accelerated Heartbeat Damage to Blood Vessels Extreme Nervousness, Anxiety, Irritability Dilated Pupils Seizures, Strokes Nose Bleeds, Runny Nose, Sniffing Excessively. Derived from leaves of erythroxylon coca plantt Originally used as a local painkiller or anesthetic Powerful stimulate of the CNS Sniffed or snorted and absorbed into body through mucus membranes of the nose • Chronic use/ high doses have toxic effects Cause: Cardiac arrests Seizures Respiratory arrests • Experiments have shown cocaine causes the strongest psychological dependency Cocaine processed with baking powder (sodium bicarbonate) is "crack", a smokable version of cocaine with a shorter but more intense hit It's called 'crack' after the sound it makes when you light it. It can quickly induce a psychological dependency. In the 1990s, inhalants were the 2nd most commonly-used illicit drug among 12- 17 year olds (Brouette & Anton, 2001) 3 groups of Inhalants: ◦ ◦ ◦ Solvents Anesthetics Nitrites Inhaled, either directly or by pouring/spraying into a bag or onto a cloth Results in temporary loss of motor control and a "dissociative" psychological effect, where sensations and perceptions become disconnected Myelin around nerve cells is broken down and ultimately nerve cells can not transmit messages to one another. ‣ Can cause Sudden Sniffing Death Syndrome Club Drugs/Date Rape Drugs Synthetic drugs used at nightclubs, bars and raves Tablets easily hidden in Pez dispensers Include: MDMA (Ecstacy) GHB (gamma hyroxybutyrate) Rohypnol (Roofies) Ketamine “Club” Drugs Flunitrazepam (Rohypnol) Ketamine MDMA (Ecstacy) GHB ◦ GHB (depressant) Effects: Dizziness, sedation, headache, nausea Recreational users feel euphoric, relaxed, a loss of inhibitions and increased libido Effects can be felt within 15 minutes after ingestion. Mixed with alcohol, GHB can cause the central nervous system to shut down, lead to loss of consciousness, and possibly result in a coma or death ◦ Rohypnol (depressant) Effects: Muscle relaxation, loss of consciousness, and inability to remember what happened hours after ingestion of the drug Effects begin within 30 minutes, peak within 2 hours, and may persist for up to 8 hours or more, depending upon the dosage Street Names: Roofies, Rophies, Roche, Forget-me Pill, Circles Manufacturer recently reformulated the drug to make it more detectable. When put in a light-colored drink, new Rohypnol will turn the beverage bright blue. Consumers of darker-colored beverages should be tipped off by a cloudy appearance. Ecstacy (Molly) (hallucinogen/stimulant) • Most popular drug at club scenes • Causes psychological difficulties, including confusion, depression, sleep problems, drug craving, severe anxiety • Decreases inhibitions MDMA (3,4-methylenedioxy-methamphetamine) Ecstasy comes in a tablet that is often branded, some are shown below: Proponents claim risks associated with Ecstasy can be minimized by drinking lots of water. Ketamine Veterinarian Medicine (an animal anesthetic) Common street names: Cat Tranquilizer, Cat Valium, Jet K, Kit Kat, Purple, Special K Causes the person to feel as if their mind is “separated” from the body Causes feeling of unreality in humans Ketamine Powder Synthetic compounds chemically related to testosterone Accelerates muscle growth without development of secondary sex characteristics Most common used in athletics Usually taken by individuals unfamiliar with harmful side effects Liver cancer & liver malfunctions Masculinizing effects on females Infertility Diminished sex drive in males Premature halting of bone growth in teenagers Unpredictable effects on mood & personality resulting in unprovoked acts of anger & destructive behavior Medical and legal classifications of drugs are not the same Severity of penalties may depend on: ◦ Amount (weight) of drug ◦ Concentration of drug in mixture Controlled Substances Act (1970) 5 schedules of classification Classification based on: 1) Drug’s potential for abuse 2) Physical & psychological dependence (how addictive are they) 3) Medical value Schedule I • Substance has a high potential for abuse • Substance currently has no accepted medical use in the US • There is a lack of accepted safety for use under medical supervision • Include: Heroin, LSD, Marijuana, MDMA Schedule II • Substance has a high potential for abuse • Substance currently has an accepted medical use in treatment in the U.S. with severe restrictions • Abuse of the substance may lead to severe psychological or physical dependence • Include: Morphine, PCP, cocaine, methadone, methamphetamine, adderall Schedule III • Substance has a potential for abuse less than those in Schedules I and II • Currently has an accepted medical use in treatment in the U.S. • Abuse may lead to moderate or low physical dependence or high psychological dependence • Include: Anabolic steroids, codeine, hydrocodone with aspirin or Tylenol Schedule IV • The substance has a low potential for abuse relative to those in Schedule III • Currently has an accepted medical use in treatment in the U.S. • Abuse may lead to limited physical dependence or psychological dependence relative to those in Schedule III • Include: Librium, Xanax, Valium (tranquilizers) Schedule V • The substance has low potential for abuse relative those in Schedule IV • Currently has an accepted medical use in treatment in the U.S. • Abuse may lead to limited physical or psychological dependence relative to those substances in Schedule IV • Include: Over-the-counter cough medicines with codeine Two general categories: 1. Corrosive Poison ex. acids or bases 2. Metabolic poisons: act on biochemical process ex. carbon monoxide, cyanide, heavy metals (lead, mercury, arsenic) Analysis must leave no room for error A step by step procedure must be in place for determining the identity of the drug 2 phases: ◦ Screening tests –reduce the possible identities of the drug to a reasonable number ◦ Confirmation tests – narrow down the possible identities to a single one Tests include: color, microcrystalline, chromatography, spectrophotometry and mass spectrometry Specific colors are seen when in contact with specific chemical reagents Provide an indicator of drug’s presence Allows field examination of substances to determine if drugs are present Drop of chemical reagent added to small quantity of drug. Crystalline precipitate forms Microscopic examination of crystals can identify certain drugs such as heroin Tests are rapid and do not require isolation of the drug Packaging must prevent loss of contents and/or cross contamination Original container usually a good package Volatile substances must be packaged in airtight containers to prevent evaporation of the solvent Packages marked with enough information to “ensure identification by the officer in future legal proceedings and to establish chain of custody.” Supply any background info regarding drug’s identity