Drugs in focus Alcohol and other drugs: A guide for parents Published by 409 King Street West Melbourne Vic. 3003 PO Box 818 North Melbourne Vic. 3051 Telephone: 1300 85 85 84 Facsimile: 03 9328 3008 Website: www.adf.org.au © Australian Drug Foundation 2001 Second edition © 2007 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted, in any form, by any means whatsoever, without the prior permission of the copyright owner. Apply in writing to the publishers. Design and illustration by Linda McLaughlan Printed in Australia by L&R Print Services, Melbourne National Library of Australia Cataloguing-in-Publication data Parent focus: A guide to alcohol and other drugs. 2nd edn. Bibliography. ISBN 978 0 85809 092 7. 1. Teenagers - Drug use - Australia - Prevention. 2. Drug abuse - Australia - Prevention. 3. Teenagers - Alcohol use - Australia - Prevention. 4. Alcoholism - Australia - Prevention. 5. Substance abuse - Australia - Prevention. I. Australian Drug Foundation. 362.29170835 Information contained in this publication is intended as a general guide only. While care has been taken to ensure that the information is complete and correct, the Australian Drug Foundation (ADF) makes no representation as to the completeness, accuracy, reliability or suitability of the information. The ADF does not offer any information in this publication as a tool for treatment or counselling and recommends that, prior to making any decision based on any information in this publication, you should obtain independent professional advice. Drugs in focus Alcohol and other drugs: A guide for parents Contents Acknowledgements..................................................................................2 ExxonMobil’s partnership with ADF 2 Using this guide........................................................................................ 3 What is a drug?......................................................................................... Types of drugs Depressants Hallucinogens Stimulants 3 3 3 4 4 Who uses drugs?...................................................................................... 5 Why do people use drugs? 5 Statistics on drug use 6 Drugs and their effects............................................................................ 7 Things to consider 7 Factors that influence the effects of drugs 7 Social effects 7 Risks associated with method of use 7 Alcohol 8 Amphetamines 9 Analgesics (painkillers) 11 Benzodiazapines 12 Cannabis 14 Cocaine 16 Ecstasy 18 GHB 19 Hallucinogens 20 Heroin 22 Inhalants 23 Ketamine 25 Tobacco 27 Drug laws................................................................................................. 29 Addressing drug-related issues........................................................... 30 What is a drug problem? 30 How can I tell if someone is using drugs? 30 Strategies for parents 31 Support services and further information.......................................... 32 Alcohol and other drugs A guide for parents 1 Using this guide Acknowledgements The Australian Drug Foundation (ADF) is grateful to ExxonMobil for its generous sponsorship and support of this valuable project. Our thanks also to staff in the DrugInfo Clearinghouse Resource Centre and library, and in particular Ms Cindy Van Rooy, for their assistance in the development of this resource. ExxonMobil’s partnership with ADF ExxonMobil actively supports community projects in areas in which it operates and has been a corporate partner with the ADF for more than seven years. ExxonMobil congratulates the ADF on developing the Drugs in Focus series of booklets for parents, which cover the following topics: ■■ Alcohol and other drugs: A guide for parents ■■ Parent focus: Dealing with drug issues for 9 to 14-year-olds (now in its second edition) ■■ Hosting teenage parties: Managing alcohol & other drugs ■■ Teenage drinking: The facts and issues ■■ Young people and drugs: The facts and issues ■■ Safety first: Helping children to stay safe ■■ Riding the waves: A guide to building resilience in 10 to 14-year-olds. ExxonMobil and the ADF have also worked together to produce a resource for primary school teachers, Primary Pathways: An integrated approach to drug education. This resource provides good advice for teachers on how to approach drug and alcohol education during the primary school years and has lots of ideas and references for student activities. Copies of the Drugs in Focus booklets and Primary Pathways can be obtained by calling the ADF on tel. 1300 85 85 84, or via the website on www.bookshop.adf.org.au. This guide is designed to help parents identify a range of drugs commonly used in Australia, to provide information about those drugs and assist in addressing drugrelated issues. The first section (“What is a drug?”) provides general information about drugs. The next section (“Who uses drugs?”) looks at how many people use drugs and why. The third section (“Drugs and their affects”) provides an overview of alcohol, tobacco, over-thecounter analgesics and some of the more commonly used illegal drugs. The fourth section provides information about drugrelated laws and the final section provides some guidelines on how to address issues with your children. Details of support services and further information are also provided on page 32. The guide is not intended to be a substitute for professional assistance. If you have a personal difficulty related to alcohol and other drug use, contact the alcohol and drug service or parentline in your state or territory. The numbers are at the back of this booklet. What is a drug? drug is any substance—solid, �� Aliquid or gas—that brings about physical and/or psychological changes. This excludes food and water, which are required to maintain normal body functioning. The drugs of most concern to the community are those that affect a person’s central nervous system. They act on the brain and can change the way a person thinks, feels or behaves. These are the psychoactive drugs. Some drugs, such as alcohol, caffeine, nicotine and various prescribed and over-the-counter medications, are legal. Most legal drugs are restricted and their availability, quality and price are strictly controlled. Other drugs, such as cannabis, ecstasy, methamphetamines, cocaine and heroin, are illegal. They are not subject to quality or price controls. This means that a person can never be sure of the drugs’ strength and purity. Types of drugs The three main types of drugs, classified by their effects on the central nervous system, are depressants, hallucinogens and stimulants. Depressants drugs slow down the �� Depressant functions of the central nervous system and the messages going between the brain and body. They do not necessarily make you feel depressed. Depressants affect coordination, concentration and judgement. In small doses they can cause a person to feel relaxed and less inhibited. Some depressants cause euphoria and a sense of calm and wellbeing. In larger quantities, depressants can cause drowsiness, 2 Alcohol and other drugs A guide for parents 3 Who uses drugs? vomiting, decreased breathing and heart rate, unconsciousness and death. Depressant drugs include: alcohol, benzodiazepines, cannabis, GHB (gamma hydroxybutyrate), opioids (including heroin, methadone, codeine, morphine and pethidine), and some inhalants. Hallucinogens distort a person’s �� Hallucinogens perception of reality. Hallucinogens change the way a person perceives or experiences the world. A person may see or hear things that are not really there, or what they see may be distorted. Hallucinogens can also affect a person’s thinking, sense of time and emotions. The effects of hallucinogens can include panic, paranoia and loss of contact with reality. In extreme cases, this can result in dangerous behaviour, like walking into traffic or jumping off a roof. Hallucinogenic drugs include: LSD (lysergic acid diethylamide), magic mushrooms (psilocybin), ketamine, mescaline (peyote cactus), datura and PCP (phencyclidine). Cannabis and ecstasy can also have hallucinogenic effects. Stimulants speed up the �� Stimulants central nervous system and the messages going between the brain and the body. Stimulants increase heart rate, body temperature and blood pressure, and can make a person feel more awake, alert and confident. Other effects include reduced appetite, dilated pupils, talkativeness, agitation and sleep disturbance. Large quantities of stimulants can cause anxiety, panic, seizures, headaches, stomach cramps, aggression and paranoia. Prolonged or sustained use of strong stimulants can also cause these effects. Stimulant drugs include: caffeine, nicotine, ephedrine, amphetamines (including “speed” and “ice”), cocaine and ecstasy. �� People use drugs to relax, have fun, to be part of a group, out of curiosity and to escape from physical and/or psychological pain. Many of the reasons young people use drugs are the same reasons adults use drugs. 4 Why do people use drugs? Most people use drugs to change how they feel because they want to feel better or different. They use drugs for the perceived benefits, or the benefits experienced, not for the potential harm. This applies to both legal and illegal drugs. People use drugs to relax, have fun, to be part of a group, out of curiosity and to escape from physical and/or psychological pain. Many of the reasons young people use drugs are the same reasons adults use drugs. Dependent use: when a person becomes dependent on a drug after prolonged or heavy use over time. They feel a need to take the drug consistently in order to feel normal, or to avoid uncomfortable withdrawal symptoms. It is not uncommon for people to move between categories, or their drug use may fall in more than one category. However, one stage does not inevitably lead to the next. While physical or psychological dependence is not caused immediately or through the single use of any drug, harm can occur at any level of use. Drug use can be categorised into five main areas, with most people who use drugs falling into the experimental and recreational categories. Experimental use: when a person tries a drug once or twice out of curiosity. Recreational use: when a person chooses to use a drug for enjoyment, particularly to enhance a mood or social occasion. Situational use: when a drug is used to cope with the demands of particular situations. For example, a person may use amphetamines to maintain alertness and to gain energy. Intensive use: also known as “bingeing”, when a person consumes a large amount of drugs over a short period of time, or use is continuous over a number of days or weeks. Alcohol and other drugs A guide for parents 5 Drugs and their effects Statistics on drug use Things to consider According to the National Drug Strategy Household Survey,1 of Australians aged 14–19 years, in 2004: In 2004, the average age at which Australians first used drugs was approximately: ■■ 73.6 per cent had consumed alcohol at some stage in their life ■■ 17 years of age for alcohol 1 The effects of any drug depend on many factors, including: ■■ 16 years of age for tobacco ■■ 16.7 per cent had used tobacco at some stage in their life ■■ ranging from 19 years of age for cannabis and inhalants to 25 years of age for tranquillisers and steroids. ■■ 29.3 per cent had used an illicit drug. The types of licit and illicit drugs used by Australians aged 14–19 years in 20041 included: alcohol 73.6% 25.5% 16.7% cannabis/marijuana tobacco amphetamines 6.6% 6.3% 6.2% (non-medical use) pharmaceuticals (non-medical use)— analgesics/painkillers, tranquillisers, barbiturates, steroids ecstasy hallucinogens inhalants cocaine heroin ketamine GHB (gamma hydroxybutyrate) 3.0% 2.4% 1.9% 1.3% 0.7% 0.6% 1 2004 National Drug Strategy Household Survey: Detailed findings, Canberra: Australian Institute of Health and Welfare, 2005 6 Factors that influence the effects of drugs ■■ The type of drug taken and how much of the drug is taken: this can sometimes be difficult to judge as drugs that are produced illegally are not subject to quality or price controls. This means that a person can never be sure of the drugs’ strength, purity or exactly what is in it. ■■ Whether the person is used to taking it: the first time a person uses a drug, they will have a very low tolerance—in general, the more often a drug is used the less intense the effects will be and the more a person will need to take to get the desired effects. ■■ How the drug is taken: generally, drugs that are injected or inhaled act very quickly and the effects are more intense. Snorting through the nose is the next fastest-acting method of administration, while the effects of drugs eaten or swallowed take longer to occur but last for longer. ■■ The characteristics of the person taking the drug: this includes a person’s size, weight, metabolism, mood and general health and wellbeing. ■■ The environment in which the drug is taken: a person is more likely to enjoy the experience in a comfortable social atmosphere than in a threatening environment. ■■ Whether other drugs are also taken: a person may use more than one drug (polydrug use) deliberately or inadvertently. Combining drugs (including alcohol and prescribed and over-the-counter medicines) can increase or alter the usual effects, often in unpredictable ways. Social effects All areas of a person’s life can be affected by drug use. Family and friends may become frustrated if the person using drugs does not recognise the consequences of their drug use. Financial problems may cause conflict if using drugs means there is not enough money left over for bills, food and clothing. Work or school problems may occur if a person takes increased sick days, misses classes, or does not complete assignments. Drug use may also affect a person’s ability to respond appropriately to a given situation, and to think clearly and maintain attention. This increases the risk of an accident. Legal and health problems can also add to the strain on personal, financial and work relationships. Risks associated with method of use As well as the specific effects of the drug, there are also risks associated with the way the drug is taken. For example: ■■ Snorting: repeated snorting can damage the nasal lining. ■■ Smoking: can result in respiratory illnesses. ■■ Injecting: can cause a number of health problems including inflammation, abscesses, vein damage and scarring. Sharing injecting, snorting and smoking equipment increases the risk of contracting viruses such as hepatitis B, hepatitis C and HIV (Human Immunodeficiency Virus—the virus that causes AIDS). Alcohol and other drugs A guide for parents 7 Alcohol ■■ blurred vision Amphetamines Effects of amphetamines Street/common names “grog”, “booze”, “piss” ■■ nausea and vomiting Street/common names “speed”, “fast”, “whiz”, “up”, “uppers”, “louee”, “goey”, “crystal meth”, “crystal”, “ice”, “shabu”, “meth”, “glass” Immediate effects Amphetamines are stimulant drugs. Some of their immediate effects include: ■■ sleep ■■ blackouts. Large amounts and overdose Alcohol overdose is characterised by nausea, vomiting, coma, slow and shallow breathing, pale skin and urinary incontinence (wetting themselves). Acute alcohol poisoning may lead to death. ■■ sweating ■■ dry mouth ■■ dilated pupils ■■ headaches Long-term effects Drinking heavily over a long period of time can cause damage to many parts of the body. This can include: ■■ increased energy and alertness, talkative, restless, feeling excited ■■ increased confidence and a heightened sense of wellbeing ■■ dependence What is alcohol? Alcohol is produced by fermentation—the action of yeast on liquids containing sugars and starches. Pure alcohol is a colourless liquid that has no taste. Alcoholic drinks vary in colour and taste because of other ingredients that are added to them. Alcohol is usually swallowed. Effects of alcohol Immediate effects Alcohol is a depressant drug. Some of its immediate effects include: ■■ feeling relaxed and having reduced concentration and coordination and slower reflexes ■■ brain injury, loss of memory, confusion, hallucinations ■■ high blood pressure, irregular pulse, enlarged heart ■■ greater chance of lung infections, including tuberculosis ■■ severe liver swelling and pain, hepatitis, cirrhosis, liver cancer ■■ flushing of the skin, sweating, bruising ■■ changes in red blood cells ■■ inflamed lining of the stomach and intestines, bleeding, ulcers ■■ weakness, loss of muscle tissue ■■ inflamed pancreas causing pain ■■ lowered inhibitions and increased confidence ■■ males may experience impotence, shrinking of testicles and damaged/fewer sperm ■■ slurred speech ■■ females have increased risk of gynaecological problems and damage to the foetus if pregnant. ■■ intense moods ■■ confusion 8 ■■ tingling and loss of sensation in hands and feet ■■ increased heart rate, breathing and blood pressure ■■ difficulty sleeping What are amphetamines? Amphetamines are a family of related drugs— each with its own recipe. They can be in the form of a powder, tablets, capsules, crystals, or a red liquid. Amphetamines have a strong smell and bitter taste, and in powder form can range in colour from white through to brown. Sometimes they can be orange or dark purple in colour. Crystal methamphetamine (also known as “ice”), is a potent form of amphetamine. It appears in a crystalline form that can range from large, clear-coloured, “sheet-like” crystals through to a crystalline powder. Crystal methamphetamine can also appear in a range of colours. Amphetamines can be swallowed, injected, smoked and snorted. ■■ reduced appetite ■■ anxiety, irritability, hostility, aggression. Large amounts and overdose Large amounts of amphetamines can increase some of the effects listed above. People who have taken large amounts may also experience dizziness, blurred vision, tremors, irregular heartbeat, stomach cramps, irregular breathing and loss of coordination, and they may collapse. Large amounts and frequent use of amphetamines can also result in an “amphetamine psychosis”, characterised by paranoid delusions, hallucinations and bizarre, aggressive or violent behaviour. These symptoms usually disappear a few days after the person stops using amphetamines. An amphetamine overdose may result in stroke, heart failure, seizure, high body temperature and death. Alcohol and other drugs A guide for parents 9 Long-term effects Regular use of amphetamines may result in a number of health problems, including: Analgesics (painkillers) Misusing “over-the-counter” analgesics increases the risk of side effects and overdose, and can damage your health. The negative side effects of these analgesics will vary depending on the type of analgesic taken, but some of the general unwanted effects include: ■■ dependence ■■ sleeping problems ■■ anxiety, tension and increased violence and aggression ■■ high blood pressure and a rapid and irregular heartbeat ■■ dizziness ■■ reduced resistance to infections and malnutrition, as a result of people being less likely to eat and sleep properly ■■ blurred vision ■■ brain damage—there is some evidence that brain cells can be damaged, resulting in possible reduced memory function and other impairments in thinking ■■ psychosis. �� Coming down As the effects of amphetamines wear off, a person may experience a range of symptoms including uncontrolled violence, tension, radical mood swings, depression and total exhaustion. 10 colds and the ‘flu, reduce inflammation, control diarrhoea and as a cough suppressant. ■■ drowsiness and fatigue ■■ sweating What are analgesics? Analgesics, also known as “painkillers”, are used medically to relieve pain. When taken as prescribed or instructed by your doctor or pharmacist, in conjunction with the manufacturer’s instructions on the packaging, analgesics are relatively safe to use. However, some people may misuse analgesics, in error or deliberately. Analgesics are available in many forms, including tablets, capsules, suppositories, soluble powders and liquids. Some of the more common analgesics that can be purchased “over-the-counter” from a supermarket or pharmacy include aspirin, codeine, ibuprofen and paracetamol. These analgesics are often combined with other medicines to make preparations such as cold and ‘flu medicines. Effects of analgesics Immediate effects Analgesics are primarily used to relieve pain. Some analgesics can also be used to help relieve fever, help to relieve the symptoms of ■■ abdominal discomfort or bloating, nausea and vomiting (may vomit blood that looks like coffee grounds) ■■ peptic ulcer, inflamed stomach lining, stomach bleeding ■■ constipation or diarrhoea (bowel motions may look like black-tar) ■■ easily bruised or abnormal bleeding ■■ an allergic reaction ranging from mild to more severe with wheezy breathing and a tightness in the chest, hives, or swelling of the face, lips, tongue or around the eyes ■■ impairment of kidney and liver function. Large amounts and overdose High doses of over-the-counter analgesics can result in overdose. Some of the signs of overdose include dizziness, drowsiness, abdominal pain, nausea, vomiting, seizures and coma. If someone has taken too much of an analgesic it is important that they receive emergency care immediately. Long-term effects Long-term use of over-the-counter analgesics can increase the risk of the side effects listed above. Alcohol and other drugs A guide for parents 11 Benzodiazepines Effects of benzodiazepines Street/common names “benzos”, “tranx”, “downers”, “sleepers”, “pills”, “serras” (Serepax), “moggies” (Mogadon), “normies” (Normison) Immediate effects Benzodiazepines are depressant drugs. Some of their immediate effects include: Some of the various chemical (“generic”) and brand names of benzodiazepines include diazepam (Ducene, Valium), oxazepam (Alepam, Murelax, Serepax), nitrazepam (Alodorm, Mogadon), temazepam (Euhypnos, Normison, Temaze). ■■ feeling relaxed, calm and having reduced tension and anxiety ■■ drowsiness and fatigue ■■ lack of motivation ■■ dizziness, vertigo, nausea and vomiting ■■ confusion and impaired thinking and memory ■■ constipation or diarrhoea ■■ blurred vision ■■ affected speech ■■ poor coordination ■■ tremors ■■ depression. Large amounts and overdose Large quantities of benzodiazepines may produce an effect similar to alcohol intoxication. This can include oversedation and sleep, confusion and impaired judgement, mood swings and aggressive outbursts Benzodiazepines are also known as “minor tranquillisers”. They are most commonly prescribed by doctors to relieve stress and anxiety and to help people sleep. Some people use benzodiazepines illegally to become intoxicated and to enhance or counteract the effects of other drugs. ■■ dependence ■■ drowsiness, tiredness and lethargy ■■ impaired thinking and memory What are benzodiazepines? Long-term effects Using benzodiazepines without the supervision of a doctor can result in a number of problems. These include: Very high doses of benzodiazepines can cause respiratory depression, unconsciousness or coma, and death. This risk of overdose is increased when benzodiazepines are mixed with other drugs. ■■ changes in personality and emotional responses ■■ anxiety, irritability, aggression ■■ depression ■■ sleeping difficulties �� Coming down Feelings of jitteriness and excitability often become evident as the effects of using large amounts of benzodiazepines wear off. ■■ nausea ■■ headaches ■■ skin rashes ■■ menstrual irregularities and problems ■■ sexual problems ■■ weight change ■■ muscle weakness. Benzodiazepines usually come in tablet form and sometimes as capsules. They come in a range of colours and designs and are generally stamped with their name or logo and milligram quantity. Benzodiazepines are generally swallowed or (when misused) injected. 12 Alcohol and other drugs A guide for parents 13 Cannabis Effects of cannabis Street/common names “grass”, “pot”, “mull”, “dope”, “hash” (hashish), “weed”, “skunk”, “hydro”, “herb”, “joint”, “stick”, “cones”, “hooch”, “smoke”, yarndi, ganga Immediate effects Cannabis is a depressant drug which, taken in higher quantities, can have hallucinogenic effects. Some of its immediate effects include: ■■ feeling sleepy ■■ increased appetite ■■ reduced motivation and energy ■■ changes in visual, auditory, time and space perception ■■ impaired concentration, memory and learning ability ■■ reduced coordination ■■ reduced sex drive, irregular menstrual cycle and lowered sperm count ■■ paranoia ■■ increased heart rate and low blood pressure ■■ reddened eyes. Cannabis is a drug that comes from the cannabis sativa plant. The main active chemical in cannabis is THC (Delta-9 tetrahydrocannabinol). There are three main forms of cannabis: marijuana, hashish and hash oil. ■■ dependence ■■ increased risk of developing a respiratory illness such as asthma, bronchitis and lung cancer ■■ relaxation and loss of inhibition ■■ confusion and impaired thinking and memory What is cannabis? Long-term effects Possible long-term effects from regular cannabis use include: Large amounts Very large quantities of cannabis can produce confusion, restlessness, feelings of excitement, hallucinations, anxiety or panic, detachment from reality, decreased reaction time and paranoia. ■■ psychotic symptoms—there is some evidence that regular cannabis use increases the likelihood of psychotic symptoms occurring in an individual who is vulnerable to mental illness due to a personal or family history of mental illness. �� Cannabis psychosis It is believed that cannabis use, especially if heavy and regular, may be linked to a condition known as “cannabis psychosis” that can last up to a few days. These episodes are often characterised by hallucinations, delusions, memory loss and confusion. Marijuana is the most common and least powerful form of cannabis, consisting of the dried leaves and flowers of the plant. Hashish is small blocks of dried cannabis resin, ranging in colour from light brown to nearly black. THC in hashish is higher than marijuana, producing stronger effects. Hash oil is a thick, oily golden-brown to black liquid extracted from hashish. Hash oil is the most powerful form of cannabis. Cannabis is usually smoked or eaten. 14 Alcohol and other drugs A guide for parents 15 Cocaine Effects of cocaine Street/common names Cocaine hydrochloride is sometimes called “coke”, “C”, “flake”, “snow”, “nose candy”, “white lady”, “toot”, “Charlie”, “blow”, “white dust” or “star dust”. Immediate effects Cocaine is a stimulant drug. Some of its immediate effects include: Freebase is also known as “base”, while crack is sometimes referred to as “rock” or “wash”. What is cocaine? Cocaine is extracted from the leaves of the coca bush (Erythroxylum coca). The coca leaf extract is then processed to create cocaine hydrochloride, freebase and crack. Cocaine hydrochloride comes in the form of a white odourless powder that has a bitter, numbing taste. Freebase also appears as a white powder. Crack generally comes in the form of crystals that range in colour from a white or creamy colour to transparent with a pink or yellow hue. ■■ increased body temperature ■■ increased heart rate, blood pressure and breathing rate Large quantities and frequent long-term use of cocaine may also lead to “cocaine psychosis”. This may be characterised by paranoid delusions, hallucinations and bizarre, aggressive or violent behaviour. These symptoms generally stop after a few days. ■■ heart palpitations Long-term effects Regular use of cocaine can result in a number of health problems. These can include: ■■ dilated pupils ■■ dependence ■■ sexual arousal ■■ insomnia and exhaustion ■■ feelings of intense pleasure, exhilaration and wellbeing ■■ weight loss ■■ decreased hunger ■■ hypertension and an irregular heart beat ■■ agitation, anxiety, panic, paranoia ■■ anxiety, paranoia and psychosis ■■ poor concentration and judgement ■■ feeling more awake and alert and a reduced need for sleep ■■ hallucinations—some people experience sensations of insects crawling under the skin ■■ indifference to pain and fatigue, feelings of great physical strength and mental capacity ■■ depression and inability to experience pleasure ■■ unpredictable, violent, aggressive behaviour. ■■ cerebral atrophy and impaired thinking Large amounts and overdose Large amounts of cocaine can increase some of the effects listed above. People who have taken large amounts of cocaine may also experience hallucinations, dizziness, nausea and vomiting, tremors, loss of coordination, loss of interest in sex, loss of ambition and motivation, heart pain, heart attack, hyperthermia, seizures and stroke. �� A cocaine overdose can result in seizures, heart attack, brain haemorrhage, kidney failure, stroke, repeated convulsions and death. ■■ sexual dysfunction ■■ damage to the nasal lining and the structure separating the nostrils from repeated snorting ■■ breathing difficulties, a chronic cough and respiratory illness from smoking crack. Cocaine hydrochloride is most commonly snorted, but can also be injected, swallowed or rubbed into the gums. Freebase and crack are usually smoked. 16 Alcohol and other drugs A guide for parents 17 Ecstasy ■■ dilated pupils Street/common names “E”, “XTC”, “eccy”, “the love drug”, “pills” ■■ jaw clenching, teeth grinding ■■ heightened sensations (sight, hearing, touch) ■■ increased confidence, loss of inhibition ■■ feelings of wellbeing, euphoria, and feelings of closeness to others ■■ poor motor control, unsteadiness, muscle aches and stiffness GHB Effects of GHB Street/common names “Grievous Bodily Harm”, “GBH”, “fantasy”, “liquid ecstasy”, “G”, “liquid E”, “liquid X”, “salty water”, “Georgia Home Boy”, “soap”, “scoop”, “organic Quaalude”, “cherry meth”, “blue nitro” Immediate effects GHB is a depressant drug. The effects of GHB may start to be felt within 15–20 minutes and may last for about 3 hours. Some of its immediate effects include: ■■ drowsiness ■■ nausea, loss of appetite ■■ nausea, dizziness, headache ■■ anxiety, paranoia, aggression, psychosis. ■■ tremors Large amounts and overdose Increased quantities do not appear to enhance the desirable effects and may cause convulsions (fits), vomiting, floating sensations, irrational or bizarre behaviour, and hallucinations. What is ecstasy? Ecstasy is a street term for a range of drugs that are similar in structure to Methylenedioxymethamphetamine (MDMA). Ecstasy usually comes in the form of a tablet. These tablets can appear in a range of colours and shapes and are often imprinted with a logo or image from popular culture. Manufacturers may substitute a wide range of substances when making ecstasy, therefore it is possible that what is sold as ecstasy may actually contain little or no MDMA. Ecstasy is most commonly swallowed. Effects of ecstasy Immediate effects Ecstasy is similar in structure and effect to amphetamines (a stimulant drug) and hallucinogens. Some of the immediate effects of ecstasy include: ■■ increased heart rate, body temperature and blood pressure ■■ sweating 18 Overdose from ecstasy is usually characterised by very high body temperature and blood pressure, hallucinations and an elevated heartbeat. These can lead to death due to heart attack, brain haemorrhage, blood clotting, kidney failure, overheating or dilutional hyponatremia (drinking too much water). Coming down Once the initial effects of ecstasy wear off, a person may feel physically exhausted, depressed and irritable. They may also experience insomnia, anxiety, paranoia, and have difficulty concentrating. These effects usually begin the day after taking ecstasy and can last for several days. Long-term effects There is currently little conclusive information about the long-term effects of ecstasy use, but there is limited evidence to indicate that regular use of ecstasy may: ■■ result in dependence ■■ cause damage to some parts of the brain, which could lead to depression and anxiety, sleep disturbances, and memory and cognitive impairment. ■■ euphoria, increased libido, lowered inhibitions ■■ decreased body temperature, blood pressure and heart rate ■■ diarrhoea and urinary incontinence. What is GHB? Gamma hydroxybutyrate (GHB) is an anaesthetic drug with sedative properties. It has been used as an anaesthetic in several countries but has been withdrawn from use in most of these due to the unwanted side effects. GHB generally appears as a colourless, odourless liquid, usually sold in small bottles. Occasionally it may appear as a coloured liquid or in powder and capsule form. GHB is generally swallowed. Large amounts and overdose There is a small difference between the amount of GHB required to produce a “high” and that which causes an overdose. High doses of GHB can result in vomiting, tunnel vision, confusion, agitation, loss of coordination, hallucinations, blackouts and memory lapses, seizures, unconsciousness/ coma, respiratory arrest and death. Long-term effects There is currently little information available about the long-term effects of GHB but there is some evidence that people develop a dependence on it. �� We know little about the long-term effects of ecstasy and GHB, but some evidence suggests that their use can result in dependence. Alcohol and other drugs A guide for parents 19 Hallucinogens Street/common names “acid”, “trips”, “tabs”, “microdots” and “dots”. Street/common names “shrooms”, “mushies” or “magics”. Effects of hallucinogens Hallucinogens are a group of drugs that change the way a person perceives the world. They can be manufactured from chemicals, such as PCP (phencyclidine), ketamine and ecstasy, or they can be derived from plant material and fungus such as LSD, magic mushrooms, mescaline, datura, morning glory seeds and cannabis. Immediate effects The effects of hallucinogens can vary considerably depending on the type of hallucinogen taken and environmental factors such as the mood of the person taking it. Some typical effects of hallucinogens include: LSD (lysergic acid diethylamide) usually comes in the form of squares of gelatine or blotting paper, but may also appear in liquid, tablet or capsule form. It is swallowed, sniffed, injected or snorted. LSD Magic mushrooms What are hallucinogens? Magic mushrooms (psilocybin) come in several varieties. Some of the types found in Australia that contain psilocybin include “golden tops’, “blue meanies” and “liberty caps”. They look like ordinary dried mushrooms or they may appear as a powdered material in capsules. They are usually eaten fresh, brewed into a “tea”, or occasionally mixed with tobacco or cannabis and smoked. Mescaline comes from the peyote cactus, Lophophora williamsii but can also be produced synthetically. Pure mescaline sulphate is a white crystalline powder. It may also appear as a powder in various colours and dried, ground peyote buttons are usually in capsule form. Mescaline is generally swallowed, but the buttons are sometimes chewed, or ground and smoked. PCP (phencyclidine) is a white crystalline powder in its pure state but is usually found in the form of pills, capsules or powders of various colours. PCP is usually swallowed, sniffed or injected. Some people sprinkle it on tobacco or cannabis and smoke it. ■■ increased breathing rate, heart rate and blood pressure ■■ dizziness �� “Flashbacks” (the recurrence of hallucinations) can occur days, weeks or months after a person has used an hallucinogen. ■■ impaired coordination ■■ nausea, vomiting and abdominal discomfort ■■ increased body temperature and sweating that may alternate with chills and shivering ■■ numbness ■■ a sense of relaxation, a feeling of wellbeing, euphoria ■■ hallucinations and distorted sensory perception, including visual, auditory, body, time and space perception ■■ disorganised thoughts, confusion and difficulty concentrating, thinking or maintaining attention ■■ anxiety, agitation, paranoia and feelings of panic (sometimes called a “bad trip”). Large amounts and overdose Higher doses of hallucinogens can increase some of the unpleasant effects listed above. Some people may experience a “druginduced” psychosis that is characterised by hallucinations, delusions, bizarre behaviour, aggression, paranoia and violent or suicidal behaviour. These episodes may last several hours or longer for some people. Deaths from hallucinogens are rare, but a severe overdose of some hallucinogens such as PCP or ketamine, can result in respiratory depression, coma, convulsions, seizures and death due to respiratory arrest. Deaths from hallucinogens generally occur due to suicide, accidents and dangerous behaviour, or due to inadvertently consuming poisonous plant material. Long-term effects Long-term, frequent use of some hallucinogens may result in: ■■ impairment of some aspects of memory and cognitive function ■■ personality and mood changes. Street/common names for PCP include “angel dust” and “peace pill”. 20 Alcohol and other drugs A guide for parents 21 Heroin Street/common names “H”, “smack”, “skag”, “junk”, “gear”, “horse”, “dope”, “hammer”, “slow”, “harry”, “big harry”, “black tar”, “china white”, “Chinese H”, “white dynamite”, “dragon”, “elephant”, “homebake”, “poison” ■■ feelings of pain, hunger and sexual urges are diminished ■■ breathing, blood pressure and heart rate become slower Heroin is one of a group of drugs known as “opioids”. Other opioids include opium, morphine, codeine, pethidine, oxycodone, buprenorphine and methadone. Heroin is made from morphine or codeine, which are produced from the refined sticky resin (opium) extracted from the seedpod of the opium poppy. Heroin can range from a fine white powder to off-white granules or brown pieces of “rock”. It has a bitter taste but no smell. Heroin is most commonly injected, but it is sometimes also smoked or snorted. Effects of heroin Immediate effects Heroin is a depressant drug. Some of its immediate effects include: ■■ feelings of intense pleasure and a strong feeling of wellbeing 22 Effects of inhalants Street/common names “glue”, “gas”, “sniff”, “huff”, “chroming”, “poppers” Immediate effects Inhalants are depressants. Some of their immediate effects include: ■■ pupils constrict (get smaller) ■■ dry mouth ■■ feeling excited, euphoric, less inhibited, reckless behaviour ■■ slurred and slow speech ■■ agitation, confusion and disorientation ■■ reduced coordination ■■ slurred speech ■■ drowsiness ■■ drowsiness ■■ nausea and vomiting. ■■ ‘flu-like symptoms such as sneezing, coughing, glazed eyes or runny nose Large amounts and overdose Large amounts of heroin can intensify some of the immediate effects. People who have taken large amounts of heroin may also experience difficulty concentrating, they may fall asleep (“on the nod”), breathing becomes slower and more shallow, and they may have in increase in sweating, itching and urinary output. What is heroin? Inhalants Signs of a heroin overdose include breathing becoming very slow, body temperature dropping, and heartbeat becoming irregular. Pinpoint pupils, blue lips and fingernails, cold skin, convulsions and snoring are also common. It is possible to die of a heroin overdose. Long-term effects Regular use of heroin may result in a number of health problems, including: ■■ dependence ■■ constipation ■■ menstrual irregularity and infertility in women and loss of sex drive in men ■■ malnutrition and increased susceptibility to infections, as a result of reduced spending on housing and food, combined with reduced appetite. ■■ nausea ■■ diarrhoea ■■ headaches ■■ unpleasant breath What are inhalants? ■■ nosebleeds Inhalants are a range of products that can cause intoxication or feeling “high” when vaporised and inhaled. The types of inhalants can be divided into a number of different groups, such as general volatile substances, nitrites and anaesthetics, depending on their effects and chemical structure. ■■ bloodshot eyes General volatile substances include glue, aerosol spray cans, gas from lighters or barbecues (butane), cleaning fluid, felttipped pens, correction fluid (liquid paper), paint or paint thinner, chrome-based paint (“chroming”) and petrol. Nitrites include amyl nitrite, butyl nitrite and isobutyl nitrite. Anaesthetics include chemicals such as ether and nitrous oxide. Inhalants are often sprayed into a plastic bag, poured into a bottle, or soaked onto a cloth or a sleeve before being inhaled. Some substances are inhaled directly from the container, or sprayed into the mouth or nose. ■■ chest pain and irregular heart beat ■■ poor coordination ■■ hallucinations and delusions. Large amounts and other risks Using large amounts of inhalants can increase the chances of feeling disoriented and experiencing visual distortions, and can further decrease coordination. Very high amounts may also cause someone to black out, or even cause convulsions or a coma. The main danger from using inhalants comes from accidents when intoxicated. This includes suffocation caused by using plastic bags to inhale, choking on vomit when unconscious, and accidents while behaving recklessly. Inhalants are also highly flammable, so there is also a risk of severe burns if the inhalants ignite. There is a small risk of “sudden sniffing death” associated with using some inhalants Alcohol and other drugs A guide for parents 23 such as aerosol sprays, cleaning and correction fluids, and model aeroplane cement. It is believed that chemicals used in these products may cause heart failure, particularly if the person is stressed or does heavy exercise after inhaling. Long-term effects Regular heavy use of inhalants can result in a number of health problems. Some of these include: Ketamine Street/common names “K”, “special K”, “ket”, “kitkat”, “super K” ■■ pale appearance ■■ feeling detached from the body (dissociation) ■■ hallucinations and distorted sensory perception, including visual, auditory, body, time and space perception ■■ some inhalants affect the production of blood, which may result in problems such as anaemia ■■ reduced sensitivity to pain and numbness in the extremities ■■ sores around the nose and mouth ■■ dizziness ■■ tremors ■■ slurred speech ■■ weight loss ■■ constricted pupils (smaller) ■■ tiredness ■■ impaired motor coordination ■■ feeling unusually thirsty ■■ increased heart rate and blood pressure ■■ irregular heart beat and damage to the heart muscle ■■ faster, but shallow, breathing ■■ forgetfulness, memory impairment, inattention and decreased ability to think clearly and logically ■■ irritability, hostility, depression, or feeling persecuted ■■ irritation of the stomach lining and intestines ■■ motor impairment ■■ breathing difficulties ■■ damage to the brain, nervous system, kidneys and liver ■■ eye problems, such as burst blood vessels, which make the eyes completely red and can lead to blindness (particularly related to using chrome-based paints). Most long-term effects are not permanent and can be reversed if use is stopped. However, some inhalants such as cleaning products, correction fluid, aerosol cans and petrol can cause permanent damage. ■■ blurred vision What is ketamine? Ketamine hydrochloride is a short-acting, dissociative anaesthetic. It is sometimes used in medical and veterinary settings, but some people use it illegally for its hallucinogenic effects. ■■ nausea and vomiting ■■ sweating. Ketamine comes as a white crystalline powder with a characteristic odour. It can be made into tablets, pills or dissolved in a liquid. Ketamine can be swallowed, snorted or injected. Effects of ketamine Immediate effects Ketamine is an hallucinogenic drug. Some of its immediate effects include: ■■ euphoria and relaxation ■■ confusion, disorganised thoughts, and difficulty concentrating, thinking clearly and maintaining attention �� Some people experience very extreme adverse reactions to ketamine. These are sometimes referred to as “bad trips”. ■■ anxiety, agitation, paranoia and feelings of panic 24 Alcohol and other drugs A guide for parents 25 Large amounts and overdose High doses of ketamine can intensify some of the immediate effects listed here. Large quantities of ketamine may also cause drowsiness, muscle rigidity, erratic, hostile and bizarre behaviour, depression, amnesia, hypersalivation, increased body temperature or fever, convulsions, cardiac arrest and coma. Ketamine overdose may result in seizures, respiratory depression, coma and death. Long-term effects There is currently little information available about the long-term effects of ketamine but there is some evidence that long-term, frequent use may result in: Tobacco Effects of tobacco Street/common names “cigs”, “fags”, “butts”, “smokes”, “darts”, “cancer sticks”, “ciggies”, “rollies’ Immediate effects Tobacco is a stimulant drug. Some of its immediate effects include: ■■ initial stimulation, then reduction in activity of the brain and nervous system ■■ dependence ■■ impairment of some aspects of memory and a reduced ability to concentrate ■■ increase in blood pressure and heart rate ■■ mild euphoria and feelings of relaxation ■■ personality and mood changes ■■ enhanced alertness and concentration ■■ depression. ■■ decreased blood flow to the extremities (fingers and toes) ■■ decreased skin temperature ■■ bad breath ■■ reduced appetite What is tobacco? �� It has also been reported that some people experience “flashbacks” from when they used the drug. Flashbacks can occur days, weeks or months after a person has used ketamine. 26 Tobacco contains nicotine and comes from the leaves of the tobacco plant (Nicotiana tobacum and Nicotiana rustica). The leaf of the tobacco plant is dried, cured and aged before having other ingredients added to make a range of tobacco-based products. These include cigarettes (including some herbal cigarettes), cigars, pipe tobacco, chewing tobacco, and wet and dry snuff. Tobacco is most commonly smoked. People smoke tobacco in cigarettes, cigars, pipes and hookahs (water pipes). Tobacco can also be chewed (chewing tobacco or wet snuff) or sniffed (dry snuff). ■■ nausea, abdominal cramps, vomiting and diarrhoea ■■ dizziness and headaches ■■ bad breath ■■ coughing due to smoke irritation. Large amounts and overdose Very large doses of nicotine can result in an increase in the unpleasant effects, including feelings of faintness and confusion, and a rapid decrease in blood pressure and breathing rate. Overdose is rare but in some cases very large amounts of nicotine can lead to convulsions and death from respiratory failure. Alcohol and other drugs A guide for parents 27 Drug laws Long-term effects Long-term use of tobacco can cause damage to many parts of the body. This can include: ■■ dependence ■■ loss of sense of taste and smell and possible hearing loss ■■ eye cataracts, macular degeneration, and yellowing of the whites of the eyes ■■ yellowed teeth, tooth decay and bad breath ■■ decreased appetite ■■ lowered immune system and slower healing of wounds ■■ facial wrinkles, and skin has grey appearance and may be stained yellowishbrown by tar ■■ shortness of breath, coughing, chronic bronchitis, trigger for asthma, emphysema ■■ contributes to osteoporosis ■■ stomach ulcers ■■ high blood pressure, heart disease, heart attack ■■ increased risk of stroke and brain damage 28 ■■ damage to the blood vessel walls in the arms, hands, legs and feet which can lead to atherosclerotic peripheral vascular disease (PVD) that can result in gangrene and amputation ■■ nose, lip, tongue, mouth, laryngeal, pharyngeal, lung, oesophageal, stomach and bladder cancer and myeloid leukemia ■■ males—impotence, and damaged and reduced sperm ■■ females—lower fertility and increased risk of miscarriage, irregular periods and early menopause. Each Australian state and territory has laws governing the manufacture, possession, distribution and use of drugs, both legal and illegal. Drug laws in Australia distinguish between those who use drugs and those who supply or traffic drugs. The main types of offences related to illegal drugs are: It is also illegal to drive under the influence of any drug. Some states in Australia have introduced random roadside drug testing for some illicit drugs, including cannabis and amphetamines. Penalties for drug-related offences can include fines and /or imprisonment, depending on the offence. ■■ Use: includes smoking, inhaling fumes, injecting, ingesting or otherwise introducing a drug of dependence, into a person’s body (including another person’s body). ■■ Possession: means having control or custody of a drug. Possession applies to both the drugs found on the person and on their property, if it is proven that the drugs belong to that person. ■■ Cultivation: is the act of sowing, planting, growing, tending, nurturing or harvesting a narcotic plant. ■■ Trafficking: includes manufacturing a drug of dependence, or selling, exchanging, agreeing to sell, or offering for sale, or having in possession for sale, a drug of dependence. �� In Victoria and some other states, the police and courts have introduced a number of schemes in relation to drug offences. These divert people from the criminal justice system into education, treatment or other support services. Alcohol and other drugs A guide for parents 29 Addressing drug-related issues Drug issues are a community concern, not just an individual’s or family’s. Effective responses to drug use and drug problems come from informed decision making. Information and assistance is available for family, friends, people who use drugs and others. There is no need to deal with drug issues alone. What is a drug problem? Strategies for parents It is difficult to define what a “drug problem” is. What one person perceives as a problem may not be seen as a problem by another. Many experts agree that a drug problem is not measured by how much, how many or what drug a person uses, but by how the drug affects their life and the lives of those around them. Some helpful strategies for parents when communicating with children about drugs: How can I tell if someone is using drugs? There are no specific physical signs or personality changes that can indicate with any certainty that someone is using drugs. Behaviour that is uncharacteristic of a person may indicate drug use, but could also indicate an issue that is not drug-related. It is important to differentiate between these. Signs that are uncharacteristic of a person that may require your attention, regardless of whether drug use is involved, include: ■■ mood swings, explosive outbursts ■■ trouble with the police ■■ frequent absences from work or school, or declining work or school performance ■■ unexplained need for money, or disappearing money and valuables ■■ decrease in extra-curricular activities, withdrawing socially and minimal interaction with family ■■ sudden changes of friends ■■ tiredness or changes in sleeping patterns ■■ changes in eating patterns ■■ impaired memory and poor concentration. 30 ■■ Make sure you set an example. You may not be taken seriously if you talk about having a healthy approach to drugs while at the same time smoking cigarettes or drink-driving. ■■ Provide consistent and fair rules and guidelines. It is useful to establish some agreements about acceptable behaviour in relation to alcohol and drugs. ■■ Have open and honest discussions about drugs. Make sure they know the facts. ■■ Respect a person’s privacy. Think about consequences before acting. For example, is it worth searching someone’s room if it means potentially losing their trust? ■■ Support and encourage positive behaviour. Avoid focusing only on the negatives. ■■ Be informed about drugs. Do some research and homework to make sure you are informed. If you do not know the answers to the questions you are asked, find out. Do not make up information or exaggerate. ■■ Choose an appropriate time to talk. If your child is caught at a time when they are not able to give their full attention, they may be more inclined to react defensively. Try to remove any distractions, such as the telephone. Avoid talking when a person is under the influence of drugs. ■■ Use open questions and listen carefully. Explore thoughts and feelings without sounding like it is an interrogation. For example, ask your child how he or she feels and allow him or her to examine whether there are any problems or potential risks. Allow and encourage your child to speak in full sentences and to finish what he or she has to say without interruption. �� Communication is a two-way process. Your child needs to know that he or she will be listened to and that you are open to hearing what he or she has to say. Communication involves listening; not giving lectures or judging. Alcohol and other drugs A guide for parents 31 Support services and further information Support services The contact details for parent lines and alcohol and other drug services in your state or territory are listed on the back cover of this booklet. Where can I get more information? The telephone book: check under alcohol and drugs for services in your area. Written information: self-help guides, school drug education materials and general drug information are available through the DrugInfo Clearinghouse (tel. 1300 85 85 84, email druginfo@adf.org.au). For individual advice and information, contact your local drug and alcohol service (see back cover). Teachers and schools: the local school may run information evenings on drug issues or parenting skills. Your local doctor, community health centre or hospital: ask what services are available in your area. Local government: can assist with information on parenting programs. Legal aid and community legal services: can provide free or low-cost help in many situations. The Internet: the Australian Drug Information Network (ADIN), at www.adin.com.au, is a central point of access to quality Internet-based alcohol and drug information provided by prominent organisations in Australia and internationally. DrugInfo Clearinghouse, at www.druginfo.adf.org.au, provides reliable information about alcohol and other drugs. 32 Family Drug Help, at www.familydrughelp. sharc.org.au, provides 24-hour support for family members, treatment programs, referral and self-help groups. Self-help groups and courses: sharing can help a person feel that they are not alone, and can provide them with practical and emotional support. Support groups are available for people who use drugs and their family and friends. 33 Alcohol and drug services and parent lines in your state or territory For information, counselling, advice and other assistance, contact: Australia-wide South Australia Family Drug Support 1300 368 186 (toll-free) Alcohol and drugs: 1300 131 340 (toll-free) Australian Capital Territory Parent advice: 1300 364 100 (toll-free) Alcohol and drugs: (02) 6207 9977 Tasmania Parent advice: (02) 6287 3833 Alcohol and drugs: 1800 811 994 (toll-free) New South Wales Parent advice: 1300 808 178 (toll-free) Alcohol and drugs: (02) 9361 8000 Victoria 1800 422 599 (toll-free outside Sydney) Alcohol and drugs: 1300 85 85 84 (information, toll-free) Parent advice: 13 20 55 (toll-free) 1800 888 236 (counselling, toll-free) Northern Territory Family Drug Help: 1300 660 068 (toll-free) Alcohol and drugs: 1800 131 350 (toll-free) Parent advice: 1300 301 300 Queensland Alcohol and drugs: 1800 177 833 (toll-free) Parent advice: 1300 301 300 Western Australia Alcohol and drugs: (08) 9442 5000 1800 198 024 (toll-free outside Perth) Parent advice: 1800 654 432 (toll-free)