DRUGS ISSUES DISCUSSION PAPERS by Max Cruickshank. These papers are provided free on the website of the Scottish Parliament’s, Futures Forum, drug and alcohol, site. They are written after 47 years of experience as a youth worker with a specialist interest in child and youth health issues. I have run around 5,000 health workshops for more than 80,000 young people. Running such workshops not only offers an opportunity to educate young people, they also provide an insight on the world of young people today, which has been used by me to inform my innovative youth work. Hopefully they will stimulate much needed public debate, on a major public health issue that Scotland faces, the use and misuse of all forms of drugs. Your comments and feedback are always welcome. DISCUSSION PAPER Number 8 16/02/08 Myths about commonly used drugs: From the thousands of drug and alcohol workshops I have run across Scotland with young people and adults I hear the same myths at every session. Where they start from I don’t know, but I hear them from Shetland to Dumfries, from Shettleston to Buckie. These myths demonstrate peer education at it’s worst, spreading dangerous information amongst pals. So far no government campaign or official health education booklets have even acknowledged the existence of most of these myths, let alone set out to correct this dangerous misinformation. I have included this paper to challenge adults to think about how many of these myths they may have believed to be true and so have passed on to their children. I also challenge health educationalists, Healthier Scotland and the Scottish Executive and the voluntary sector charitable organisations working in the smoking, alcohol and drugs field, to take these myths seriously. Alcohol Myths: “See that Aftershock, it’s so strong that pubs are only allowed to sell you one shot of it” Fact: Not true, this myth seems to have spread like wildfire in Scotland. In fact Aftershock is no more than a modern liqueur with a 40% per volume alcohol content, just like Southern Comfort, Drambuie or Cointeau. There are no restrictions imposed on bar staff selling this or any other strong alcoholic drink. “See if you put Vodka into your eye, it gets you drunk much faster” Fact: Oh no it won’t, but it might burst blood vessels in your eye, which would not be a good idea. When we consume alcohol it normally goes through the tissues in the walls of your stomach and your intestines, into your bloodstream. Once alcohol is in your blood it gets processed through your liver at the rate of one unit per hour and is eliminated from your system. Sending the Vodka through your delicate eyes, will get it into your bloodstream but no more efficiently than through your guts, and at a serious risk of damaging your eyes. Don’t go there if you want to protect your eyes. “Absinthe is full of psychedelic drugs and can drive you mad”. FACT: Not true of today. The original drink which was popular in Europe in the 1700 and 1800’s contained a variety of herbs including wormwood, which is a convulsant poison. It is illegal to put any potentially dangerous drugs in alcoholic drinks today. “Absinthe is so strong that pubs are only allowed to sell you a single measure”. Fact: Yes it is very strong at 68% alcohol. But a pub measure would be 25 mls to 35 mls, making it between 1.7 and 2.4 units of alcohol. There is nothing in the licensing laws that prohibit selling more than one measure of any alcoholic drink, just another of the many myths around alcohol. See www.absinth.com for more details. “Drinking two or 3 bottles of Buckfast Tonic Wine is not binge drinking”. Fact: If you drank two or 3 bottles of Buckfast in one drinking session you would have consumed between 22.6 and 33.9 units of alcohol, which is certainly classified as binge drinking. (One definition is that more than half of your weekly units in one session is binge drinking) For women 7 units and for men 10.5 units is binge drinking. The three bottles of Buckfast in one drinking session means you have consumed between three quarters and slightly more than a full bottle of spirits, such as Vodka, Bacardi or Whisky. Get real folks this is not a good idea unless you are determined to kick in your liver, get diabetes or any of the other nasties that come with regular binge drinking. “You can drink yourself sober”. Fact: Sober is the opposite of being drunk. We get drunk if we drink too much alcohol, so topping up with more of the drug alcohol to get sober is not going to work. Be aware though that, like with most drugs, your mood is affected by alcohol, so if you are in a high and happy mood then the alcohol will make you feel good. If you are in low spirits or a depressed mood, the alcohol will make you feel worse. When you have a hangover, you will be feeling bad, so you might try to convince yourself that because alcohol makes you feel good sometimes, then taking some alcohol to get rid of the hangover, should make you feel better. All you are doing is loading up your liver with more alcohol, which it has to get rid of, so you prolong the hangover. Needing a drink in the morning after a heavy drinking session, is a sure sign that you are heading for a problem with alcohol. Thousands of people in that state have driven off to work or wherever, and been horrified to get stopped by the police, only to be found to be well over the drink drive limits. “Eating a fry up when you are drunk will sober you up”. Fact: Sorry wrong again. People think that a fry up or any food eaten when you are drunk will suck up the drink and sober you up, as if the food acts like a big sponge. Nice idea, but the next question is where does the sponge full of alcohol go to? Does it vanish mysteriously into fresh air or where? No, the food just lies around your stomach until it is processed as usual. It is worth remembering that the fat from the fry up does not absorb the alcohol. The extra calories from your fry up will just add to the excessive fat that gets laid down from excess eating and drinking. The good news though is that if you do as the Continentals do, eat while you are drinking alcohol, then this slows down the rate that the alcohol gets into absorbed your bloodstream, so is kinder to your body than drinking on an empty stomach. “Hot sweet coffee sobers you up”. Fact: Sound like a sensible idea, but it is yet another myth. The sweet coffee contains caffeine, a stimulant drug, it wakens you up, the sugar has lots of calories in it, which would give you extra energy, to keep drinking perhaps. Neither of these substances can eliminate the alcohol from your bloodstream and sober you up. Alcohol leaves your body at the rate of approximately one unit in one hour. So only time will sober you up. The extra calories from the sugar will just add to your body fat, as it hangs around until your liver has got rid of the more urgent problem of the poisonous alcohol, from you system. Remember too that caffeine makes you pee a lot, so leads to even more dehydration than has already happened from the alcohol. Losing more than 10% of your water content leads to medical problems and even death. A well known example is drinking too little water, to combat the effects of Ecstasy – resulting in serious dehydration and death. “Iron Bru sobers you up”. Fact: This Scottish invention, Iron Bru has been marketed in the past as “Scotland’s Other Drink” and as “Made from Girders (iron beams)” Nice marketing, which belies a drink that is stuffed full of calories and flavourings, but nothing magical that will eliminate alcohol from your system. It is said that there are around 8-10 teaspoons of sugar in one small can of this drink. So drinking this on top of lots of booze is a recipe for a heart attack. The volume of sugar in Iron Bru forms acids that rips the enamel off your teeth, hence the reason that Scotland has the highest number of toothless weans anywhere in Europe. Yet another drinker’s myth bites the dust, I hope. All things in moderation eh! “Women can hold their drink just as well as men can”. Fact: This is sadly one of the comments that are made more often today than a couple of decades back, because young women in particular are drinking to excess, and more like young men have always done. Because our body gets used to using alcohol, like many other drugs we start to need more of the drug to get the effects that we want from it. Your body builds up a tolerance to the drug, so you can consume more than you used to do, when you first started to drink. So it is not a myth that women can hold their drink, but, it is a very bad idea for women to drink larger quantities of alcohol than men, because women’s bodies cannot process it as well as a man’s can. Women’s health gets damaged faster than a mans from alcohol. Women’s bodies have about 10% less water in their bodies than men so they do not dilute the alcohol so well. They also have more fat in their bodies to absorb the extra calories that come from excessive drinking. The more they drink the more they put on fat, the fat appears, especially around their hips and backsides. Drug Myths: “Taking 5 Ecstasy tablets gives you a better effect than just taking one”. Pure Ecstasy is called MDMA and is seldom what is sold to users in the UK. Like all illegal drugs you have no idea what you are actually buying when you buy Ecstasy. The Metropolitan Police in London regularly see over 80 different tablets being sold as Ecstasy. They have different shapes, different colours and different markings on them. What is contained in them can vary and some contain nothing more than inert powder like talcum power. You cannot tell how strong or weak Ecstasy is before you consume it. You can have no idea what it contains or if it has dangerous chemicals added into the mixture. So taking more than one tablet is like playing Russian Roulette, with a pistol loaded with just one bullet, a foolish and dangerous game. Ask yourself would you take 5 or 10 Paracetemol to get rid of a headache faster? If you did, you would be sure to damage your kidneys and liver, so why would you trust a drug made illegally, and with no quality controls on it, to be safe in you body? This behaviour with ecstasy is one of the classic examples of us Scots binging on anything we can get our hands on – don’t do it, we don’t have to prove we are macho, hard or superior beings – the world already knows that. “There is often rat poison in heroin” This is a story that started in Scotland way back in the 1960’s and had been passed on as a fact ever since. Don’t believe a word of it. “Cannabis is not a drug, it is a natural substance so should be legalised”. Fact: Wrong again folks. Cannabis is derived from a plant that is true but so is Heroin, which comes from poppy plants. So unless you want to ignore the facts then surely if you want to legalise Cannabis you should campaign for the government to go the whole hog and legalise Heroin as well. See my separate paper on cannabis. “Most drugs help you to get to sleep”. Not true. Some drugs, mainly the opiates, painkillers and downers do induce sleep or anaesthetise us into a deep, sleep-like state or coma. However the stimulants (uppers) and hallucinogens (trippy drugs) do quite the opposite. They keep you awake, make you hyper, anxious, agitated, can make you paranoid and very high energy. When they wear off, many of them will leave you exhausted. Long term heavy drug use can lead to major problems of sleep deprivation. It is not a good idea to try to sort your sleep problems by using drugs. See your doctor if you have problems sleeping; there is usually a good reason for it and a solution that will not cause you harm. I have been surprised to hear of how many children, young people and even adults today, sleep with either their television, computer or sound system on all night. This is I believe one reason that many of them develop sleep deprivation problems which can turn them towards drugs for relief, from the sleep deprivation. Turn the lot of them off guys, it does you no good at all. Our body works really hard for us when we are awake, give it a break and let it rest naturally in the night. That way it will use all its energy to heal your body and mind and deliver you to the morning, full of energy and fit to take on the world. “Its safer to eat cannabis than to smoke with tobacco” This is another common myth but it is Not True. Because, street Cannabis is mucky stuff, so eating it, even if cooked in a microwave, in tea, in yogurt or in soup, is absolutely not recommended. Unless you want a load of unknown bacteria from dog faeces, mucky hands or what ever. Even the Scottish Cannabis Campaign do not recommend this method of ingesting cannabis “Crack is instantly addictive”. This is an example of myths that have done the rounds of popular newspapers and some television programmes. But it is nonsense. I know of no drug that is instantly addictive. However crack is a very powerful form of cocaine. It most certainly is a drug that once people get into using it, users can very quickly find that they want to use more and more of it. The reasons for this fast dependency is to do with the nature of the drug. It certainly is the most powerful of the commonly used stimulant drugs. It therefore gives people the highest stimulant effects but also the fastest come down. The effects of the stimulant speed lasts up to 3-4 hours, cocaine lasts for around 30 minutes and crack only lasts about 10 minutes. So clearly having got extremely high and then to be dumped down after so few minutes, makes the user want to get back to the high. This means that they then start using again and again and in that sense it quickly becomes a highly addictive drug. “Using Cocaine and alcohol together gives you a better buzz”. Fact: Cocaine is an extremely powerful stimulant drug and alcohol is a powerful depressant (downer) drug. The mixing of drugs is always a dodgy idea and is the main cause of deaths of drug users, not the use of one drug on its own. Cocaine has been slow to catch on in Scotland but is now replacing ecstasy as the clubber’s, and many adult user’s choice. This brings its own new problems. Because when mixed with alcohol there is a very serious side effect which is literally killing more young people each year. The reasons for this are quite complex but it is enough to know that when people are drinking alcohol and then take cocaine, the effects of the alcohol seem to be reduced. You feel less drunk and you are then falsely led into believing, that you can consume much more alcohol, than even the average binge drinker would consume. This cocktail of drugs, causes the body to create a third drug called cocaethylene, and that, sadly, is what is killing, even quite young people. So unless you have a death wish avoid this combination of drugs. “Drugs are a great aphrodisiac, you can keep at it like a rabbit for hours”. For thousands of years mankind and especially men have searched for the magic potion to increase their sexual pleasure. With the exception of Viagra which has been specially created for mainly older men, with Penile Erection problems, it really is a myth that any drug actually improves sexual performance. Some drugs, especially the Hallucinogens, may alter our perception of what is going on, so it may make us feel as though we are star turns in bed. Most drug users, if they are honest, and lots of them have told me this, will tell you that drugs have quite the opposite effect on sexual performance. For men, the term Brewers Droop and Speedy Willy come to mind. An embarrassing floppy, just when you were ready for the plunge. For women, dried up vaginas, leading to chronic infections is more likely to be the outcome, of seeking sexual pleasure from drugs. For young guys who feel the need to get some Viagra, I can only say that if young guys need such assistance, they either have a medical problem that needs serious attention or they need to cut out the binge dinking, the major source of such sexual disorders. Binge drinking and drug use can make women infertile or stop them having their periods, as can smoking. “Ecstasy causes brain damage”. Fact: The answer to this one is harder to prove, as there has been so little research done into ecstasy deaths. I have read papers that argue for and against this theory. What we do know though is that if people are unfortunate enough to die from using ecstasy then one of the problems they will have had, is that they will have become seriously dehydrated. Every cell in our body needs a certain level of water, about 70% for men and about 65% for women. If we go even 10% below these healthy levels, then we are dehydrated. This alone can kill you. Your brain cells like all other human cells need their quota of water. So yes it is true that ecstasy can cause brain damage. There is also some research I have read which found that long-term, regular, heavy users of Ecstasy seem to suffer from mental health problems and especially from depression. So for my money, ecstasy is not a useful drug to be using and anyway it is now fast going out of fashion, as young people have come to realise that what they are often buying is just a pile of junk. “One man that took too much Acid (LSD) walks backwards now.” Fact: I have heard this one so often in the last 40 years that I could almost believe it. However it is a bit strange how this un-named, mysterious man, seems to be living in the particular town that I am running my drugs workshops in that day. So there must be lots of these guys wandering around backwards, that somehow the press or media have never caught up with. You would think that in the age of mobile phones, with their video cameras, it cannot be long now until this mystery is solved. A bit like the Loch Ness Monster eh? Don’t believe a word of it. “If you rub Cocaine on your penis or on her privates, you can both orgasm for hours.” I have yet to meet anyone who has tried this, although a few people seem to know someone, who knows someone, who has experimented with this novel way of getting drugs into your system. Like my comments on Viagra, it seems to me a shame that young people, who should be at their sexual prime, are having to resort to rubbing dodgy drugs, that they don’t even know the contents off, on their privates. Perhaps what they need is one of my sexual health workshops, to learn the basics of how to have a good sex life. Give your bits a break folks and get back to nature. It has worked for most people for centuries. “If you know a good dealer you will always get a good deal”. WRONG, dealers are not licensed to produce or distribute the substances they sell, and have no safe way of knowing what they are selling. They buy it at the end of a chain of distribution. Everyone in that chain is trying to make as much money as possible so they tamper with the drugs to make them heavier by adding in all sorts of junk. Even an experienced drugs squad officer or a qualified chemist, would not be able to tell you about the quality of any deal, without laboratory analysis. Myth: the police cannot touch you now that cannabis is class C – not true Because in Scotland the police do not have the same rules as the rest of the UK. They cannot caution you and forget it, they are required by law to report the offence to the Procurator Fiscal for action. Common Myths about Smoking: “Smoking calms you down.” No it does not and cannot because it is a stimulant drug, and they have exactly the opposite effect to calming you down. They make you hyper, talkative, restless, speed up your heart. This is one of the biggest excuses that people use all the time for smoking tobacco. The Cigarette companies love it that people have been so easily fooled. This myth keeps the cash flowing into the coffers of the fag dealers. It used to be that tobacco advertising highlighted this myth, as a powerful way of attracting new smokers. They had sportsmen, the Marlboro cowboy and other images to spread this dangerous message. Now that tobacco advertising is banned the tobacco companies have resorted to paying script writers of television soaps and the likes, to keep the myth alive in every episode they can. Dot Cotton in East Enders is probably the best example of this. I am glad to report that the UK government have at last accepted that this is a problem and are making efforts to curb this illegal and dangerous advertising. “Fags are so addictive it is impossible to come off them.” Absolutely not true, but it is a very good myth to keep going the rounds if you own a tobacco company. It is guaranteed to undermine the determination of any smoker who was looking for an excuse not to stop anyway. Recent research has shown that although nicotine, the main, but by no means the only dangerous chemical in tobacco, (there are around 4,000 others across the brands range) is highly addictive. But the good news is that it does not hang around in the body for very long, unlike heroin, which is equally as addictive. So if you do decide to give up smoking, don’t allow your mind to play games with you, telling you that it is all going to be too difficult, because I am a poor drug addicted soul, you are not. The nicotine will in fact be out of your system within a very few days. It is only the psychological pressure to smoke, that you have lived with for years, that is trapping you in this addiction. Within days of you stopping smoking, your body will get to work trying to heal all the damage you have done. “Fags keep you slim” Oh really? So how come there are rather heavy people around who smoke like chimneys? Why is it that one of the big pharmaceutical giants have not got onto this and produced nicotine slimming pills, sprays or creams? Because it just one big lie and another myth that needs well kicked into touch. The myth continues though, because it is true that many ex-smokers put on weight when they give up the fags. There is a very simple reason for that. When they are still smoking the tobacco sort of puts to sleep or anesthetises your thousands of taste buds. They are all around your mouth and tongue. The minute you stop smoking your clever body gets to work reviving all these taste buds, so for the first time in a long time you can really taste food. So naturally you may go to town and stuff yourself more than you should. Beware though, comfort eating is another form of addiction, so take it easy. “ My granny smoked 40 a day for years and she never got that cancer”. Well lucky granny. If you want to copy her, help yourself but don’t be surprised if you are not so lucky, Because if you continue to smoke into adult life at that sort of level, you are pretty well guaranteed a whole range of cancers. Mouth, gullet, tongue, lungs, breasts, skin, stomach or liver. One in two heavy smokers die from smoking related cancers. © Max Cruickshank Youth Work Consultant & Health Issues Trainer, A Right Pair of Chances Company Email: Chancer@maxbis.demon.co.uk 16/02/08