Rising Drug Epidemic in New Jersey

“To put it bluntly, today’s young Percocet, Vicodin, and OxyContin users are becoming tomorrow’s heroin junkies, and the demand for those drugs has spawned new levels of crime and violence.” These words, uttered by the State Commission of Investigation Chairman Patrick Hobbs, further highlight the deadly drug abuse epidemic currently affecting New Jersey. According to a state investigation released last Wednesday, crooked doctors, rogue internet sites, and deceitful smartphone applications within the state of New Jersey are roadblocks derailing the attempt to fight this epidemic. Just last year, in an investigation by the State Commission of Investigation it was discovered that law enforcement has unfortunately, been outpaced by the alarmingly advanced technology being used by drug dealers. The investigation also found that the surge in teenagers experimenting with prescription pain relievers, most of the time right out of their parent’s medicine cabinet; is in fact leading to an even more alarming and perilous behavior within New Jersey: heroin addiction.

In an effort to examine what drugs were being used, who was using them, where they were being obtained and how dealers were evading detection, a team of investigators used forensic analysis of more than a dozen front businesses, visits to pain treatment centers, and interviews with confidential informants. One such informant, who sold 500 prescription pills per week in his New Jersey high school at the height of his addiction, stated that after starting to abuse prescription pain relievers at age 11 and after abusing them for three years, the prescription pain relievers no longer got him high. So what did he do next? He switched from prescription pain relievers to heroin at the mere age of 14, and many of his customers followed. According to investigative agent Rachel Denno most teenagers consider prescription drugs easier to obtain than street drugs, with 3 in 10 not even aware that they are addictive. On top of that, according to the Centers for Disease Control, there are more overdose deaths nationally from legal drugs than from cocaine and heroin.

Within New Jersey, drug dealers are adopting new and sophisticated technology at such a quick and efficient pace that it is leaving police and law enforcement scrambling. These drug cartels are not just simply only using bogus online pharmacies that peddle narcotic medications to anyone with a computer; they are branching out and using social networking sites and even video games to connect dealer and buyer right under authorities’ noses. They are even utilizing smartphone applications that allow users to mask their real phone number with any number they choose making tracking calls nearly impossible. And that’s not all that law enforcement has to deal with. They also have to contend with legal entities and professions that are co-opted for New Jersey’s drug trade. As Detective James Scoppa Jr. of the Atlantic County Prosecutor’s office puts it when referring to physicians who sell prescription pain relievers to drug-seeking patients, “We have a real problem with dirty doctors.” Forensic analysis of business records show that it is legitimate businesses such as car dealerships, beauty salons, clothing retailers, and liquor stores, which are used to hide the drug money. By splitting up revenues into smaller amounts and then comingling them with the funds of front businesses, dealers seek to evade the Bank Secrecy Act which requires paperwork to be filed for all transactions exceeding $10,000.

Are you struggling with drug addiction from living in the drug heavy state of New Jersey? The best chance for successful recovery is to remove yourself from the environment associated with your drug abuse. Call us today and find out how The Recovery Place in Fort Lauderdale, Florida can help you even if you are from New Jersey—especially if you are from New Jersey stricken with an unfortunate drug epidemic.


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MESSING WITH MOTHER NATURE

Drugs change, correct, add to, or take away from what Mother Nature already has set into place.  Stimulant drugs are a good example of a type of drug that can be helpful or harmful.

Stimulants such as Ritalin, Adderall and methamphetamine all affect how much of a substance called dopamine is saturating the cells of the brain.

Surprised to hear two drugs used in the drug treatment of attention deficit disorders coupled with a drug that is pretty much confined to the arena of drug abuse? Let’s explore why.

Ritalin is a stimulant drug that increases the ability to focus on tasks and sharpens attentiveness and alertness. It is prescribed to children and adults to help them control impulsive behavior and increase attention in school or work, when they have been diagnosed with ADD (Attention Deficit Disorder) or ADHD (Attention Deficit Hyperactivity Disorder).   Other uses are for narcolepsy, a medical condition where someone falls asleep suddenly and uncontrollably, even when driving or walking the dog. 

Ritalin is ordered by a physician at lower doses, and is slowly and carefully increased over time until just the right effect is achieved for the patient.  This is where the difference between “use” and “misuse” begins.

Stimulants are misused by taking frequent and higher doses so that the brain is flooded with dopamine.  This creates a “high”, a pleasurable sense of well-being. 

Adderall is a combination drug made up of dextroamphetamine and amphetamine.  It, too, is a stimulant drug used to treat ADHD in adults and children.

Both Ritalin and Adderall can be misused and abused, and have become an increasing problem as more and more prescriptions have been written for legit uses and then turned into illegal ones. 

Methamphetamine is a bad guy in the stimulant bunch. Although it has some medicinal use, it is more widely abused in order to obtain the high that is achieved by the rush of dopamine to the receptors in the brain.

While cocaine, another stimulant, is removed from the body rather quickly, methamphetamine stays in the body much longer. From the addict’s perspective this is a positive, but there are severe consequences.

Recent studies on methamphetamine drug abuse shows that long-term users have actual permanent changes in the brain, none of which are good. These changes affect memory and emotion. 

Stimulants have a high potential for dependency and drug addiction.

They should only been taken under close and ongoing medical supervision.


View Original Post, Messing With Mother Nature

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ANOTHER KIND OF DRUG VICTIM

In The Recovery Place blog addiction education series this week, we are taking a further look at the benzodiazepine class of drugs, or benzos.

If you or a loved one is fighting addiction, then you understand that drugs and alcohol have a wide and destructive reach.  Benzos claim another kind of victim that you may not have thought much about.

Rohypnol is a benzo that isn’t prescribed or even manufactured in the United States.  In the 1990s it began to be smuggled in by drug traffickers, and a new kind of victim was created by this “date rape” drug.

Roofies (a common slang term for Rohypnol) began to be slipped into the drink (often in an alcoholic drink in a bar or party setting) of the victim in order to make them unaware of what is happening or unable to resist a sexual assault.

Rohypnol, like many benzos, is a powerful hypnotic drug, meaning it causes sleep or sedation.

Roofies are also used as a “party drug” to enhance the effects of alcohol, or to counteract the side-effects of stimulant drugs.  Many cocaine or methamphetamine addicts use Rohypnol to soften the rebound “crash” of these drugs as they begin to wear off.

Recreational drug users use benzos for the side-effects that they have:  sedation, drowsiness, dizziness and a relaxed feeling.

Ativan (lorazepam is the generic name) is another benzodiazepine important to the treatment of a variety of medical disorders, but also very high up on the list of benzos that are misused and abused. 

Ativan is frequently used for anxiety disorders and specific kinds of seizures.  Physical and psychological dependency to Ativan can occur after only a few weeks of use.

Addiction to prescription drugs is on the rise in the United States, Canada and many other countries.  These addictions may come about from the legitimate treatment of a medical condition, or from the recreational use of a teenager who finds some leftover Ativan or Codeine in a parent’s medicine cabinet.

Benzos like Ativan are among the most highly misused and abused prescription drugs.  And withdrawal from these drugs can be tough, as tough as withdrawing from heroin, and should be done under a physician’s guidance.

Klonopin (clonazepam) is another frequently prescribed benzodiazepine that is very effective in treating anxiety, panic disorders and some types of seizures.  It has legitimate uses that have to be very carefully weighed against the hard fact that prolonged use can cause a physical or psychological dependency.

Known as “K-pin” in street drug terms, Klonopin abuse is on the rise among high school students in the United States.  It is cheap to buy on the street, and sometimes too readily available when friends or siblings have been prescribed Klonopin for anxiety or other problems.  It is often combined with Vicodin or other narcotic medications by teens

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PAINKILLERS THAT HURT

Opiates are the continuing focus of this week’s Recovery Place blog series on addiction education.

"They said prescription painkillers were totally safe...
They Lied!"

With roots in medicine, opiates were created to help people suffering from pain and other physical conditions.  Unfortunately, the potential for physical and psychological dependence and addiction were unexpected. 


All opiates are derived either directly or indirectly from the opium poppy and its various parts.   

Over 1.7 million people were
addicted to painkillers in 2007

Opiates affect the central nervous system of the body.  In addition to relieving pain and reducing severe coughs, they cause the user to feel a sense of euphoria (a high or rush) and reduce alertness.  These side-effects of euphoria and the dulling of sensations are why some people begin misusing drugs such as codeine, morphine, Percocet, hydromorphone (Dilaudid) and other opiate drugs. 

Codeine, morphine, Percocet and Dilaudid are common opiate medications that all have a high potential for dependence and addiction.  

This potential for addiction also means that the body and brain become used to having the drug, regardless of whether a person is using the opiate to achieve the euphoric effects or for legitimate pain control.  And this means the body will experience withdrawal symptoms when the drug is abruptly stopped after an extended period of legitimate use or misuse. 

Many people who are addicted to opiates crush the tablets and smoke, snort or inject them, in order to hasten or intensify the effects of the drug.  They may need more of the opiate to get the same effect.

Morphine is one of many kinds of drugs (including medications for not only pain, but also high blood pressure, chronic heartburn, seasonal allergies and many other medical conditions) that are now available in a timed-release form.

This was great news in the pharmaceutical world, because it meant that the drug could be effectively released over time, and keeps the level of the drug in the blood consistent.  Timed-release versions of painkillers meant that cancer patients, and other patients with chronic pain, no longer had peaks and valleys in their pain control.

Oxycontin is a time release version of oxycodone, and MSContin is a time release version of morphine.  Both have huge value as a street drug and are highly addictive.  A time release version of codeine is available in Canada, and it, too, has moved from being a medical wonder to a street drug.

Why are time released drugs so valued by addicts?

By crushing an MSContin or Oxycontin tablet an addict can obtain a higher amount of drug than can be found in a single non-time release pill.  This crushed time release tablet can be taken by mouth, snorted, or injected into a vein when mixed with a solution. Using time released drugs in this way also means that a person can overdose and die.

Many opiates are combined with acetaminophen (Tylenol) in order to potentiate their effects.  This means make them work better for pain control.  Percocet, Tylenol #3 (codeine plus Tylenol), and Vicodin are examples of this acetaminophen/opiate combination drugs.  Taking large amounts of acetaminophen, whether alone or in combination with another drug, can actually damage or destroy a liver.

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KEYSTONE STATE SUBSTANCE ABUSE TRENDS

Pennsylvania is almost the mirror image of Florida when comparing drug and alcohol addiction trends. 

Overall, the state of Pennsylvania can claim the lowest rates of alcohol abuse, as well as a below national rate of abuse of prescription painkillers (obtained either legally or illicitly).  Marijuana use is one area in which Pennsylvania ranks higher than the national average. 

Expanding out from urban PA, distributors of South American heroin have been placing increasing emphasis on the rural areas of the state, targeting small towns.  The DEA (US Drug Enforcement Agency) has also noted that rural areas reciprocate by producing methamphetamine that is then distributed in Philadelphia and other metro areas.  Club drugs remain easily accessible on college campuses in Philadelphia and throughout Pennsylvania. 

The big ditto:  like all other states that we have discussed so far in this blog series on regional trends, alcohol and drug rehabilitation and treatment centers are on the decline, even though the need for specialized centers is increasing. 

Pennsylvania lawmakers are expressing concerns about another area of addiction:  gambling.   While wanting to make use of the positive financial resources that come from legalized gambling, how will the state handle problems that may arise for some people?  Particularly with the reduction in addiction treatment services and rehab centers?

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