Teen Medicine Abuse: Safeguard My Meds

Statistics show that 70% of people 12 years-old and older who abused prescription pain relievers say they got them from a friend or relative.

Where will you be for the holidays?
Grandparents? An aunt's? Friends?

Most homes have medicine cabinets - and most medicine cabinets have prescription drugs in them.
The holiday season is upon us and with family dinners, parties and get-togethers, you can usually expect more visitors in your home. But did you know unused and easily accessible medicines have the potential to be misused and abused by anyone entering your home – including teens and young adults?

Yet many people don’t realize the personal responsibility that comes with having prescription medicine in the home. That's why the National Community Pharmacists Association (NCPA) and pharmaceutical company Purdue Pharma launched the Safeguard My Meds program.

Here are a few simple, yet important steps that can be taken to protect prescription medicine.

· A locked storage container should be kept for prescription medicines at greater risk of being abused – such as pain relievers, tranquilizers, stimulants and depressants. These medicines are targets for theft by anyone who enters your home, so extra precautions should be taken.
· Keep track of your medications with the Medicine Inventory Sheet. Take inventory of your prescription medicines at least twice a year, such as when you change your clocks in the spring and fall.
· Learn more about the safe storage and disposal of prescription medicine by Downloading the Brochure and by visiting www.safeguardmymeds.org.
· Take the Personal Responsibility Pledge and commit to doing your part to safeguard and keep prescription medicine out of the wrong hands. Take the pledge!

Have a safe, healthy and fun holiday!

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College Bound Teens? Don't Risk Rejection with Underage Drinking

School will shortly be out for the summer which means the "party season" will shortly commence.

While it's natural for teens to want to have a good time during their summer break, those that are college- bound should really be careful about what kind of "fun" they engage in—any sort of illegal activity that results in a misdemeanor or worse, a felony, can jeopardize their chances of getting into the university of his-or-her-choice.

Getting a mark on their record even after college acceptance can still come with great consequence. For example, it will most definitely affect their eligibility for Federal Financial Aid and can hinder job prospects, making it hard to pay for school. While there is an array of crimes that a teen can commit, one of the most common offenses is underage drinking.

To help remind your teen of the several drinking-related crimes that can affect their future, read the list below.

1. Minor in Possession. Like the name suggests, anyone who is a "minor" (under the legal drinking age of 21) can get in trouble if he or she is in possession of an alcoholic beverage. This can include actually being caught red-handed drinking, "appearing" to be intoxicated, or simply holding an empty bottle in a public place. Even blood alcohol content of .01 percent is enough to book and issue a $500 fine to minors in some states. In addition to a possible maximum six months in jail sentence, most first-time MPI offenders are required to enroll in an alcohol awareness program and/or be placed on probation.

2. Driving Under the Influence. Arguably one of the most frequent (and not to mention most lethal crimes) is driving while intoxicated. Punishment varies substantially.  It heavily depends on whether your teen's blood alcohol content is .08 percent or higher and whether he or she harms anyone.But if you don't, still expect to have to challenge the most maximum punishment, which includes up to 30 days in jail, up to 1 year of a driver's license suspension, up to $1,000 fee, an ignition interlock device installed on his or her vehicle, and community service. Repeated offenders punishments will greatly increase. If your teen is 17-years-old or younger, his or her license suspension will be extended.

3. Contributing to the Delinquency of a Minor. Lastly, some parents think that it's "safer" for their teen to drink inside their home rather than on the streets. But allowing your teen (or his or her friends) to host parties and drink in your home can not only get them charged with an MPI, but you can get charged with contributing to the delinquency of a minor.

Those who are of the legal drinking age and voluntarily serve minors an alcoholic beverage or gives them "easy access" to alcohol is committing a crime. This includes 21-year-old college students giving their underage classmates beer. It happens quite often but if caught, there could be great consequence, such as up to a $1,000 fine and up to six months in jail if someone is injured.

Special contributor:


This guest contribution was submitted by Samantha Gray, who specializes in writing about bachelor degree online. Questions and comments can be sent to:  samanthagray024@gmail.com.

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Underage Drinking: 10 Talking Tips to Start the Conversation

1)  At what age would you suggest parents start talking to kids about alcohol? Should parents bring it up independently, or wait for their children to ask before broaching the topic?

Like with any sensitive and serious subject, as soon as a parent believes their child is mature enough to understand the topic (alcohol) is when they should start discussions.  It can start by asking them their thoughts on alcohol, listen to them carefully and remember, never criticize.  Start the discussion at their level and start learning from each other.

Education is the key to prevention and can help your child to better understand the risk and dangers of alcohol from an early age.

Waiting for a crisis to happen, such as living with an alcoholic or having an issue with a family member that has a drinking problem is not the time to start talking to the child.  With this type of situation, the subject should be approached as early as the child can possibly understand alcohol and substance use.

2)  If you’ve had bad experiences with alcohol in the past (ie you or a friend/family member has battled alcoholism or similar issues), should you be open about them with your kid? If so, when is the right age for kids to hear this information? How open should you be?

This is a very tricky question.  On one hand we value honesty, however when a teenager likes to throw it back at you when they decide to experiment and it goes too far is when you realize you may want to pick and choose what stories from your past you want to share.

If you have a family member that has battled with addiction, alcoholism or similar issues, there is nothing like firsthand experiences (especially those people that are related to them) to help them understand how harmful this disease can be and in some cases, deadly.    I think it is very important that your teenager know these stories and how it relates to them - especially as they go into middle school and high school and start feeling the peer pressure from to others to experiment with different substances.

3)  Are there any websites or books that you’d recommend having parents read or showing kids (at any age)? Are certain types of information better for each age group (ie maybe children respond better to broad themes and videos, tweens respond well to anecdotes and stories, and teens respond better to hard facts about drinking and health)?

Ask Listen Learn: Is a fantastic interactive and educational website created by The Century Council For Underage Drinking.  This site if full of facts, resources, videos downloads, games as well as more links that offer extended information.  This site is targeted for all ages from younger kids to teens.

The Cool Spot: This is another great website for tweens and teens.  This deals with information on alcohol and helping teens and young teens resist peer pressure.

Smashed:  Story of a Drunken Girlhood by Koren Zailckas - This is an excellent book for both parents and teens of a true story.  It was a NYT's best seller.  Eye-opening and utterly gripping, Koren Zailckas’s story is that of thousands of girls like her who are not alcoholics—yet—but who routinely use booze as a shortcut to courage and a stand-in for good judgment.  This book is more for teenagers and parents.

4)  Do you think that schools and/or the media do a good job of warning kids about the dangers of alcohol consumption, or do they receive mixed messages about drinking? How might you incorporate your thoughts about this into a conversation with your child?

Schools and teachers do what they are paid to do, and in most cases, especially with dedicated teachers and employees, will go above their duty and do more.  However it is the parent's responsibility to continue to talk to their child about the risks and dangers of alcohol, as well as the peer pressure they may face in school and in their community.

Though many parents are busy today, some working two jobs, many are single parents - there are few excuses not to take the time to talk to your kids about these subjects.  Whether it is Internet safety, substance abuse, safe sex, or simply homework - parenting is your priority.  I am not saying this is easy, I know for a fact, it isn't.  I was a single parent with two teenagers, it was very hard.  I think today is even more challenging since there is more obstacles to contend with than there was even a decade ago.

The good news is the most recent study by The Century Council says that 83% of youth cite parents as the leading influence in their decisions not to drink alcohol.  Another words - our kids are listening and parents are doing their job parenting!

5)  How often should you talk to kids about alcohol, and does it vary by age? (i.e. less frequently for younger children, more frequently for tweens, and most frequently for teenagers?)

As frequently as you have an opportunity.  If there is a reason for it - if there is a conversation about it, expand on it - don't run from it.  This is for both tweens and teens.  As far as little children are concerned, again it depends on their maturity and what your family dynamics consist of. 

6)  If you drink yourself, is it ever a good idea to allow kids to drink with you (i.e. a glass of wine at dinner) to de-stigmatize alcohol and help them be responsible? Or is it instead better to forbid them from consuming alcohol altogether until they are 21?

Alcohol is illegal for underage drinkers.  However there are some that believe that a sip of alcohol isn't be a big deal.  I believe this is a personal decision, but if you have alcoholism that runs in your family, it is something that I would caution you on. 

The other side to this is some people believe it would eliminate them from trying it at a friend's house where they could get into trouble such as drinking and driving.  I think this goes back to being a personal choice on for your family.  It goes back to talking to your teen - communication.  Keep the lines open!

7)  If you suspect your child’s friends are drinking or pressuring him/her to drink, should you stop allowing your child to hang out with them?

Communication.  Talk to your child about these friends.  Find out what is going on and help your child see that maybe the choices he/she is making are not in their best interest.  It is better if your teen comes to the conclusion not to hang out with these friends rather than their parent telling them not to.

8)  Should the discussion be different for a daughter versus a son? How might you talk to the different sexes differently about alcohol (i.e. maybe you’d warn girls more about not having people slip something in their drinks at parties, while you'd warn boys more about alcohol and hazing/pranks.)

I don't want parents to get confused on gender and alcoholism.  It doesn't discriminate.  A girl or a boy can be slipped a drug in their drink at a party - just like a girl or boy can be coerced into participating into a mean prank of hazing. 

With this, whether you have a son or daughter, you need to speak with them about the risks of leaving any drink alone and coming back for it.  Keep in mind, you don't have to have an alcoholic beverage to put a powdery substance into it (another words even a soda can be spiked).

The important issue is they understand that these things can happen and they can happen to them.

9)  What should you do if you suspect your teenager is drinking against your advice?

Communication.  I know it is easier said than done (and I sound like a broken record), however it is the best tool we have and the most effective.  As hard as it can be, talking with a teenager is difficult, but we have to continue to break down those walls until they talk to us and tell us why they are turning to alcohol.

If you aren't able to get through, please don't be ashamed or embarrassed if you can't, you are not alone.  Again, teen years are the most trying times.  Reach out to an adolescent therapist or counselor.  Hopefully your teen will agree to go. If not, may you have a family member or good friend your teen will confide in.  It so important to get your teen to talk about why he/she is drinking.  Don't give up - whether it is a guidance counselor, sports coach, someone he/she is willing to open up to.   

Parents can't allow this to escalate and only believe it is a phase.  Maybe it is - but maybe it isn't.  Be proactive.  Don't wait for it to reach the addiction level. Don't be a parent in denial.  There is help and you don't have to be ashamed to ask for it.

There are many typical teens that end up being addicts - don't let your teenager be one of them.

10)  Could you offer one specific tip for each age group (elementary school, tween/middle school, and high school) that I may have missed or that people might not think of?

For all ages, parents need to realize how important it is to be a role model.  As I mentioned earlier, 83% of children are listening and are influenced by their parents.  That is a large number.  So continue keeping those lines of communication open - starting early and going into their college years!

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Inhalant Use: Teen Drug Use and Common Household Products

Recently we heard the news of a 14-year old dying after inhaling helium at a party.  Helium that is used inflate balloons – as innocent as it may seem, it also can kill when used inappropriately.  This is no different than many other household products.

Parents usually relate drug abuse with their teen smoking pot or taking pills.  They don't realize that their own home can be filled with products that teens are using to get high with.

What is inhalant abuse?

Inhalant abuse refers to the deliberate inhalation or sniffing of common products found in homes and communities with the purpose of “getting high.” Inhalants are easily accessible, legal, everyday products. When used as intended, these products have a useful purpose in our lives and enhance the quality of life, but when intentionally misused, they can be deadly. Inhalant Abuse is a lesser recognized form of substance abuse, but it is no less dangerous. Inhalants are addictive and are considered to be “gateway” drugs because children often progress from inhalants to illegal drug and alcohol abuse. The National Institute on Drug Abuse reports that one in five American teens have used Inhalants to get high.

Here is a list of inhalants that are in many homes – click here.

Warning signs and slang that your teen or child may be using inhalants:

Monitoring your child will make your child much less likely to use Inhalants or other drugs.
· Know where your child is at all times, especially after school
· Know your child’s friends
· If you find your child unconscious, or you suspect your child is under the influence of an Inhalant, call 911 immediately.

If you suspect your child might be abusing Inhalants, call the Poison Control Center at   1-800-222-1222; or call the ’1-800′ number on the label of the product.

According to the Partnership for a Drug-Free America, “if you talk to your kids about the risks of drugs, they are 36% less likely to abuse an Inhalant.” Parents can make a tremendous impact on their kids’ choices by talking to them.

Be an educated parent, you will have safer children and teens.

For more information visit www.inhalant.org.

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PEERx: Who is your teen hanging with?

What path will your teen choose?


National Drug Facts Week is Monday, October 31st through Sunday, November 6th, 2011.

Sponsored by the National Institute on Drug Abuse (NIDA), National Drug Facts Week is an annual official health observance designed to shatter the myths and spread the facts about drug abuse and addiction.

National Drug Facts Week (NDFW) is a health observance week for teens that aims to shatter the myths about drugs and drug abuse. Through community-‐based events and activities on the Web, on TV, and through contests, NIDA is working to encourage teens to get factual answers from scientific experts about drugs and drug abuse. Download the NDFW Info Sheet!

PeerX: RX abuse is drug abuse.

Over and over again parents will say that it isn't their kid, it is the peer group they are hanging with.

Really?

Isn't it your teen making the choice to be with them?

Until parents move out of denial, it is almost impossible to get your teen help.  Not only is it the teen that has to admit they have a problem, the parents have to face the fact that their child is making some very poor choices.  As with many parents, they are afraid of the stigma - afraid of what family or friends will think, but what about your teens future?  Doesn't that take priority?

Are you ignoring teen drug use signs?
Check out 10 quick tips to help prevent teen drug use: Click here.

Do you have a teen that you suspect is using drugs? Have you exhausted all your local resources? Take the time to learn about residential therapy, visit www.HelpYourTeens.com. Each teen and family are unique, there are many teen help programs, knowing how to locate the one best for you can be a challenge, however Parents’ Universal Resource Experts  can help, starting with a free consultation.

Join us on Facebook and learn more about today's teens!  Follow us on Twitter!

Be an educated parent, you will have healthier teens.

Sue Scheff: Addiction - Recovery Month - Teen Drug Use

Summer is officially here, which will bring us into fall before we know it.  September is National Alcohol and Drug Addiction Recovery Month. There will be many events throughout the country to raise awareness of substance abuse and promote recovery.

The Recovery Month Web sites aims to promote the societal benefits of alcohol and drug use disorder treatment, laud the contributions of treatment providers, and promote the message that recovery from alcohol and drug disorders in all its forms is possible. Today they are promoting “Join the Voices of Recovery: Now More Than Ever!” toolkit.

National Drug and Alcohol Recovery Month is in September, however today is when you can start to be proactive in your community.  Join the voices for recovery on Facebook.  Find out where you can learn more about substance abuse and how you can be  part of recovery, not an enabler.

Don't wake up one morning to find out your teen has decided to chase the dragon. Start today in being proactive and educate yourself on the abuse of drugs and alcohol.  Over the last 20 years, National Alcohol and Drug Addiction Recovery Month (Recovery Month) has inspired millions of people to raise awareness about addiction, share their stories of recovery, and assist others who are still struggling.

Join Recovery Month on Facebook for more up-to-date information on events throughout Florida and our country.  Don't be a parent in denial, be proactive.

Be an educated parent, you will have safer and healthier teens.


Related articles:

ADDICTED: Are you an enabler?
Addiction Destroys Families
Parents: The Anti-Drug
Fishbowl Parties: Learn More
OTC: Over the Counter Drug Abuse

Watch video.

Sue Scheff: Addiction Affects the Entire Family

If you have a family member or friend that has an addiction, you know first hand the stress and toll this takes on the entire family as well as close friends that care about them.

Addiction is an obsession in that the addict's entire life becomes focused on getting more of the drug. In the same way, family members of the addict become obsessed with the addict: Will he come home tonight? Will he get violent? Will he go into work? Will he lose his job? Will we lose the house?

Family members tend to adapt their personas in an attempt to handle the dysfunction that the addict has created. The caretaker or enabler, for example, makes it possible for the addict to keep functioning in addiction. He may give the addict money, provide a home and food, bail the addict out of jail and in general provide a safety that the addict can depend on no matter how violent, irresponsible or hurtful the behavior.

The caretaker role is just one example. Others include the hero, who makes sure that everything appears to be fine to outsiders, the jester who tries to make light of the situation, the ghost who never comments or makes his needs known. Family members of addicts become so focused on the addict's problems that they often lose themselves along the way. Source: ProjectKnow.com

As the reality world of television expands, the latest addition is "Addicted" on TLC. Tune in to Addicted, a one-hour docu-series produced by Asylum Entertainment, that follows the lives of individuals struggling with addiction as they work with interventionist Kristina Wandzilak. Each episode will take viewers on the unpredictable journey of recovery and the harrowing struggle to become sober.

Take a few minutes to watch the powerful video to understand how serious addiction is and how it affects the entire family.

Need help with a troubled teen?  Visit http://www.helpyourteens.com/

Sue Scheff, Dr. Drew Pinsky and Jeff Wolfsberg Engage in Discussion about the Dangers of Cough Medicine Abuse

Recently I was privileged to be part of an interesting and educational conversation with Dr. Drew and Jeff Wolfsberg. 

Jeff Wolfsberg posted an excellent outline of our discussion.  For parents that are raising teens today, it is imperative you understand the dangers of cough medicine abuse as well as other medicines in your home.

Read more here.

Sue Scheff: Are Privileged Teens more Prone to Drug Abuse?

Teen Drug Prevention part 2. Did you miss part 1? Go back.

Assure your teen they can trust you and that you love them and want to help them. Explain harmful side effects of drugs, but assure them it's not too late to get help, and that you will support them. Tell them about any changes you've noticed in their behavior and how those changes make you feel. Let them talk to you, and listen to them. Do not judge them or criticize them.

The first you need to do in order to prevent your teen from abusing drugs, alcohol or tobacco is to take seriously the threat posed by these substances to your child. You have to take seriously the risks posed because this will ultimately be the one catalyst that will allow you to talk to your teen about the problem in a frank and open manner. By taking to heart the importance of the matter at hand, you will be in a better position to urge your teen to do the same. You do not need to be harsh or judgmental with them. It is a better strategy to be as supportive as you can. If you insist on being hostile and angry with your teen, you will likely succeed in pushing them away form you and deeper into possible addiction.

Any treatment plan you decide upon for your teen should be dictated by the substances they abuse and how much they abuse them. For example, to send a child to a strict military-style school because they have tried drugs or alcohol a handful of times is something of an overreaction. Many times if a teen’s experiments with drugs, alcohol and tobacco are minor, a good open talk with them can convey all the information you want, and achieve very positive results in terms of future behavior.

Of course, the story is entirely different if your teen has become addicted to drugs and alcohol. In this instance, a detoxification program may be in order, along with a treatment regimen that helps wean the child off of drugs and replaces that with medicine. Studies have shown that the effectiveness of prescription medicine treatment for substance abuse is greatly enhanced when combined with one-on-one and/or family counseling.

One thing to remember if treatment becomes the order for the day when addressing your child’s substance issues is that relapse after treatment is common. This does not mean that you or your teen have failed any part of the recovery process. Addiction is extremely difficult to overcome and the most important thing to keep in mind is to take things one step at a time.

Be an educated parent, you will have safer and healthier teens.

Watch video and read on Examiner on more teen drug prevention.

Sue Scheff: National Medicine Abuse Awareness Month

As a Parent Advocate, I am frequently asked to post current events that can help you be an educated parent and raise safer children. Today’s generation of teens as well as the challenges of parenting can be overwhelming.

I recently posted an article about the dangers of Inhalant Abuse. These are items that can be found in your home and kids today have learned how to use them to ”get high.”

Today we are talking about cough medicine abuse. One of several parents is sharing her story with us. Please take the time to learn more about this growing trend. As with inhalants, these items can be easily located in your home and simply purchased at your local stores.
Read a recent letter (reprinted with permission) from a mother that is sharing her own experience of losing her son to medicine abuse.

My name is Misty Fetko. I am a registered nurse, mom of two, and the newest member of the Five Moms: Stopping Cough Medicine Abuse campaign. As I have been told, you have been one of the biggest allies of the Stop Medicine Abuse program, and I speak for everyone who’s been involved (even though I’m new!) when I say thank you for what you’ve done for these initiatives.

The reason you are hearing from me now is that October is National Medicine Abuse Awareness Month, something that has particular meaning to my family and me. In 2003, I discovered my older son, Carl, unresponsive in his bedroom. He passed away that day from a lethal mix of drugs including Fentanyl, a prescription narcotic; marijuana; and dextromethorphan (DXM), the active ingredient in over-the-counter cough medicines.

As an emergency room nurse, I know about substance abuse from first-hand experience, but even with all that knowledge I never knew that teens were abusing cough medicine to get high. I’ve joined the Five Moms campaign in an effort to ensure that parents have all the information about medicine abuse that I unfortunately did not have.

As a widely read and influential voice in the online community, I am asking you to help me spread the word about the dangers of medicine abuse among your readers.
Thank you Misty for sharing your story.

For more info: Parents Universal Resource Experts, Inhalant Abuse, Prevent Teen Drug Addiction, Stop Medicine Abuse.

Also on Examiner.com

Sue Scheff: Teen Drug Prevention - TheAntiDrug.com

As a parent advocate, I always welcome valuable information and websites that can help educate parents and others with today’s concerns with substance abuse and other issues surrounding our children. TheAntiDrug.com website has a wide variety of educational information for parents and adult caregivers of teens - also check out the Q&A below with Karen Reed, the American Pharmacists Association’s national spokesperson for American Pharmacists.

TheAntiDrug.com – a Web site created by the White House Office of National Drug Control Policy to equip parents and adult caregivers with the tools they need to raise drug-free kids. You might have seen ads on TV recently calling attention to the issue of teen prescription drug abuse.

Unfortunately, growing numbers of teens are abusing prescription and over-the-counter (OTC) drugs to get high or to cope with school and social pressures. Many teens say these drugs are not only easy to get, but also that they think they are a safe way to get high. According to the Substance Abuse and Mental Health Services Administration (SAMHSA), everyday 2,000 kids age 12 to 17 abuse a painkiller for the very first time. SAMHSA also finds:

• More teens abuse prescription drugs than any illicit drug except marijuana

• Among 12- and 13-year-olds, prescription drugs are the drug of choice

To provide answers to common parent questions about teen prescription drug abuse, TheAntiDrug.com has teamed up with pharmacist Karen Reed, spokesperson for the American Pharmacists Association.

The Rx drug information is currently highlighted on the homepage of http://www.theantidrug.com/, including an interactive house tour (http://www.theantidrug.com/drug_info/prescription_dangerZones.asp) which highlights locations where teens can find prescription and OTC drugs, tips for parents on how to prevent abuse and to talk to your teen about prescription drug abuse, along with much more.

Q&A with Karen Reed, spokesperson for the American Pharmacists Association

Q: I hear about kids taking various pills – uppers, downers, painkillers, etc., that have been prescribed for their parents. What can those drugs do to teens who have not been prescribed those medications?

A: It is always difficult to predict what type of reaction teens will have to medication not prescribed for them, especially when we don’t know the dose they will abuse — and if it will be taken with other drugs or alcohol. Uppers can cause hostility, paranoia, or seizures. These drugs can affect motor skills, impair judgment, and affect the heart. Downers and painkillers can decrease concentration, impair judgment, and slow motor skills. Taking downers and painkillers in excess can also cause sedation and seizures. Imagine a teen driver under the influence of these drugs driving a motor vehicle — this combination could prove deadly as well. (http://www.theantidrug.com/drug_info/prescription_dangers.asp)

Q: My son tells me his friends take pills that aren’t theirs and sometimes take them when they’re drinking alcohol. What is the resulting effect and what can I tell him to scare him away from experimenting?

A: No one, adults or teens, should take medication with alcohol. Teens who are taking medication that is not prescribed for them are probably also taking excessive doses. And mixing that medication with alcohol could prove deadly for teenagers. The effect of the medication could be intensified, causing the teen to stop breathing or have a seizure that could be fatal. If this practice is combined with driving, others could be injured as well. The combination of medication and alcohol could lead to poor judgment that could cause serious injuries or worse. Teenagers often feel invincible. The combination of drugs and alcohol may intensify this belief.

Q: We keep cold, cough, and other over-the-counter medications in the house. What is the best way to monitor those medications?

A: Over-the-counter medications are safe and effective for some people when used properly under a medical professional’s guidance. However, the ingredients, when abused, can be taken to get high. Therefore keep them in limited quantities and monitor their use as you would a prescription drug. Never use them to help your teen or yourself sleep. Children (regardless of their age) mimic adult behavior. Be a good role model and never abuse OTC products yourself. (http://www.theantidrug.com/drug_info/prescription_wcyd_good_example.asp)

Q: My child has prescribed medications she takes regularly. How do I ensure those pills are not abused?

A: Keep track of the number of pills that should be on hand. Keep track of refills, lost pills, and request for refills. Paying close attention to use will help prevent abuse.

Q: What are some of the signs I can look for if I suspect my teen has been abusing prescription drugs?

A: It is easy for parents to miss prescription drug abuse because mood changes, temper outbursts, changes in sleeping habits and interests are typical teenage behaviors. You can smell alcohol and tobacco and marijuana — you can’t smell pills. Watch for changes in grooming, habits, and interests. Watch for negative changes in school work, school attendance, and declining grades. Watch for increased secrecy, changes in friends, and increased needs for money. Monitor your own prescription drugs and encourage friends and family to do the same.

(http://www.theantidrug.com/drug_info/prescription_abusing_signs_symptoms.asp)

Karen L. Reed, the American Pharmacists Association’s national spokesperson for American Pharmacists Month, is a graduate of West Virginia University School of Pharmacy and a staff pharmacist with Kmart in Beckley, West Virginia. She is a consultant pharmacist for Beckley Surgery Center and is serving her second term as chair of West Virginia’s Medicaid Drug Utilization Review Board. Reed is a preceptor for WVU PharmD candidates and a GlaxoSmithKline community pharmacy advisory board member. She is an APhA Fellow, past APhA- Academy of Pharmacy Practice and Management officer, past President of the West Virginia Pharmacists Association, recipient of the National Community Pharmacists Association Leadership Award, Merck Pharmacist Recognition Award, and the Wyeth-Ayerst Bowl of Hygeia. In 2002, Reed was named Kmart Pharmacist of the Year.

'Pharm' Drugs and Teens

Street drugs, such as pot, crack, heroin, etc…. is being replaced with pharmacy drugs kids are finding at home. Parents need to take the time to see what their medicine cabinets are holding and what prescription drugs they have at home such as pain pills from ordinary root canals - as well as medications for ADD/ADHD. Here is a great article with helpful tips for parents.

Source: Connect with Kids

“Just take whatever we had you know, not really thinking about how high I was going to get or you know, how messed up.”

– ‘James’, age 21, explaining how he and friends shared drugs during his teenage years.

“We all had different prescriptions,” says 18-year-old Laura.

“You know, percocets, valium, zanex, oxycontin,” says James, 21.

“I wanted to get as loaded as I could. Didn’t care what I was taking, how much of it,” adds Laura.

James and Laura met in rehab. Both are drug addicts who used to get high at parties. Parties where everyone brought some kind of prescription drug and passed them around, often combining them with pot or alcohol.

“When I first started using and mixing drugs, I felt like a superhero, like nothing, you know, I was invincible,” says Laura.

Some kids call them ‘pharm’ parties… for ‘pharmaceutical’.

Experts say the allure is… the unknown. “What kind of new experience can I get? And very often it’s kids who are just bored of smoking pot day in and day out… cause they’ve reached a saturation point,” says Addiction Counselor Robert Margolis, Ph.D.

But experts say taking someone else’s prescription is dangerous… especially when combined with other drugs.

“There are combinations out there that if you start to mix together will create reaction in your body that by the time you know what’s happening, it’s too late,” Dr. Margolis.

“What I did notice is that I would black out a lot of nights,” says James.

Laura survived her years of drug years… but her addiction led to mood swings and depression that made her suicidal.

“Once I started getting heavily addicted, I tried overdosing several times, so I wanted to die, I didn’t want to live anymore,” she says.

“The risks are immense and the kids don’t realize that,” says Dr. Margolis, “And they’re everything from having a tremendous hangover to fatal.”


Tips for Parents
As a parent, it is important to understand that teens may be involved with legal and illegal drugs in various ways. The American Academy of Child & Adolescent Psychiatry (AACAP) reports that many teens begin using drugs to satisfy their curiosity, to make themselves feel good, to reduce stress, to feel grown up or to “fit in.” While it is difficult to know which teens will experiment and stop and which will develop serious problems, the National Institute of Drug Abuse says the following types of teens are at greatest risk of becoming addicted:

Those who have a family history of substance abuse
Those who are depressed
Those who have low self-esteem
Those who feel like they don’t “fit in” or are out of the mainstream
Because the U.S. Food and Drug Administration puts its seal of approval on prescription drugs, many teens mistakenly believe that using these drugs – even if they are not prescribed to them – is safe. However, this practice can, in fact, lead to addiction and severe side effects. The Center for Drug Evaluation and Research cites the following most commonly abused prescription drugs:

Opioids – Also known as narcotic analgesics, opioids are used to treat pain. Examples of this type of drug include morphine, codeine, OxyContin (oxycodone), Vicodin (hydrocodone) and Demerol (meperidine). In the short term, these drugs block pain messages and cause drowsiness. A large, single dose can cause severe respiratory depression and death. Long-term use leads to physical dependence and, in some cases, addiction.
Central nervous system (CNS) depressants – These drugs are commonly used to treat anxiety, panic attacks and sleep disorders. Examples include Nembutal (pentobarbital sodium), Valium (diazepam) and Xanax (alprazolam). CNS depressants slow down normal brain function and can cause a sleepy, uncoordinated feeling in the beginning of treatment. Long-term use can lead to physical dependence and addiction.
Stimulants – These drugs are commonly used to treat the sleeping disorder narcolepsy and attention-deficit hyperactivity disorder. Examples include Ritalin (methylphenidate) and Dexedrine (dextroamphetamine). Stimulants, which can be addictive, enhance brain activity and increase alertness and energy. They elevate blood pressure, heart rate and respiration. Very high doses can lead to irregular heartbeat and high body temperature
How can you determine if your teen is abusing drugs? The AACAP suggests looking for the following warning signs and symptoms in your teen:

Physical – Fatigue, repeated health complaints, red and glazed eyes and a lasting cough
Emotional – Personality change, sudden mood changes, irritability, irresponsible behavior, low self-esteem, poor judgment, depression and a general lack of interest
Familial – Starting arguments, breaking rules or withdrawing from the family
School-related – Decreased interest, negative attitude, drop in grades, many absences, truancy and discipline problems
Social – having new friends who are less interested in standard home and school activities, problems with the law and changes to less conventional styles in dress and music
If you believe your teen has a problem with drug abuse, you can take several steps to get the help he or she needs. The American Academy of Family Physicians suggests contacting your health-care provider so that he or she can perform an adequate medical evaluation in order to match the right treatment or intervention program with your teen. You can also contact a support group in your community dedicated to helping families coping with addiction.

Substance abuse can be an overwhelming issue with which to deal, but it doesn’t have to be. The Partnership for a Drug-Free America offers the following strategies to put into practice so that your teen can reap the rewards of a healthy, drug-free life:

Be your teen’s greatest fan. Compliment him or her on all of his or her efforts, strength of character and individuality.
Encourage your teen to get involved in adult-supervised after-school activities. Ask him or her what types of activities he or she is interested in and contact the school principal or guidance counselor to find out what activities are available. Sometimes it takes a bit of experimenting to find out which activities your teen is best suited for, but it’s worth the effort – feeling competent makes children much less likely to use drugs.
Help your teen develop tools he can use to get out of drug-related situations. Let him or her know he or she can use you as an excuse: “My mom would kill me if I smoked marijuana!”
Get to know your teen’s friends and their parents. Set appointments for yourself to call them and check-in to make sure they share your views on alcohol, tobacco and other drugs. Steer your teen away from any friends who use drugs.
Call teens’ parents if their home is to be used for a party. Make sure that the party will be drug-free and supervised by adults.
Set curfews and enforce them. Let your teen know the consequences of breaking curfew.
Set a no-use rule for alcohol, tobacco and other drugs.
Sit down for dinner with your teen at least once a week. Use the time to talk – don’t eat in front of the television.
Get – and stay – involved in your teen’s life.

References
Substance Abuse & Mental Human Services Administration
Drug Abuse Warning Network
American Academy of Child & Adolescent Psychiatry
National Institute on Drug Abuse
U.S. Food and Drug Administration
Center for Drug Evaluation and Research
American Academy of Family Physicians
Partnership for a Drug-Free America