Tag: substance misuse

What Everyone Should Know About the Risks of Speedballs

aneal Drugs, Mental Health, Opioids, Prescription Drugs, Substance Use

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Mixing opioids and stimulants increases their risks.

Recent research is showing that opioid misuse often involves other kinds of substance misuse as well. In a recent study, researchers examined surveys from over 15,000 people across the United States who were entering treatment for an opioid use disorder between 2011 and 2018. The study found that more than 9 in 10 of these patients had also used at least 1 other, non-opioid drug in the past 30 days.¹ When we think and talk about drug misuse in our community, we need to remember that opioids are often combined with other kinds of drugs.

One common combination is mixing opioids with stimulant drugs, like cocaine. When a person uses opioids and stimulants mixed together, it is often called  “speedballing.” Both kinds of drugs in a “speedball” are powerful and dangerous on their own, and using them together makes them even more risky.

The box below has more information about what opioids and stimulants are, and how they can negatively impact the body and mind.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure=”1_2,1_2″ _builder_version=”4.10.8″ _module_preset=”default” background_color=”#e8e8e8″ module_alignment=”center” border_radii=”on|12px|12px|12px|12px” border_width_all=”2px” border_color_all=”gcid-53dc02df-0d30-42af-bfa2-029888ff3a52″ global_colors_info=”{%22gcid-53dc02df-0d30-42af-bfa2-029888ff3a52%22:%91%22border_color_all%22%93}”][et_pb_column type=”1_2″ _builder_version=”4.10.8″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.10.8″ _module_preset=”default” custom_margin=”|-28px|16px||false|false” custom_padding=”|18px||18px|false|true” global_colors_info=”{}”]

Opioids

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Opioids are a group of drugs similar to opium, which comes from the poppy plant. Opioids work in the brain to provide relief from pain, but they are also very addictive. You may hear opioids described as “depressants” because they can lower heart rate, slow breathing, and cause sleepiness or confusion.

The illegal drug heroin, as well as medications like Vicodin®, OxyContin®, Percocet®, morphine, codeine, and fentanyl, are all opioids. Although these drugs have medical uses (except for heroin), they require a doctor’s prescription because they can easily cause addiction or be misused.

 

The National Institute on Drug Abuse has more information about opioids here: https://nida.nih.gov/drug-topics/opioids 

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Stimulants

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Stimulants are drugs that increase the activity of a body part, usually the brain and nervous system. Stimulants may cause increased mental energy, alertness, sensitivity to light or sound, or irritability. In addition, these drugs may cause increased heart rate and body temperature, nausea, widened eyes, tremors, and restlessness.

Cocaine (or “crack”) and methamphetamine are two examples of stimulants. These stimulants are very powerful and can lead to addiction and other health problems if they are misused.

 

The National Institute on Drug Abuse has more information about cocaine here: https://nida.nih.gov/publications/drugfacts/cocaine and methamphetamine here: https://nida.nih.gov/publications/drugfacts/methamphetamine 

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Speedballs are often made from heroin and cocaine, but other types of opioid and stimulant combinations have also been used. Speedball mixtures have been used in a variety of ways.

People may misuse opioids and stimulants mixed in a speedball for many different reasons. A wide-spread myth is that the stimulant (or “upper”) effects of cocaine will counter-act the depressant (or “downer”) effects of opioids. Because of this myth, many people mistakenly think that speedballs are safer than opioids or stimulants alone. In fact, stimulants and opioids become even more dangerous when they are mixed together because they work on different parts of the body in different ways.

[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure=”1_2,1_2″ _builder_version=”4.10.8″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.10.8″ _module_preset=”default” global_colors_info=”{}”][et_pb_image src=”https://raysac.org/wp-content/uploads/2022/06/heart-and-cardiogram.jpg” title_text=”heart and cardiogram” _builder_version=”4.10.8″ _module_preset=”default” min_height=”265.8px” global_colors_info=”{}”][/et_pb_image][/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.10.8″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.10.8″ _module_preset=”default” global_colors_info=”{}”]The effects of cocaine (and other stimulants) and opioids do not last for the same amount of time. Cocaine’s effects begin very quickly but can wear off after a few minutes to an hour. However, the effects of heroin and other opioids can last for several hours.

Because cocaine wears off quickly, the person’s heart rate may also change quickly. Remember that stimulants like cocaine raise a person’s heart rate, while opioids lower the heart rate. Someone’s heart may beat very quickly for the first several minutes after speedballing. But once the stimulant wears off, the full effects of the opioid are felt and the heart rate drops quickly. These sudden changes in heart rate can cause stroke or heart failure.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version=”4.10.8″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.10.8″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.10.8″ _module_preset=”default” global_colors_info=”{}”]The truth is speedballs are dangerous. Stimulants and opioids carry risks when used alone, but the risks are amplified when two illicit drugs are used together. Protect yourself by choosing not to use illicit drugs and taking medicine only as directed. Share this information with people you know![/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version=”4.10.8″ _module_preset=”default” border_width_bottom=”2px” border_color_bottom=”gcid-53dc02df-0d30-42af-bfa2-029888ff3a52″ border_style_bottom=”double” global_colors_info=”{%22gcid-53dc02df-0d30-42af-bfa2-029888ff3a52%22:%91%22border_color_bottom%22%93}”][et_pb_column type=”4_4″ _builder_version=”4.10.8″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.10.8″ _module_preset=”default” link_font=”||||on||||” link_text_color=”#0C71C3″ link_option_url_new_window=”on” global_colors_info=”{}”]Reference:

1. Cicero, T. J., Ellis, M. S., & Kasper, Z. A. (Feb 1, 2020). Polysubstance Use: A Broader Understanding of Substance Use During the Opioid Crisis. American Journal of Public Health: 110(2). 244-250. https://doi.org/10.2105/AJPH.2019.305412[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version=”4.10.8″ _module_preset=”default” border_color_top=”gcid-53dc02df-0d30-42af-bfa2-029888ff3a52″ border_style_top=”none” global_colors_info=”{%22gcid-53dc02df-0d30-42af-bfa2-029888ff3a52%22:%91%22border_color_top%22%93}”][et_pb_column type=”4_4″ _builder_version=”4.10.8″ _module_preset=”default” global_colors_info=”{}”][et_pb_text module_class=”notranslate” _builder_version=”4.10.8″ _module_preset=”default” text_font=”||||||||” text_text_color=”gcid-53dc02df-0d30-42af-bfa2-029888ff3a52″ link_font=”||||on|||#0C71C3|” link_text_color=”#0C71C3″ link_option_url_new_window=”on” custom_css_after=”||” border_color_top=”gcid-53dc02df-0d30-42af-bfa2-029888ff3a52″ global_module=”5663″ saved_tabs=”all” global_colors_info=”{%22gcid-53dc02df-0d30-42af-bfa2-029888ff3a52%22:%91%22text_text_color%22,%22border_color_top%22%93}”]

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Fentanyl: Facts for the Digital World

aneal Drugs, Opioids, social media, Substance Use, Trends

[et_pb_section fb_built=”1″ admin_label=”section” _builder_version=”4.10.8″ custom_padding=”19px||0px|||” link_option_url_new_window=”on” global_colors_info=”{}”][et_pb_row _builder_version=”4.10.8″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.10.8″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.10.8″ _module_preset=”default” link_font=”||||on|||#0C71C3|” link_text_color=”#0C71C3″ link_option_url_new_window=”on” global_colors_info=”{}”]You may have seen some recent articles on the RAYSAC News page about fentanyl, but what exactly is fentanyl?[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure=”2_3,1_3″ _builder_version=”4.10.8″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”2_3″ _builder_version=”4.10.8″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.10.8″ _module_preset=”default” link_font=”||||on|||#0C71C3|” link_text_color=”#0C71C3″ width=”100%” link_option_url_new_window=”on” global_colors_info=”{}”]Fentanyl is a synthetic opioid similar to morphine, but up to 100 times more powerful. Fentanyl can be prescribed by a doctor to treat pain, but because it is so powerful, it is also illegally manufactured and sold. Fentanyl is so strong that very small doses can cause an overdose or death.

Recently, criminal drug organizations have been adding fentanyl as an ingredient in their counterfeit pills to increase their profits on the black market. However, a person may think these pills are authentic painkillers, when they are actually fakes that contain fentanyl. This can lead to unintentional overdose or death. In fact, according to a Virginia Department of Health report, fentanyl was involved in 71% of all drug overdose deaths in the state in 2020. The number of fentanyl overdose deaths has risen sharply over the past 5 years.¹

Unfortunately, social media has made it easier for dealers to sell drugs online, even to youth. Drug dealers can create anonymous profiles to sell illegal pills (potentially containing lethal amounts of fentanyl), often using coded messages and emojis.[/et_pb_text][/et_pb_column][et_pb_column type=”1_3″ _builder_version=”4.10.8″ _module_preset=”default” global_colors_info=”{}”][et_pb_blurb image=”https://raysac.org/wp-content/uploads/2022/03/faux_fentynal_lethal_dose.jpg” alt=”DEA illustration of 2 milligrams of fentanyl next to a penny.” disabled_on=”on|off|off” _builder_version=”4.10.8″ _module_preset=”default” body_link_font=”||||on|||#0C71C3|” body_link_text_color=”#0C71C3″ animation=”off” link_option_url_new_window=”on” global_colors_info=”{}”]Image source: Drug Enforcement Administration (dea.gov/onepill)[/et_pb_blurb][/et_pb_column][/et_pb_row][et_pb_row column_structure=”2_5,3_5″ _builder_version=”4.10.8″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”2_5″ _builder_version=”4.10.8″ _module_preset=”default” global_colors_info=”{}”][et_pb_testimonial author=”Jarod Forget” job_title=”Special Agent in Charge, DEA Washington Division” company_name=”Quoted at this link²” url=”https://www.dea.gov/stories/2022/2022-02/2022-02-16/fentanyl-deaths-climbing-dea-washington-continues-fight” url_new_window=”on” portrait_url=”https://raysac.org/wp-content/uploads/2022/03/Jarod-Forget.jpg” quote_icon=”off” quote_icon_color=”gcid-53dc02df-0d30-42af-bfa2-029888ff3a52″ _builder_version=”4.10.8″ _module_preset=”default” body_font=”||||||||” body_font_size=”17px” author_font_size=”14px” position_font_size=”14px” company_font=”||||on|||#0C71C3|” company_text_color=”#0C71C3″ company_font_size=”14px” link_option_url=”https://www.dea.gov/stories/2022/2022-02/2022-02-16/fentanyl-deaths-climbing-dea-washington-continues-fight” link_option_url_new_window=”on” global_colors_info=”{%22gcid-53dc02df-0d30-42af-bfa2-029888ff3a52%22:%91%22quote_icon_color%22%93}”]“Unfortunately, our kids are much more savvy with social media than we are. And they are the ones we see finding this stuff and dying from it. We must spread the word and stop this from happening in our communities.”[/et_pb_testimonial][/et_pb_column][et_pb_column type=”3_5″ _builder_version=”4.10.8″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.10.8″ _module_preset=”default” link_font=”||||on||||” link_text_color=”#0C71C3″ link_option_url_new_window=”on” global_colors_info=”{}”]So what can we do about this fentanyl problem?

First, protect yourself by only taking medicine as instructed. Follow the directions on the medicine’s label, and do not share prescriptions. Talk to your doctor about the medicines you take; ask about their side effects and interactions with other substances. Do not take pills if you are not sure they came from a licensed pharmacy.

Next, have a conversation with the youth and young adults in your life. Share reliable information with them about the risks of fentanyl, counterfeit pills, and drug misuse. Have a conversation about social media and how youth can protect themselves online. If you are a parent or guardian, monitor your kids’ online habits and consider using parental control settings to block unsafe websites. You can also learn about the latest social media trends and what different emojis mean. The DEA has listed some examples of emojis used to sell drugs online at this link: https://www.dea.gov/sites/default/files/2021-12/Emoji%20Decoded.pdf

Finally, share this information with others. You can help raise awareness of the dangers of illicit fentanyl and ways we can protect each other. And if you would like to get rid of any unwanted medications in your home, visit TakeThemBack.org to find a secure disposal box location near you.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version=”4.10.8″ _module_preset=”default” border_style_top=”none” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.10.8″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.10.8″ _module_preset=”default” link_font=”||||on|||#0C71C3|” link_text_color=”#0C71C3″ link_option_url_new_window=”on” global_colors_info=”{}”]References

1. Virginia Department of Health, Office of the Chief Medical Examiner. (Jan 2022). Fatal drug overdose quarterly report – 3rd quarter 2021. https://www.vdh.virginia.gov/content/uploads/sites/18/2022/01/Quarterly-Drug-Death-Report-FINAL-Q3-2021.pdf

2. DEA Washington Division, Public Information Office. (Feb 16, 2022). Fentanyl deaths climbing, DEA Washington continues the fight. https://www.dea.gov/stories/2022/2022-02/2022-02-16/fentanyl-deaths-climbing-dea-washington-continues-fight 

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This website is available in multiple languages! We currently have translations (via artificial intelligence) in Spanish, Persian, Swahili, and Urdu.

You can view a translation of this page by using the flag menu in the upper right corner, or by clicking one of the following links:

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