A New Drug Jennifer Messick Traffic Safety Resource

A New Drug Jennifer Messick Traffic Safety Resource Prosecutor (907) 343 6434 Thank you: IACP Alaska Highway Safety Office Anchorage Police Department

What Drug Am I? § He was at a friend’s house Tuesday. “I sat there, and the room spun a little and that’s all I really remember, ” said Tyler. Then his family got the scary phone call. Tyler had vomited, suffered seizures and even quit breathing. “The EMTs had dragged him out of this house on a gurney, ” said Tyler’s father. Tyler spent the night in ICU and remained unconscious for five hours.

What Drug am I? APD#10 -14949 • Crossed raised median 3 times, hit concrete wall 2 x, driving on sidewalk w/ broken axle / tire • 6 HGN + vertical • . 000 Br. AC • Hallucinating • “Death is all around me” • Going to kill Officer

Objectives § Understand what SPICE / K 2 is and why it is important § Recognize signs / symptoms of SPICE / K 2 § Detection in blood / urine § § Psychoactive compounds Distinguish from marijuana (DRE Specific) Identify likely users What you can do § Stay safe § Solid DUI cases

Spice • Plant material (see CD)

Spice / K 2 • Plant material (see CD) • Laced with various synthetic compounds that behave like THC • Marketed as incense • Smells nasty (watermelon, vanilla, rootbeer, tropical, etc) • Smoked or mixed in drink or food

Spice / K 2 • Sold LEGALLY and LOCALLY • 1 g -3 g packages • $25 - $40 / g (about 2 x price of pot) • Used since 2007

Spice / K 2 Ingredients: Baybean, Blue Lotus, Lion's Tail, Lousewort, Indian Warrior, Dwarf Scullcap, Maconha Brava, Pink Lotus, Marshmallow, Red Clover, Rose, Siberian Motherwort, Canavalia Maritime, Leonotis Leonurus, Leonurus Sibiricus, Pedicularis Densiflora, Scuttellaria Nana, Vanilla Planifolia, Zorinia Latifolia, Magnolia Officinalis, Rosa Gallica, Trifolium

Brands/Flavors § Other Common Brands:

Brands/Flavors § Others cont.

Psychoactive Compounds Solid (white powder) or Oil § Over 100 Synthetic Cannabinoids § 5 different Cannabinoids found in ‘Spice’ by Volker Auwarter (2008) § Not all samples contained all 5 § 2 new compounds § DEA Lab similar findings

Psychoactive Compounds Solid (white powder) or Oil § JWH-018 most common § Pharmacologically similar to THC § Developed in U. S. in 1995 § Synthetic drug that mimics effects of THC § Binds to CB 1 Receptor 3: 1 (THC=CB 1, CB 2 1: 1) § 4 times as potent as THC § NOT currently a controlled substance

Psychoactive Compounds Solid (white powder) or Oil § HU-210 § Synthetic cannabinoid § 100 -800 x more potent than THC § Unless you are a rat (60 x) or pigeon (80 x) § Binds over 100 times more tightly to CB 1 receptor § Structurally and pharmacologically similar to THC § Sch I Controlled Substance

Psychoactive Compounds Solid (white powder) or Oil § CP-47, 497 § § § Synthetic cannabinoid Created by Pfizer 1995 3 -28 times more potent than THC Not structurally related to THC NOT currently a controlled substance § JWH-073 & JWH-200 § § § Synthetic cannabinoid Not structurally related to THC NOT currently a controlled substance

Symptoms Not always a bad trip, but if you’re involved it was • Elevated BP (140 -210 / 100 -110) • Rapid heart rate (110 -150 bpm) • can be decreased BP / heart rate • Anxiety / paranoia • Hallucinations (can be intense) • Numbness / Tingling • Vomiting

Symptoms • Tremors / Seizures • Unconsciousness • Memory Loss • 6 -8 hr high (some effects felt for 24 hrs) • User feels cold • Possible HGN / VGN • Disjointed thoughts / speech

Spice v. § Unregulated mixture of you name it (higher POT ? § Same basic compound – ∆9 THC potential for overdose) § Mixed / Unpredictable symptoms § You are the frontline – Be Careful! § Never been tested on humans § Well-known symptoms

Spice § § § Blood shot / Red eyes Maybe HGN / VGN Lack of Convergence Normal Pupil size Normal light reaction § Temperature ↓or normal § Blood pressure ↑or ↓ § Rigid muscle tone POT? v. § § § Blood shot / red eyes No HGN / VGN Lack of Convergence Dilated Pupils Normal light reaction Temperature normal § Blood Pressure ↑ § Normal muscle tone

TESTING for Spice/K 2 § Blood (PA lab) $195 § Within 8 hrs § Can detect parent only of JWH compounds § Can NOT detect HU-210 or other compounds § LC TD/MS

TESTING for Spice/K 2 § Urine 3 Labs $35 -50 § Up to 3 days § Detect metabolite only of 2 JWH compounds § Can NOT detect HU-210, CP 47, 497 or other JWH compounds § LC TD/MS

If You Need Testing. . . § Review case with TSRP § Send to State Lab with request § Test for Spice/K 2 § Details of impairment § § § State Lab -> Wa Lab -> NMS Lab for testing NO COST TO APD or STATE

Likely Users § § § § Military Slope Workers High School 14 – 27 yoa most common Prisoners / Probationers Experimental Drug Users Anyone needing a clean UA

What is Everyone Else Doing About It? ILLEGAL In most European and Scandinavian countries 10 States in US + Military § Problems with legislation and analog compounds ready to go

State Ban by Legislation § Synthetic Cannabinoids are currently banned by House or Senate Legislation in Ten states, § Kansas: HB 2411 § Kentucky: HB 265 § Georgia: HB 1309 § Alabama: HB 697 § Tennessee: SB 2982/HB 2968 § Missouri: HB 1472 ( Effective: 8/26/10) § Louisiana: HB 173 (Effective: 8/15/10) § Illinois: HB 4578 (Effective: 1/1/2011) § Oklahoma (Effective: 11/1/ 10) § Michigan HB 6038/SB 1373 (Effective: 10/1/10)

What exactly did they ban? JWH-018 JWH-073 HU-210 Kansas Kentucky Georgia ? Alabama Tennessee Missouri Louisiana Arkansas North Dakota Illinois Iowa HU-211 BZP TFMPP CP 47, 497 Salvia

Banned by other Methods § § Arkansas: Board of Health North Dakota: Board of Pharmacy Iowa: Board of Pharmacy Idaho: Board of Pharmacy (10/15/10)

What can you do? § Be Aware / Spread the word / Stay safe § Help us identify cases / Frequency § Ask if you think it might be Spice § Incident Documentation - even if you’re not sure, even just a paragraph § Please send to messickj@muni. org § Detail observations

Solid Cases § Detail observations § § Smell (or lack of) Hear – speech, statements, admissions Feel – muscle tone See – Look at their eyes! § HGN /VGN, Dilated / Constricted, Rebound § Turn on Recorder § CALL a DRE § Anytime impairment is not consistent with Br. AC § Get SW for Blood § Do not have to find drugs or have admission

What can you do? § REPORT DEA would appreciate information related to LEO encounters, identification and abuse of Spice DEA Headquarters Attn: Drug and Chemical Evaluation Section 8701 Morrissette Dr Springfield, VA 22152 (202) 307 -7183 ODE@usdoj. gov.

Officer Safety • • • Be Aware Wear Gloves If ‘incense’ burning in home, re-evaluate Call / wait for back-up Exposure Report? Call medics / poison control Poison Control 1 -800 -222 -1222

Officer Safety § Unregulated mixture of you name it § Higher potential for overdose § On-set up to 10 minutes § Higher potential for overdose § Mixed / Unpredictable symptoms § You are the frontline – Be Careful!

Spice in Anchorage § Highlights Since April 2010 § § § § DUI x 4 (officer safety implicated in each) High school student hospitalized overnight x 2 SAR for overdue hikers Traffic fatality Spice/K 2 found in vehicle Wooden night stick, tazer x 2, eventually choked out Possession in jails Use by drug treatment providers and clients § Military has banned Spice/K 2 nationwide § Draft legislation in progress in Alaska

§ "When you go home tomorrow, don't expect anyone to know what you have been through. Even if they did know, most people probably wouldn't care anyway. Some of you may get the medals you deserve, many more of you will not. But remember this. All of you are now members of the front-line club, and that is the most exclusive club in the world. " - Lt Col Matthew Maer Commanding Officer 1 st Batallion Princess of Wales Royal Regiment

Thank you If you have additional information to contribute, or if you would like to schedule this presentation or get a copy of this Power Point, please contact Jenn Messick messickj@muni. org 907 343 6434 Questions / comments / feedback WELCOMED