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NATIONAL INSTITUTE ON DRUG ABUSE EPIDEMIOLOGIC ...

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counselors reported growing problems related to<br />

methamphetamine abuse by students.<br />

Methamphetamine prices were as low as $70 per<br />

gram, $600 per ounce, and $6,000 per pound (exhibit<br />

3). “Glass,” or “ice,” the high-purity form that is<br />

smoked, typically costs twice as much.<br />

Methamphetamine remained a major focus of law<br />

enforcement at all levels. There were 193 clandestine,<br />

makeshift methamphetamine labs dismantled with the<br />

assistance of the Drug Enforcement Administration<br />

in Minnesota in fiscal year (FY) 2004, compared with<br />

319 in FY 2003. Seizures of methamphetamine by<br />

law enforcement continued upward trends and accounted<br />

for 61 percent of the total samples reported<br />

to NFLIS from October 2003 through September<br />

2004 (exhibit 4).<br />

Abuse of 3,4 methylenedioxymethamphetamine<br />

(MDMA), known as “ecstasy,” “X,” or “e,” contributed<br />

to the deaths of four young males in Hennepin<br />

County in 2004. In 2004, the preliminary unweighted<br />

DAWN data show that 87 ED reports were for<br />

MDMA (exhibit 1).<br />

MDMA use declined markedly among metropolitanarea<br />

students in 2004, according to the Minnesota<br />

Student Survey. Past-year MDMA use was reported<br />

by 4.5 percent of high school seniors in 2004, compared<br />

with 9.1 percent in 2001 (exhibit 5).<br />

Khat, a plant with stimulant effects that is chewed or<br />

brewed in tea in East Africa and Middle Eastern cultures,<br />

remained a drug of abuse within the Somali<br />

communities of the Twin Cities and Rochester, Minnesota.<br />

Its active ingredients, cathinone and catheine,<br />

are controlled substances in the United States.<br />

Methylphenidate (Ritalin), a prescription drug used in<br />

the treatment of attention deficit hyperactive disorder,<br />

is also used nonmedically as a drug of abuse to increase<br />

alertness and concentration and to suppress<br />

appetite. The pills, sometimes known as “hyper<br />

pills,” or “homework pills,” are crushed and snorted<br />

or ingested orally. They sold for $5 per pill or were<br />

simply shared with fellow students.<br />

Hallucinogens<br />

Salvia Divinorum, a sage plant that is also known as<br />

diviner’s sage, can be smoked, chewed, or brewed in<br />

tea. Some high school students consume it at school<br />

by placing the leaves in their lunchtime beverages. Its<br />

abuse was reported at the University of Minnesota<br />

and some metropolitan area high schools in 2004.<br />

<strong>EPIDEMIOLOGIC</strong> TRENDS IN <strong>DRUG</strong> <strong>ABUSE</strong>—Minneapolis/St. Paul<br />

Effects include intense but very short-lived hallucinations<br />

and out-of-body experiences.<br />

Over-the-counter cough and cold products that contain<br />

dextromethorphan, a cough suppressant, continued<br />

to be used as drugs of abuse by ingesting doses<br />

many times in excess of the recommended amount.<br />

Dextromethorphan (also known as “DXM”) is the<br />

active ingredient in Coricidin HBP Cough and Cold<br />

(known as “Triple Cs”) and Robitussin. Excessive<br />

dosages produce long-acting hallucinations, altered<br />

time perception, slurred speech, profuse sweating,<br />

uncoordinated movements, and high blood pressure.<br />

Being under the influence of these products is known<br />

as “Robo-tripping” or “Skittle-ing.”<br />

Lysergic acid diethylamide (LSD or “acid”) is a<br />

strong, synthetically produced hallucinogen, typically<br />

sold as saturated, tiny pieces of paper known as<br />

“blotter acid,” for $5–$10 per dosage unit. In the unweighted<br />

data accessed from DAWN Live!, there<br />

were 19 hospital ED reports involving LSD in 2004<br />

(exhibit 1). An additional 53 involved “miscellaneous<br />

hallucinogens.”<br />

Ketamine, also known as “Special K,” is a veterinary<br />

anesthetic that first appeared as a drug of abuse<br />

among young people in Minnesota in 1997; it rarely<br />

appears in ED data. There were three ED reports of<br />

ketamine in the 2004 unweighted data. It is snorted,<br />

injected, or put into capsules or pills.<br />

PCP, a dissociative anesthetic, is most often used in<br />

combination with marijuana, but it can also be injected<br />

or snorted. In the 2004 unweighted data, there<br />

were 17 ED reports involving PCP at area hospital<br />

emergency departments.<br />

Sedative/Hypnotics<br />

Gamma hydroxybutyrate (GHB), known as "G,”<br />

“Liquid E,” or “Liquid X,” is a concentrated liquid<br />

abused for its stupor-like, depressant effects and as a<br />

predatory knock-out, drug-facilitated rape drug. It<br />

sells for $10 by the capful. GHB hospital ED episodes<br />

declined significantly in recent years. There<br />

were 18 in 2004 (exhibit 1).<br />

According to hospital ED data, 463 reports in 2004<br />

involved benzodiazepines, and 83 involved muscle<br />

relaxants.<br />

Other Drugs<br />

Alcohol remained the most widely used moodaltering<br />

substance. For the first time, DAWN Live!<br />

Proceedings of the Community Epidemiology Work Group, Vol. II, January 2005 139

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