3 What is zpiclne? Zpiclne is a drug with very similar effects t benzdiazepines (like diazepam, temazepam). It is prescribed by dctrs fr the treatment f insmnia (difficulty sleeping), and in the recmmended dse brings n sleep fr perids f 6 t 8 hurs. Hwever, this leaflet is abut the use f zpiclne as a street drug and the risks and likely prblems this may cause fr drug users. 3
4 Zpiclne Yu can t really wrry abut yur prblems when yur brain has been zimmied int neutral Zpiclne and Z-drugs Zpiclne is prescribed in tablet frm, either as zpiclne r under the brand name Zimvane, which alng with zlpidem (brand name Stilnct) and zalepln (brand name Snata), are knwn as Z drugs that is, sleeping pills which begin with the letter z. Zpiclne tablets g by the street names f zimmers r zimmies and in sme parts f the cuntry zim-zims. As they have similar benzlike effects, it is likely that ther z-drugs are als sld as zimmers - the main way f distinguishing between street bught Z-drugs is that zalepln (Snata) is a capsule and zpiclne leaves a distinctive metallic taste in the muth (see page 5). Why d drug users use zpiclne? Sme regular herin users start ut using zpiclne t get the ld mnging ut effect when the quality f the lcal herin is pr. Crack users find zpiclne helps them sleep r takes the edge ff the cme-dwn, while ther peple use it t get ff their face and frget abut their prblems. Dctr, I m having truble sleeping! Dctrs are beginning t wise up t the fact that zpiclne is being blagged ff them and used as a street drug, s are becming mre cautius abut prescribing them t knwn r suspected drug users. Tablets sld n the street g fr abut 1 each, althugh the price cmes dwn if bught in bulk and ges up when there is a drught n. Legal status Zpiclne is nt classified under the Misuse f Drugs Act, and s is legal t pssess r use withut a prescriptin. Hwever, zpiclne is a prescriptin nly medicine (POM) under the 1968 Medicines Act, and s supply is legally restricted t dctrs (prescribing) and pharmacists (dispensing). Zlpidem (Stilnct) is the nly Z-drug cvered by the Misuse f Drugs Act - it was made a Class C drug in
5 Appearance Zpiclne tablets are prduced by at least half a dzen different cmpanies in the UK. Zimvane is the riginal UK brand name, but there many ther brand names used in ther cuntries. The tablets are usually film-cated and cme in tw main dses: 7.5 mg and 3.75 mg. The tablets can be rund r val and althugh usually white, but can be blue, range r varius ther clurs (fr imprted tablets). They can be marked with the 7.5mg r 3.75mg dse and can have the letter Z r ther letters n them. Sme drug users have bught tablets thught t cntain higher dses, which may have been either legally manufactured in anther cuntry r are fakes. 5
7 Physical effects and risks Trying t sit dwn can take a zimmer user half an hur it has t be seen t be believed, if it wasn t s sad it wuld be funny Physical effects Nt surprisingly, given that it is a sleeping pill, zpiclne gives yu a heavy feeling in the arms and legs, and makes yu want t clse yur eyes and fall asleep. But experienced users ften try t resist the urge t fall ver and snze, because nce this has passed (after an hur r s) they can experience the desired effects f sedatin and euphria ( mnged ut and buzzing ). Being n zimmers in public places increases yur vulnerability t street predatrs (muggers, rapists, etc) far mre s than the effects f herin r crack. That s why mst users stay at hme when getting ff it n zpiclne. It causes a lss f crdinatin (staggering, swaying, stumbling, etc..) and very slwed-dwn behaviur. It can take a great effrt t carry ut even the simplest actins. Metal muth Zpiclne causes an unpleasant metallic after-taste in the muth (dysgeusia), which is experienced by mst users within an hur r s f swallwing the tablet(s). Althugh peple using the drug t aid sleep generally d nt experience this taste until after they wake up, peple wh stay awake after using zpiclne experience the metallic taste during this semi-cnscius state. Regular users say the metallic taste becmes less intense ver time, althugh sme say that strng memries f this taste cme back t them when they have run ut f zpiclne and are craving it. Other physical effects Sme lng-term heavy users may eventually find that they experience stimulant-type effects frm the drug t including cnstantly talking, fidgeting, lack f appetite, and sleep disturbances. Vmiting and cnstipatin/diarrhea can ccur when using, while sme peple reprt experiencing hangver-like symptms (e.g. headaches) when cming dwn frm zpiclne use. Cancer and ther physical prblems Research has shwn that, even at recmmended dses, prlnged use f zpiclne may cause cancer (affecting brain, lung, bwel, breast and bladder). Zpiclne can als have an adverse effect n the immune system (increasing rates f clds and infectins), and is nt recmmended fr peple with liver r kidney disease, pregnant r breast-feeding wmen, r children. 7
8 Mental effects and risks Mental effects Zpiclne helps yu sleep, thugh users wh manage t stay awake n it can feel drwsy and calm. Zpiclne can turn dwn the intensity f yur emtins, and this makes it desirable t peple trying t escape frm unpleasant feelings and memries althugh zpiclne can als blck r lessen gd feelings as well as bad nes. Eventually, it makes yu lse all yur feelings, it makes yu feel ttally numb This can include sexual feelings, which users say are almst ttally eradicated when under the influence f zpiclne. A girl culd strip naked in frnt f yu, and yu wuld nt want sex with her, yu have n strength r energy fr sex, and n interest in it - r anything at all really. Amnesia and invisibility Zpiclne users ften say that ne f the wrst things abut using the drug is the inability t think ratinally r clearly; alng with memry prblems (e.g. cnstantly frgetting what yu were saying ); and partial r ttal amnesia. Sme peple reprt hiding things (like drugs r mney) when wrecked n zimmers and then having n memry f where they had hidden them nce the drug has wrn ff. Like heavy users f temazepam, zpiclne users can get ver-cnfident, with the wrst cases becming deluded that they are mre-r-less invisible perhaps reflecting their shrunken sense f self-awareness. Cmbined with fuzzy thinking and minimal memry, this can lead users int unplanned risky activities, believing that they wn t get caught like shplifting in a stre frm which they are banned. I necked a handful f zimmers, then a few hurs later I came rund in my flat t find myself surrunded by leather jackets but I had n memry f hw they had cme t be there. Aggressive and vilent behaviur Zpiclne misuse may increase aggressin and vilence - amng wmen as well as men and sme users becme insensitive t pain. Herin and crack users wh usually fund their habits by ding crimes like shplifting and credit card fraud ften say that perids f zpiclne use led them int carrying ut mre vilent crimes like mugging with sme admitting t utbursts f randm vilence. Als, when waking up frm the deep slumber which ended zpiclne sessins, users cmmnly had n memry f their vilent actins (amnesia). I ften frgt abut vilent behaviur until friends with wunds and bruises reminded me later n what I had dne t them. 8
9 Overdse and death The risk f verdsing n zpiclne increases when: higher dses are used; when it is injected and when it is mixed with ther drugs Zpiclne deaths Abut 40 t 50 British peple die each year due t pisning by either zpiclne r zlpidem thugh ther drugs are usually invlved. The risk f verdse n zpiclne increases (a) with higher dses, (b) when it is injected rather than swallwed, and (c) when it is mixed with depressant drugs like alchl, sedatives (tranquillisers and sleeping pills), r piids (ntably herin r methadne). Higher dses The dses f zpiclne prescribed by dctrs fr the treatment f insmnia usually range frm 3.75 mg t 7.5 mg a day fr adults (zpiclne is nt recmmended fr children). By cntrast, the number f tablets generally taken in a sessin by drug users can range frm three (abut 20 mg) fr new users up t 20 (150 mg) fr regular users with sme lngterm users taking even higher dses. The higher the dse yu use, the greater the risk f verdse and death. Injecting zpiclne All prescribed users swallw zpiclne tablets, as d mst street users. Sniffing r smking zpiclne tablets is highly impractical and rarely heard f. The tablets are practically insluble which means that they d nt disslve, even after biling and s injecting is extremely messy and dangerus. Thse peple that d inject the tablets, d s by scraping 9
10 ff the film cating, chpping up the remaining tablet very finely then adding water, stirring and heating in a spn r cker. Althugh sme add disslving agents like citric acid r Vitamin-C pwder, this desn t really disslve the pwder. The thick chalky sludge that results is difficult t inject and is much mre likely than herin r crack t cause damage t the veins, resulting in abscesses, deep vein thrmbsis (DVT), aneurysm, ulcers, varicse veins and gangrene. Injecting zpiclne greatly increases the risk f verdse and death, vein damage and picking up viruses like hepatitis C and HIV. Zpiclne mixed with ther drugs Zpiclne is smetimes crushed and mixed with herin befre it is sld (withut the users knwledge), increasing (yu guessed it) the chances f verdse. Thse wh chse t use zpiclne smetime use it tgether with crack, and/r herin, t increase their main effects and reduce their after-effects. Sme peple use zpiclne with bze as this substantially magnifies the effects (and the risk f verdse) f bth the alchl and the zpiclne. Even at prescribed dses it is advised nt t mix zpiclne with ther depressant drugs, particularly ther sleeping pills and alchl as this greatly increases the risk f verdse and death. But sme peple will use zpiclne with anything they can get hld f. When I ve had zimmers, they make me feel pen t taking just abut anything, even stuff I wuldn t usually tuch. This state f mind is very similar t the disinhibitin brught abut by heavy alchl use. Bad reactins have als been reprted when zpiclne has been taken at the same time as erythrmycin (antibitic fr peple allergic t penicillin), trimipramine (tricyclic anti-depressant), r carbamazepine (anticnvulsant and md stabiliser). Mixing zpiclne with ther drugs greatly increases the risk f verdse and death. 10
11 Dealing with zpiclne verdse Signs f verdse Overdse frm zpiclne (and ther z-drugs) is a result f excessive sedatin and depressed respiratry functin (falling int a sleep s deep yur breathing slws dwn r stps) which may prgress t cma and death. Knwing when a drug user has verdsed n zpiclne is very difficult, as mst f the signs f verdse listed in the medical bks - drwsiness, swaying and staggering, clumsiness and slurred speech - are nrmal fr peple using at higher dses. Hwever, if a friend is having difficulty breathing, yu ntice any strange nises r gurgling sunds, their muths r lips turn blue r they can t be wken - it is still best t put them in the recvery psitin (t stp them chking t death n their vmit) and call an ambulance. Calling an ambulance The ambulance service d nt autmatically call the plice t verdse situatins. Zpiclne verdse can be treated with the benzdiazepine receptr antagnist flumazenil, which rapidly reverses the effects f zpiclne, s yu shuld tell paramedics if yu knw r suspect the persn has taken zpiclne. The recvery psitin 11
12 Addictin Zimmers are really addictive, and the rattle is abut five times wrse than the rattle frm gear Addictin When they are used in prescribed dses t treat insmnia (ne r tw tablets per day) - dependence t zpiclne is fairly rare and takes a mnth r lnger. Drug users ften start n a dse f abut three tablets a day, which increases t abut 10 t 20 tablets a day ver a perid f ne r tw weeks befre many say they feel hked n zimmers. Cravings Cravings fr zpiclne (an verwhelming cmpulsive desire t use) are said t be strnger than cravings fr ther drugs, even crack r herin. I made sure that I always had credit n my phne, s that I did nt miss any calls frm dealers abut new batches f zimmers but waiting fr the dealer t turn up with the tabs was agnising yu end up pacing the flr, smashing things, and cursing them Once a zpiclne habit is well established, users say they much preferred t travel several miles n buses r trains t the surce f the drugs rather than wait fr them t be delivered, because the anxiety experienced while waiting fr dealers t turn up at their hmes is t unbearable. Much wrse than when waiting fr rcks r gear. Withdrawals After cravings, the ther withdrawal symptms mst cmmnly mentined included fatigue and muscular weakness ( bdy like jelly ); aching limbs ( dead legs ), sweats, appetite prblems (reduced r increased hunger), and insmnia. Withdrawal symptms listed in medical reprts include anxiety, increased heart rate, sweats, flushes, palpitatins and fits. Users ften say that cming ff zpiclne is far mre unbearable than a herin-related cld turkey. The duratin f the zpiclne withdrawal syndrme is cmparable t the duratin f the herin withdrawal syndrme. Yu rattle fr abut three t five days... after the wrst is ver, the craving and ther stuff - like thinking abut the metal taste - g n fr weeks and weeks. 12
13 Cming ff Zpiclne withdrawal As with withdrawals frm herin, ne f the wrst symptms f zpiclne withdrawals is insmnia (difficulty sleeping), because the lack f sleep magnifies the unpleasantness f the ther withdrawal symptms, and reduces yur will t deal with them. Peple addicted t zpiclne prescribed t them by their dctr may be advised t switch t an equivalent dse f the lnger lasting diazepam and then slwly reduce ver several mnths. Hwever, dctrs and drug clinics d nt usually prescribe benz-like sleeping pills t drug users recvering frm zpiclne dependence (r fr any ther reasn). This is because f the risk f verdse and dependence n benzs. The main medicatin prescribed tends t be Nytl. Getting help Sme users have tried reducing the symptms f withdrawal n their wn by using piates r ther drugs ver several mnths. Hwever, this is extremely unpredictable and may well cause mre prblems than it slves. If yu want t cut dwn, stp r get sme advice, cntact yur lcal drug service and get sme specialist help (see back page fr details). Drug testing The available bdy fluid tests fr illicit drug use (including urine, saliva and sweat tests) d nt usually include zpiclne. Diazepam and temazepam are the nly hypnsedatives (sleeping pills) rutinely cvered by drug testing devices at present. Drug users attending sme criminal justice/drug services as part f a curt rder are required t be drug free. It has been nticed that even thugh sme peple are testing negative they are still turning up heavily intxicated n zpiclne. Nytl cntains diphenhydramine an (Over The Cunter) antihistamine, which is nt s habit frming - althugh a lt f drug users cmplain it desn t get them t sleep unless they take, way ver the recmmended dse. 13
14 Summary and reducing risk.... Zpiclne tablets cme in a variety f different shapes and clurs, usually in 3.75mg and 7.5mg dses. Beware f imprted tablets as these may be cunterfeit, adulterated, r higher dses. Using bigger dses f zpiclne ver time increases the risk f dependence and verdse, as des regular use f high dses. Regular use fr lng perids can reduce immunity (mre clds and infectins), and even increase the risk f varius kinds f cancer. Avid driving r attempting anything hazardus like cking r ging ut when zimmied. In fact the safest place t use zpiclne is at hme in bed. Lking after children shuld als be avided when n zpiclne. Zpiclne passes int breast milk, s shuld nt be used by nursing mthers. Users wh return t taking high dses f zpiclne after a perid f abstinence - when their tlerance has drpped face a high risk f verdsing. Zpiclne verdse can be treated with the benzdiazepine receptr antagnist flumazenil, which rapidly reverses its effects. S call an ambulance and tell the paramedics what has been taken. The plice are nt rutinely called t verdses. It is a bad idea t inject zpiclne. The tablets are practically insluble s there is a very high risk f vein and tissue damage alng with the usual risk f picking up and passing n infectius diseases like hepatitis C and HIV. Mst deaths frm zpiclne invlve mre than ne drug. In particular, using zpiclne in cmbinatin with alchl, benzdiazepines and piates increases the risk f verdse. Adverse reactins can ccur if zpiclne is mixed with any f three prescriptin drugs, namely erythrmycin, trimipramine, r carbamazepine. 14
15 The chemical structure f zpiclne. The full chemical name is chlrpyridinxtriazabicyclnnatrienylmethylpiperazinecarbxylate
breastfeeding, and the benefits f smking cessatin with and withut CHANTIX [see Use in Specific Ppulatins (8.1 and 8.3)]. This prduct s label may have been updated. Fr full prescribing infrmatin, please
Advantage EAP Emplyee Assistance Prgram July 2015 Finding Balance Creating Balance? 1,2 Finding balance in life ften feels ut f reach. It feels like everywhere we turn we are being asked t d mre and mre.
Medicatin Guide ANDROGEL (AN DROW JEL) CIII (teststerne gel) 1.62% Read this Medicatin Guide befre yu start using ANDROGEL 1.62% and each time yu get a refill. There may be new infrmatin. This infrmatin
MEDICATION GUIDE GILENYA (je-len-yah) (finglimd) capsules Read this Medicatin Guide befre yu start using GILENYA and each time yu get a refill. There may be new infrmatin. This infrmatin des nt take the
Medicatin Guide ABSTRAL (AB-stral) CII (fentanyl) Sublingual tablets 100 mcg, 200 mcg, 300 mcg, 400 mcg, 600 mcg, 800 mcg IMPORTANT: D nt use ABSTRAL unless yu are regularly using anther piid pain medicine
Hmeward Bund What can I expect when I am discharged frm the hspital? Yu can expect t stay in the hspital 4-5 days. Befre yu leave, yu will learn hw t care fr yurself at hme. A friend r family member shuld
Medicatin Guide AUBAGIO (h-bah-gee-h) (teriflunmide) tablets Read this Medicatin Guide befre yu start using AUBAGIO and each time yu get a refill. There may be new infrmatin. This infrmatin des nt take
Page 1 f 8 Medicatin Guide CONTRAVE (CON-trayv) (naltrexne HCl and buprpin HCl) Extended-Release Tablets Read this Medicatin Guide befre yu start taking CONTRAVE and each time yu get a refill. There may
Pennsylvania Advance Health Care Directive This frm lets yu have a say abut hw yu want t be treated if yu get very sick. This frm has 3 parts. It lets yu: Part 1: Chse a medical decisin maker. A medical
MEDICATION GUIDE Prlia (PRÓ-lee-a) (densumab) Injectin, fr subcutaneus use Read the Medicatin Guide that cmes with Prlia befre yu start taking it and each time yu get a refill. There may be new infrmatin.
FACING YOUR FEARS: EXPOSURE An imprtant step in managing anxiety invlves facing feared situatins, places r bjects. It is nrmal t want t avid the things yu fear. Hwever, avidance prevents yu frm learning
Infrmatin Guide Bklet Hme Lans This Infrmatin Guide bklet prvides yu with general infrmatin nly. It will als help yu t better understand any recmmendatins we have made fr yu. Infrmatin Guide Hme Lans January
Calling 9-1-1 frm a Cell Phne When calling 9-1-1 frm a cell phne, yur lcatin may nt autmatically display t the 9-1-1 center as it des when calling frm mst hmes r businesses. Be Prepared t tell the 9-1-1
MEDICATION GUIDE QSYMIA (Ky sim ee uh) (phentermine and tpiramate extended-release) Capsules CIV Read this Medicatin Guide befre yu start taking Qsymia and each time yu get a refill. There may be new infrmatin.
MEDICATION GUIDE PegIntrn (peg-in-trn) (Peginterfern alfa-2b) fr injectin, fr subcutaneus use Read this Medicatin Guide befre yu start taking PegIntrn, and each time yu get a refill. There may be new infrmatin.
MEDICATION GUIDE XARELTO (zah-rel-te) (rivarxaban) tablets Read this Medicatin Guide befre yu start taking XARELTO and each time yu get a refill. There may be new infrmatin. This Medicatin Guide des nt
MEDICATION GUIDE LEMTRADA (lem-tra-da) (alemtuzumab) Injectin fr intravenus infusin Read this Medicatin Guide befre yu start receiving LEMTRADA and befre yu begin each treatment curse. There may be new
SUPPORT FOR ALBERTANS AFFECTED BY WILDFIRE Help in a stressful time. There are resurces available t help yu and yur lved nes cpe with stress in difficult times. We re here t help. It s nrmal t feel stress.
Departments f Anaesthesia, Haematlgy, Medicine and Surgery Prcedure infrmatin leaflet Name f prcedure: Percutaneus insertin f a central venus catheter [ PICC] It has been recmmended fr yu t have a PICC
Page 38 f 42 MEDICATION GUIDE Algliptin and Metfrmin HCl Tablets Read this Medicatin Guide carefully befre yu start taking algliptin and metfrmin HCl tablets and each time yu get a refill. There may be
Fremnt Knee Facts The knee lses strength and stability after an injury. Stretching, strengthening and stability exercises are recmmended nt nly fr peple wh have injured their knees, but als t prevent injury.
State Opiid Prescribing Plicy: Flrida Pain Plicy and Regulatin: Flrida General Plicies f the Flrida Bards f Medicine and Ostepathic Medicine (Bards) The Bards recgnize that "cntrlled substances, including
HOW TO OVERCOME PERFECTIONISM Mst peple wuld cnsider having high standards a gd thing. Striving fr excellence can shw that yu have a gd wrk ethic and strength f character. High standards can als push yu
MEDICATION GUIDE REVLIMID (rev-li-mid) (lenalidmide) capsules What is the mst imprtant infrmatin I shuld knw abut REVLIMID? Befre yu begin taking REVLIMID, yu must read and agree t all f the instructins
Ministry f Health and Scial Slidarity West Nile Virus Frequently Asked Questins What is West Nile virus infectin? West Nile Virus infectin is a disease transmitted by msquites that carry the virus. The
126 Sewall Street Augusta, Maine 04330-6822 TTY/Vice: (207) 626-7058 Fax: (207) 621-8148 www.mejp.rg What Happens T My Benefits If I Get a Bunch f Mney? Each prgram, (TANF, SSI, MaineCare, etc.) has its
SESSION II DRUGS IN SOCIETY AND IN VEHICLE OPERATION SESSION II DRUGS IN SOCIETY AND IN VEHICLE OPERATION Upn successfully cmpleting this sessin the student will be able t: Define the term "drug" in the
Individual Actin Plan Cntents Preparing t Change 2 The Changes Yu May Wish t Make 3 Safer Drinking 5 Sensible Drinking Plan 7 Stp Drinking (Abstentin) 8 High Risk Situatins 9 Negative Thinking 12 Psitive
What Des Specialty Own Occupatin Really Mean? Plicy definitins are cnfusing, nt nly t cnsumers but als t many f the insurance prfessinals wh sell them. Belw we will try t prvide an understandable explanatin
Intrductin This Ebk fcuses n Chapter 13 bankruptcy, hw it wrks, and hw it helps yu eliminate debt and keep yur assets (such as yur hme). We hpe yu find this infrmatin t be helpful. T discuss Chapter 13
Garden State CLE 21 Winthrp Rad Lawrenceville, New Jersey 08648 (609) 895-0046 fax- 609-895-1899 Atty2starz@al.cm Vide Curse Evaluatin Frm Attrney Name Atty ID number fr Pennsylvania: Name f Curse Yu Just
S yu want t be a Business Analyst? Analyst analyse thyself. SUMMARY This is what Business Analysts d in the real wrld when embarking n a new prject: they analyse Why? Why are we ding this prject - what
Smking Cessatin Cntact Infrmatin Phne: 713-500-5200 Email: email@example.com With Permissin frm Memrial Hermann TMC Wellness Center YOUR SMOKING CESSATION CONTRACT Fill ut this cntract. Then, make
PEARL LINGUISTICS YOUR NEW LANGUAGE SERVICE PROVIDER FREQUENTLY ASKED QUESTIONS 1) Hw d I determine which service I need? 2) Hw d I bk face t face interpreters? 3) Hw d I bk telephne interpreters? 4) Hw
HOPE AND INFORMATION PROJECT INTERVIEWER GUIDE: NURSE RESPONDENTS INTRODUCTION: We wuld like t learn abut hw nurses and dctrs wrk with patients in their need fr hpe, n the ne hand, and infrmatin abut their
Yur Mney: Hw t manage n AmeriCrps lw wages, save mney and get ut f debt! Presented by: Sarah Yunker-Keppel, Indiana Reading Crps Prgram Directr Facilitatr s Guide If yu are making lw wages (living paycheck
Illinis Insurance Facts Illinis Department f Insurance January 2010 Annuities and Senir Citizens Nte: This infrmatin was develped t prvide cnsumers with general infrmatin and guidance abut insurance cverages
Small Business Fraud Custm Study amng Small Business Owners Cnducted fr SunTrust Banks/Natinal Small Business Assciatin/Edelman Octber 17, 2007 Objective & Methdlgy Objective In cllabratin with SunTrust
What is a dashbard and why d I want ne? QIQ Slutins Pty Ltd Suite G11, Bay 9, Lcmtive Wrkshp Australian Technlgy Park, Crnwallis Street Eveleigh NSW 1430 Australia Phne: +61 2 9209 4298 Fax: +61 2 9209
Lecture Objective Template Curse Drugs f Abuse PHAR 4207 Spring 2015 Lecture #1 Date/time: 2/15/2015 Terminlgy f Drugs f Abuse Define cmmn terms assciate with drug abuse. Give examples f variables affecting
A Primer fr Business Dvana s Primers fr Business series are a set f shrt papers r guides intended fr business decisin makers, wh feel they are being bmbarded with terms and want t understand a cmplex tpic.
SESSION II DRUGS IN SOCIETY AND IN VEHICLE OPERATION HS172 R01/11 1 SESSION II DRUGS IN SOCIETY AND IN VEHICLE OPERATION Upn successfully cmpleting this sessin the student will be able t: Define the term
UNIT PLAN Methds Sccer Unit Plan 20 days, 40 minutes in length Fr 7-12 graders Name TABLE OF CONTENTS I. Title Page II. Table f Cntents III. Blck Time Frame IV. Unit Objectives V. Task Analysis VI. Evaluative
WHAT SHOULD I LOOK FOR WHEN I BUY HEALTH INSURANCE? The Maine Bureau f Insurance 34 State Huse Statin Augusta, Maine 04333 207-624-8475 r 1-800-300-5000 (in Maine) http://www.maine.gv/pfr/insurance Paul
THE EMPLOYMENT LAW DISPUTE SPECIALISTS DAMAGES BASED AGREEMENT 1. What is cvered by this agreement Yur Emplyment Tribunal claim relating t yur emplyment with... 2. What is nt cvered by this agreement 2.1
Tny Attwd, 2012 Times Table Activities: Multiplicatin Times tables can be taught t many children simply as a cncept that is there with n explanatin as t hw r why it is there. And mst children will find
Patient Participatin Reprt In 2011, Westngrve Partnership decided t establish a PPG (Patient Participatin Grup) that wuld allw us t engage with ur patients, receive feedback frm them and ensure that they
Dr. Tzzi s and Dr. Rehrig s Patient Guide t Ttal Knee Replacement This guide is meant t help yu better understand yur upcming knee surgery. It is generalized infrmatin, and individual patients have unique,
TOOLKIT fr Making Written Material Clear and Effective SECTION 3: Methds fr testing written material with readers PART 6 Hw t cllect and use feedback frm readers Chapter 12 Shuld yu d audi r vide recrding
VULNERABLE ADULTS / ELDER ABUSE Wh is cnsidered a vulnerable adult? An individual age 18 r ver wh. because f age, develpmental disability, mental illness, r physical disability requires supervisin r persnal
MEDICATION GUIDE Fradil [FOR-a-dil] Aerlizer (frmterl fumarate inhalatin pwder) Imprtant: D nt swallw FORADIL capsules. FORADIL capsules are used nly with the Aerlizer inhaler that cmes with FORADIL AEROLIZER.
Fixed vs. Variable Interest Rates Understanding the Advantages and Disadvantages f Each Rate Type When shpping fr financial prducts, there are a lt f factrs t cnsider. Much has changed in the financial
Optimize Yur Marketing Dllars During The Recessin WSI White Paper Prepared by: Feras Alhlu Web Analytics Expert, WSI Intrductin We have heard it many times, an ld management and marketing saying: Yu Can
Virginia Teaching Requirements fr Standard 10.3 Students in grade 10 demnstrate cmprehensive health and wellness knwledge and skills. Their behavirs reflect a cnceptual understanding f the issues assciated
Crpratins Q&A. What is a crpratin and why frm ne? A crpratin is a business entity that is separate and distinct frm its wners. It can enter cntracts, sue and be sued withut invlving its wners (the sharehlders).
Accunting 3 Participant Thank yu fr enrlling in Accunting 3 fr Studi Designer and Studi Shwrm. Please feel free t ask questins as they arise. If we start running shrt n time, we may hld ff n sme f them
High Deductible Health Plan/ Health Savings Accunt Presentatin WHY CHANGE? Future plan structured s emplyees will think and act differently Prmte preventin and getting healthier Prmtes cnsumerism Current
Page 1 f 5 Identity theft is when yur persnal details are stlen and identity fraud is when thse details are used t cmmit fraud. Mre abut identity fraud and identity theft Identity fraud can happen when:
GEORGETOWN GRADUATE SCHOOL Tipsheet: Sending Out Mass Emails in ApplyYurself In ApplyYurself (AY), it is very simple and easy t send a mass email t all f yur prspects, applicants, r students with applicatins
Lessn Study Prject in Mathematics, Fall 2008 University f Wiscnsin Marathn Cunty Reprt Date: December 14 2008 Students: MAT 110 (Cllege Algebra) students at UW-Marathn Cunty Team Members: Paul Martin Clare
DRX 9000 Registratin Frm Yu have been qualified fr a cnsultatin with the dctr. This hwever des NOT mean that yur case has been accepted. Yur cnsultatin tday will determine if: A) Yu are a legitimate candidate
Writing a Cell Phne Strategy Just like TV, cmputers and vide games we need t learn hw t manage cell phnes fr ur children as the phnes dn't cme with a kid instructin bklet. Even thugh yur children think
State Bank Virtual Card FAQs 1) What is State Bank Virtual Card? State Bank Virtual Card is a limit Debit card, which can be created using the State Bank Internet Banking facility fr ecmmerce (nline) transactins.
Acne is cmmn and is usually treatable. Yu may need treatment fr several mnths t clear spts. Inflamed acne needs t be treated early t prevent scarring. Once the spts are gne, yu may need maintenance treatment
A Guide fr Writing Reflectins Writing Thelgical Reflectins What is thelgical reflectin? The purpse f Thelgical Reflectin (TR) is t identify and analyze a significant event and prcess the even frm a biblical
What is mney laundering? ANTI MONEY LAUNDERING POLICY 1. Mney laundering is where mney btained, as a result f a crime, is used t pay fr services r gds. Althugh the term mney laundering is usually assciated
The Cst f Nt Nurturing Leads The Cst f Nt Nurturing Leads The legacy yu are stuck in and the steps essential t change it Lisa Cramer President LeadLife Slutins, Inc. firstname.lastname@example.org 770-670-6702 2009
Persnal Selling Lessn 22 Persnal Selling When yu want t buy smething yu usually g t a cncerned shp and purchase it frm there. But, smetimes yu find peple bring certain gds r prducts and make them available
MDH-DLI Sympsium -- Meeting Mandates, Making the Cnnectin: Wrkers Cmpensatin Electrnic Health Care Transactins -- Nvember 5, 2014 Grup 3 Flip Chart Ntes Meeting Mandates, Making the Cnnectin: Wrkers Cmpensatin
A Guide t Understanding and Claiming the Disability Tax Credit: The Gvernment f Canada ffers a variety f tax benefits t peple with disabilities. These benefits are prvided under the assumptin that peple
Key Slar Lease Cnsideratins fr Landwners Tiffany Dwell Lashmet, Texas A&M Agrilife Extensin In the last few mnths, I have heard frm several Texas landwners wh have been cntacted by slar cmpanies seeking
WHITE PAPER Vendr Managed Inventry (VMI) is Nt Just fr A Items Why it s Critical fr Plumbing Manufacturers t als Manage Whlesalers B & C Items Executive Summary Prven Results fr VMI-managed SKUs*: Stck-uts
AnswerDash Resurces http://answerdash.cm Cntextual help fr sales and supprt Getting Started Guide AnswerDash is cmmitted t helping yu achieve yur larger business gals. The utlined pre-launch cnsideratins
Is yur insurance cmpany listening t yu? If yur cmplaints have nt been addressed by yur insurance cmpany, please cntact t register yur cmplaints and track their status r yu may email us at email@example.com
Hw d I evaluate the quality f my wireless cnnectin? Enterprise Cmputing & Service Management A number f factrs can affect the quality f wireless cnnectins at UCB. These include signal strength, pssible
1 Grades 6-8 Lessn 1 CHECKING ACCOUNTS AND ATM TRANSACTIONS Tpic t Teach: This lessn is intended fr middle schl students in sixth thrugh eighth grades during a frty minute time perid. The lessn teaches
Hw much life insurance d I need? Wrng questin! We are ften asked this questin r sme variatin f it. We believe it is NOT the right questin t ask. What yu REALLY need is mney, cash. S the questin shuld be
HERNIA SURGERY INFORMATION SHEET DR. JULIE MILLER DR. JULIE MILLER BA, MD, FRACS Specialist Endcrine and General Surgen Suite 12, Level 2, The Wmen s Hspital (03) 9347 6301 Yu have an abdminal wall hernia.