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a blog for teens that is named after moi. NIDA is the leading research institute on drugs and drug abuse, so they are pretty much the experts on the topic FROM THE DESK OF: Sara Bellum Hi, Sara Bellum here. NIDA (aka the National Institute on Drug Abuse) has (check out www.teens.drugabuse.gov). I ll be your guide for this booklet, so read on... This publication is in the public domain and may be used or reproduced in its entirety without permission from NIDA. Citation of the source is appreciated. NIH Publication No. 10-7589 3

TOPIC Marijuana Is marijuana Yes. The chances of becoming addicted to marijuana or any drug are different for each person. For marijuana, around 1 in 11 people who use it become addicted. Could you be that one? A TRUE STORY From age 13 to 18, Alby got high several times a day to help him cope. He went to school high and eventually dropped out. I was losing focus. My attention went from 100 to zero. I was depressed, he says. Now, after getting substance abuse treatment, Alby has been able to face his problems by talking them out with counselors and making new friends he describes as positive. As he puts it, I feel a lot better about myself. I feel a lot sharper. I don t feel lazy anymore. 4 5

QUIZ Marijuana can affect learning and memory by acting in which part of the brain? A. B. C. D. Hippocampus Brain stem Visual cortex All of the above Which of these webs is made by a spider that is NOT on drugs? Marijuana You CAN get addicted. A B C Why does marijuana make you hungry? A. Because THC (the active ingredient in marijuana) causes diarrhea. B. Because THC affects the brain. C. Because brownies are usually around when using marijuana. D. Because marijuana use leads to severe weight loss. A. Hippocampus, C. No Drugs, B. Because THC affects the brain ANSWERS: 6 7

TOPIC Peer Pressure Product Placement Why do people Product Placement when they know it s so bad for them? Maybe they smoke because they can t stop. People start smoking for different reasons, but most keep doing it because of one reason they are addicted to nicotine. A lot of teens ask us about peer pressure, or why people do things that can hurt them just to fit in. Product Placement DID YOU KNOW? Research says that teens who see a lot of smoking in movies are more likely to start smoking themselves. Sometimes characters smoke to look edgy and rebellious; but sometimes it s just about product placement the tobacco industry trying to get into your head and your pockets. 8 9

QUIZ Smokeless tobacco does not cause cancer. Most people who start smoking in their teens become regular smokers before they re 18. A. True, it is the tar in cigarettes that causes lung cancer, emphysema, and bronchial disorders. B. False, smokeless tobacco (such as chewing tobacco and snuff) increases the risk of cancer, especially oral cancers. How many Americans die from diseases associated with tobacco use each year? A. About 1,500 B. About 13,200 C. About 50,500 D. About 440,000 B. False, D. About 440,000 10 11 ANSWERS:

TOPIC Medical Consequences Meth Meth reduces the amount of protective saliva around the teeth. People who use meth also tend to drink a lot of sugary soda, neglect personal hygiene, grind their teeth, and clench their jaws all of which can cause what s known as meth mouth. Meth users sometimes hallucinate that insects are creeping on top of or underneath their skin (called formication). The person will pick or scratch their skin, trying to get rid of the imaginary crank bugs soon their face and arms are covered with open sores that can get infected. See more at my blog: www.teens.drugabuse.gov/blog HIV Getting HIV from unprotected sex When you can t think straight because you re drunk or high, you may forget to play it safe. Kim did read her story at: www.hiv.drugabuse.gov/english/ webisodes/theparty.html 12 13

DID YOU KNOW? Tobacco You are getting bombarded with messages about drugs in songs and movies. A study of the most popular songs in 2005 found that about: 1 3 3 4 in in rap songs said something about drug, alcohol, or tobacco use. songs said something about drug, alcohol, or tobacco use. And of the top 90 movies over the last two decades, almost Wrinkles, bad breath, yellow teeth, wheezing, stinky clothes?...let me at those cigarettes! ADDICTION SKIN DAMAGE CATARACTS WRINKLES 7 in 10 movies showed characters smoking. 1 in 3 movies showed people getting drunk. MOUTH CANCERS THROAT CANCER HEART DISEASE Get the facts, and make your own decisions. LUNG DISEASE 14 15

TOPIC Rx Drugs Q&A What is Vicodin? Vicodin is a medication prescribed to relieve pain. When taken as prescribed it can be very effective, helping people recover from surgery, for example. But it is from the same class of drugs as heroin and can be dangerous if used to get high. FACT In 2006, prescription pain medications were involved in more overdose deaths than heroin and cocaine combined. A lot of you have asked: how can be harmful when they re prescribed by doctors? Prescription drugs aren t bad they totally help a lot of people. It really depends on the who, how, and why of it who were they prescribed for (you or someone else?), how are you taking them (as prescribed or not?), and why (to get well or to get high)? DID YOU KNOW? Mixing pills with other drugs or with alcohol really increases your risk of death from accidental overdose. 16 17

QUIZ Rx drug abuse is drug abuse. The effects of opioid pain medications like OxyContin and Vicodin can include: A. addiction B. slowed breathing C. nausea D. all of the above It s safe to use prescription medications when: A. You ve checked out WebMD and know what you are doing. B. You ve taken them before for another problem. C. They are prescribed for you by a doctor for a current problem. D. Your mom gave them to you from her prescription. E. All of the above. D. All of the above, C. They are prescribed for you by a doctor for a current problem. 18 19 ANSWERS:

TOPIC Drugs & Your Brain You know they make you but what do drugs do to your brain? A TRUE STORY Different drugs do different things. But they all affect the brain that s why drugs make you feel high, low, speeded up, slowed down, or see things that aren t there. DID YOU KNOW? Repeated drug use can reset the brain s pleasure meter, so that without the drug, you feel hopeless and sad. Eventually, everyday fun stuff like spending time with friends or playing with your dog doesn t make you happy anymore. Justin posted a comment on my blog saying he always thought that if he huffs markers in small doses, just every once in a while, it will cause little or no damage to his brain cells. Maybe, maybe not. We re all different, so you never know when something dangerous will happen to you. Huffing may make you high for a few minutes, but it can damage your brain for a whole lot longer. 20 21

QUIZ Some drugs affect the brain because their size and shape are similar to natural brain chemicals called: Drugs mess with your brain s wiring and signals. A. neurons B. axons C. neurotransmitters D. dendrites Sniffing markers can harm the brain by affecting a fatty tissue called: A. myelin B. noradrenaline C. frontal cortex D. polyneuropathy C. Neurotransmitters, A. Myelin 22 23 ANSWERS:

TOPIC Treatment Does treatment really work why do people come and go so much? It takes time to recover from addiction not only for the brain to re-adjust, but to make lifestyle changes to avoid drugs. Think how hard it is for people trying to lose weight they try different diets, exercise for a while, lose a few pounds only to gain them back until they can make lasting changes to keep the weight off. Same with quitting drugs it may take several rounds of treatment before it sticks. DID YOU KNOW? 1-800-662-help Different types of treatments are available to meet your specific needs. You can get referrals to treatment programs by calling 1-800-662-HELP (a confidential hotline), or by visiting the Substance Abuse and Mental Health Services Administration on line at www.findtreatment. samhsa.gov. 24 25

QUIZ THERE IS TREATMENT AND IT WORKS. A person who is addicted to drugs A. B. C. D. Is beyond reach. Can be helped with treatment. Needs a brain transplant. Can easily quit if they want to. B. Can be helped with treatment ANSWERS: 26 27

YOU What do think? We know you have a lot of questions about drugs. We do too, and we d love to hear from you! So go to my blog at http://teens. drugabuse.gov/blog/what-do-you-think/ and let us know what you think about the questions below and thanks for sharing! 1. How do you convince a friend who is using drugs that they may be at risk for addiction or other bad consequences even though they feel fine right now? 2. Knowing what we do now, would you make cigarettes illegal if you could? 3. What is the best way to convince you or your friends that prescription drugs can be dangerous when abused without scaring the people who need them? 4. Do you consider it cheating when athletes use steroids to improve their performance what should the consequences be? 5. What s the best way to get messages out to teens social networks, TV ads, Web sites? Who should the messages be from? If we haven t covered something you want to know about, go to www.teens.drugabuse.gov and enter your topic in the search box. 28 29

What does the National Institute on Drug Abuse do? NIDA is part of the National Institutes of Health. We are the largest supporter of the world s research on drug abuse and addiction. Our goal is to better understand who uses drugs and why, and how drugs work in the brain and body, so we can develop and test new ways to prevent and treat drug abuse and addiction. 30

drugabuse.gov teens.drugabuse.gov NIH Publication No. 10-7589 Printed October 2010