Tag: Synthetic Drugs

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Why “Just Say No” Failed: Unpacking the Ineffectiveness of a Simplistic Anti-Drug Message

The “Just Say No” anti-drug movement, buoyed by good intentions and hopes to end the newly redeclared War on Drugs, sank to the depths of unimportance and, worse, ineffectiveness. Despite nationwide efforts and leadership from First Lady Nancy Reagan, teens remained just as likely to use drugs as before—in some cases, more likely.

Why? How could something so simple not succeed?

It was largely due to the placement of blame for drug use and a lack of education on addiction. We’ll explore why that had such a negative effect and what America and the world learned from this failure. 

Origins and Objectives of “Just Say No”

“Just Say No” came as a response to crack cocaine1’s birth in the 1980s. As a cheaper and more accessible version of cocaine, crack use soared, coupled with violent crimes and incarceration. President Reagan redeclared the War on Drugs; his wife and First Lady created the campaign to ‘just say no’ to drugs. Abstinence was seen as the only solution.

Police gave talks at schools across America to highlight the dangers of drug use and it being a criminal offense. They grouped all drug users together as criminals and the ultimate sign of failure, encouraging students to avoid this through abstinence. The Drug Abuse Resistance Education (D.A.R.E.) was borne from police efforts, and still well-known today.

Just Say No and D.A.R.E were meant to instill a desire to remain with the ‘good’ group, where you’d be seen as a lawful contributor to society. And, you’d be safe from overdose. The public quickly accepted the movement, largely because Nancy Reagan led it and, with her husband, made the War on Drugs a top issue among Americans.

Critiques of the “Just Say No” Approach

One primary critique of this proposed response to drugs is, “It’s not that simple1.” What made Just Say No so accessible became its demise. 

Just Say No failed to address the complexities and nuances of substance use, like genetic predisposition, peer acceptance and pressure, using substances as a coping tool for mental illness, and the experimental nature of adolescents. 

In 2001, America’s Surgeon General, Dr. David Satcher, labeled D.A.R.E and Just Say No1 as “ineffective primary prevention programs.” Data showed teens still used drugs2 at the same rate, if not a little more, despite the public’s remarkable awareness and understanding of the campaign. 

“Why Should I Say No?”

The Just Say No campaign seemed to picture a conversation about drug use going like this:

“Hey, do you want to take some of this cocaine?”

“No.”

“Okay.”

In reality, conversations and the general conception of drug use look something more like this:

“I’m struggling so bad to keep my A in this class. I just can’t pay attention.”

“Try these, they help me.”

Or, 

“I always smoke weed after school to relax. It helps me handle the stress.”

“Oh, really? Can I try some?”

Just saying no fails to teach the dangers and realities of drug use3 to a highly vulnerable population: kids. Without a proper understanding of how drugs work, the dangers of fentanyl, and how to prioritize their safety, many school-aged kids simply follow what their friends and peers do. If they can drink or smoke weed and be fine, so can they—they don’t need to say no.

Simply being told not to do something can work momentarily, but human nature tends to supersede this command across all age groups, races, and genders, making it ineffective. 

What Actually Works?

Simplicity didn’t cut it. The message didn’t need to become more complex either, it just needed to focus more on the truth: many teens will use drugs, from their own desire to or a lack of education on the risks. 

For example, many teens and college students don’t understand the risks of taking fentanyl and overdosing. Fentanyl accounts for the “vast majority” of overdose deaths in teens3. One way this happens is by taking a laced pill, which is a counterfeit pill designed to look like a safe prescription medication. The Drug Enforcement Administration (DEA) recently found 7 out of 10 counterfeit prescription pills contain a lethal dose of fentanyl4. 

Taking just one on a whim can end someone’s life. Had many overdose victims known the true dangers and risks, they might have used fentanyl test strips, avoided illicit drugs altogether, or relied solely on prescriptions from their doctor.

Education in Schools and Homes

Most teens don’t receive adequate education on drugs3, drug use, and the risks it poses. This makes them vulnerable to addiction and overdoses, plus legal and academic consequences as their use progresses. Effective education at school and the normalization of honest conversations at home can give teens the information they need to make safer choices. 

For example, schools could incorporate drug and addiction education into their health classes, which cover nutrition, reproductive health, and other crucial areas of personal health. Students would learn what drugs do to their brain and body, how to get help for addiction, and the deadly risks of illicit drug use and fentanyl. Importantly, schools can teach students how to use Narcan, which reverses an opioid overdose. Spreading awareness about fentanyl test strips and using clean needles promotes harm reduction. 

At home, parents can normalize discussions about drug use and its risks. One conversation can make kids aware of fentanyl, the dangers of addiction, and what to do if they start struggling with substance use or witness an overdose. Parents can reiterate how they’re there to help, listen, and connect their child to treatment when needed. 

Activities Over Lectures

While talking is essential to educate students on drugs and addictions, activities can seal their understanding. One in-school program shows how sugar and salt mixed into a glass pitcher of water look the same3—indiscernible to the eye, like fentanyl-laced pills. Students mixed each solution and saw firsthand how they couldn’t tell the 2 apart. This can have a greater impact than just hearing it.

Real-Life Stories

Stories from people who have gone through addiction can highlight both the dangers of substance use and the hope available in treatment. Schools can invite speakers with lived experiences to describe their realities with drug use, treatment, and preventive measures they found beneficial (or think would have helped them).

Seeing someone who recovered from an addiction offers inspiration and fights the stigma surrounding substance use and mental health conditions. Students see how untrue many stereotypes about addiction and those with a substance use disorder really are, which can boost their willingness to get help or start conversations with friends. 

Lessons Learned and Future Directions

Just Say No’s failure showed the complexity and multifaceted nature of addiction. Simply declining to take drugs wasn’t an effective strategy for most people. Learning why they shouldn’t take drugs, how to do it safely if they choose to, and knowing how to reverse an overdose promises tangible change.

It’s a bit too early to tell how much of an impact this will have as more and more schools and households adopt an education-first approach to drug use prevention. Many professionals agree meeting teens where they’re at should be the first effort3, whether they’re in active addiction, curious about drinking or using drugs, or ambivalent to drug use. 

With these changes, we can shift the way an entire generation views addiction and mental health, save lives, and reduce the negative impacts addiction has on teens and their families.

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At a Glance: The Fentanyl Crisis in America

Headlines about fentanyl being ‘a crisis’ increasingly pepper local and national news outlets. 

At first thought, a drug may not seem like a crisis in the same way floodings, pandemics, and wars do. But fentanyl has thoroughly earned its label as a crisis, and this article will delve into why—plus, how you can keep yourself and others safe.

What Is Fentanyl?

Definition and Uses

Fentanyl is a synthetic opioid1, deadly at extremely small doses (less than a couple grains of salt). In the medical setting, opioids and its synthetic versions, like fentanyl, are used to manage pain. After surgery, for example, most patients receive a few days’ worth of opioid pain medications since they’re much more potent than NSAIDS like ibuprofen. Small doses of prescribed fentanyl can relieve after-surgery pain and pain from chronic conditions like cancer. 

The medical uses for fentanyl aren’t why it’s become a crisis. It’s outside this setting where people in America lose their lives daily.

Dealers of drugs like cocaine, heroin, and meth often cut the pure substance with fentanyl to make it stronger and more addictive. In theory, this means their customers will buy more because they become addicted faster and increase their tolerance. They’ll keep coming back and buy in higher quantities.

Potency and Risks

A deadly dose of fentanyl fits on the tip of a pencil. It’s 100x more potent than morphine and 50x stronger than heroin1. Anyone who’s unfamiliar with its potency and how much they can safely take runs an extremely high risk of overdose. Those with more experience taking fentanyl and a higher tolerance for opioids run a lower risk of overdose. Most overdoses happen by accident, with the consumer unaware the drug they took had any fentanyl in it. Or, they take the drug after a period of abstinence, and their usual dose overwhelms their body and causes an overdose.

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A lethal dose of fentanyl, photo from the DEA.

Fentanyl-laced drugs kill people of all ages and experience levels. A first-time drug user could die as easily as someone who’s been taking heroin for decades. Even ‘safe’ drugs like synthetic marijuana have been found laced with fentanyl2 or other opioids, leading to accidental dosing. Some may also choose to mix fentanyl with other drugs, like adding it to a stimulant to make a speedball. 

Shockingly, the Drug Enforcement Administration (DEA) found 7 out of 10 confiscated pills had a lethal dose of fentanyl3, over 2mg. 

Causes of The Fentanyl Crisis

Fentanyl’s deadly potency and the way people often have no idea they’re taking it (and subsequently overdose) makes it an urgent health crisis in America.

Illegal Production and Distribution

Fentanyl has made its way into more and more drugs as dealers clamor to up their profits and get their customers hooked. Clandestine labs make fentanyl, which cartels and other illicit networks then distribute to reach drug dealers. It may be cut into pure drugs before it’s given to the dealers, or the dealers may use it as a cutting agent themselves. Sometimes, the dealers aren’t even aware what they’re selling has fentanyl in it. 

It’s not legal to make fentanyl on your own, purchase it, or sell it—you can only take it legally if you have a prescription. Getting a prescription is also the only way you can know the pill (or other substance) contains what you think it does, and in the correct dosage. Even someone who regularly takes opiates and considers themselves pretty tolerant to its effects can experience a fatal fentanyl overdose, since they can’t test the potency or know for sure how much fentanyl is in what they’re taking.

Prescription Practices

Some people have turned to fentanyl as a cheaper alternative to opioids. The heavy-handed use of opioids for pain relief largely contributes to this, as people can quickly become addicted to the opioids they were prescribed after a surgery or other short-term need. Once their prescription runs out, they face several options: buy it illegally from drug dealers (with no insurance coverage), try to find another doctor that will prescribe it, or go for the cheaper alternative, fentanyl. 

Accessibility and Affordability

Fentanyl is easier to access than pure drugs like cocaine, heroin, and prescription opioids. It’s also cheaper, which can drive people to make it their substance of choice. The lower costs also encourage drug dealers to supplement pure drugs with fentanyl, saving them money by creating a drug that has less of the pure substance but is still ‘just as strong.’ 

Impact of The Fentanyl Crisis

Overdose Deaths

Overall, fatal drug overdoses have gone down4. But fentanyl-caused deaths continue to rise and contribute more and more to the total death rate, making fentanyl the primary cause of drug overdose deaths5 in America (not including deaths caused by alcohol).  

In 2022, 76,226 out of 108,000 reported overdose deaths were due to fentanyl4, per the Center for Disease Control. That dropped to 74,702 in 2023. Synthetic opioids like fentanyl kill 150-300+ people each day. That’s the equivalent of a commercial plane crashing and killing everyone inside, every day. If that were happening, could you imagine the outcry? 

Public Health

People who experience an overdose need medical care as soon as possible. Naloxone (or Narcan) reverses overdoses for opioids and synthetic opioids like fentanyl. With fentanyl use and overdoses going up, emergency rooms and other treatment centers receive an influx of patients. Other non-deadly effects of fentanyl, like organ damage, also require medical care. This can strain the health system nationwide.

Social and Economic Consequences

Using opioids, synthetic or natural, contributes to economic issues through workplace accidents6, not going into work due to substance use, quitting work, and leaving gaps in the workforce due to deaths and resignations. Workplaces and businesses overall function less efficiently with these challenges, contributing to a poorer economic state.

Taking a substance can change how you behave, which can lead to criminal activities and legal consequences. Illegally procuring fentanyl can also get you into trouble. These consequences put strain on the judicial system and can affect the workplace through firings.

Efforts to Combat The Crisis

Many organizations, state-level and federal, are actively working to uproot the fentanyl crisis. And thankfully, they and others have had some success.

Law Enforcement Actions

Law enforcement’s primary role in stopping the fentanyl crisis isn’t to arrest people who take fentanyl; it’s to stop its distribution and production. Most of America’s fentanyl comes from China7, Mexico, and more recently, India. It’s smuggled through America’s borders through craftier and craftier ways, making it harder to catch. But advanced technologies, searching techniques, and more stringent rules vastly reduce the total amount of fentanyl that could make its way in.

American law enforcement has collaborated with Mexican officials to find and shut down fentanyl labs in Mexico, often operated by cartels. Recent collaborations with China aim to stem the flow of fentanyl there8. The United States Drug Enforcement Administration (DEA) focuses much of their operations on reducing fentanyl’s flow into the U.S., preventing over 381 million lethal doses of fentanyl3 from reaching consumers. This includes arresting distributors and drug dealers. Those who buy fentanyl illegally may also face legal consequences.

Public Health Initiatives

While public health organizations and programs can’t make arrests or shut down fentanyl labs, they can spread education and awareness on the dangers of fentanyl and its rising prevalence. Proper education on where it’s found, what happens if you take it, and what to do in the case of an overdose can prevent people from taking it entirely, and save their lives if they do.

The Center for Disease Control (CDC) has a Stop Overdose campaign, which offers education on fentanyl and its dangers. Similarly, the DEA’s One Pill Can Kill campaign highlights fentanyl’s dangers and the public’s need to carefully weigh the risks before taking illicit drugs. It also reinforces the safe practice of only taking pills prescribed to you, as buying pills elsewhere could mean you take a counterfeit laced with fentanyl. 

Many cities, universities, corporations, and commuting hubs are joining the Naloxone distribution project (funded by SAMHSA) to place Naloxone kits in easily accessible areas. Think of the fire extinguishers you see in a glass case—that’s the hope for Naloxone kits.

Treatment And Support Programs

Addiction treatment from medical and therapeutic professionals can save lives. Attending treatment as early as possible can prevent addiction from worsening and leading to a potential overdose. Many addiction treatment centers specialize in treating fentanyl addiction, offering services like detox, residential treatment, and outpatient levels of care.

Treatment programs often provide a blend of medical and therapeutic care, with 1:1 and group therapies focused on underlying conditions and building coping tools for relapse prevention. Evidence-based and holistic therapies form personalized treatment programs to comprehensively address fentanyl addiction.

Preventative Measures

Prescription Regulations

Since opioid use can lead to fentanyl use, regulating opioid prescriptions can lead to fewer mishandled prescriptions, opioid addictions, and fentanyl reliance. The recent settlement cases against big pharmaceutical companies have made other entities, including the general public, more aware that opioids aren’t always necessary, and that even prescription medications can lead to addiction.

In 2016, the Center for Disease Control (CDC) released the CDC Guideline for Prescribing Opioids for Chronic Pain which details 12 recommendations for safe, effective opioid prescribing. The guidelines are meant to reduce addiction and overdose rates while still prioritizing the patient’s health and well-being. When used properly, these guidelines can save and improve lives.

Some states put caps on the amount of prescription opioids9 for acute pain (like after a surgery) to 7 or less. Other states mandate Naloxone with each opioid prescription with risk factors like a high dose or if it’s prescribed alongside a benzodiazepine. 

Safe Use and Harm Reduction

Harm-reduction strategies for fentanyl use include distributing fentanyl test strips10, Naloxone, and clean syringe needles to reduce the spread of HIV and other diseases. Fentanyl strips test substances for fentanyl, which can make drug use safer and reduce overdoses. 

Community and Education

The DEA aims to partner with more and more local communities11 to educate people of all ages and backgrounds on the dangers of fentanyl. They’re calling it Operation Engage—educating, broadening awareness, and creating a sense of community in the effort to stop fentanyl overdoses. 

More schools and businesses have begun incorporating educational material on fentanyl to support these efforts. For those in recovery from fentanyl use, local peer support groups offer community and connection.

Curing a Crisis 

New initiatives and harm-reduction strategies can’t bring back the lives lost from fentanyl, but they can slow the spread and eventually mitigate the crisis. America and other countries see a future where fentanyl overdose deaths no longer make the news—because they’re not happening at all.
Treatment marks a big step towards this goal. You can use Recovery.com to find a fentanyl rehab and see photos, reviews, insurance information, and more.

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What Is Carfentanil?

Carfentanil is a fentanyl analog, or a synthetic opioid chemically similar to fentanyl. It’s 100 times more potent than fentanyl and 10,000 times more potent than morphine. Because of that, carfentanil is considered the strongest and most dangerous fentanyl derivative. 

People usually take carfentanil by accident. But since you need so little (about one grain of salt) to overdose, these accidental uses can quickly become life-threatening. 

What Is Carfentanil Used For?

Carfentanil has only one approved use: a large-animal tranquilizer. The veterinary field uses carfentanil on elephants and other similarly sized animals; it’s not approved for human use in any way.

But in illicit drug markets, dealers use carfentanil to increase the potency of their drugs and sell them for more money. Additives like carfentanil make drugs like heroin feel stronger, leading to faster dependency and continued profit for the dealer. 

Carfentanil easily blends into other substances, so you never truly know if you’re taking a clean or laced substance. Even fentanyl test strips often don’t pick up on carfentanil. To the naked eye, carfentanil doesn’t stand out against the substance you think you’re taking—which is why it poses such a risk.

What Does Carfentanil Look Like?

Carfentanil looks white and powdery, like powdered sugar. If it’s been dissolved into a liquid, it can look as innocent as water. It may also look grainy, like salt grains. Carfentanil has no smell or taste. 

Dealers manipulate carfentanil to create new ways of ingestion. For example, you could take carfentanil as a pill, inject it intravenously, snort it as a powder, or place a small piece of carfentanil-soaked blotter paper on your tongue for a few minutes.  

What Are The Potential Effects of Using Carfentanil?

As a synthetic opioid, carfentanil’s effects mirror those of heroin, including:

Euphoria

Carfentanil is a mu-opioid receptor agonist, which means it triggers mu-opioid receptors to send a cascade of chemical signals in your brain. This ultimately releases dopamine, and lots of it. The flood of dopamine causes both euphoria and the need to repeat the behavior. 

Pain Relief

When used as prescribed, opioids work as powerful pain relievers. Carfentanil is no different. It calms the neurons in certain areas of the brain, leading to pain relief. But because of its potency, no amount of carfentanil has been approved for pain relief. 

Sedation

Carfentanil can calm the brain and nervous system to the point of total sedation. That’s why veterinarians use carfentanil to sedate large animals. 

Overdose

Carfentanil overdoses continue to rise in the US. Just two milligrams of carfentanil could kill you. Anything below that tiny amount would likely cause a non-lethal overdose. 

What Are The Symptoms of Carfentanil Overdose?

Overdosing on carfentanil causes a host of side effects. Even accidental exposure to carfentanil, like getting some of it on your hand or having the powder blow on your face, could cause an overdose. Knowing the signs of an overdose can help save lives. 

Blue Lips And Nails

Look at the nail beds and lips for blue coloration. Carfentanil overdoses can cause low blood pressure and a dangerously slow heart rate, which can lower breathing and oxygen intake. Less oxygen in the blood makes it look blue in areas like the lips and fingertips.

Choking And Gurgling

Overdosing on carfentanil can slow your breathing and dangerously sedate you. Because of this, you may choke on your spit or be too disoriented to remember to swallow it. That can cause choking and gurgly breathing, almost like snoring.

Pin-Point Pupils

A carfentanil overdose often causes tiny pupils. Someone who’s overdosed may have strangely small pupils that don’t dilate in different lighting.

Slowed Breathing

Your breathing may slow to null if you overdose on carfentanil. This can then lead to black outs, blue fingers and lips, and death.

Losing Consciousness

Overdosing on carfentanil could cause you to black out. The reasons for losing consciousness can include sedation/sleepiness, slow breathing, slowed heart rate, and a combination of all 3. 

Hypothermia

Someone who overdosed on carfentanil may feel cold to the touch, shiver, and have a bluish tint. 

Clammy Skin

Carfentanil overdoses also cause clammy skin, or like someone’s slightly sweaty and cold at the same time. 

Heart Failure

Too much carfentanil could cause total heart failure. An overdose can depress your central nervous system enough to stop your heart. Without immediate help, this symptom often leads to death.

Can You Reverse a Carfentanil Overdose?

You can save someone who’s overdosed on carfentanil by immediately using Naloxone. If you administer it fast enough, you can reverse the effects of carfentanil and save their life. Since carfentanil is so potent, you’ll likely need several strong doses of Naloxone. You can inject it intravenously or, if your kit includes a nasal spray, squirt it up their nose.

 If you’re injecting Naloxone (Narcan), be sure to fill the syringe with liquid and not air. Then poke the needle into a large muscle, like a shoulder or thigh muscle. To administer the nasal spray, stick the nozzle into their nose and push up on the plunger. You’ll likely need to spray into each nostril. Narcan takes 2-3 minutes to show effects. 

Once stabilized and physically safe, treatment begins. 

Get Treatment for Opioid Use

Treatment for synthetic drugs like carfentanil includes medical and emotional care. You’ll begin with detox, which safely removes carfentanil from your body. Once carfentanil is out of your system, you and your treatment team will address the thoughts and behaviors leading to your drug use. Then, you’ll work together to learn new coping skills and navigate difficult emotions, cravings, and triggers as they come. 

Your treatment journey may begin in a residential rehab, where you’ll have 24/7 care, 1:1 and group therapies, and a safe space to detox. After residential treatment, you can move into day treatment or an intensive outpatient program, which provides intensive but more independent care.
To start your journey, you can browse our list of rehabs for opioid use to see pricing, photos, reviews, and more.

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What Is THC-O? Understanding the Risks

THC-O is one of many new cannabis products. Since it’s so different from other types of marijuana, like THC and CBD, you might wonder what THC-O is in the first place. Is it safe, regulated, or even legal? And can it lead to addiction?

All drugs can potentially lead to addiction—even marijuana. To keep yourself safe, you can learn more about THC-O and how it works. 

THC-O vs. THC

You may have heard of THC, or tetrahydrocannabinol,1 the chemical compound in marijuana that gets you high. THC-O, also called THC-O acetate,2 is a synthetic compound similar to THC. 

Compared to some of the natural compounds in cannabis, THC-O produces profound psychoactive effects. THC-O is almost 3 times stronger than regular THC. People who use THC-O call it a “spiritual cannabinoid.”3 Some also use it for anxiety, nausea, sleep, and pain management.

How Long Does It Take For THC-O to Kick In?

The onset time of THC-O varies depending on several factors, including your metabolism, dosage, method of consumption, and tolerance. According to an analysis of social media discussions on THC-O,4 “Multiple users reported a relatively lengthy onset of effects and/or a lengthy duration of effects:” 

‘Thco also takes ab 45 mins to fully hit you n last considerably longer than thc.’

‘Takes an hour to fully kick in then for me the high lasts several hours’ 

‘The high from thc-o lasts SIGNIFICANTLY longer than d8/even d9. like, way longer.’ 

THC-O typically takes longer to kick in when you ingest it orally (via edibles or capsules) compared to inhalation methods like smoking or vaping. That’s because digestion through your GI tract takes longer than absorption through your lungs, which happens rapidly. Onset time can also vary depending on the specific product. 

How Is THC-O Made?

THC-O doesn’t occur naturally in marijuana. Instead, manufacturers derive THC-O from hemp plants. This chemical process takes place in a lab: 

  1. Manufacturers extract CBD, a naturally occurring cannabinoid, from the hemp plant.
  2. Next, they use special equipment to extract Delta-8 THC, another synthetic compound. 
  3. Finally, they add a highly flammable chemical—acetic anhydride—directly to the Delta-8 THC molecules. This results in THC-O. 

Is THC-O Safe?

THC-O is relatively new, and scientists are still gathering data to determine if it’s safe. But some studies paint an alarming picture. 

The National Organization for the Reform of Marijuana Laws (NORML) warns against THC-O.5 According to their website, this compound “has never been tested for safety in human studies.” But the little data we have suggests that THC-O can cause serious health problems.6 For example, THC-O vapes often include toxic chemicals. These additives can cause lung injuries and digestive issues. 

Research on other synthetic cannabinoids7 like Delta-8 THC and Delta-9 THC further points to the potential dangers of THC-O. Studies link these cannabinoids to psychosis, chronic vomiting, and addiction when used at high concentrations.

The Risks of THC-O

The potential risks of THC-O are unclear for a few reasons. The 2018 Farm Bill legalized hemp at a federal level, opening the door for hemp products like THC-O. The DEA only designated THC-O as a controlled substance in 2023. 

With this lack of regulation, there’s no standard procedure for producing THC-O. So its strength and quality vary drastically depending on how it’s made. When you try a new THC-O product, there’s no way to predict whether it’s safe. 

What Are the Side Effects of THC-O?

The side effects of synthetic cannabinoids can be unpredictable and dangerous. While we still need more data, current research points to several side effects of THC-O. 

Hallucinations

Some experts call THC-O a psychedelic drug8 much like LSD or psilocybin. It’s so powerful that, according to the Chicago Sun Times, the military once researched it as a “nonlethal incapacitating agent.” In high doses THC-O may produce hallucinations, making you see, hear, or feel things that aren’t there. 

Dizziness

Many synthetic cannabinoids can make you dizzy.9 THC-O is no exception. This can make it dangerous to work, drive, or engage in other routine activities. 

Sedation

Many people use cannabis products to improve their sleep. And in moderation, THC-O might help you relax. But if you take too much, you might fall asleep by accident or sleep longer than you intended. And with unregulated drugs like THC-O, that’s easy to do. You might not know how strong it is until you feel its effects.

Vomiting

Overconsumption of cannabis—and most drugs—can make you sick to your stomach. Since THC-O has stronger effects than natural cannabinoids, these symptoms are likely to be more intense.

Paranoia

Like many cannabinoids, THC-O can bring on severe anxiety and paranoia, especially when you take too much. Paranoia, in turn, can affect other aspects of your mental health. For example, some data shows a link between paranoia and low self-esteem.10

The laws surrounding this drug are complicated at best. For example, in the U.S., THC-O is illegal at the federal level. However, it may be legal in some states that permit recreational marijuana use. Since THC-O doesn’t naturally occur in hemp plants, federal law enforcement officials have classified it as a Schedule 1 drug. In other words, THC-O is a federally controlled substance.

Understanding THC-O

With so much uncertainty about THC-O it’s hard to weigh the risks of this new chemical. It’s also important to account for your personal health history. For example, if you know you’re vulnerable to addiction, this drug could be even more dangerous. 

Browse rehabs that treat marijuana addiction to learn about their treatment approaches, insurance options, and more. 

Frequently Asked Questions About THC-O

What is THC-O and how does it differ from THC and CBD?

THC-O, or THC-O acetate, is a synthetic compound similar to THC found in marijuana. It produces profound psychoactive effects and is almost 3 times stronger than regular THC. While THC and CBD are natural compounds, THC-O is a synthetic drug.

Is THC-O strong?

THC-O is significantly stronger than regular THC. It produces profound psychoactive effects and is almost 3 times stronger than regular THC. However, the strength of THC-O can vary depending on the specific product, as there’s no standardized procedure for its production.

Is THC-O safe and legal?

THC-O is a relatively new substance, and its safety is still being studied. However, data suggests significant health risks, including lung injuries and digestive issues from toxic chemicals often found in THC-O vapes. THC-O is illegal at the federal level in the United States, classified as a Schedule 1 controlled substance. Its legality may vary in states that allow recreational marijuana use.
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A Parent’s Guide to Drug Smells and Odors

If you think your child might be using drugs, certain smells can help you know for sure. Some substances have distinctive odors. You’re probably already familiar with a few, like alcohol or cigarette smoke. But some of the most dangerous drugs, like meth and PCP, can be harder to identify. This guide will teach you to recognize the smells of several different drugs and help you decide what to do next.

Common Drug Smells and Odors

Drugs can leave lingering odors in your child’s room, in their car, or on their clothes. You might also associate a strong smell with certain behaviors. Does your teen smell different every time they come home from band practice? Or, do they seem more irritable whenever they smell a certain way? 

Once you recognize the smell of drugs, you can get your teen the help they need. But first, it’s important to know what you’re dealing with. And wrong assumptions can make matters worse. Even the best treatment for alcohol abuse might not help your teen recover from meth addiction.

Marijuana

There are many strains of marijuana, and each one smells a little different. But most weed smells “skunky,”1 with distinctive sour, earthy notes. Some describe it as smelling like burnt rope.2 It can also smell light or even citrusy, depending on the varietal. 

Synthetic Cannabinoids

A growing number of U.S. states are legalizing marijuana. As that trend continues, scientists develop more and more synthetic versions of the drug. K2, or spice, is one of these. While K2 isn’t meant for human consumption,3 some people ingest it anyway. Some say that spice smells a lot like marijuana. 

However, other synthetic cannabinoids may smell different.4 One study found that several of these drugs smelled like naphthalene, an ingredient in mothballs. As more synthetic cannabinoids come on the market, it’s hard to predict exactly how each of them will smell. 

If your child is abusing any of these cannabis products, it may be time to research marijuana rehab centers.

PCP

Phencyclidine, more commonly called PCP or angel dust, is a dangerous dissociative.5 This drug is infamous for its more severe side effects, which include paranoia and physical violence. It can even be fatal. 

PCP normally appears as a powder, pill, or liquid. These inert forms of the drug are odorless.6 However, you can smoke PCP by adding the powder to any plant, including marijuana, tobacco, or even herbs like mint. 

The smoke from PCP smells like ammonia. If you find this strong chemical smell on your child’s clothes or belongings, they may be using the drug. But if you notice a characteristic PCP smell coming from an entire home or building, you may be close to a lab that manufactures it on a larger scale. 

Crack Cocaine

Crack cocaine, or crack, is a more potent form of cocaine.7 Both of these drugs are stimulants, and they have an immediate effect on circulation. Your heart beats faster, but your blood vessels get smaller. In extreme cases, this can cause seizures or heart attacks. 

Cocaine is a white powder, and usually odorless. Crack cocaine, however, appears in the form of a rock or crystal, and it has a distinctive smell when smoked. Many people report that crack smells like burnt plastic.8 

Meth

Methamphetamine, or meth, is an extremely powerful stimulant.9 This drug is most common in rural towns, and it can wreak havoc on entire communities. Most of the time, people manufacture it in illegal at-home labs. Because meth includes such volatile chemicals, these labs can easily catch fire or even explode.

Like other synthetic drugs, including crack cocaine, meth emits a strong chemical smell.10 Some compare it to ammonia or burning plastic. If your child smokes meth regularly, or in large quantities, their sweat may start to smell the same way.

Experts say that meth is a “community disease.”11 Even more than other drugs, it affects entire social groups. As a result, your child may need a change of scenery to fully recover. If you’re noticing a meth smell in your home, you can look into meth rehab centers that treat teens.

Recognizing Drug Paraphernalia

Not everyone is an expert drug smell detector. And even if you are, your teen might be very good at hiding their substance use. They could also be using odorless drugs, like prescription pills. 

If you can’t smell drugs, but you’re still concerned about your child’s behavior, you can keep an eye out for common drug paraphernalia.12 Any of these items may smell like their associated drugs.

Marijuana and Cannabinoid Paraphernalia

  • Glass, metal, or wooden pipes
  • Bongs
  • DIY pipes, such as a pipe carved out of an apple or a Coke can with a puncture in the side
  • Prescription pill bottles with or without printed labels, which can be used to store marijuana
  • Herb grinders
  • Lighters
  • Cigarette rolling papers or blunt wraps
  • Vape pens
  • Bottles of vape juice
  • Blowtorches
  • Lighters
  • Shallow dishes or trays with drug residue

PCP Paraphernalia

  • Dark-colored cigarettes
  • Cigarette rolling papers
  • Bags of plant matter, such as marijuana or non-psychoactive herbs
  • Glass or metal pipes
  • Bongs
  • Lighters

Cocaine and Crack Cocaine Paraphernalia

  • Glass pipes
  • Lighters
  • Small spoons, keys, or other objects that can fit inside a nostril
  • Small plastic bags
  • Small glass or plastic bottles with screw tops
  • Rolled bills or straws that have been cut down
  • Credit cards, ID cards, or razor blades with white residue
  • Small mirrors or plates with white residue or scratch marks

Because cocaine normally doesn’t have a smell, it can be harder to detect than smokable drugs. If you’re worried your child is snorting the powdered version, you can learn how to tell if someone is using cocaine. 

Meth Paraphernalia

  • Glass pipes
  • Spoons
  • Tinfoil
  • Lighters

Injectable Drug Paraphernalia

Some people inject drugs like meth, crack cocaine, and PCP. However, heroin is the most common injectable drug.13 No matter which substance a person is injecting, they’ll probably use similar paraphernalia:

  • Syringes
  • Metal spoons or cookers14 (small metal containers used for heating drugs over a flame)
  • Lighters
  • Items that can be used as tourniquets,15 including elastic strips, belts, neckties, and similar

Injecting drugs16 is one of the most dangerous ways to take them. It substantially increases the risk of infectious diseases, including HIV and hepatitis. If you suspect your teen is injecting drugs, they may need immediate professional support. To get them the help they need, you can start by researching heroin rehab centers. 

Signs and Symptoms of Drug Use

Addiction causes behavioral changes17—but so does adolescence. It can be hard to tell the difference between normal teen development and more serious problems. According to experts, there are a few warning signs that your child might need help: 

  1. Their demeanor changes suddenly.
  2. Multiple signs of addiction appear at the same time. 
  3. Their behavior is extreme. 

But what specific signs should you look for? You can keep your child safe by watching out for these symptoms of substance abuse:18

  • Frequently changing friend groups
  • Regularly staying out after their curfew
  • Lying about where they’ve been
  • Making transparent excuses for bad behavior
  • Pulling back from family activities
  • Disrespecting authority figures such as parents, teachers, or other adults
  • Academic problems
  • Changes in appearance
  • Poor oral hygiene
  • Bloodshot eyes, dilated pupils, or pinpoint pupils
  • Unexplained weight gain or loss
  • Uncharacteristic or unprovoked anger
  • Poor judgment
  • Irritability
  • Depression
  • Mood swings
  • Drastic changes to sleep habits

Identifying Drug Smells in the Home

When you want to keep your child safe, asking “What do drugs smell like?” can be a good first step. But smells can be deceiving. If you think you’re smelling drugs, you should gather more information before confronting your child.

First, consider the context in which you’re noticing the smell: 

  • Is the smell coming from your child’s bedroom, the clothes they’re wearing, their body, or somewhere else? 
  • Do you only notice it at certain times of the day? 
  • Does your child act differently when they smell that way? 

Use your answers to make a plan of action. For example, if you notice the smell in their bedroom, you might want to take a look around while they’re out of the house. Or if the smell only happens late at night, you can check in on them around that time to make sure they’re okay. 

Looking for Drugs in Your Home

If you think your teen may be keeping substances in your home, you should be aware of a few common hiding spots for drugs:19

  • Electronics with closed compartments (calculators, game consoles, alarm clocks, etc.)
  • Highlighters or pens with caps
  • Candy wrappers or snack containers
  • Heating vents
  • Stuffed animals
  • Car interiors, especially any hidden compartments

Some retailers also sell disguised stash containers, which look like other objects. For example, your teen might have a smell-proof container that looks exactly like a can of soda. 

Addressing Drug Use With Your Child

Every behavior—even dangerous behavior—serves a purpose. If your child’s using drugs, there’s a reason for it. But they might not know what that reason is. Maybe they’re trying to self-medicate mental health issues, impress their friends, or just get your attention. Whatever need they’re trying to meet, you can help them address it in a more effective way. 

In many cases, the next step is to talk to your child about their behavior. You can also get the help of a therapist or addiction specialist, or even stage an intervention. Whatever you decide, take your time to prepare for this conversation. Go into it with a plan for what you’ll say, and clear goals for the future. 

The most important thing is opening communication with your child, and letting them know you’re on their side. Try to avoid blaming them or punishing them for their behavior. Instead, focus on giving them more support. This could mean that you set stronger boundaries, or take away privileges like staying out after a certain time. You can also look for more sustainable ways to meet their emotional needs. For example, you might suggest a weekly family hike or movie night. 

If your child is abusing drugs, they may need professional mental health treatment. It’s best to start researching treatment programs before it becomes an emergency. You can also reach out to rehab programs to ask for their expert advice. 

Prevention and Education

Whether or not your child is using drugs, there are things you can do to keep them safe. Experts have identified certain risk factors for drug use among teens:20

  • Conflict with parents
  • Inconsistent, harsh, or lacking discipline
  • Substance use by parents or siblings
  • Physical abuse
  • Lack of supervision
  • Academic problems

Addressing these issues can lower your child’s risk of substance abuse. You can also teach them about addiction, and what to do if they encounter drug use. For example, you can encourage them to call you for a ride home if any of their friends offer them drugs. 

Seeking Professional Assistance

Data suggests that instead of talking to their parents, teens confide in other adults21 more readily. In addition to offering them emotional support, you can connect them with a larger community of people. That could include trusted friends, extended family, and mental health providers. 

You can choose the right type of healthcare professional based on your family’s needs. These experts can help in a variety of ways: 

  • Offering a safe space in which teens can talk about their feelings
  • Diagnosing underlying mental health issues
  • Prescribing non-addictive medications 
  • Recommending specific types of long-term treatment
  • Facilitating communication between family members
  • Educating parents on how to best support teenagers

Addiction and mental health treatment are different for everyone. Your child might benefit from seeing a talk therapist, psychiatrist, social worker, or other specialist. In most rehab programs—including inpatient and outpatient centers—they’ll get coordinated care from a team of experts. 

While treatment will focus on your child, it often includes the whole family. You might attend group therapy sessions or just receive updates about their progress. Their care team will probably also suggest ways to improve your whole family’s dynamic. 

Supporting Your Child’s Well-Being

If you discover that your child is using drugs, it’s a sign that something has to change. Going forward, they’ll probably need new kinds of support. That could mean going to rehab, switching schools, or something else entirely. In any event, this might be the start of a turbulent time. 

As your child makes this transition, look for ways to provide stability: 

  • Communicate openly. Foster a supportive home environment by talking to your child about their feelings. You can also share your own experience in a gentle, loving way.
  • Set clear boundaries and expectations. Reward their progress and provide consistent discipline. 
  • Connect with the other people in their support network. This may include therapists, teachers, friends, or extended family. Work as a team to support your child’s ongoing recovery.
  • Set a positive example. Children with parents who abuse substances,22 including alcohol, have a higher risk of addiction. 
  • Look for ways to have fun. Finding joy is an essential part of recovery. Encourage your child to try new hobbies they might find meaningful. You can also plan regular activities as a family.

Remember that your child isn’t the only one going through a major life change. Their journey affects you and your whole family. Make sure you get the support you need, too. You might see a 1:1 therapist, lean on trusted friends, or just take time for yourself. 

Practicing self-care has several benefits. First, you’ll ensure that you have the emotional bandwidth to help your child face whatever challenges arise. You’ll also show your child that it’s okay to ask for help when they need it. 

Moving Forward Together

If you’re concerned that your child might be doing drugs, there are a few steps you can take to keep them safe: 

  • Learn how to detect drug smells in your home or on your child’s clothes.
  • Check for drug paraphernalia, making sure to look in common hiding places.
  • Talk to your child about drug use.
  • Get expert advice from mental health professionals. 

Parenting is a constant learning process. And the more you know about substance abuse, the more tools you’ll have to help your child. If they need professional support, you can always connect with a rehab program for teens.

Frequently Asked Questions About Drug Smells and Odors

What does meth smell like?

Methamphetamine, or meth, emits a strong chemical smell resembling ammonia or burning plastic. Recognizing this distinct odor can help identify potential methamphetamine use.

What does fentanyl smell like?

Fentanyl, a powerful synthetic opioid, lacks a distinctive smell. It’s generally odorless, making it hard to detect based on smell alone. However, recognizing other signs and symptoms of fentanyl use is crucial.

What drug smells like burnt plastic?

Crack cocaine is often associated with a smell similar to burnt plastic. This distinct odor is a characteristic of crack cocaine when smoked. Recognizing this smell can help identify possible crack cocaine use.

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What Are Designer Drugs?

Designer drugs are synthetic drugs created to mimic traditional drugs. They sell through gray areas in drug legislations—and can adapt as quickly as legislations change. For those reasons, they’re sometimes called “legal highs”.

Designer drugs carry risks health professionals and law enforcement haven’t fully realized yet. And designer drugs can evolve and change with relative ease, making all the types and variants hard to keep track of. 

But for each new designer drug, a way to heal exists. For example, you can go to rehab for designer drug use.  

What Exactly Is a Designer Drug?

Here, designer doesn’t mean fancy. The “designer” class of drugs just means someone designed the drug to act in a certain way1. It also means it was designed to skirt the law through cracks in controlled substance legislations. 

They’re sold in packaging that says they’re “not for human consumption,” which can keep their manufacturers somewhat safe from legal trouble.

Some designer drugs began as a research project2. Shady scientists can hijack the research made on the brain and tailor a drug to have a particular reaction. Designer drugs originated overseas, produced in places like China and Europe before shipping to America. 

Young teens and military members use designer drugs1 more often since they don’t always appear in drug tests. The packaging and names of designer drugs also cater to young teens, with bright colors, fun designs, and names like Green Giant and Joker.

Are Designer Drugs The Same As Synthetic Drugs?

Synthetic drugs don’t always have illegal connotations, as designer drugs do. For example, morphine is a synthetic drug. Though someone could abuse it, morphine wasn’t designed, manufactured, and sold with that in mind. 

Designer drugs specifically mimic other illegal drugs—but with chemical properties most toxicology screens won’t notice. Chemicals like fentanyl, morphine, and LSD would show.

And like any other drug, natural or synthetic, designer drugs come with a unique set of risks and side effects.

Common Risks And Side Effects of Designer Drug Use

No drug is without risk. But for designer drugs, their sneaky manufacturing and profit-motivated sellers create problems we’re yet to fully understand.

For example, most designer drug users don’t take just one2. They may combine 2 or more designer stimulants, or make a speedball with a depressant and stimulant. The process of making designer drugs hasn’t been regulated in any way either, meaning you could take a much higher dose than intended or something you never meant to take. 

The general side effects of designer drug3 use include

  • Serotonin syndrome
  • Seizures
  • Hyperthermia
  • Psychosis
  • Insomnia
  • Paranoia
  • Hypertension
  • Heart attack
  • Kidney failure
  • Tachycardia

The more precise effects of designer drugs vary based on the kind you take. 

The 7 Different Types of Designer Drugs

The U.S. Drug Enforcement Administration (DEA)4 recognizes 7 different kinds of designer drugs. They might add more in the future, but for now, these 7 are what they’ve been able to identify.

Synthetic Cannabinoids

Most synthetic cannabinoids began as an innocent research project5. Synthetic cannabinoids affect receptors throughout the body in the same way as THC (found in marijuana). It creates an elevated mood and sense of relaxation5. Almost all synthetic cannabinoids go by the street name Spice.

Compared to natural marijuana, Spice usually has a stronger effect5 and higher potential for toxicity. 

The chemical compound of Spice coats plant material, making it look like marijuana. You can smoke Spice like regular weed, snort it, or eat it. Its side effects include acute psychosis, anxiety, tachycardia, confusion, paranoia, and delusions. 

Phenethylamines

Phenethylamines are synthetic hallucinogens6, called 2Cs for their 2 connecting carbon molecules. Other street names include N-Bomb, based on the chemical name 25I-NBOMe. They communicate with serotonin receptors in the brain7. 

Phenethylamines recently hit the U.S. market after they were made to research serotonin receptors7. You can snort, smoke, inject, or swallow N-Bomb as a liquid or powder. After use, side effects like depersonalization, delirium, extreme confusion, violence, tachycardia, hyperreflexia, bizarre behavior, and heart failure can occur. 

Arylcyclohexylamines

Arylcyclohexylamines cause a dissociative high. The drug compounds of arylcyclohexylamines include ketamine, phencyclidines (PCP)8, and more. PCP goes by the street name “angel dust” as it’s typically “dusted” over marijuana and tobacco before smoking. Many synthetic arylcyclohexylamines were originally designed as anesthetics. PCP began that way too, before retiring to a veterinary anesthetic for its side effects. 

Ketamine isn’t as strong as PCP but still has addictive potential, especially at higher doses. Smaller doses, however, can be therapeutic. 

These designer drugs can cause violent behavior, hallucinations, amnesia, coma, ataxia, catatonia, and tachycardia. 

Tryptamines

Everyone has naturally occurring tryptamines—serotonin, melatonin, and others. But synthetic tryptamines act as hallucinogens9. They typically mimic the effects of LSD and DMT (psychedelic found in plants and animals). Street names include “Foxy”, “Foxy-Methoxy”, “Alpha-O”, and “5-MEO”. 

Tryptamines cause hallucinations and some stimulant effects9. They can also cause agitation, muscle tension, death, and rhabdomyolysis. Designer tryptamines come as pills, capsules, powders, or a liquid. 

Piperazines

Piperazines cause many of the same effects as ecstasy10, a stimulant. Similar to ecstasy, they’re marketed toward party-goers and even created to look like ecstasy. Its slang names include “party pills”, “Jax”, “Legal E”, “Flying Angel”, and “Pep X”.

Piperazines gained popularity worldwide as a mislabeled legal alternative to meth and MDMA (ecstasy)10. There’s little regulation or control over piperazines, making them an especially risky designer drug.

After taking piperazines, which come as a pill or powder, you might experience seizures, hallucinations, kidney failure, and respiratory acidosis.  

Pipradrol

Pipradrol, a stimulant11, was first used as an antidepressant. It was also used to treat dementia and obesity. But pipradrol was quickly recalled due to its potential for abuse. Its effects mirror amphetamines—without some of the undesirable side effects. Pipradrols suppress appetite and don’t cause noticeable overexcitement, like other stimulants.

Pipradrol’s street names include MRD-108 and Alpha. Its toxic effects include hallucinations, death, anxiety, nausea, and convulsions. 

Cathinones

Cathinones mimic cocaine12, ecstasy, and MDMA as designer central nervous system stimulant. They’re commonly called bath salts and cause a sense of euphoria. Being marketed as a designer drug, you can find bath salts online, in gas stations, smoke shops, and adult stores. 

Other street names include “Bliss,” “Blue Silk,” “Glass Cleaner,” and “Super Coke.” The active ingredient in cathinone comes from a khat plant. Scientists synthesized a drug based on the khat plant to form bath salts, which look like small, opaque rocks. Taking bath salts can cause psychosis, confusion, violence, hypertension, seizures, death, paranoia, and delusions. 

The makers of designer drugs suggest they’re a fun alternative to “real” drugs. Or, a way to take drugs without getting caught—or without accidentally hurting yourself. 

But neither proves true.

Are Designer Drugs Addictive?

Yes. Some designer drugs could be even more addictive than the drug they’re copying. Fentanyl, for example, mimics natural opioids like heroin13—but it’s 50 times more potent.  

Most designer drugs are supposed to be addictive1. What begins as an experiment or coping tool can spiral out of control and into addiction. Because, with the easier accessibility of designer drugs, feeding the habit isn’t too difficult. Finding a reason to stop could feel unnecessary.

But you can. 

Getting Help for Designer Drug Use

 Designer drug addiction often responds well to the same treatments used for natural drug addictions. Some benzodiazepines can help1 with long-term treatment and withdrawal. 

Some patients confront their need for treatment in an emergency room. An ER can get you stabilized and ready for the next steps in treatment, like a residential rehab with 24/7 support.

In treatment, you’ll likely have group and individual therapy to address the thoughts and behaviors behind your addiction. You might also join 12 Step meetings, which encourage you to find support in your higher power and in your peers. Many rehabs take insurance to make the cost of care more affordable. And your family can heal with you too, since most rehabs also offer family services. 
Treatment for designer drug use has the potential to unlock a life of recovery. To learn more about your recovery resources, you can browse our list of rehabs with reviews, pricing, insurance information, and photos.