Pubdate: Sun, 18 Nov 2001
Source: Associated Press (Wire)
Copyright: 2001 Associated Press
Author: Martha Irvine

ADD STIMULANTS BIG ON BLACK MARKET

She had no idea she had a popular party drug on hand.

To her, the vial of prescription pills she'd once been given to treat 
attention deficit disorder were just leftovers, until a friend from 
New York called to ask if she'd mail out a few - just for fun.

The woman, a 29-year-old San Diego resident, didn't do it. But she 
and her friends were intrigued.

"We said, 'We should just try it. It could be fun,"' says the woman 
who, on the condition that she not be named, told how they partied on 
the drug once this summer and again in September.

In this case, the stimulant of choice was Adderall, an amphetamine. 
Others use methylphenidate, another attention-deficit drug more 
widely known by one of its brand names: Ritalin.

Whatever the type, authorities are concerned about ADD drug abuse.

Some unprescribed users are adults. But experts say many are young 
people - a good number of them grade schoolers, who get the drugs 
from peers being treated for ADD.

"They've got pretty easy access to it," says Steve Walton, a 
detective with the Calgary Police Service in Canada and author of the 
book "First Response Guide to Street Drugs."

Users often crush the pills and snort them to get a cocaine-like rush.

Walton says he's also found youth who frequent the rave dance-party 
scene "stacking" the drug Ecstasy with Ritalin to try and prolong 
their high. He calls the practice "alarming."

Reports of ADD stimulant abuse continue to surface in this country, 
too. They include the case of two rural teens arrested in January for 
stealing $9,700 worth of drugs, including Ritalin and amphetamines, 
from a pharmacy in tiny Lacon, Ill.

In March, 11 sixth-graders in Scituate, R.I., were suspended for 
buying and selling prescription drugs, including Adderall and 
Concerta, a newer form of methylphenidate.

Surveys of young people - from Massachusetts to the Midwest - also 
have documented the trend.

One of them, published in this month's Psychology in the Schools 
journal, focussed on 651 students, ages 11 to 18, from Wisconsin and 
Minnesota.

Researchers found that more than a third of students who took 
attention-deficit medication said they'd been asked to sell or trade 
their drugs. And more than half of students who weren't prescribed 
the medication said they knew students who gave away or sold their 
medication.

"I've been trying to tell anyone who will listen," says William 
Frankenberger, study co-author and a psychology professor at the 
University of Wisconsin-Eau Claire. "People don't realize what these 
drugs are - and that the similarities between them and cocaine are 
much greater than the differences."

Officials at the federal Drug Enforcement Administration say abuse of 
prescription stimulants became more common in the last five years, as 
production of Ritalin increased and other drugs were introduced into 
the marketplace.

But some, including doctors, wonder if new "time-release" versions of 
the drugs are slowing the abuse.

They include Concerta, taken just once a day - so an ADD child 
doesn't have to bring the drugs to school. Time-release versions are 
also more difficult to crush and, thus, snort, says Dr. Timothy 
Wilens, a Harvard Medical School psychiatry professor.

A national survey released in September by the General Accounting 
Office found that only 8 percent of principals said stimulant drugs 
were abused or stolen in their schools in the 2000-2001 school year. 
Most of those said they knew of only one incident.

But Terrance Woodworth, deputy director of the DEA's diversion 
control office, isn't convinced that abuse is down.

In fact, he thinks the age range is expanding - even as makers of 
some of the drugs, including Ritalin, have launched their own 
education campaigns to try to curb misuse.

"The kids who were abusing in junior high and high school are now in 
college," Woodworth says. That has caused some colleges, including 
the University of Wisconsin, to tighten prescription-writing 
procedures for such drugs as Ritalin, which some students call 
"Vitamin R" and use to help them pull all-nighters.

Although alcohol abuse remains a much worse and visible problem, 
students on the Madison campus can only get one prescription per 
month - and only enough pills for that month, says Dr. Eric 
Heiligenstein, clinical director of psychiatry at the University of 
Wisconsin Health Services.

At Harvard, Wilens advises his patients, especially students, to 
"keep their medications locked away in clandestine places so that 
strays don't steal it from them."

He says those on the medication aren't usually the abusers. In fact, 
a study he presented last month at the American Academy of Child and 
Adolescent Psychiatry conference found that those who were treated 
with prescription stimulants were half as likely to abuse alcohol or 
drugs.

For her part, the 29-year-old from San Diego says she has no plans to 
party with Adderall again.

"I just try to remember how I felt after," she says, recounting that 
a feeling of "utmost clarity" turned to insomnia and left her 
"crashed out and overdone" the following day.

Then in the next breath, she admits she's kept 20 of the pills.

"I don't know why," she says. "Maybe for a special occasion."
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