Let's Be Clear:Not all Prescriptions Are the Same
- Understanding Substances
- Prescription Misuse
Some medications have a higher risk of misuse. Prescription medications are only safe when used correctly by the person they were prescribed to.
Commonly Misused Prescription Medications
Depressants
Definition: Depressant substances reduce arousal and stimulation. They affect the central nervous system, slowing down the messages between the brain and body.
Prescribed to treat: Anxiety, panic attacks, seizures and insomnia
Brand names: Xanax, Ativan, Valium, Ambien, Lunesta, Sonata
Misuse: Can happen when someone takes depressants to cope with mental health symptoms or to manage stress
Stimulants
Definition: Stimulants increase the activity of the central nervous system and reverse the effects of fatigue on both mental and physical tasks.
Prescribed to treat: Attention-deficit/hyperactivity disorder (ADHD), narcolepsy and for short-term treatment of obesity
Brand names: Adderall, Dexedrine, Vyvanse
Illegal Stimulants include: Methamphetamine (meth), cocaine, MDMA and bath salts
Misuse: Can happen when people take stimulants for weight loss, to help focus or to improve athletic performance
Opioids
Definition: Opioids are natural, semi-synthetic, or synthetic chemicals that interact with opioid receptors in the body and brain to reduce perception of pain.
Prescribed to treat: Severe pain; they are highly addictive and should only be used as directed by a licensed healthcare professional
Brand names: OxyContin, Percocet, Vicodin, Fentanyl
Misuse: Can happen when taken in a way not prescribed, such as taking a higher dose, using someone else’s prescription or using medications to achieve a high.
Know Your Substances
Just like substances have evolved, so has the way people talk about them with different nicknames and even emojis. The more you know, the easier it will be to protect yourself and your loved ones.
Prescribed to Treat Pain
Opioids
Fentanyl
Brand Name: Actiq, Sublimaze Fentora, Abstral, Subsys, Lazanda, Duragesic
Street Names: Apache, China Girl, China White, Dance Fever, Friend, Goodfella,
Jackpot, Murder 8, Tango and Cash, TNT
Oxycodone
Brand Name: OxyContin®
Street Names: 30s, As, Berries, Blues, Blueberries, Hillbilly Heroin, Ms, O.C., Oxy, Oxycet, Oxycotton, Ozone, Roxy
Brand Name: Percocet®
Street Names: Ercs, Greenies, Kickers, M-30s, Percs, Rims, Tires, Wheels, 512s
Codeine
Street Names: Captain Cody, Cody, Little C, Schoolboy
Morphine
Brand Name: Duramorph®, MS Contin® Oramorph SR, MSIR, Roxanol, Kadian, RMS
Street Names: God’s Drug, M, Miss Emma, Monkey, Morpho, White Stuff, Dreamer,
Emsel, First Line, Mister Blue
Prescribed to Treat Anxiety, Seizures and Insomnia
Benzodiazepines
Lorazepam
Brand Name: Ativan®
Street Names: Bars, Benzos, Blues, Candy, Chill Pills, Downers, Nerve Pills, Planks,
Tranks, Zannies
Diazepam
Brand Name: Valium®
Street Names: Eggs, Jellies, Moggies, Vallies
Alprazolam
Brand Name: Xanax®
Street Names: Bars, Footballs, French Fries, Ladders, School Bus, Xan, Xannies, Z-Bars
Prescribed to Treat Attention-Deficit Hyperactivity Disorder and Narcolepsy
Prescribed Stimulants
Adderall
Brand Name: Adderall®, Dexedrine®, Ritalin®, Concerta®
Street Names: Kibbles and Bits, R-Ball, The Smart Drug, Vitamin R, Bennies, Black Beauties, Hearts, Skippy, Uppers, Beans, Amps
Lisdexamfetamine
Brand Name: Vyvanse®
Street Names: Uppers, Speed, Pick-Me-Ups, Crosses, Hearts
Methylphenidate
Brand Name: Ritalin® Concerta®
Street Names: Kibbles and Bits, R-Ball, The Smart Drug, Vitamin R
Illegally Manufactured, Unregulated, Highly Addictive Dangerous Drugs
Illicit Stimulants
Methamphetamine
Street Names: Chalk, Christina, Cookies, Crank, Cream, Crystal, Crystal Meth, Ice, Meth, No Doze, No Stop, Pookie, Rocket Fuel, Scooby Snacks, Speed, Trash, Tweek, Wash, White Cross
Cocaine
Street Names: Aunt Nora, Batman, Big C, Big Rush, Blow, Candy, Charlie, Coca, Coke, Colombia, Crack, Pearl, Powder, Rail, Snow, Stardust, Stash, White Girl
Crack Cocaine
Street Names: Crack, Dice, Garbage, Grit, Hail, Moon Rocks, Nuggets, Sleet,
Sugar Block, Tornado, Trash, Trey, Yam, Yay
Illegally Manufactured, Unregulated Drugs
Psychoactive & Depressants
Heroin
Street Names: Black Tar, Black Pearl, Black Stuff, Brown Crystal, Brown Rhine, Brown Sugar, Brown Tape, China White, Dope, Dragon, The Dragon, H, He, Horse, Junk, Mud, Number 3, Number 4, Number 8, Sack, Scat, Skag, Skunk, Smack
Marijuana
Street Names: 420, Bud, Broccoli, Cheeba, Chronic, Dope, Flower, Ganja, Grass, Green, Hash, Herb, Hot Stick, Jane, Jay, Jolly Green, Mary Jane, Pot, Roach, Reefer, Skunk, Smoke, Trees, Weed
MDMA Ecstasy
Street Names: Adam, Beans, Candy, Clarity, Dancing Shoes, Disco Biscuits, E, E-Bomb, Egg Rolls, Eve, Happy Pills, Lover’s Speed, Molly, Peace, Rolls, Smartees, The Vowel, Vitamin E, Vitamin X
Mushrooms
Street Names: Caps, Magic Mushrooms, Shrooms
Mixing Substances and Alcohol
Mixing opioids with alcohol or other substances is dangerous – and often deadly. This combo can make the effects of opioids even more hazardous, leading to severe health issues like respiratory failure, coma or death.
People may think there’s a safe way to combine substances since they’ve done it before or know people who have. The truth is, your body can react differently every time. Mixing substances is never safe.
Let’s Be Clear:
If It’s Not for You From Your Doctor, It’s Not Safe.
What Can Happen When You Mix Substances
Mixing More Than One Stimulant
Stimulants can increase your heart rate and blood pressure to dangerous levels.
Increased risk for:
- Brain injury
- Liver damage
- Heart attack
- Stroke
Signs of an Overdose:
- Fast/troubled breathing
- Increased body temperature
- Nausea or vomiting
- Chest pain
- Seizures
Mixing Depressants and Opioids
Depressants like alcohol or benzodiazepines can slow your breathing and increase your risk of overdose.
Increased risk for:
- Damage to your brain and other organs
- Overdose
- Death
Signs of an Overdose:
- Slow breathing
- Weak pulse
- Altered mental state or confusion
- Passing out
Mixing Stimulants and Depressants
Mixing stimulants and depressants doesn’t balance or cancel them out. If stimulants are mixed with depressants, the body is placed under a lot of stress as it tries to deal wih the competing effects.
Increased risk for:
- Heart problems
- Respiratory infections and bronchitis
- Dehydration, overheating and kidney failure
- Death
Signs of an Overdose:
- Can be unpredictable
- You may think the drugs are not affecting you, making symptoms harder to identify
Overdose Information
Knowing the signs of an opioid overdose can save lives. Look for:
- Small, pinpoint pupils
- Limp body
- Unable to stay awake
- Loss of consciousness
- Slow or shallow breathing
- Choking sounds or gurgling noises
- Pale, blue or cold skin
- Fingernails or lips turning blue, purple, grey
- No response when you call the person’s name
If you aren’t sure if a person is experiencing an overdose, treat it like one.
1. Call 911 Immediately
2. Follow Dispatch Instructions
3. Administer Naloxone
4. Try to Keep the Person Awake and Breathing
5. Lay the Person on Their Side to Prevent Choking
6. Stay with the Person Until Emergency Assistance Arrives
*South Dakota law protects a person who is overdosing and the person who called for help from legal trouble.
Safe Storage & Disposal
If you have medications at home, especially opioids, keep them locked in a secure place out of reach from anyone who shouldn't have them. When you're done with them, don't just toss them in the trash. Find a local take-back program or use a medication disposal packet to dispose of them safely.