Spice Abuse question 1
What Is Spice?
“Spice” is a term commonly used to refer to a blend of dried plant material that is laced with a synthetic cannabinoid. It is also regularly referred to as “synthetic marijuana.” Other names include “K2,” “Moon Rocks” and “Skunk.”
Synthetic cannabinoids encompass a large category of manmade substances that, while structurally diverse, all function similarly to that THC – the active chemical responsible for the effects of cannabis. The primary effects of these compounds derive from their actions as cannabinoid receptor agonists in the brain.
Since its appearance on the market in the early 2000’s, Spice has risen in popularity at an alarming rate. The pervasive misconception that products like Spice and K2 are safe, harmless, and even legal alternative to marijuana have likely fueled their rise in popularity.
For many years, Spice was readily obtained from any specialty shop, gas station, or even ordered off the internet, with its packaging claiming the contents to be “natural.” However, this is not true. In fact:
- The ingredients used to make it are not natural.
- These synthetic cannabinoids carry with them a very high potential for abuse.
- The subtances do not provide any medical benefit.
Within the last several years, the Drug Enforcement Administration (DEA) has added five of the active chemicals from spice to the Schedule I list of controlled substances, thereby making it illegal to buy, sell, or possess them.
Spice Abuse question 2
Spice Abuse question 3
Signs and Symptoms of Use
Symptoms of Spice abuse vary and can include physical and cognitive symptoms.
Physical Signs and Symptoms
Other adverse effects can include:
- Excessive sweating.
- Slurred speech.
- Greatly increased hunger or thirst.
Cognitive Signs and Symptoms
Synthetic marijuana products such as Spice and K2 often cause a disproportional level of activity in the central nervous system compared with natural cannabis-derived molecules. This is associated with changes in the brain leading to increased risks of the psychiatric disorder schizophrenia, which has a range of symptoms including:
- Increased anxiety.
- Disordered thinking.
Schizophrenic symptoms may precipitate into abnormal, erratic or even violent behavior. Some scientists believe that repeated or high-dose use of synthetic marijuana may lead to increased risks of the symptoms mentioned above. Studies have found that the use of Spice is indeed likely to be associated with increased risks of symptoms such as agitation and paranoia.
The use of Spice (and natural cannabinoids) is associated with other negative effects including:
- Emotional 'blunting' (e.g. the absence of appropriate emotional responses).
- Reduction of co-ordination and responses to motor cues.
- Personality changes.
- Decreased or dysfunctional social interactions.
These drugs may also be associated with diminished cognitive functioning, including difficulties with:
- Short-term and working memory.
- The ability to process and apply complex concepts.
Spice (and THC) may also adversely affect attentional and decision-making processes.
Some researchers claim there are other risks associated with the use of Spice—most notably, kidney damage. In most cases, products used as Spice or K2 are not intended for (or approved for) human use—increasing the risk that users may ingest contaminants and unknown toxins along with the drugs.
The adverse effects of some forms of Spice (as well as their effects when combined with other drugs) are not as well documented and studied as some others. These unknowns can place users at additional risk of unexpected side effects and overdose.
There are isolated cases of cardiac arrest following synthetic cannabis use, including one in a 16-year old girl and another in a 56-year old man.
In the media, cannabinoid use is often linked to rapid-onset psychosis, psychosis that lasts for a short time after intake, and to psychosis that persists long after intake. However, research on this relationship has found that risks may not be due to drug use alone; it is also influenced by other factors associated with the risk of psychiatric disorder, such as:
- Abuse during childhood.
- Age at which cannabinoid use was initiated.
- Genetic predisposition.
Spice Abuse question 4
Spice Abuse question 5
Spice Abuse Treatment
Stopping may seem difficult, but is often much easier with treatment. Treatment is also often the best route to recovery and achieving long-term abstinence from any drug.
Treatment associated with the abuse of Spice includes medications and other therapies that address psychotic and other neurological symptoms. This may require long-term courses of treatment, particularly in the case of schizophrenia-related symptoms. Users may also face a cohort of withdrawal symptoms, which may include:
- Nausea and/or vomiting.
- Sleep disturbances.
An inpatient program that includes medically supervised detoxification (or treatment for withdrawal) will help the patient maintain as much comfort as possible through this process. Further treatment may include:
- Inpatient or Residential Care, in which the patient lives at the facility for a specified period of time (typically 30-90 days) to focus on sobriety.
- Outpatient (more flexible) Care , which incorporates elements of inpatient rehab – including regular counseling, addiction education and relapse prevention skills – but allows the patient to live at home.
Patients seeking help for Spice abuse and/or dependence may also require support and continuing therapy after this initial treatment. This is known as aftercare, and is ideally maintained as a part of a patient's life to enhance recovery and avoid a return to using Spice. Aftercare may be in the form of:
- Psychotherapy such as counseling or cognitive-behavioral therapy.
- Contingency management (an incentive-based means of enhancing abstinence and recovery).
- Sober living resources or residential services.
The choice of therapy, however, ultimately depends on the needs and preferences of the patient.
Do I Need Treatment?
Treatment may be necessary if you find that a Spice habit is taking up a disproportional amount of your time and resources. Abuse is also likely if you notice the unpleasant effects as above on an increasing or regular basis, feel unable to stop using a drug, or that life is less enjoyable or bearable without it.
Stopping may seem difficult, but is often much easier with treatment. Treatment is also often the best route to recovery and achieving long-term abstinence from any drug. To learn more about treatment options for Spice, call 1-888-744-0069Who Answers? to speak to someone who can walk you through what you need to know.
Spice is quite popular among adolescents and young adults. Estimates have suggested that its use falls second only to marijuana use among high school seniors.
Ease of access and the belief that the drug is a safe alternative to marijuana are contributing factors to the drug’s popularity among this population.
Moreover, Spice may also appear more attractive because it is not readily detected on standard drug tests.
If you suspect your teen is abusing the drug, take the time to talk with them about the risks and potential long-term effects of this habit.
Who's Abusing Spice?
- Some reports claim that synthetic cannabinoids like Spice/K2 are associated with higher incidences of adverse events requiring hospital admissions compared to 'natural' cannabis-derived drugs.
- A recent worldwide survey found that of 23 out of 950 responding users had visited emergency medical facilities as a result of using these drugs.
- The SAMHSA CBHSQ report for 2011 found that more than 28,000 emergency department visits (about 21% of which were made by women) could be attributed to taking Spice.
Resources, Articles and More Information
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Spice Abuse question 6
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- Ware MA, St Arnaud-Trempe E. The abuse potential of the synthetic cannabinoid nabilone. Addiction. 2010;105(3):494-503.
- Brewer TL, Collins M. A review of clinical manifestations in adolescent and young adults after use of synthetic cannabinoids. J Spec Pediatr Nurs. 2014;19(2):119-126.
- Morgan CJ, Curran HV. Effects of cannabidiol on schizophrenia-like symptoms in people who use cannabis. Br J Psychiatry. 2008;192(4):306-307.
- Manrique-Garcia E, Zammit S, Dalman C, Hemmingsson T, Andreasson S, Allebeck P. Cannabis, schizophrenia and other non-affective psychoses: 35 years of follow-up of a population-based cohort. Psychol Med. 2012;42(6):1321-1328.
- Mills B, Yepes A, Nugent K. Synthetic Cannabinoids. Am J Med Sci. 2015;350(1):59-62.
- Davis C, Boddington D. Teenage Cardiac Arrest Following Abuse of Synthetic Cannabis. Heart Lung Circ.
- Lam PW, Frost DW. Nabilone therapy for cannabis withdrawal presenting as protracted nausea and vomiting. BMJ Case Rep. 2014;2014.
- Dragt S, Nieman DH, Schultze-Lutter F, et al. Cannabis use and age at onset of symptoms in subjects at clinical high risk for psychosis. Acta Psychiatr Scand. 2012;125(1):45-53.
- Winstock AR, Barratt MJ. The 12-month prevalence and nature of adverse experiences resulting in emergency medical presentations associated with the use of synthetic cannabinoid products. Hum Psychopharmacol. 2013;28(4):390-393.
- Baumeister D, Tojo LM, Tracy DK. Legal highs: staying on top of the flood of novel psychoactive substances. Therapeutic Advances in Psychopharmacology. 2015;5(2):97-132.