This document summarizes drug schedules, categories, signs and symptoms, and relevant Missouri criminal codes. It discusses the 5 schedules of controlled substances and provides examples of drugs that fall under each schedule. It also outlines categories of drugs including CNS depressants, stimulants, hallucinogens, dissociative anesthetics, narcotic analgesics, inhalants, and cannabis. For each category, common signs and symptoms of impairment are identified. Finally, the document summarizes several Missouri criminal codes pertaining to possession, distribution, and manufacturing of controlled substances.

1. Drug Identification and Enforcement FTO Damon Dees 184 BJH Dept. of Public Safety

3. Identify Drug Categories and Examples

4. Identify Signs and Symptoms

5. Identify Missouri Criminal CodeLesson Objectives

6. Each of the controlled substances is identified under one of five schedules. Controlled Substances and appropriate schedules listed under RSMo §195.017 Schedule I Schedule II Schedule III Schedule IV Schedule V Drug Schedules

8. Examples:

9. LSD, Marijuana, Heroin, GHB, Methaqualone aka Quaalude, Amphetamine Variants aka Ecstasy, Psilocybin aka shrooms, Phencyclidine & Anologs aka PCPDrug Schedules

11. Examples:

12. Amphetamine, Cocaine, Methamphetamine, Methyl-phenidate aka Ritalin, Tetrahydrocannabinol aka THC, Codeine, Methadone, Morphine, Opium, OxycodoneDrug Schedules

14. Examples:

16. Examples:

18. Examples from RSMo §195.017(a) Not more than two and five-tenths milligrams of diphenoxylate and not less than twenty-five micrograms of atropine sulfate per dosage unit; (b) Not more than one hundred milligrams of opium per one hundred milliliters or per one hundred grams; (c) Not more than five-tenths milligram of difenoxin and not less than twenty-five micrograms of atropine sulfate per dosage unit;

19. CNS Depressants CNS Stimulants Hallucinogens Dissociative Anesthetic Narcotic Analgesics Inhalants Cannabis Drug Categories

21. Alcohol Barbiturates (Mebural and Nembutal) Benzodiazepines (Xanax and Valium) Gamma-hydroxybutyrate (GHB) CNS Depressants

22. Signs and Symptoms CNS Depressants

23. Horizontal Gaze Nystagmus – Present Vertical Gaze Nystagmus – Present in high dose Lack of Convergence – Present Pupil Size – Normal (1) Reaction to Light – Slow Pulse – Down (2) Blood Pressure – Down Body Temperature – Normal Muscle Tone – Flaccid 1 – Soma & Quaaludes usually dilate 2 – Quaaludes & Alcohol may elevate CNS Depressant Signs

24. Uncoordinated Disoriented Sluggish Thick, slurred speech Drunk like behavior Gait ataxia Drowsiness Droopy Eyes Fumbling CNS Depressant Symptoms

25. CNS Depressants Barbiturates

27. Cocaine/ Crack Amphetamines, Desoxyn, Dexadrine *(ADHD) Methamphetamines Ritalin Adoral CNS Stimulants

28. CNS Stimulants Signs and Symptoms

29. Horizontal Gaze Nystagmus – None Vertical Gaze Nystagmus – None Lack of Convergence – None Pupil Size – Dilated Reaction to Light – Slow Pulse – Up Blood Pressure – Up Body Temperature – Up Muscle Tone - Rigid CNS Stimulant Signs

30. Restlessness Body Tremors Excited Euphoric Talkative Anxiety Grinding Teeth (Bruxism) Loss of Appetite Insomnia Irritability Dry Mouth CNS Stimulant Symptoms

31. CNS Stimulants Cocaine Meth

32. CNS Stimulants

33. CNS Stimulants Ice Meth

34. CNS Stimulants

35. CNS Stimulants

37. Lysergic Acid Diethylamide, “LSD” Psilocybin Mushrooms Peyote Methylenedioxymethamphetamine, MDMA, “Ecstasy” Hallucinogens

38. Hallucinogens Signs and Symptoms

40. Vertical Gaze Nystagmus – none

41. Lack of Convergence – none

42. Pupil Size – Dilated

43. Reaction to Light – Normal (3)

44. Pulse – Up

45. Blood Pressure – Up

46. Body Temperature – Up

47. Muscle Tone – Rigid3 Certain psychedelic amphetamines cause slowing Hallucinogen Signs

48. Dazed Appearance Body Tremors Synesthesia (4) Hallucinations Paranoia Uncoordinated Nausea Difficulty in Speech Perspiring Poor Perception of Time and Distance Memory Loss 4 – Brain’s misinterpretation of senses Hallucinogen Symptoms

49. Hallucinogens Ecstasy

50. Hallucinogens LSD

51. Hallucinogens LSD

52. Hallucinogens

53. Hallucinogens

55. Ketamine Phencyclidine “PCP” Dissociative Anesthetic

56. Dissociative Anesthetic Signs and Symptoms

57. Horizontal Gaze Nystagmus – Present Vertical Gaze Nystagmus – Present Lack of Convergence – Present Pupil Size – Normal Reaction to Light – Normal Pulse – Up Blood Pressure – Up Body Temperature – Up Muscle Tone - Rigid Dissociative Anesthetic Signs

59. Warm to the Touch

60. *Blank Stare

61. Difficulty in Speech

62. Incomplete Verbal Responses

63. Repetitive Speech

64. *Increased Pain Threshold

65. Cyclic Behavior

66. Confused and Agitated

67. Hallucinations

68. Possibly Violent & CombativeDissociative Anesthetic Symptoms

69. Dissociative Anesthetic

70. Dissociative Anesthetic

72. Heroin Morphine Oxycotin Demerol Fentanyls Narcotic Analgesics

73. Narcotic Analgesics Signs and Symptoms

74. Horizontal Gaze Nystagmus – None Vertical Gaze Nystagmus – None Lack of Convergence – None Pupil Size – Constricted Reaction to Light – Little or None Visible Pulse – Down Blood Pressure – Down Body Temperature – Down Muscle Tone - Flaccid Narcotic Analgesic Signs

76. “On the Nod”

77. Drowsiness

78. Low, slow raspy speech

79. Dry mouth

80. Facial Itching

81. Euphoria

82. Nausea

83. Fresh puncture marks

84. Track marksNarcotic Analgesic Symptoms

85. Narcotic Analgesics

86. Narcotic Analgesics

87. Narcotic Analgesics

89. Volatile Solvents Glue, acetone, gasoline Aerosols Hair spray, cooking spray Anesthetic Gases NO₂ , ether Inhalants

90. Inhalants Signs and Symptoms

91. Horizontal Gaze Nystagmus – Present Vertical Nystagmus – Present in high dose Lack of Convergence – Present Pupil Size – Normal (5) Reaction to light – Slow Pulse – Up Blood Pressure – up/down (6) Body Temperature – up/down/normal Muscle Tone – flaccid 5 Normal but may be dilated 6 Down with anesthetic gases – up with volatile solvents & aerosols Inhalants Signs

92. Residue of substance around mouth and nose Odor of substance Possible nausea Slurred Speech Disorientation Confusion Bloodshot, watery eyes Lack of muscle control Flushed face Non-communicative Intense headaches Inhalants Symptoms

93. Inhalants

95. Marijuana Hashish Cannabis

96. Cannabis Signs and Symptoms

97. Horizontal Gaze Nystagmus – none Vertical Nystagmus – none Lack of convergence – present Pupil size – dilated (7) Reaction to light – normal Pulse – up Blood Pressure – up Body Temperature – normal Muscle Tone – normal 7 Possibly normal Cannabis Signs

98. Marked reddening of conjunctiva Odor of Marijuana Body tremors Eyelid tremors Relaxed inhibitions Increased appetite Impaired perception of time & distance Disorientations Possible paranoia Cannabis Symptoms

99. Cannabis

100. Cannabis Nepalese Columbian Thai

101. Cannabis Maui

102. Cannabis

103. Cannabis

105. Chapter 195 RSMo defines and regulates the use of controlled substances. http://www.moga.mo.gov/statutes/c195.htm Missouri Criminal Code

106. A person commits the crime of possession of a controlled substance if he/she: Knew of the presence of the substance; AND Knew of the illegal nature of the substance; AND Had actual or constructive possession of the substance; AND The substance was a controlled substance. Penalty varies §195.202 Possession or control of a controlled substance, penalty.

107. A person to whom or for whose use any controlled substance in Schedule II has been prescribed, sold, or dispensed by a physician, dentist, podiatrist, or pharmacist, or other person authorized under the provisions of section 195.050 and the owner of any animal for which any such drug has been prescribed, sold, or dispensed, by a veterinarian, may lawfully possess it only in the container in which it was delivered to him by the person selling or dispensing the same. §195.110 User of controlled substance to keep it in container in which obtained.

108. Knowingly Distributes; OR Delivers; OR Manufactures; OR Produces A controlled substance; OR Attempts to Distribute; OR Deliver; OR Manufacture; OR Produce A controlled substance; OR Knowingly possesses with the intent to Distribute; OR Deliver; OR Manufacture; OR Produce A controlled substance §195.211 Distribution, delivery, manufacture or production of a controlled substance, violations and attempted violations, penalty.

109. A person commits the crime of possession or use of drug paraphernalia if he/she: Uses, or possesses with the intent to use Paraphernalia; To plant propagate, cultivate, grow, harvest manufacture, compound, convert, produce, process, prepare, test, analyze, pack, repack, store, contain, conceal, inject, ingest, inhale, or otherwise introduce into the human body A controlled substance or imitation controlled substance. §195.233Use or Possession of Drug Paraphernalia

110. A person commits the crime of possession of ephedrine if he/she: Possesses any methamphetamine precursor drug; AND Possesses such substance with the intent to manufacture methamphetamine or its analogs. Class D Felony See §195.400 for list of regulated chemicals §195.246Possession of Ephedrine

111. It is unlawful for any person to possess chemicals listed in subsection 2 of section 195.400, or reagents, or solvents, or any other chemicals proven to be precursor ingredients of methamphetamine or amphetamine, as established by expert testimony pursuant to subsection 3 of this section, with the intent to manufacture, compound, convert, produce, process, prepare, test, or otherwise alter that chemical to create a controlled substance or a controlled substance analogue in violation of sections 195.005 to 195.425. A person who violates this section is guilty of a class C felony. The state may present expert testimony to provide a prima facie case that any chemical, whether or not listed in subsection 2 of section 195.400, is an immediate precursor ingredient for producing methamphetamine or amphetamine. §195.420Creation of Controlled substance

112. When dealing with unknown pills call Poison Control and they can Identify them by the numbers on the pill. 1-800-392-9111 Additional Information

113. Corporal Scott Connor – Sullivan Police Dept. Instructor at The Law Enforcement Training Institute at the University of Missouri – Columbia www.erowids.org Special Thanks to: