Addiction medicine expert Dr. Kevin Cotterell of the South Oaks Hospital in Amityville, L.I., offers a quick primer on opioids:
EFFECTS: All opioids (heroin, fentanyl, codeine, dilaudid, oxycodone, morphine, Percocet) can cause euphoria. All but heroin are used mainly for treatment of pain.
Opioids are addictive. The danger, especially among addicts or heavy users, is that they can also suppress respiration. In a lethal overdose, the opioids stop the victim’s breathing. A frequent side effect is constipation.
THE OPIOID OVERDOSE TRIAD: The three signs of an opioid overdose are pinpoint pupils, unconsciousness and drastically depressed breathing.
HEROIN: The fastest-acting opioid, it takes effect in as little as eight seconds. Often the refuge of drug addicts who started with prescription drugs before turning to the cheaper street drug. Can be shot, snorted or smoked.
FENTANYL: Among the most powerful opioids, it was cited in the death of Prince.
CODEINE: The most readily available, in cough syrup or in Tylenol.
OXYCODONE: The active ingredient in pain relief medications including Percocet, Percodan and OxyContin.
THE LONGEST LASTING: Methadone. A single dosage can last up to 36 hours.
PARTICULARLY DANGEROUS: Heroin laced with fentanyl, a deadly combination.
WARNING SIGNS FOR PARENTS: Your child appears loopy or drowsy, prone to nodding out, with constricted pupils.
WITHDRAWAL SYMPTOMS: Hot/cold sweats, body aches, cramping abdominal pains.
NEW DRUGS: The NYPD identifies two new, deadly drugs — carfentanil, a synthetic opioid used to tranquilize elephants, and U-47700, a research chemical seven times more powerful than morphine.
ABE: $ 5 worth of drugs.
BABY HABIT: Part-time drug use.
PINK: Nickname for drug U-47700.
TRIPLE-C: Coricidin Cough & Cold capsules. Users refer to the high from the active ingredient DMX as “ciding.”
CAPTAIN CODY: Robitussin with codeine. Also called “Robo” or “Tussin.” Mixed with soda, it’s known as “purple drank” or sizzurp.
JUICE: Dilaudid. Also called “footballs.”
APACHE: Fentanyl. Also called “TNT.”
SMACK: Heroin. Also called “dope” or “ skag.”
CHIPPER: Occasional heroin user.
JAMMED: High on OxyContin.
MISS EMMA: Morphine. Also called “M.”
CHINESE MOLASSES: Opium. Also called “ easing powder.”
KICKERS: OxyContin. Also called “Oxycottons,” “OC,” or “hillbilly heroin.”
SCRIPT: Prescription for drugs.
STREET PHARMACY: Illegal drug dealing operations.