The incidence of prescription drug abuse, overdose and death has skyrocketed over the past few years and has been exacerbated by the isolation associated with the COVID pandemic. At the same time there has been a world-wide insurgence in the misuse and abuse of over-the counter (OTC) medications by adolescents and young adults. Individuals have false perceptions that OTC drugs are innocuous since they are easy to purchase, inexpensive, readily available and considered to be safe. The “pharming phenomenon” involving the non-medical use of OTC drugs often accompanies the use of alcohol and illicit drugs.

OTC drugs are typically abused to achieve a “high” that results in euphoria and a dissociative state with hallucinations. The consequences of misuse/abuse of OTC drugs may be severe resulting in agitation, tachycardia, psychosis and seizures and potential life-threatening complications. The risk of significant morbidity increases when OTC medications are used in combination with alcohol and other recreational drugs. Dependence and withdrawal symptoms (confusion, irritability, agitation, anxiety and mood changes) are not uncommon.

This session will cover the vaping as well as commonly abused OTC medications; as well as Tianeptine, exotic plant material Kratom, and their roles in the Opioid Epidemic.