1. Alcohol & Drug Facts 2. Wise Use of Alcohol 3. How to Avoid Problems Alcohol is a depressant. It is the most widely used drug in the world.

• Ask your doctor about the risks of addiction with prescribed medicines, such as sleeping pills and pain pills. Ask if your problem can be treated • Some prescribed drugs without medicine. Sources of Alcohol and alcohol do not • Beer. This has about 5% alcohol. Lite beers have Effects of Alcohol in Your Blood Drug Facts mix. Some mixtures • Stop the use of prescribed pain pills as soon as you Alcohol & about 3% alcohol. Blood alcohol concentration (BAC) depends on how Drugs other than alcohol include: can be fatal. Don’t can. Don’t use more than you need. much alcohol you drink, your weight, and body water • Wine. This usually has between 11 and 14% alcohol. have alcohol with • Don’t socialize with drug and alcohol abusers. and fat content. For an online Blood Alcohol Calculator, • Some prescribed drugs. These include muscle prescribed drugs Drugs • Hard liquors (e.g., gin, rum, vodka, whiskey). The go to http://health.discovery.com/tools/calculators/ relaxants, stimulants, tranquilizers, and strong pain • If your friends insist that you drink alcohol or take What You Need To Know alcohol/alcohol.html. if the drug’s label word “proof” means 2 times the % of alcohol. For relievers, such as OxyContin. or your doctor tells drugs in order to be with them, just say NO! example, 100-proof means 50% alcohol. Weight Approximate BAC by Number of Drinks in 2 Hours • Marijuana you not to. Ask your • Talk to persons who will listen to your feelings (lbs.) 2 4 6 8 10 • Some medicines. Read the labels. • Illicit drugs: doctor if and how without putting you down. 120 - Male 0.06 0.12 0.19 0.25 0.31 much alcohol you can • One standard drink has about 1/2 oz. of pure – Cocaine / Crack • Seek help for mental health problems, such as 120 - Female 0.08 0.15 0.23 0.30 0.38 have if you take any alcohol. Examples are: – Ecstacy depression or chronic anxiety. – 12 oz. of regular beer 160 - Male 0.05 0.09 0.14 0.19 0.23 prescribed drugs. – Heroin • If you have been drinking or taking drugs, don’t – 8-9 oz. of malt liquor 160 - Female 0.06 0.11 0.17 0.23 0.28 – Opium • Know your limit and take part in risky behaviors. Examples are unsafe – 5 oz. of wine 200 - Male 0.04 0.08 0.11 0.15 0.19 stick to it. You may 1 – LSD and PCP sex, sharing needles, and using non-sterile needles. – 1 /2 oz. of 80-proof hard liquor (40% alcohol) 200 - Female 0.05 0.09 0.14 0.18 0.23 decide it is better not to (“angel dust”) drink at all. • Learn how to Alcohol has calories. BAC Effects – Date rape relax without Drink Calories 0.05% Relaxed state. Judgment is not as sharp. drugs (e.g., • Drink slowly. You are 0.06 to Blunted feelings. Impaired peripheral vision, alcohol or drugs. ® GHB, Rohypnol) apt to drink less. Permafold Topics 12 oz. of beer About 150 0.10%* depth perception, and reasoning. Develop healthy 1. Alcohol & Drug Facts 12 oz. of lite beer 75 to 115 0.11 to Mood swings. Slurred speech. • Inhalants. These are vapors from substances, • When you have a drink, interests. 2. Wise Use of Alcohol 5 oz. of wine 100 0.20% Reflexes and reaction time are impaired. such as glue, solvents, and paints that are used to set it down between sips. – Listen to calm 3. How to Avoid Problems 0.21 to Impaired memory and motor control. get “high.” music. 5 oz. of low-alcohol wine About 60 0.29% Stupor. Can lose consciousness. • In a mixed drink, use 4. Alcohol & Drug Abuse 1 Do deep 1 /2 oz. of 80-proof distilled spirits 100 0.30 to Deep sleep. Depressed breathing and heart rate. • As many as 28% of emergency room visits are less alcohol and more – 5. Alcohol & Drug 1 0.40%+ Unconsciousness. Death. breathing 1 /2 oz. of 100-proof distilled spirits 125 drug related. mixer. Dependence * 1 drink equals 1½ oz. 80-proof hard liquor, 12 oz. beer or wine cooler, or 5 oz. wine. exercises. • After you have 1 or (Addiction) Low-Risk Guidelines ** In the U.S., a BAC of 0.80% is the lowest indicator of driving while intoxicated. • About 14% of workers say they use at least – Do regular 2 drinks with alcohol, 6. How to Tell If You Have • In general, alcohol should be limited to: 1 illicit drug. exercise, such a Problem drink ones without alcohol. – Two drinks per day for men Harmful Effects of Alcohol • About 70% of all illegal drug users work full as swimming, 7. Getting Help – One drink per day for women and persons age • About 8% of people in the U.S. are dependent or part time. • Eat when you drink to slow alcohol absorption. jogging, or walking. on alcohol. 65 and older • Employees who abuse drugs cost their employers • If you drink when you eat out, order your drink – Learn something new. Take a class that interests • The leading cause of death for 15 to 24 year olds is with, not before, your meal. you. Spend time with a hobby that you enjoy. You Should Not Drink Alcohol If: vehicle accidents. Most involve alcohol use. about twice as much in medical and worker – Do things that you know and do well in order to About 1 in 4 persons who die from suicide in the compensation claims as their drug-free coworkers. • Don’t drink and drive. Designate a driver who will • You are pregnant. • R U.S. is intoxicated at the time. feel confident. eviewed not be drinking. and • You are under the legal age to drink, (e.g., 21 years old). Approved by the Advisory Board About 60% of drownings and homicides involve • Contact your Employee Assistance Person (EAP) at Senior Medical • • Coffee or fresh air cannot make you sober. To get • You are driving or operating equipment. alcohol use. work. He or she can help evaluate your risk level or This Permafold® is not meant to take the place of expert medical care • You are alcohol or drug dependent. sober, stop drinking. or treatment. Follow your doctor’s or health care provider’s advice. help you get treatment. 4. Alcohol & Drug Abuse 6. How to Tell If You 7. Getting Help Abuse is misusing alcohol or drugs. You are an The first step is to admit there is a problem. Often, abuser when you use alcohol or drugs and it leads Have a Problem the person who has the problem does not see the to one or more of the problems, listed below, in a harm that it causes. Other persons around him or 12-month period. her see the problem first. Knowing how harmful alcohol and drug abuse and dependence are can help a person seek treatment. For More Information, Contact:

Alcoholics Anonymous (AA) World Services 212.870.3400 or look in your local phone book • You fail to fulfill work, school, or home duties. www.aa.org Risk Factors for Alcohol/Drug Abuse and Signs of Alcohol/Drug Abuse and Dependence Gives names and phone numbers for local AA • You drink or use drugs and put you or others in Dependence Signs will depend on the substance. They include: groups. Gives materials on the AA program. danger (e.g., when you drive a car or operate Reasons to Get Help • Increased use and tolerance of alcohol or a drug • Drugs or items used to take drugs are found. machines). Examples are glass pipes (to smoke drugs); straws Alcohol and drug Al-Anon/Alateen World Service Office • Family history of alcohol or drug abuse. You are • You have a legal problem from alcohol or drugs. (to sniff drugs); and needles (to inject drugs). abuse and dependence 888.4AL-ANON (425.2666) • www.al-anon.org about 4 times more likely to be an alcoholic if one can lead to: A self-help program for families and friends of • You keep drinking or taking drugs even though it Where to Get Help of your parents is. You are 10 times more likely if • Alcohol is found hidden at home or at work. alcoholics. Also a referral line. causes or worsens problems with others. both parents are. • Problems at work. • Your Employee Assistance Program (EAP) at work, • Withdrawal symptoms. These include: This includes being if you have one. You make the choice to go. No one American Council for Drug Education (ACDE) • Mental health problems, such as depression, – Tremors of the hand or face late or not showing else is told about it. 800.488.DRUG (488.3784) • www.acde.org 5. Alcohol & Drug anxiety, or poor self-esteem – Chills, sweating up for work; making • Your doctor or other health care provider A substance abuse prevention and education agency • Prolonged use of prescribed pain pills – Nausea, vomiting errors; and crimes at for youth, college students, parents, employers, Dependence (Addiction) – Fatigue. Depression. work, such as stealing. • A drug treatment clinic • Prolonged fatigue or stress educators, and health professionals. Dependence is addiction. – Anxiety. Panic. • Problems with your • Support groups • Peer pressure. This is especially true for teens. An alcoholic is addicted – Being very edgy family Cocaine Anonymous (CA) World Services to alcohol. A person who • Ongoing financial or family problems – Insomnia Your EAP person or health care provider will refer you • Injury to oneself or 310.559.5833 • www.ca.org depends on drugs is a drug to a treatment program best suited for you, such as a – Blackouts others from accidents Gives names and numbers for local self-help meetings. addict. When you are addicted: Questions to Detect an Alcohol Problem – Acting “spaced out” treatment or “rehab” center. Treatment can be given • Damage to body in outpatient or inpatient settings. Components of • You crave the substance. Answer the 4 questions that follow. These can apply – Hallucinations Narcotics Anonymous (NA) World Services Inc. to you or someone else. A key word in each of these organs that cannot treatment are: The craving can feel as strong – Delirium 818.773.9999 • www.na.org questions spells CAGE. be fixed • A complete physical exam as the need for food or water. – Seizures Gives names and phone numbers for local self-help • Have you ever felt you should Cut down on your • Poor nutrition • “Detox” – Getting the person off the abused meetings and mails out literature on narcotics to • You are often unable to stop drinking? • Behavior changes. These include: substance. Sometimes other drugs are used to hospitals and individuals. using the substance. • Have people Annoyed you by criticizing your drinking? – Being late or absent for work or school. Often, • Sexually transmitted • Have you ever felt bad or Guilty about your drinking? control the withdrawal symptoms that occur. this happens on Mondays and Fridays. infections and HIV • You get withdrawal • Have you ever had a drink to steady your nerves or • Counseling – One-on-one, group therapy, and/or Substance Abuse and Mental Health Services to get rid of a hangover (Eye opener)? – Abrupt change in mood or attitude • Conditions, such as symptoms when family sessions. The goals are: Administration (SAMHSA) – Temper flare-ups that are not usual hepatitis and blood you stop using One “Yes” answer means there might be an alcohol – To understand the addiction 800.662.HELP (662.4357) problem. Two or more “Yes” answers means it is highly poisoning, from the substance. The – Asking for money, more than usual, from family – To get the person to be well, physically and mentally www.findtreatment.samhsa.gov likely that there is an alcohol problem. In either case, IV injections with symptoms vary with and friends – To help the addict stay alcohol and drug free. Provides a free treatment referral service to link the drug used. The contact your doctor or other health care provider to – Stealing items from work, home, stores, school, etc. nonsterile needles people with community-based substance abuse discuss your responses to these questions. (See “Getting Learning life-coping skills and how to deal with symptoms go away – Being more and more secretive about actions and • Death caused by “high-risk” times and places can help prevent services they need. if you drink alcohol or use the drug. Help,” topic 7.) You may have answered “No” to all four CAGE questions, but there could still be a problem. Some things that are owned overdose the addict from using the substance again. • You need more and more alcohol or drugs to get people say, “But I only drink beer.” This doesn’t mean they – Being with a new group of people, especially You may be advised to take part in a self-help group, © 2011, 6th ed., American Institute for Preventive Medicine, “high.” This is known as developing a tolerance. don’t have an alcohol problem. with those who drink a lot or use drugs such as Alcoholics Anonymous. – Having problems dealing with others Farmington Hills, Michigan • www.HealthyLife.com