Signs of Drug Abuse in the Workplace


It’s no secret that the abuse of opiates and other drugs has been on the rise for the past few years so how, besides giving employees a drug test, can you know if a worker is using? Here are few physical signs, behavioral signs and psychological signs to to look for:

Physical Warning Signs:

  • Bloodshot eyes, pupils larger or smaller than usual
  • Changes in appetite or sleep patterns
  • Sudden weight loss or weight gain
  • Deterioration of physical appearance, personal grooming habits
  • Unusual smells on breath, body, or clothing
  • Tremors, slurred speech, or impaired coordination

Behavioral Warning Signs:

  • Drop in attendance and performance at work or school
  • Unexplained need for money or financial problems; may borrow or steal to get it
  • Engaging in secretive or suspicious behaviors
  • Sudden change in friends, favorite hangouts, and hobbies
  • Frequently getting into trouble (fights, accidents, illegal activities)

Psychological Warning Signs:

  • Unexplained change in personality or attitude
  • Sudden mood swings, irritability, or angry outbursts
  • Periods of unusual hyperactivity, agitation, or giddiness
  • Lack of motivation; appears lethargic or “spaced out”
  • Appears fearful, anxious, or paranoid, with no reason


Therapy Instead of Opiates


On Friday March 15th 2016, the CDC issued guidelines concerning the prescribing of opiates for chronic pain for cases other than “active cancer treatment, palliative care, and end-of-life care.” They put together this guideline in order to address the epidemic of opiate addictions and overdoses evident in America today. Fact is that more people die each year from opiate overdoses than from guns or car accidents; most of those deaths, the CDC believes, could have been prevented with stricter guidelines on how and when to prescribe the drugs.

The bottom line is that the CDC recommends alternate therapy (exercise, Ibuprofen and other non-steroidal anti-inflammatories). If opiates are, in fact, deemed necessary, healthcare professionals should prescribe the lowest effective dose for the shortest amount of time. Patients who are given opiates should also be closely monitored to make sure that the benefits outweigh the risks.

Questions remain, however, as to whether these new guidelines won’t, at least in the short-run, increase crime (as addicts break into homes and pharmacies to get the opiates that they are addicted to and can no longer get) and deaths (as addicts who can no longer get opiates start using heroin instead).

There is no doubt that tighter controls are needed. There is also no doubt that, in the long run, these new guidelines will help reduce overdose deaths, especially in people who’ve gotten addicted unintentionally. What, however, is missing in these guidelines is a plan to help those presently addicted to opiates.

You can read the complete CDC Guideline here.

NSC Declares War on Opiates

Did you know…
That since 1999 deaths because of opiates has quadrupled?
That 45 people die every day from overdoses and misuse of opiates?
That the number of deaths from opiates is twice as much as the number of deaths from Heroin and Cocaine combined?
That 60% of those who abuse painkillers are employed full-time?

The National Safety Council is responding to this alarming trend. Have a look at their Youtube video:


Stats on Nonmedical Use of Prescription Pain Relievers by State

Oregon, Colorado and Washington head the list of abusers of “nonmedical use of prescription pain relievers” (Interesting that of these three states, two have now legalized marijuana) according to a new report released by SAMHSA’s (Substance Abuse and Mental Health Services Administration) NSDUH Report (National Survey on Drug Use and Health) dated January 8th, 2013.

The study, which you can view or download online in PDF form lists each state and where it falls in percentage of drug abusers of pain killers.

The report further breaks down the percentage by age category (12-17, 18-25, 26 or older).

Comparisons with prior years show a decrease in certain states and, for a bit of good news, no increase in any of the 50 states.

Let’s hope that the next report shows further decreases.

On a personal note, I do believe that the bulk of the responsibility for this decrease will lie with doctors who perscribe pain killers easily and to almost anyone. Doctors need to realize how dangerous pain killers can be.

Get Smart about Antibiotics

Antibiotics Aren’t Always the Answer

November 12-18, 2012 is Get Smart About Antibiotics Week

Antibiotics do not fight infections caused by viruses like colds, most sore throats and bronchitis, and some ear infections. Unneeded antibiotics may lead to future antibiotic-resistant infections. Symptom relief might be the best treatment option.

Dangers of Antibiotic Resistance

Colds and many other upper respiratory infections, as well as some ear infections, are caused by viruses, not bacteria. If antibiotics are used too often for things they can’t treatlike colds or other viral infectionsthey can stop working effectively against bacteria when you or your child really needs them. Antibiotic resistancewhen antibiotics can no longer cure bacterial infectionshas been a concern for years and is considered one of the world’s most critical public health threats.

CDC efforts have resulted in fewer children receiving unnecessary antibiotics in recent years, but inappropriate use remains a problem. Widespread overuse and inappropriate use of antibiotics continues to fuel an increase in antibiotic-resistant bacteria. So the next time you or your child really needs an antibiotic for a bacterial infection, it may not work.

Antibiotic resistance is also an economic burden on the entire healthcare system. Resistant infections cost more to treat and can prolong healthcare use.

If You or Your Child Has a Virus like a Cold or Sore Throat

Did you know?

· Antibiotic resistance is one of the world’s most pressing public health threats.

· Antibiotics are the most important tool we have to combat life-threatening bacterial disease, but using antibiotics can also result in side effects.

· Antibiotic use leads to new drug-resistant germs and increased risks to patients.

· Patients, healthcare providers, hospital administrators and policy makers must work together to employ safe and effective strategies for improving antibiotic useultimately saving lives.

Taking antibiotics when you or your child has a virus may do more harm than good. In fact, in children, antibiotics are the most common cause of emergency department visits for adverse drug events. Rest, fluids, and over-the-counter products may be your or your child’s best treatment option.

Get smart about when antibiotics are appropriateto fight bacterial infections. Taking them for viral infections, such as a cold, most sore throats, acute bronchitis and many sinus or ear infections:

· Will not cure the infection;

· Will not keep other people from getting sick;

· Will not help you or your child feel better; and

· May cause unnecessary and harmful side effects.

What Not to Do

· Do not demand antibiotics when a doctor says they are not needed.

· Do not take an antibiotic for a viral infection like a cold or most sore throats.

· Do not take antibiotics prescribed for someone else. The antibiotic may not be appropriate for you or your child’s illness. Taking the wrong medicine may delay correct treatment and allow bacteria to multiply.

If your doctor prescribes an antibiotic for bacterial infection:

· Do not skip doses.

· Do not save any of the antibiotics for the next time you or your child gets sick.

What to Do

Just because your doctor doesn’t give you an antibiotic doesn’t mean you aren’t sick.

Talk with your doctor about the best treatment for you or your child’s illness. To feel better when you or your child has an upper respiratory infection:

· Ask your doctor or community pharmacist about over-the-counter treatment options that may help you or your child feel better;

· Increase fluid intake;

· Get plenty of rest;

· Use a cool-mist vaporizer or saline nasal spray to relieve congestion; and

· Soothe a throat with ice chips, sore throat spray, or lozenges (do not give lozenges to young

For Immediate Release: Media contacts: Aimee Barabe

November 12, 2012 Cell: 505-470-2290

Department of Health Supports Get Smart about Antibiotics Week

(Santa Fe) The New Mexico Department of Health is part of a national campaign, led by the Centers for Disease Control and Prevention, called Get Smart about Antibiotics. The campaign is being featured nationally this week with its messaging intended to educate the public and healthcare providers about the importance of using antibiotic medications wisely. Antibiotics are an essential tool to combat life-threatening bacterial diseases. However, when antibiotics are taken unnecessarily, they can do more harm than good. Antibiotic resistance occurs when bacteria change in a way that reduces or eliminates their effectiveness and it has become a pressing public health threat. Healthcare providers, patients, policy makers and others must work together to improve appropriate antibiotic use to improve patient safety and save lives.

The New Mexico Department of Health Healthcare-associated Infections Program and the New Mexico Healthcare-associated Infections Advisory Committee work closely with healthcare facilities, providers and the public to monitor and reduce healthcare-associated infections. For example, the current Clostridium difficile Infections Prevention Project is working with healthcare facilities to prevent this potentially life-threatening bacterial infection. One aspect of the prevention project focuses on the appropriate use of antibiotics.

The New Mexico Department of Health recommends:

· Take antibiotics exactly as prescribed. Do not skip doses or stop early, even if you start feeling better.

· Take antibiotics only that have been prescribed for you. Do not share or use leftover antibiotics.

· Prevent infections by practicing good hand hygiene and getting recommended vaccines. Remember that antibiotics dont cure the flu and that vaccinations are now available for the current flu season.

· Do not ask for antibiotics when your healthcare provider thinks you do not need them. Remember that antibiotics have side effects and that when you dont need an antibiotic, taking one may do more harm than good.

For more information regarding proper antibiotic use, visit the New Mexico Department of Healths website at

Today’s post comes to us courtesy of Ken Oswald, Safety and Security Manager for Plateau