What Is Spice? The Ultimate Guide

(We recently featured an article entitled “Spice: What Is It, And Can It Be Tested?” on our blog. One of our readers pointed out something we kind of overlooked – what is spice?? So we endeavored to answer that question below by providing what we hope will become the ultimate guide to Spice.)

What is Spice?

What is spice? Everybody is trying to figure this out as awareness of this new substance spreads into pop culture, high schools, and even gas stations near you.

Spice is slang for synthetic cannabis. It was once an actual brand but has become shorthand for a wide variety of similar products. It’s a mixture of herbs that have had synthetic cannabinoids sprayed on them. One of these cannabinoids is called JWH-018 and was invented in a lab to help with pain. The point of experimenting with cannabinoids was to eliminate the effects of cannabinoids that create a “high” while maintaining the pain relief effects. With JWH-018, this did not happen – actually JWH-018 is very potent, more potent than many forms of marijuana.

One of the reasons Spice has taken off in popularity is that JWH-018 can be made easily by combining a few commercial products. Its first non-lab use was in Asia, where it became an aid for plant growth. Much of the Spice you see in the United States still comes from manufacturers in Asia. Its purpose in the United States is quite different though – it is smoked by folks for a high that is still legal federally and in most states.

Spice is marketed in the U.S. as “incense.” This is to prevent it from having to adhere to regulations were it labeled a medicine or “smokable product.” It usually comes in a little pouch. The ingredients listed on the pouches do not always reflect what’s actually in the pouch.

Typically Spice is smoked as marijuana would be. It has many, many names and brands, among them: Algerian Blend, Genie, k2, Smoke, Chill X, Sense, Yucatan Fire, Spice Diamond, Spice Silver, Spice Gold.

Where can it be purchased?

Spice is purchased at head shops, gas stations, etc., as it is legal in most states.  There’s also a thriving online industry for Spice and other synthetic cannabis products.

What does it do?

Spice that contains JWH-018 acts in the brain the same way that marijuana does. It binds to the CB1 and CB2 receptors in the brain. It blocks the action of these two cannabinoid receptors. They are most common in the parts of the brain that have the most to do with memory, like the hippocampus.

How does it work?

Spice that contains JWH-018 acts in the brain the same way that marijuana does. It binds to the CB1 and CB2 receptors in the brain. It blocks the action of these two cannabinoid receptors. They are most common in the parts of the brain that have the most to do with memory, like the hippocampus.

Is it legal?

Is it largely legal in the United States, but it is illegal in many European countries.

Where is it illegal?

(All of this information is as of October 27, 2010; there may be other cities, localities, countries and states that have banned synthetic cannabis which have escaped our attention)

Countries where it is illegal: Austria, Germany, France, Ireland, Latvia, Poland, Romania, Russia, Sweden, Switzerland, the UK, Chile, South Korea, Japan.

States in the US where it is illegal: Kansas, Georgia, Alabama, Tennessee, Missouri, Louisiana, Mississippi, Arkansas, Oregon, Michigan.

States in the US where it is about to be illegal: Illinois.

States where the legal status of synthetic cannabis is under discussion: New York, New Jersey, Florida, Indiana, Ohio.

What are the risks?

In most states, Spice is still legal, so you won’t get in trouble for possessing it. The major risk is that there have been no major tests done about synthetic cannabinoids’ effect on the human body. Even the inventor of JWH-018, John W. Huffman, PhD, says that because they’ve never been tested using them recreationally is like “Russian Roulette.” Although he certainly does not endorse marijuana use he goes so far as to recommend, somewhat hypothetically, smoking marijuana as preferable to smoking synthetic cannabis, since at least it has been studied. WebMD points out that they share a chemical structure with some carcinogens, and a published study shows that when JWH-018 enters the body it is metabolized into carcinogens (see Vice magazine).

Spice is not regulated either – as mentioned above, what’s on the label may not be what’s in the bag (and the reason Spice did not attract attention for so long is that in fact the synthetic cannabinoids producing the psychoactive affects were NOT on the label). Some doctors believe that Spice related cases they have seen may stem from additional contaminants in the product(s). These contaminants have led to effects that are reminiscent not of a marijuana-like drug, but a stimulant.

Indeed, the side effects are not always simply a high feeling. Vomiting, increased heart rate, hallucinations, and increased anxiety can occur. Some people have even been hospitalized. And other typical drug drawbacks can occur too – withdrawal, cravings, a hangover, and even addiction has been documented.

What are the signs that someone is using synthetic cannabis?

Unlike marijuana, synthetic cannabis does not have a signature smell. The high is relatively short (30 minutes or so) and generally shorter than a high from marijuana. So it is less likely you will catch someone “acting high” when they are using the drug. However, this may vary depending on the potency of the product consumed. The red-eyed look of someone high on marijuana can also be seen in someone high on Spice, as can the general slowness and subdued behavior. In terms “not currently high” symptoms and signs of continued use and/or dependency, symptoms will be similar to marijuana use – less interest in schoolwork or extracurricular activities, detachment, lethargy.

The most common method of using spice is smoking it in joint form. If you are a parent, it is worth noting if rolling papers and rollers suddenly appear. Other marijuana paraphernalia (such as glassware, bongs, etc.) should be looked out for as well. You might also look for eyedrops which are used to mask the bloodshot effect that both Spice and marijuana can have on the eyes.

Dr. Scalzo, who is studying cases in which use of Spice has led to emergency room visits, tells parents to be on the lookout for agitation, pale appearance, and confusion and anxiety in teens that may be the result of hallucinations. Other signs of Spice’s adverse effects include paleness and increased heartbeat and blood pressure. (For the full article on Dr. Scalzo please visit Science Daily).

What can parents do?

Many state and local communities are discussing the issue of synthetic cannabis. Some cities have endeavored to create ordinances banning its use. If you are interested in stopping the sale of synthetic cannabis, the best thing to do is probably to contact your local and state representatives and bring the issue to their attention.

Can I drug test my child?

The answer is sort of yes and no. Unfortunately at the moment no home drug test is available to test for the synthetic compounds in Spice and related products. However, labs have developed on-site technology to test for a few (if not all) of the synthetic cannabinoids in Spice. Redwood Toxicology is the first lab to do so. Here is what you need to know about their detection of synthetic cannabis in urine:

  • The metabolites detected are JWH-018 and JWH-073. Other metabolites that may be active in synthetic cannabis will not be detected by this test (for example, HU-210, a synthetic cannabinoid discovered in Spice Gold).
  • JWH-018 and JWH-073 were chosen for detection because they are at this time the most common: between the two, they are the active ingredients in 27 different Spice type mixtures.
  • JWH-018 and JWH-073 can be detected in urine (depending on how much was used) for up to 72 hours after last use.

One important thing to remember is that if you suspect your child is using Spice, testing them with a marijuana drug test is useless. Chemically, synthetic cannabis is not similar to marijuana, and it will not show up as positive for marijuana on a drug test.

List of Links:

There are a lot of great sources on Spice and Spice-like products out there. Here is a selection of resources for those interested in learning more about Spice:

Joseph Brownstein for ABC News: “K2 Giving People Another Dangerous Way to Get High”

Mary Carmichael for Newsweek: “Fake-Pot Panic”

David Kroll: “Is DEA about to act of K2 Spice synthetic marijuana products?”

David Kroll: “What’s the buzz?: Synthetic marijuana, K2, Spice, JWH-018”

Andrew Moseman for Discover Magazine: “Legal, Synthetic Marijuana Pleases Pot-Heads, Upsets State Governments”

Peter Rugg for The Pitch: “Product Review: Will K2 Synthetic Marijuana Get You High?”

Erowid.org: Spice Product Resources

European Monitoring Centre for Drugs and Drug Addiction: “Synthetic Cannabinoids and ‘Spice’”

Have a source you’d like to add to the list, or a question you’d like us to answer?  Please send an email to the author, Robyn, at robyn at homehealthtesting.com and she’ll do the best to answer your question.  Thanks for reading what we hope will become the Ultimate Guide to Spice!

Photo by Schorle

Alcoholic Energy Drinks More Than Most Can Handle

If you’re drinking in moderation, you may think to yourself that you are just having “a drink to relax.” Or having a drink with dinner. Either way, it’s doubtful you would reach over for any of the alcoholic energy drinks currently on the market, and as of this month banned at Ramapo College in New Jersey.

The cause of the ban? 23 alcohol related hospitalizations (as of October 1) since school started. A high number and out of the ordinary for Ramapo, they found that a few of the students were in the hospital as a result of an “energy alcohol drink” called Four Loko.

Four Loko is part of a trend of alcoholic drinks known in some spheres as alcopops (and that tells you something right there doesn’t it!). Among the first of the alcopops was Sparks, a drink produced by Miller Brewing Company. Sparks varied from between 6-8% alcohol content and aside from that contained a great deal of caffeine, taurine, ginseng and guarana along with syrupy, fruity flavors. Not exactly something that will be served to you by a sommelier, Sparks became popular among college students and young professionals as a way of staying alert while binge drinking. This got it branded as a health hazard, as it dulled the user’s awareness of their state (and increased dehydration) and eventually MillerCoors redeveloped it and removed the caffeine. These days Sparks is a shadow of its former self, and no longer retains the same stimulants (or popularity) that it once had.

This is not the case for Four Loko. As demonstrated by the AP, Four Loko is quite potent – the alcohol content is 12%, and it contains the staples of other non-alcoholic energy drinks: caffeine, taurine, and guarana. It has been called “liquid cocaine,” is extremely cheap, and can lead to blackouts unexpectedly quickly (see the Reading Eagle for more). It also doesn’t help that its twice the size of a can of beer at almost 24 ounces, and generally only 2 to 3 dollars.

If increased hospitalization rates and unexpected blackouts (as well as a Facebook group 67000 strong dedicated to this issue) have not yet convinced you this drink might be trouble, consider that drinking 1 can is equivalent to drinking 4 beers. That’s a lot of power in one can – and it’s masked by its deceptive size (all that in just one can?), taste (generally some fruity flavor) and caffeine. You’ll think you’re okay, but you’ll be much drunker than you think. A study in Alcoholism: Clinical and Experimental Research cited by Time found that people who drink energy alcohol drinks think their motor coordination is better than those who do not have energy supplements in their drinks, a combination that can obviously be dangerous. Perception versus reality has always been a problem with alcohol (that’s why we sell alcohol test kits !) but more so with these drinks. Let’s not forget caffeine is a drug too!

In sum, Four Loko and the like are not your average alcoholic beverages – cheaper, more sugary, and potentially more likely to provide a nasty hangover (or worse). Exercise caution and remember that a mixture of caffeine and alcohol is not a great combination.

Picture of Sparks (pre-reformulation) uncredited via Times Union Blog

Free Vitamin D Clinic

free vitamin dThe best source for vitamin D is sunshine.  The vitamin D you get from sunlight stays in our body longer than vitamin D from food or supplements.  Supplements can help you maintain healthy vitamin D levels year round, but getting some sunshine is a key component to obtaining healthy vitamin D levels.

Taking a walk or sitting outside for your lunch break will help you raise your vitamin D levels since your body can manufacture the most vitamin D between noon and 2:00pm based on the sun’s angle.  Exposing your arms and legs to the sun will expose enough skin to get a healthy dose of vitamin D in about 15 minutes, two to three times a week.  There are many factors that will influence how long you need to be in the sun, such as, your skin type and your geographic location.  You can use an online Vitamin D Sunlight Calculator which will  analyze your location, skin type, age, height and weight and recommend your sun exposure time.

We have been told for years to stay of of the sun or cover up with clothing or sunscreen when we are in the sun.  Our fears of skin cancer have overtaken our basic need for sunshine.  Sunlight is not unhealthy and like most things in life is beneficial if used in moderation.  Actually sunlight is necessary for optimal health – so step outside and visit the free vitamin D clinic.

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10 Scary Facts About Cocaine

This is part of a new drug series, loosely framed around this time of the year (Halloween). In honor of Halloween, we’re going to scare you – with some very real facts about drugs. First up – facts about cocaine.

1. Sharing straws used to snort cocaine can spread blood diseases like Hepatitis C.

Cocaine can be found on a home drug test.

Cocaine - a scary substance all year round.

2. Mixture of cocaine with heroin creates one of the deadliest forms of cocaine, a speedball.

3. Prolonged cocaine can cause damage to the nose, to the point where abusers get plastic surgery to fix damage.

4. Cocaine, especially crack cocaine, often contains adulterants, some of which can be highly toxic.

5. In the first hour after cocaine use, the user’s heart attack risk is almost 24 times greater.

6. Cocaine can be extremely addictive, and very hard to quit, so much so that they are developing a vaccine so that people cannot feel its effects.

7. According to a “rational scale to assess the harm of drugs potential misuse,” cocaine is second only to heroin (and not by much) in its possible danger in terms of dependence and physical harm.

8. Simple possession of crack cocaine will trigger a mandatory sentence: 5 grams of crack will trigger a 5 year mandatory minimum sentence.

9. Extended cocaine use can reduce one’s sense of smell. This is called anosmia.

10. Cocaine can lead to sudden death, particularly if you have a preexisting heart condition and combine its use with alcohol and/or cigarettes.

Stay clean!  For more info, please see our home drug test page.

What is the optimal vitamin D level?

While medical studies continue to tout the health benefits of vitamin D, experts do not agree on the vitamin D level we should maintain for optimal health.  Dr. John Cannell, the Vitamin D Council Director explains why this is a difficult number to recommend for all people:

How much vitamin D you need varies with age, body weight, percent of body fat, latitude, skin coloration, season of the year, use of sunblock, individual variation in sun exposure, and—probably—how ill you are. As a general rule, old people need more than young people, big people need more that little people, heavier people need more than skinny people, northern people need more than southern people, dark-skinned people need more than fair-skinned people, winter people need more than summer people, sunblock lovers need more than sunblock haters, sun-phobes need more than sun worshipers, and ill people may need more than well people.

All the experts agree that your goal should be to get an average vitamin D level year round.  Typically our vitamin D levels are at their highest at the end of the summer and lowest at the end of the winter.  After reading several books that have recently been published on vitamin D, here is a roundup of the recommended vitamin D levels for optimal health.

The Vitamin D Solution: A 3-Step Strategy to Cure Our Most Common Health Problem by  Michael F. Holick, Ph.D., M.D., recommends a range of 40 – 60 ng/ml as a healthy vitamin D level.

The Sunlight Solution: Why More Sun Exposure and Vitamin D Are Essential to Your Health by Laurie Winn Carlson recommends an ideal vitamin D level of 45 – 50 ng/ml.

The Vitamin D Cure by James Dowd, M.D. and Diane Stafford recommends an ideal vitamin D level between 50 – 70 ng/ml.

Vitamin D: The Sunshine Vitamin by Zoltan Rona, MD, MSc states that optimal levels should be between 100 – 250 ng/ml.

The Vitamin D Council recommends a range between 50 – 80 ng/ml.

To find out your vitamin D level which is measured in your blood with a 25-hydroxyvitamin D test, also called a 25(OH)D, you can take a home vitamin D test and get the results by mail which will provide the amount of circulating vitamin D in your blood in the ng/ml measurement or nanograms per milliliter.

While the experts may disagree on the optimal vitamin D level, they do agree that we need to check our vitamin D and make sure that we are at least above the insufficient level of 29 ng/ml.

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Intro to Contingency Management / Motivational Incentives

What is Contingency Management?

Treatment incorporating drug test kits is an important way to battle drug addiction.

Official National Institutes of Health Poster

Contingency Management (CM) is a program that is used in substance abuse treatment programs. It has its roots in behaviorism. The idea behind contingency management is that behavior is likely to continue if it is reinforced. In the context of substance abuse, contingency management provides either positive reinforcement based on a behavior or negative reinforcement.

One of the most important differences between contingency management programs and non-contingency management programs is the frequency of reinforcement. Enrollees in a program are tested a few times a week with an onsite urine drug test (exactly the same kind of test as our home drug test). If they pass the test they receive a reward, perhaps a voucher to a retail store, for example. Points, prizes, and cash can also be rewards.

This is different from programs that treat may treat drug addiction simply as a disease, or utilize other methodologies in connection with medical treatment. As a supplement to therapy, Contingency Management has been shown to make the entire program more successful.

Who Supports Contingency Management?

Contingency Management is supported and promoted by the National Institute on Drug Abuse (NIDA) and SAHMSA (Substance Abuse and Mental Health Services Administration). The NIDA created a program to evaluate contingency management called “Motivational Incentives for Enhanced Drug Abuse Recovery (MIEDAR).” MIEDAR found in a study of 800 patients that at all junctures treatment combined with Contingency Management was more successful than treatment without it. 49% of the patients receiving incentives compared with 33% of the treatment as usual patients were retained at 12 weeks.

How Do You Do Contingency Management?

The approved method of contingency management is the “fishbowl method.” In this method after submitting a drug-free urine test the patient draws a slip of paper on which something is written. They then exchange it for a prize that corresponds to what is written on the paper. This method is used with some frequency but is not generally administered every day. It needs to be administered regularly and systematically.

Is Contingency Management The Answer?

Fighting addiction is a difficult process and there seems to be no one correct answer. Research continues nonetheless and contingency management is one product of the past 30 years of research. We’ll look more in-depth into this and other rehabilitation methods later on in this series.

Image at Top by Mila Zinkova