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Appendix A6 - Training Materials/Employees PCP (Phencyclidine) <br />PCP is not used in medicine and does not occur in nature. PCP's use as a human anesthetic was discontinued <br />because it produced psychotic reactions, and its more prolonged use as a veterinary tranquilizing agent also has stopped. <br />Thus, the druq now has no therapeutic role; <br />its use is strictly illegal. <br />It is commonly sold as a creamy, granular powder (brown or white) and is often packaged in one -inch -square <br />aluminum foil or folded paper packets. Occasionally, PCP is sold in capsule, tablet or liquid form. It is sometime smoked in <br />marijuana, tobacco, or other leafy materials. <br />Since monkeys repeatedly self-administer PCP intravenously, resulting in gross intoxication, <br />the drug is said to reinforce self -administration behavior in animals. Some human beings also repeatedly and chronically <br />self-administer PCP. <br />This behavioral reinforcement is striking, considering the drug's pronounced adverse effects. The psychosis which <br />sometimes develops with intoxication may be long-lasting, and there are suggestions of personality and cognitive changes <br />persisting for months after chronic use. <br />Its toxicity has given it a bad reputation even among drug users, who often are not very discriminating in these <br />matters. It remains a popular drug of abuse in certain cities, notably <br />Washington, DC, Los Angeles, CA, and Baltimore, MD.; but occurs sporadically elsewhere. <br />Si ns and Symptoms: <br />Evidence of Presence: foil or paper packets; stamps (off which PCP is licked); injection paraphernalia (needles, syringes, <br />and tourniquets); leafy herbs (for smoking). <br />Physical Symptoms: dilated or floating pupils; blurred vision; nystagmus (jerky eye movement); drooling; muscle rigidity; <br />profuse sweating; decreased sensitivity to pain; dizziness; drowsiness; <br />impaired coordination (e.g., drunken -like walk, staggering); severe disorientation; rapid heartbeat. <br />Behavioral Symptoms anxiety; paniclfearlterror; aggressive/violent behavior; distorted perception; severe confusion and <br />agitation; disorganization; mood swings; poor perception of time and distance; poor judgment; auditory hallucinations. <br />Personal Health, Safety, and the Work Environment: <br />General Health Effects: There are 4 phases to PCP abuse. <br />■ Phase 1/Acute toxicity: can last up to three days and can include combativeness, catatonia, <br />convulsions, and coma. Distortions of size, shape, and distance perceptions are common. <br />■ Phase 21Toxic psychosis: while this phase does not always follow the first, users may <br />experience visual and auditory delusions, paranoia, and agitation. <br />■ Phase 3lDrug-induced schizophrenia: may last a month or longer. <br />• Phase 4/Drug-induced depression: suicidal tendencies and mental dysfunction can last <br />for months. <br />Safety and the Work Environment: Regular use can cause the following effects: <br />■ Irreversible memory loss ■ Personality changes ■ Thought disorders • Hallucinations <br />■ Extreme mental/anesthetic effects create high potential for accidents and for overdose <br />emergencies. <br />• Because the effects are aggravated by other depressant drugs such as alcohol, <br />overdose potential is high. <br />• PCP -induced hallucinations may be misdiagnosed as LSD -induced. The standard treatment <br />for LSD -induced hallucinations is Thorazine, which when administered with PCP can be fatal. <br />• Distortions in perception, and potential visual and auditory delusions make performance <br />unpredictable and dangerous in safety -sensitive positions. <br />• PCP use can cause drowsiness, convulsions, paranoia, agitation, or coma, all obviously <br />dangerous in any safety -sensitive position. <br />Overdose Effects: ■ Longer, more intense "trip" episodes ■ Psychosis ■ Coma ■ Death <br />Withdrawal Syndrome: • None reported <br />2020 Drug Screens Plus. All Rights Reserved. (27) FMCSA 20200101 266 <br />