Irvin Irving, Chief of Police
Volume III, Issue 1
January 2021
IMPAIRING SUBSTANCES
Impairing substances can dramatically alter individual's behavior and actions, and as such, it is important for officers to possess minimal baseline knowledge, in order to make informed decisions when handling a scene. Additionally, possesssion of selected number of substances is a crime, thus being able to positively identify substances as prohibited drugs is crucial in order to sucessfuly prosecute an individual.
In addition, all of these substances alter and impair individual perception of reality and alter and impair their reactions and behavior, making an intoxicated individual in control of a motor vehicle a significant risk to themselves and other motorists.
This Bulletin will teach officers how to identify impairing substances and inform them about their effects on an individual.
Impairing Substances List
This section will list the most common substances that you may encounter, provide instructions on how to recognise their effects on an individual and how to test for their presence. However, it is by no means a taxative list.
Drugs can be broken down into several categories, by their effects on the user:
Central Nervous System (CNS) Depressants
Barbituates
Diazepam (brand name Valium)
Alprazolam (brand name Xanax)
Alcohol
CNS Stimulants
Cocaine and Crack Cocaine
Metamphetamine
Hallucinogens
Peyote (psychoactive drug Mescaline)
Psilocybin (a.k.a. magic mushrooms)
LSD
MDMA (a.k.a. ecstasy, or "molly")
Dissociative Anesthetics
PCP (a.k.a. Phencyclidine)
Dextromethorphan (drug found in cough syrups)
Opioids (a.k.a. Narcotic Analgesics)
Heroin
Fentanyl
Morphine
Painkillers
Inhalants
Anesthetic gases (Nitrous Oxide, a.k.a. NO2)
Glue, spray paint
Cannabis
Marijuana
Hashish
Recognising Impairing Substances
This section will list the appearance of the substances listed above, as well as their most common effects on an individual.
CNS Depressants
Appearance of CNS Depressants
Barbituates, Diazepam
Can be taken orally, rectally, or injected
When in a pill form, they take a form of small pills, sometimes with an embossed symbol, or a brand name
Can be prescribed as a medication, although it is often abused
Alprazolam
Taken orally, in the form of a pill
Can be prescribed as a medication, although it is often abused
Alcohol
Taken orally, in the form of a beverage containing a certain percentage of ethanol
Can come in many forms, both comercially made and home made, such as beer, wine and distilled spirits
Legal to drink and possess, however illegal "behind the wheel"
Effects and Recognition of CNS Depressants
Generic effects:
Sleepiness
Reduced inhibitions (subject does not react to everything going on around them)
Divided attention imparment
Slowed reflexes
Impaired vision, hand-eye coordination, judgement and concentration
Slurred, mumbled, or incoherent speech
Amplification of felt emotions and instability
Possibly dilated pupils (pupils wide open)
Additional effects of alcohol:
Smell
Glassy, droopy, watery, and reddened eyes
Testing for CNS Depressants
Probable cause to believe such substances are present in an individual's metabolism can be established by the administration of a Standardised Field Sobriety Test (SFST), combined with officer's observations
Alcohol may be detected using a so-called breathalyzed, or Portable Breath Test
Presence of other depressants may be detected using saliva test kits
Presence of listed CNS Depressants (other than alcohol) in a substance can be determined using portable test kits, where a reagent gains a certain color when a tested for substance is introduced into it
With a warrant, individual's urine and blood can be tested in laboratory setting for CNS Depressant presence, necessary to secure a criminal conviction
CNS Stimulants
Appearance of CNS Stimulants
Cocaine
White crystalline substance
Injected or inhaled nasally
Crack Cocaine
Crystalline rocks, might have the appearance of pieces of soap
Smoked in a glass pipe
Metamphetamine
White or blue powder, crystals, shards, or rock resembling a block of paraffin
Injected or smoked in a glass pipe
Effects and Recognition of CNS Stimulants
Anxiety
Euphoria
Eyelid and leg tremors
Restlessness
Increased pulse, blood pressure, body temperature and respiratory rate
Rapid, irrational and slurred speech
Creates euphoric effect
Enhances the body's "fight or flight" response
Constricted pupils
Testing for CNS Stimulants
Probable cause to believe such substances are present in an individual's metabolism can be established by the administration of a Standardised Field Sobriety Test (SFST), combined with officer's observations
Cocaine, crack cocaine and methamphetamine can be detected using a saliva test
Presence of cocaine, crack cocaine and methamphetamine in a substance can be determined using portable test kits, where a reagent gains a certain color when a tested for substance is introduced into it (Mayer's reagent for cocaine and other alkaloids, Mandelin reagent for methamphetamine)
With a warrant, individual's urine and blood can be tested in laboratory setting for CNS Depressant presence, necessary to secure a criminal conviction
Hallucinogens
Appearance of Hallucinogens
Peyote (psychoactive drug Mescaline)
Plant itself is a small, round, spineless cactus
Pieces of it are often dried to make green, disc-shaped buttons that are chewed or soaked in water to drink
May be also ground into powder and poured into capsules
Psilocybin (a.k.a. magic mushrooms)
This substance is found in fungi of the genus Psilocybe, which are small, brown mushrooms, with a typical "little brown mushroom" morphology
These mushrooms are grown, picked and then dried before oral consumption
LSD
In pure form, it is clear or white in color, has no smell, and is crystalline
In consumer form, it is most often sold on blotter paper and less commonly as tablets or gelatin squares
Consumed orally, usually held under the tongue
MDMA
Most widely known as ecstasy, which refers to its tablet form, taking the shape of small, round tablets, which are sometimes embossed with letters or symbols, which are ingested
Alternatively, it may be sold in pure crystalline powder form of MDMA, usually in capsules
Consumed orally
Effects and Recognition of Hallucinogens
Generic effects:
Dilated pupils
Dazed appearance
Statements suggesting hallucinations
Perspiration
Disorientation
Altered perception of reality
Nausea
Altered heart rate
Additional effects of Mescaline, and Psilocybin:
Open or closed eye hallucinations
Altered and/or distorted perception of reality
Production of intense emotions, both positive and negative (referred to coloquially as a "bad trip")
Warped perception of time
Generally, users tend to be passive, however, this may change in case of a "bad trip"
Additional effects of MDMA:
Euphoria
Increased emotionality
Increased self confidence and sociability
Blurred vision
Sweating
Testing for Hallucinogens
Probable cause to believe such substances are present in an individual's metabolism can be established by the administration of a Standardised Field Sobriety Test (SFST), combined with officer's observations
MDMA and Mescaline can be detected using a saliva test
Presence of LSD, MDMA, Mescaline, Psilocybin in a substance can be determined using portable test kits, where a reagent gains a certain color when a tested for substance is introduced into it (Ehrlich reagent for LSD in form of pills, powders and blotter paper, Mollies reagent for MDMA in pills)
With a warrant, individual's urine and blood can be tested in laboratory setting for presence of MDMA and Mescaline, necessary to secure a criminal conviction
 LSD can be detected only from a blood sample
Dissociative Anesthetics
Appearance of Dissociative Anesthetics
PCPÂ
Available in a variety of tablets, capsules, and colored crystalline powders, or in a liquid form (which is a PCP base dissolved in a solvent)
PCP may be snorted, injected or smoked by dipping marijuana or tobacco cigarettes in PCP, drying them and then smoking them
Dextromethorphan
Drug found in cough syrups
Produces effects similar to PCP in high doses (drinking the whole bottle)
Effects and Recognition of Dissociative Anesthetics
Numbness of the extremities
Slurred speech
Loss of coordination
High blood pressure and respiratory rate
Sweating
Excited delirium
Unpredictable behavior
Warped perception of reality
Unexpected strength
Horizontal and vertical nystagmus
Testing for Dissociative Anesthetics
Probable cause to believe such substances are present in an individual's metabolism can be established by the administration of a Standardised Field Sobriety Test (SFST), combined with officer's observations
PCP can be detected using a saliva test
Presence of PCP in a substance can be determined using portable test kits, where a reagent gains a certain color when a tested for substance is introduced into it
With a warrant, individual's urine and blood can be tested in laboratory setting for presence of PCP, necessary to secure a criminal conviction
Opioids
Appearance of Opioids
Heroin
White to dark-brown powder, or tar-like substance
Can be injected, smoked, or inhaled
Fentanyl
White, crystaline powder
CAUTION! Lethal doses of fentanyl are measured in micrograms, always wear gloves!
Morphine
Clear liquid
Injected
Painkillers (analgesics)
Take form or many prescription painkillers, which are often abused
Effects and Recognition of Opioids
Constricted pupils
Slowed reflexes
Dry mouth
Itching
Euphoria, particularly shortly after heroin administration, which is often followed by drowsiness
Slow, raspy speech
CAUTION! The effects of an opiod overdose (decreased breathing) can be countered using nasal spray containing naloxone, known also by its brand name, Narcan.
Testing for Opioids
Probable cause to believe such substances are present in an individual's metabolism can be established by the administration of a Standardised Field Sobriety Test (SFST), combined with officer's observations
Heroin and other opioates can be detected using a saliva test
Presence of heroin and fentanyl in a substance can be determined using portable test kits, where a reagent gains a certain color when a tested for substance is introduced into it (Mecke Reagent for powder heroin, fentanyl reagent for pills, powders and liquids)
With a warrant, individual's urine can be tested in laboratory setting for presence of heroin and other opiates, necessary to secure a criminal conviction
Inhalants
Appearance of Inhalants
Inhalants are typically powerful solvents, glues, spray paint, or anesthetic gasses
As such, most would bear appearance of the substance being in its original packaging, or a smaller amount of it deposited in a plastic container
Anesthetic gasses, such as Nitrous Oxide can be contained in small steel cylinders
Note, simple possession of most substances abused as inhalants is not illegal.
Effects and Recognition of Inhalants
Odor of the inhaled substance
Dizzines, numbness
Traces of the substance around face and nose
Bloodshot, watery eyes
Distorted perception of time and distance
Light headedness, nausea
Slow, thick, slurred speech
Flushed face
Additional effects of Nitrous Oxide:
Euphoria
Numbness to pain
Altered perception of reality
Testing for Inhalants
Probable cause to believe such substances are present in an individual's metabolism can be established by the administration of a Standardised Field Sobriety Test (SFST), combined with officer's observations
As there is a wide variety of inhalants, most, if not all, legal to possess, determining the substance should be generally possible without a specialized test kit
However, metabolism testing can be impractical, due to wide variety of substances
Cannabis
Appearance of Cannabis
Marijuana (Psychoactive drug THC)
In its plant form, it is a green, tall plant, with spiky leaves
In dried form, it takes the form of green, dried, ground plant matter
Used by smoking, vaporizing, within food, or as an extract
Legal to use and possess, however illegal "behind the wheel"
Hashish (Psychoactive drug THC)
Extracted plant resin, typically in the form of dark green, brown or black pressed matter
Consumed by smoking in a pipe, bong, vaporizer, or a joint, sometimes via oral ingestion
Effects and Recognition of Cannabis
Dilated pupils
Body tremors
Increased appetite
Odor
Relaxed Inhibition
Euphoric feeling
Lack of motivation
Impaired coordination, concentration and memory
Testing for Cannabis
Probable cause to believe such substances are present in an individual's metabolism can be established by the administration of a Standardised Field Sobriety Test (SFST), combined with officer's observations
THC (the psychoactive constituent in all cannabis derivatives) can be detected using a saliva test
Presence of THC in a substance can be determined using portable test kits, where a reagent gains a certain color when a tested for substance is introduced into it. (Duquenois-Levine reagent)
With a warrant, individual's urine can be tested in laboratory setting for presence of THC, necessary to secure a criminal conviction
Summary of effects of abusive drugs on eye movement and pupil
CNS depressants
Pupils: NORMAL
Reaction to light: SLOW
Horizontal gaze nystagmus: PRESENT
Vertical gaze nystagmus: POSSIBLY PRESENT
Lack of ocular convergence (simultaneous inward movement of both eyes toward each other): PRESENT
CNS stimulants
Pupils: DILATED
Reaction to light: SLOW
Horizontal gaze nystagmus: NOT PRESENT
Vertical gaze nystagmus: NOT PRESENT
Lack of ocular convergence (simultaneous inward movement of both eyes toward each other): NOT PRESENT
Hallucinogens
Pupils: DILATED
Reaction to light: NORMAL
Horizontal gaze nystagmus: NOT PRESENT
Vertical gaze nystagmus: NOT PRESENT
Lack of ocular convergence (simultaneous inward movement of both eyes toward each other): NOT PRESENT
Dissociative Anesthetics
Pupils: NORMAL
Reaction to light: NORMAL
Horizontal gaze nystagmus: PRESENT
Vertical gaze nystagmus: USUALLY PRESENT
Lack of ocular convergence (simultaneous inward movement of both eyes toward each other): PRESENT
Opioids
Pupils: CONSTRICTED
Reaction to light: SLOW/NONE
Horizontal gaze nystagmus: NOT PRESENT
Vertical gaze nystagmus: NOT PRESENT
Lack of ocular convergence (simultaneous inward movement of both eyes toward each other):NOT PRESENT
Cannabis
Pupils: DILATED/NORMAL
Reaction to light: NORMAL
Horizontal gaze nystagmus: NOT PRESENT
Vertical gaze nystagmus: NOT PRESENT
Lack of ocular convergence (simultaneous inward movement of both eyes toward each other): PRESENT