Drugs
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Drug Abuse
WHO: any excessive drug use not approved by the medical profession. Some drugs in any quantity, others in large quantities.
Anabolic steroids
Synthetic derivatives of testosterone Bad for liver, brain and repro organs Heart disease if long use
Human Growth Hormone (HGH) Gamma Hydroxybutyrate (GHB)
Steroid alternatives, bad side effects like nausea, seizures, coma
Toxicity
Any level of drug that is poisonous. Liver detoxifies with enzymes
General, Local, Selective
Effect on body. General = entire body, Local = one area, Selective = much greater effect on one organ or system.
Prescription Drugs
FDA give permission for 20 new drugs a year. Most common mistakes: -over or under dosing -omitting labeling info -wrong dose form -allergic reactions
Psych problems w/presc drugs
Drugs most likely to cause psych probs: • depression • HBP • epilepsy • asthma • insomnia • arthritis Older people more affected Depression by lower blood pressure Anxiety by overstim CNS
Drug Interaction
Additive: cumulative effects = sum total of each drug Synergistic: = greater than total Potentiating = one drug increases effect of another Antagonistic = neutralize or stifle effects of one another
Addiction process
Beginning: intoxication is goal Later: avoiding withdrawal symptoms is goal Polyabuse: abusers take several drugs Comorbidity: overlap between people with chemical dependency and psych disorders.
Drug dependency
Crave pleasure Escape anxiety Dependency in order to function normally Physical dependency = increased amount to achieve desired effect
Amphetamines
Intitially prescribed for weight control Extremely addictive and dangerous Benzedrine Dexedrine Methedrine Ritalin Cylert Preludin Taken orally (may be smoked, injected, snorted) Methamphetamine extremely addictive, lasts 12-14 hrs Alert, full of energy, well being, confidence, perceived clear thinking (no research supports this) Talkative and animated, restless Large dose = confusion, incoherence, anxiety, heart palp Short term: heart trouble, loose of coordination,anger, nausea, chills Long term: malnutrition, skin disorders, insomnia, depression, vitamin deficiencies, brain damage affecting speech
Non-biological Addiction Factors
Lack self control No opposition to drugs Low self esteem Depression Poverty or isolation Association with drug users
Inhalants
“Huffing” Momentary hallucinations and well being Effects last only for seconds Chronic use leads to kidney failure, hepatitis, respiratory probs, irreg HB, bone probs, heart failure. Can die first time
Barbituates
Depress CNS, reduce physical and mental tension Decrease alertness, cause drowsiness Long term use can result in comatose condition Overdose can immediately result in coma, stupor, death
PCP/Angel Dust (Phencyclidine)
One of most dangerous drugs Profound change in perception Hallucinations Delusions of strength Psychosis Flushing, increase HR, insensitivity to pain, impaired coordination and speech, stupor. Danger to others Immediate coma or death
Chronic drug use
Fatigue Weight loss Cough Body aches Blackouts Psych turmoil, paranoia Stress of maintaining habit
Caffeine
Most common psychotropic Relieves drowsiness Helps w/repetitive tasks Improves physical performance, endurance Extreme doses = seizure and reap failure No evidence birth defects
Cocaine and crack (treated to smoke, more intense high)
One of most addictive and deadly abused substance Feeling of invulnerability, high energy Short term: headaches, shaking, seizures, death Long term: BP probs, sexual function, heart probs, brain hemorrhage, hepatitis, malnutrition
Cannabis
Relaxes, affects mood, heightens senses Speeds HR, dries mouth, lethargy, impairs reactions Large dose = panic attack, hallucination Long term = decreased motivation, laziness Psych dependence, impaired memory and cognition, high BP, lung probs, infertility.
Ecstacy (MDMA)
Happiness, euphoria Insomnia, nausea, fatigue, concentration prob, dehydration
Opioids
Narcotic family relaxes CNS, relieves pain, sense of wellness. Restlessness, nausea, weight loss, sex, speech, sweating, drowsiness, impaired judgment, attention and memory Extremely addictive, malnutrition, impaired immune system, infection of heart/lungs, hepatitis, tetanus, HIV, skin abcess. Can die from OD