Lecture Outline #12:  Pain Killers and Stimulants: (continued)

NOTE:  I would remind you that background information on these drugs is available at:

            National Institute of Drug Abuse WebPage

            U.S. Department of Health & Human Services, Alcohol & Drug Information

 

III.  METHAMPHETAMINE ("speed", "meth", and "chalk")

1.  This medicine for treatment of obesity has a high potential for abuse and dependence.

2.  Methamphetamine releases high levels of the neurotransmitter dopamine in the nucleus accumbens.

3.  After smoking, or iv injection, one has a "rush" or "flash" of extreme pleasure for only a few minutes.

4.  Methamphetamine causes increased heart rate and blood pressure, and causes irreversible damage to blood vessels.  It causes strokes, breathing problems, heart arrhythmia, and extreme anorexia.

 

IV.  METHYLENEDIOXYMETHAMPHETAMINE ("Adam", "ecstasy", "X-TC")

1.  a synthetic, psychoactive drug with hallucinogenic and amphetamine-like properties.

2.  Action is similar to methamphetamine, causing degeneration of neurons containing dopamine.

3.  A single high dose, or chronic low doses, destroys up to 50% of brain cells that contain dopamine.

4.  Parkinsonian symptoms may eventually emerge, starting with lack of coordination and tremors.

 

V.  HEROIN ("H", "smack", "skag," and "junk")

1.  Heroin is processed from morphine, a substance extracted from the seed-pod of the Asian poppy.

2.  The short-term "rush" appears soon after a single dose and disappears in a few hours.

3.  Chronic users develop collapsed veins, infection of the heart and valves, abscesses, liver disease.

4.  Withdrawal produces restlessness, muscle and bone pain, insomnia, diarrhea and vomiting, cold flashes with goose bumps ("cold turkey"), kicking ("kicking the habit") and other symptoms.

 

VI.  MARIJUANA ("pot", "herb", "weed", "boom", "Mary Jane", "gangster", "chronic")

1.  It is a green or gray mixture of dried, shredded flowers and leaves from the hemp Cannabis sativa.

2.  Active chemical is D-9-tetrahydrocannabinol (THC), which binds to receptors on certain nerves.

3.  The short-term effect is problems with memory, distorted perception, difficulty in thinking and problem solving, loss of coordination, increased heart rate, anxiety, and panic attacks. (24 h 1/2 life)

4.  Marijuana is addictive in that it causes compulsive, often uncontrollable craving, seeking, and use.

 

VII.  LSD (lysergic acid diethylamide) ("acid")

1.  LSD is a hallucinogenic drug found in ergot, a fungus that grows on rye and other grains.

2.  Usually, the first effects of the drug take 30-90 minutes, causing dilated pupils, higher body temp, increased heart rate and BP, sweating, loss of appetite, sleeplessness, dry mouth, and tremors.

3.  Sensations may seem to “cross-over” giving the user the feeling of hearing colors and seeing sounds.

4.  LSD is not considered to be an addictive drug.

 

VIII.  PHENCYCLIDINE (PCP) ("angel dust", "ozone", "wack", "rocket fuel")

1.  Was originally developed in 1950's as an iv anesthetic. (bad effects caused it to be discontinued)

2.  PCP causes agitation, delusion, and irrationality, violence, and suicidal tendencies.

3.  Users oftentimes taken to emergency rooms because of severe flushing, sweating, nausea, blurred vision, flicking eyes, drooling, loss of balance, dizziness, garbled speech, seizures, and coma.

4.  Although addictive, most users will not knowingly try it a second time because of the initial bad trip.


 

IX.  RITALIN (methylphenidate)

1.  A medication for hyperactive children, or with attention-deficit hyperactivity disorder (ADHD).

2.  It stimulates CNS with effects similar to but less potent than amphetamines, but more than caffeine.

3.  For uncertain reasons, ritalin calms hyperactive kids, and allows "focusing" by those with ADHD.

4.  Illicit ritalin is more readily available in Texas and Michigan.

 

X.  DATE RAPE DRUGS:  ("roofies", "roach", "rope")

 

A.  ROHYPNOL (the "Club Drug")

1.  It is perhaps best known for its use in drug-facilitated sexual assaults.

2.  It produces sedative-hypnotic effects including muscle relaxation and anterograde amnesia.

3.  When mixed with alcohol, it can incapacitate a victim and prevent them from resisting sexual assault.

4.  It can produce physical and psychological dependence, and can be lethal when mixed with alcohol.

 

B.  GHB (g-hydroxybutyrate)

1.  Effects are similar to Rohypnol, but also has euphoric, sedative, and anabolic effects.

2.  It has been associated with sexual assault in cities throughout the country.

3.  Repeated use, followed by withdrawal, can cause insomnia, anxiety, tremors, and sweating.

4.  It caused Congress to pass the "Drug-Induced Rape Prevention and Punishment Act of 1996"

 

 

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