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Humanities Institute, the Drugs ... |
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1-
What
Makes Drugs Illegal? |
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Drugs
Illegal ... |
Drugs are illegal if the
government has included them in their laws on
controlled substances.
Why Are Illegal Drugs
Dangerous?
When people talk about the "drug problem,"
they usually mean illegal drugs.
Drugs can affect people’s emotions and how
they feel, affect your relationships, and make
you more or less inhibited. It’s not safe
for anyone to take illegal drugs because they do
affect your body and can cause death.
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Illegal drugs aren't good
for anyone, but they are particularly bad
for a kid or teenager whose body is still
growing. Illegal drugs can
damage the brain, heart, and other
important organs. They can affect our
emotions and the way we feel, they may
cause you to do things you wouldn't
normally do. While using drugs, a person
is less able to do well in school, sports,
and other activities. It's often harder to
think clearly and make good decisions for
a person who is using drugs.
There may be long-term effects from
taking drugs that we don't know about.
When people use drugs they can do dumb or
dangerous things that could hurt
themselves or others. You can die from
taking drugs, even the first time you take
them.
Drugs cause different experiences and reactions for different people. How a drug will affect you can depend on many things
like your age, your body type, or your mental state. So just because
someone else has tried it and had a certain feeling, does not mean it will be the same for you. |
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2-
Illegal Drugs |
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GHB |
Gamma-hydroxybutyric acid or GHB,
is a compound that was initially
used by body builders to stimulate
muscle growth. In recent years it
has become popular as a
recreational drug among club kids
and partygoers.
This “designer”
drug is often used in combination
with other drugs, such as Ecstasy.
GHB is synthesized from a chemical
used to clean electrical circuit
boards, and is available in clear
liquid, white powder, tablet and
capsule form.
GHB is odorless and nearly tasteless.
Users report that it induces a state of
relaxation. The effects can be felt within
5 to 20 minutes after ingestion and the
high can last up to four hours. |
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The U.S.
Food and Drug Administration banned GHB in
1990 after 57 cases of GHB-induced
illnesses (ranging from nausea and
vomiting to respiratory problems, seizures
and comas) were reported to poison control
centers and emergency rooms. The drug was
only permitted under the supervision of a
physician. Since then, the drug has been
implicated in several deaths and was
subsequently added to the Schedule I list
of drugs in the Controlled Substance Act.
Anyone who possesses, manufactures or
distributes GHB could face a prison term
of up to 20 years.
GHB users risk many negative physical
effects including vomiting, liver failure,
potentially fatal respiratory problems,
and tremors and seizures, which can result
in comas.
GHB has reportedly been used in
cases of date rape. Because GHB is
odorless and tasteless, it can be slipped
into someone’s drink without detection. |
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Rohypnol (Roofies) |
Date Rape Drugs (Rohypnol,
GHB)
Rohypnol® (roofies) and GHB are
central nervous system
depressants. Both drugs emerged in
the early 1990’s as “drug-assisted
assault” drugs. In the news, these
drugs are more commonly known as “rophies,”
“roofies,” “roach,” “rope,” and
the “date rape” drug “drug rape”
or “acquaintance rape” drugs.
People may unknowingly be given
the drug which, when mixed with
alcohol, can incapacitate and
prevent a victim from resisting
sexual assault. Also, Rohypnol®
may be lethal when mixed with
alcohol and/or other depressants. |
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Rohypnol® produces sedative-hypnotic
effects including muscle relaxation and
amnesia. In Miami, one of the first sites
of Rohypnol® abuse, poison control centers
reported an increase in withdrawal
seizures among people addicted to
Rohypnol®.
Another very similar drug is clonazepam,
marketed in the U.S. as Klonopin® and in
Mexico as Rivotril®. It is sometimes
abused to enhance the effects of heroin
and other opiates.
Why is this important for you
to know as a parent? Whether
your teen goes to a party or on a trip
with friends, it is important that he/she
is aware of roofies and GHB, how these
drugs are used and how your teen can
protect him/herself. While often
associated with alcoholic beverages, they
can also be slipped into a non-alcoholic
drink. Here is some advice you
can share with your teen:
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Don’t drink anything that you did no see
poured, open yourself or that someone
else gave you (other than a waiter), no
matter how good-looking they are.
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Always watch your drink. If you leave it
unattended for ANY amount of time, dump
it and get a fresh drink.
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Roofies and GHB may have a bitter taste
when dissolved in a drink; be alert for
a strange taste.
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When placed in a light-colored drink,
the newer roofies will turn the beverage
blue. Dump it immediately and be
especially alert.
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Travel in groups.Three or more people is
best. Friends should take care of
friends and be observant of any strange
behavior, such as slurred speech and
lack of alertness.
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If
you think you have been drugged, ask for
help IMMEDIATELY (preferably not from a
stranger) and get yourself to a public
place if you are not currently in one.
You may have only a few minutes of alert
behavior.
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If
you think a friend has been drugged, do
not leave them alone. Seek help
immediately.
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Ketamine Hydrochloride |
Ketamine
hydrochloride, or “Special K,” is
a powerful hallucinogen widely
used as an animal tranquilizer by
veterinarians. Users sometimes
call the high caused by Special K,
“K hole,” and describe profound
hallucinations that include visual
distortions and a lost sense of
time, sense, and identity. The
high can last from a half-hour to
2 hours. The U.S. Drug Enforcement
Administration reports that overt
effects can last an hour but the
drug can still affect the body for
up to 24 hours.
Use of Special K
can result in profound physical
and mental problems including
delirium, amnesia, impaired motor
function and potentially fatal
respiratory problems. |
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Special K is a powder. The drug is usually
snorted, but is sometimes sprinkled on
tobacco or marijuana and smoked. Special K
is frequently used in combination with
other drugs, such as ecstasy, heroin or
cocaine.
Liquid Ketamine was developed in the early
1960s as an anesthetic for surgeries, and
was used on the battlefields of Vietnam as
an anesthetic. Powdered Ketamine emerged
as a recreational drug in the 1970s, and
was known as “Vitamin K” in the 1980s. It
resurfaced in the 1990s rave scene as
“Special K.” |
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Ecstasy |
MDMA, called “Ecstasy”, “Molly”,
“XTC” or “Adam” on the street, is
a synthetic, psychoactive
(mind-altering) drug with
hallucinogenic and
amphetamine-like properties. Its
chemical structure is similar to
two other synthetic drugs, MDA and
methamphetamine, which are known
to cause brain damage.
Beliefs about MDMA are reminiscent
of similar claims made about LSD
in the 1950s and 1960s, which
proved to be untrue. According to
its proponents, MDMA can make
people trust each other and can
break down barriers between
therapists and patients, lovers,
and family members. |
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Health Hazards
Physical and psychological
symptoms. Many problems users
encounter with MDMA are similar to those
found with the use of amphetamines and
cocaine. They are:
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Psychological difficulties, including
confusion, depression, sleep problems,
drug craving, severe anxiety, and
paranoia during and sometimes weeks
after taking MDMA (in some cases,
psychotic episodes have been reported).
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Physical symptoms such as muscle
tension, involuntary teeth clenching,
nausea, blurred vision, rapid eye
movement, faintness, and chills or
sweating.
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Increases in heart rate and blood
pressure, a special risk for people with
circulatory or heart disease.
Long-term effects. Recent
research findings also link MDMA use to
long-term damage to those parts of the
brain critical to thought and memory. It
is believed that the drug causes damage to
the neurons that use the chemical
serotonin to communicate with other
neurons.
MDMA is also related in structure and
effects to methamphetamine, which has been
shown to cause degeneration of neurons
containing the neurotransmitter dopamine.
Damage to dopamine containing neurons is
the underlying cause of the motor
disturbances seen in Parkinson’s disease.
Symptoms of this disease begin with lack
of coordination and tremors, and can
eventually result in a form of paralysis. |
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Heroin |
Years ago, thoughts of using a
needle kept many potential heroin
users at bay. Not anymore. Today’s
heroin is so pure, users can smoke
it or snort it, causing more kids
under 18 to use it. Kids who snort
or smoke heroin face the same high
risk of overdose and death that
haunts intravenous users. Yet
according to the annual Monitoring
the Future national poll, more
than 40% of high school seniors do
not believe that there is a great
risk in trying heroin.
Recent studies suggest a shift
from injecting to snorting or
smoking heroin because of
increased purity and the
misconception that these forms of
use will not lead to addiction |
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Heroin is processed from morphine, a
naturally occurring substance extracted
from the seed-pod of the Asian poppy
plant. Heroin usually appears as a white
or brown powder. Street names associated
with heroin include “smack,” “H,” “skag,”
and “junk.” Other names may refer to types
of heroin produced in a specific
geographical area, such as “Mexican black
tar.”
The
short-term effects of heroin abuse appear
soon after a single dose and disappear in
a few hours. After an injection of heroin,
the user reports feeling a surge of
euphoria (“rush”) accompanied by a warm
flushing of the skin, a dry mouth, and
heavy extremities. Following this initial
euphoria, the user goes “on the nod,” an
alternately wakeful and drowsy state.
Mental functioning becomes clouded due to
the depression of the central nervous
system.
Reports from the Drug Abuse Warning
Networks (DAWN) Annual Medical Examiner
Data from 1997 show that heroin/morphine
was the top-ranking drug among
drug-related deaths in 14 US major metro
areas. It ranked second in another eight.
According to DAWNs Year End 1998 Emergency
Department Data, 14 percent of all
emergency department drug-related episodes
had mentions of heroin/morphine in 1998.
From 1991-1996, the number of
heroin/morphine mentions more than
doubled.
Health Hazards
Irreversible effects.
Heroin abuse is associated with serious
health conditions, including fatal
overdose, spontaneous abortion, collapsed
veins, and infectious diseases, including
HIV/AIDS and hepatitis.
Long-term effects.
Long-term effects of heroin include
collapsed veins, infection of the heart
lining and valves, abscesses, cellulitis,
and liver disease. Pulmonary
complications, including various types of
pneumonia, may result from the poor health
condition of the abuser, as well as from
heroin’s depressing effects on
respiration.
Infection. In addition to
the effects of the drug itself, street
heroin may have additives that do not
readily dissolve and result in clogging
the blood vessels that lead to the lungs,
liver, kidneys, or brain. This can cause
infection or even death of small patches
of cells in vital organs. |
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Cocaine |
Cocaine is a powerfully addictive
drug of abuse. Individuals who
have tried cocaine have described
the experience as a powerful high
that gave them a feeling of
supremacy. However, once someone
starts taking cocaine, one cannot
predict or control the extent to
which he or she will continue to
use the drug.
The major ways of taking cocaine
are sniffing or snorting,
injecting, and smoking (including
free-base and crack cocaine).
Health risks exist regardless of
whether cocaine is inhaled
(snorted), injected, or smoked.
However, it appears that
compulsive cocaine use may develop
even more rapidly if the substance
is smoked rather than snorted.
Smoking allows extremely high
doses of cocaine to reach the
brain very quickly and results in
an intense and immediate high. The
injecting drug user is also at
risk for acquiring or transmitting
HIV infection/AIDS if needles or
other injection equipment are
shared. |
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Health Hazards
Physical effects.
Physical effects of cocaine use include
constricted peripheral blood vessels,
dilated pupils, and increased body
temperature, heart rate, and blood
pressure. Some cocaine users report
feelings of restlessness, irritability,
and anxiety, both while using and between
periods of use. An appreciable tolerance
to the high may be developed, and many
addicts report that they seek but fail to
achieve as much pleasure as they did from
their first exposure.
Paranoia and aggression.
High doses of cocaine and/or prolonged use
can trigger paranoia. Smoking crack
cocaine can produce particularly
aggressive paranoid behavior in users.
When addicted individuals stop using
cocaine, they may become depressed. This
depression causes users to continue to use
the drug to alleviate their depression.
Long-term effects.
Prolonged cocaine snorting can result in
ulceration of the mucous membrane of the
nose and can damage the nasal septum
enough to cause it to collapse.
Cocaine-related deaths are often a result
of cardiac arrest or seizures followed by
respiratory arrest.
Added Danger. When people
mix cocaine and alcohol, they are
compounding the danger each drug poses and
unknowingly causing a complex chemical
interaction within their bodies.
Researchers have found that the human
liver combines cocaine and alcohol to
manufacture a third substance,
cocaethylene, which intensifies cocaine’s
euphoric effects and possibly increases
the risk of sudden death. |
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Meth (Methamphetamine) |
Methamphetamine is an addictive
stimulant drug that strongly
activates certain systems in the
brain. Methamphetamine is closely
related chemically to amphetamine,
but the central nervous system
effects of methamphetamine are
greater. Both drugs have some
medical uses, primarily in the
treatment of obesity, but their
therapeutic use is limited.
Street methamphetamine is referred
to by many names, such as “speed,”
“meth,” and “chalk.”
Methamphetamine hydrochloride,
clear chunky crystals resembling
ice, which can be inhaled by
smoking, is referred to as “ice,”
“crystal,” and “glass.” |
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Health Hazards
Neurological hazards.
Methamphetamine releases high levels of
the neurotransmitter dopamine, which
stimulates brain cells, enhancing mood and
body movement. It also appears to have a
neurotoxic effect, damaging brain cells
that contain dopamine and serotonin,
another neurotransmitter. Over time,
methamphetamine appears to cause reduced
levels of dopamine, which can result in
symptoms like those of Parkinson’s
disease, a severe movement disorder.
Addiction.
Methamphetamine is taken orally or
intranasally (snorting the powder), by
intravenous injection, and by smoking.
Immediately after smoking or intravenous
injection, the methamphetamine user
experiences an intense sensation, called a
“rush” or “flash,” that lasts only a few
minutes and is described as extremely
pleasurable. Oral or intranasal use
produces euphoria – a high, but not a
rush. Users may become addicted quickly,
and use it with increasing frequency and
in increasing doses.
Short-term effects. The
central nervous system (CNS) actions that
result from taking even small amounts of
methamphetamine include increased
wakefulness, increased physical activity,
decreased appetite, increased respiration,
hyperthermia, and euphoria. Other CNS
effects include irritability, insomnia,
confusion, tremors, convulsions, anxiety,
paranoia, and aggressiveness. Hyperthermia
and convulsions can result in death.
Long-term effects.
Methamphetamine causes increased heart
rate and blood pressure and can cause
irreversible damage to blood vessels in
the brain, producing strokes. Other
effects of methamphetamine include
respiratory problems, irregular heartbeat,
and extreme anorexia. Its use can result
in cardiovascular collapse and death.
How Dangerous Is It to Teens?
While meth use in the U.S. has been
declining, widespread media coverage about
the drug often raises many questions and
causes parents to worry about whether
their children are exposed to or using
this dangerous substance. Meth is a
stimulant drug used for the euphoria it
produces and for weight loss and increased
libido. The down side of the high is
addiction and a variety of toxic short-
and long-term effects. One of the most
serious and unpleasant side effects is
“meth mouth,” where the users’ teeth rot
from the inside out.
Parents need to talk to their kids
about meth and the reality of what it does
to the body. Parents also need to
know when their teen might be using meth.
Some of the most common signs and symptoms
are extremely dilated pupils, dry or
bleeding nose and lips, chronic nasal or
sinus problems and bad breath. Because
meth is a stimulant, users also experience
hyperactivity and irritability. This
includes a lack of interest in sleep and
food, leading to drastic weight loss or
anorexia. It may also cause users to be
aggressive, nervous, and engage in
disconnected chatter.
Some short-term effects are irritability,
anxiety, insomnia, Parkinson-like tremors,
convulsions and paranoia. Longer-term
effects can include increased heart rate
and blood pressure, damage to blood
vessels in the brain, stroke and even
death. Psychotic symptoms can sometimes
persist for months or years even after the
user has stopped taking the drug.
Meth use is declining among youth.
The Monitoring the Future study shows that
among 8th, 10th, and 12th graders, meth
use has declined by 28, 47, and 51 percent
respectively in the past three years.
It is important to note that
marijuana is still the single largest drug
of abuse in this country —
Approximately 2.5 million current or past
month users compared to half a million
meth/ecstacy current or past month users.
Meth is often in the news because
of its dramatic effects and consequences.
Illegal meth labs often explode, creating
danger to communities through fires. Meth
labs on public lands create dangers to
hikers and tourists, and children of meth
users are often abandoned or neglected and
are flooding the social services systems
in many areas. Meth is easily made with
common ingredients and readily available
household equipment, making it widely and
inexpensively available.
Adult methamphetamine addicts often become
so obsessed with the drug that they
neglect their children. Twenty percent of
the meth labs raided in 2002 had children
present. In addition to general neglect,
children living in meth labs face a
variety of dangers including the usual
meth lab hazards — fires, explosions and
exposure to extremely toxic chemicals.
Chronic exposure to meth lab chemicals can
damage the brain, liver, kidneys and
spleen and can also cause cancer.
If you suspect a teen in your life
is using meth or is exposed to meth, the
time for a courageous conversation is now.
Discuss the risks and effects of using
this substance. Even without addiction,
experimentation is too great a gamble. If
something interrupts your conversation,
pick it up the next chance you get.
Methamphetamime, popularly shortened to
meth or ice, is a psychostimulant and
sympathomimetic drug. Methamphetamine
enters the brain and triggers a cascading
release of norepinephrine, dopamine and
serotonin. Since it stimulates the
mesolimbic reward pathway, causing
euphoria and excitement, it is prone to
abuse and addiction. Users may become
obsessed or perform repetitive tasks such
as cleaning, hand-washing, or assembling
and disassembling objects. Withdrawal is
characterized by excessive sleeping,
eating and depression-like symptoms, often
accompanied by anxiety and drug-craving. |
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Crack Cocaine |
Crack cocaine or “freebase” are
smokeable forms of cocaine which
look like crystals or rocks. These
forms of cocaine are made by
chemically changing cocaine
powder.
Also known as:
angie, blow, C, Charlie, coke,
crack, flake, freebase, hard,
Henry, nose candy, rock, snow,
stardust Crack cocaine, often
nicknamed “crack”, is believed to
have been created and made popular
during the early 1980s . Because
of the dangers for manufacturers
of using ether to produce pure
freebase cocaine, producers began
to omit the step of removing the
freebase precipitate from the
ammonia mixture. Typically,
filtration processes are also
omitted. Baking soda is now most
often used as a base rather than
ammonia for reasons of lowered
odor and toxicity; however, any
weak base can be used to make
crack cocaine. When commonly
“cooked” the ratio is 1:1 to 2:3
parts cocaine/bicarbonate. |
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Short-Term Effects
There are many unwanted and dangerous
effects associated with using cocaine. A
person on cocaine may feel agitated and
nervous. Cocaine can also produce euphoria
(“high”) and can make a person feel
mentally alert, energetic and talkative.
The senses of sight, sound, and touch are
heightened. A person may feel more calm
and in control. However, all of these
effects do not last long. When the “high”
wears off, the person may feel anxious or
depressed and have intense cravings for
the drug. Some people stay “high” by using
the drug for hours or days.
Short-term use of cocaine can produce many
other effects:
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postponement of physical and mental
fatigue
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reduced appetite
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increased blood pressure and heart rate
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exaggerated reflexes
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rapid breathing
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dilation of pupils
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dry mouth
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anxiety
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paranoid thinking
In addition, a person could potentially
experience:
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severe agitation
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paranoid psychosis
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nausea and vomiting
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elevated body temperature and cold sweat
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hallucinations
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tremors (shaking) and muscle twitching
An overdose of cocaine can be lethal.
Death may occur as a result of an abnormal
heart beat (arrhythmia), stroke, seizures
or respiratory arrest (breathing stops).
There is no specific antidote that can
reverse the effects of the drug. If you
think that a person has overdosed, contact
emergency services immediately.
Long-Term Effects
Taking large amounts of cocaine for a long
time can have many unwanted effects.
People using cocaine may become depressed,
have mood swings, or become restless and
excitable. Their behaviour may be erratic,
bizarre, or violent.
Some people become psychotic and can
experience:
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paranoia
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hallucinations
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delusions
Heavy users may have trouble sleeping, may
change between feelings of intense hunger
and a lack of interest in food. Users may
experience impotence (sexual dysfunction).
Other medical complications include high
blood pressure and irregular heart beat.
A
regular cocaine snorting habit is evident
by a red, chapped, runny nose. A person
may lose his/her sense of smell and
develop sinus infections. The wall that
separates the nostrils may develop a hole
and bleed often.
Smoking crack cocaine can cause chest pain
and breathing difficulties (crack lung).
Cocaine users often develop social
problems. They may become preoccupied with
buying, preparing, and using the drug.
School and job performance may suffer.
Sharing drug supplies, such as needles,
pipes, straws, and spoons, can spread
viruses. These include HIV, hepatitis B,
and hepatitis C.
Can cocaine/crack cocaine harm a
developing fetus and newborn babies?
Cocaine use during pregnancy may increase
the risk of miscarriage and premature
delivery. Babies may be born underweight.
Babies born to cocaine users may:
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be
irritable
-
feed poorly
-
not sleep well for several weeks after
they are born
Is Cocaine Addictive?
Yes, cocaine is addictive. With repeated
use, tolerance to the effects of cocaine
can develop. Regular cocaine users can
also develop psychological dependence
which is characterized by intense cravings
for the drug even when the user knows
there are significant consequences.
Regular users of cocaine who suddenly stop
using the drug may experience the
following symptoms:
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exhaustion
-
extended and restless sleep
-
hunger
-
irritability
-
depression
-
suicidal thoughts
-
intense craving for the drug
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PCP – Angel Dust |
Commercial and Street Names for
PCP: Phencyclidine, Angel
dust, elephant, hog, rocket fuel
(killer weed, supergrass:
PCP mixed with marijuana).
Description of PCP
PCP is a white crystalline powder
that is readily soluble in water
or alcohol. It has a distinctive
bitter chemical taste. Available
in tablets, capsules, liquids,
crystals, pastes, and coloured
powders. Frequently passed off as
LSD or other drugs. Snorted,
smoked, or eaten. When smoked, PCP
is often used with a leafy
material such as mint, parsley,
oregano, tobacco or marijuana. PCP
may be used unknowingly since it
is often used as an additive in
other drugs. |
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Effects of PCP
PCP
is a “dissociative drug,” meaning it
distorts perceptions of sight and sound
and produces feelings of detachment from
the environment and self. Most first-time
users experience a “bad trip” and stop.
Low dose effects include shallow
breathing, flushing, and profuse sweating.
High dose effects are nausea, vomiting,
blurred vision, flicking up and down of
the eyes, drooling, loss of balance, and
dizziness. Speech is often sparse and
garbled. Accidental death can result from
drug-induced confusion. Long-term effects
include addiction, memory loss,
difficulties with speech and thinking,
depression, and weight loss. Symptoms can
persist up to a year after cessation of
PCP use. Mood disorders also have been
reported. Flashbacks may occur. |
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LSD |
LSD, aka “acid,” is odorless,
colorless, and has a slightly
bitter taste and is usually taken
by mouth. Often LSD is added to
absorbent paper, such as blotter
paper, and divided into small,
decorated squares, with each
square representing one dose.
Health Hazards
Physical Psychological
short-term effects. The
effects of LSD are unpredictable.
They depend on the amount taken;
the user’s personality, mood, and
expectations; and the surroundings
in which the drug is used.
Usually, the user feels the first
effects of the drug 30 to 90
minutes after taking it. The
physical effects include dilated
pupils, higher body temperature,
increased heart rate and blood
pressure, sweating, loss of
appetite, sleeplessness, dry
mouth, and tremors. |
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Sensations and feelings change much more
dramatically than the physical signs. The
user may feel several different emotions
at once or swing rapidly from one emotion
to another. If taken in a large enough
dose, the drug produces delusions and
visual hallucinations. The user’s sense of
time and self changes. Sensations may seem
to “cross over,” giving the user the
feeling of hearing colors and seeing
sounds. These changes can be frightening
and can cause panic.
LSD
trips are long – typically they begin to
clear after about 12 hours. Some users
experience severe, terrifying thoughts and
feelings, fear of losing control, fear of
insanity and death, and despair while
using LSD. In some cases, fatal accidents
have occurred during states of LSD
intoxication.
Flashbacks. Many LSD
users experience flashbacks, recurrence of
certain aspects of a person’s experience,
without the user having taken the drug
again. A flashback occurs suddenly, often
without warning, and may occur within a
few days or more than a year after LSD
use. Flashbacks usually occur in people
who use hallucinogens chronically or have
an underlying personality problem;
however, otherwise healthy people who use
LSD occasionally may also have flashbacks.
Bad trips and flashbacks are only part of
the risks of LSD use. LSD users may
manifest relatively long-lasting
psychoses, such as schizophrenia or severe
depression. It is difficult to determine
the extent and mechanism of the LSD
involvement in these illnesses. |
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Psilocybin Mushrooms |
Psilocybin is a hallucinogen that
occurs naturally in certain
species of mushrooms.
Hallucinogens alter a person’s
perceptions such as seeing,
hearing or feeling things that are
not really there. It may be sold
on the street as dried whole
mushrooms or as a brown powdered
material. The active component is
sometimes made in illegal labs and
sold on the street as a white
powder or tablets, or capsules.
The mushrooms are often eaten raw
or cooked. They may be steeped in
hot water to make a mushroom “tea”
or mixed with fruit juice to make
“fungus delight.” Less often they
may be sniffed, snorted, or
injected. |
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Also Known As: magic,
magic mushrooms, mushrooms, shrooms,
mushies, fungus, fungus delight
How does Psilocybin Affect the
Body?
After taking mushrooms, the psilocybin is
absorbed into the bloodstream. The speed
with which it reaches the brain varies
depending on how they are taken. The
effects of psilocybin are generally felt
within a few minutes of drinking the tea
or 30 minutes after eating mushrooms. They
last for about three to six hours. Some
people may experience hallucinations for
up to four days.
Short-Term Effects
Psilocybin can cause a person to feel
anxious and experience panic attacks.
Users may experience hallucinations and a
loss of touch with reality. Psilocybin can
also produce distorted visual perceptions.
Some people may think that they can “see”
music or “hear” colours.
Short-term use of psilocybin can produce
many other effects:
-
light-headedness
-
dilated pupils (causes blurred vision)
-
nausea and vomiting
-
dry mouth
-
numbness, particularly facial numbness (paresthesia)
-
exaggerated reflexes
-
sweating and increased body temperature
followed by chills and shivering
-
muscle weakness and twitching
-
increased blood pressure and heart rate
In addition, a person could potentially
experience:
-
paranoia
-
confusion and disorientation
-
severe agitation
-
loss of coordination
-
loss of urinary control
-
convulsions
After the effects of the mushrooms wear
off a user may feel very tired, depressed
and lethargic for a few days.
Overdose with magic mushrooms alone has
not been directly associated with death.
Long-Term Effects
The effects of long-term psilocybin use
have not been studied. Some people have
had prolonged psychosis that resembles
paranoid schizophrenia. Psychosis is a
loss of touch with reality. It is a mental
disorder that affects the personality.
Can Psilocybin Harm a Developing
Fetus?
The effects of psilocybin on the
developing fetus are unknown.
Is Psilocybin Addictive?
There is no evidence that addiction,
physical or psychological dependence
develops with continued use of psilocybin.
However, people can become tolerant to the
effects of psilocybin with regular use.
Complete tolerance, where no amount of
psilocybin can produce the desired
effects, can develop within several days.
The user must stop using for days to
regain sensitivity. |
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3-
Marijuana / Cannabis |
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Marijuana |
What It Is: is
the most widely used illegal drug
in the United States. It is made
from the shredded leaves, stems,
seeds, and flowers of the hemp (Cannabis
sativa) plant. It looks like
green, brown, or gray dried
parsley.
Marijuana is a mind-altering drug
and is considered a hallucinogen
if taken in large amounts.
Sometimes Called: weed,
grass, pot, chronic, joint, blunt,
herb, cannabis, hashish, Mary Jane |
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How It's Used: Marijuana
is smoked in the form of a hand-rolled
cigarette (called a joint or a nail), in a
pipe, or water pipe (also known as a
bong); it is sometimes smoked after being
placed inside of hollowed-out cigars
called blunts; mixed into foods; or brewed
as a tea.
What It Does to You:
Marijuana makes it hard to keep track of
time and concentrate. People who use it
have difficulty with memory and find it
hard to solve problems and learn.
Marijuana raises your heart rate and blood
pressure. Some people get red eyes or dry
mouths or become sleepy or very hungry.
The drug can also make some people
paranoid (feeling like someone is out to
hurt them or is plotting against them). It
can also sometimes cause hallucinations.
Marijuana is as tough on your lungs as
cigarettes — steady users suffer coughs,
wheezing, frequent colds, and respiratory
(airway and lung) infections, like
bronchitis.
Sometimes blunts are filled with drugs
like PCP (also called angel dust) or crack
cocaine in addition to marijuana and can
be very dangerous when smoked. |
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4-
Other
Dangerous Substances |
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Inhalants |
Inhalants are common products
found right in the home and are
among the most popular and deadly
substances kids abuse. Inhalant
abuse can result in death from the
very first use. According to the
annual Monitoring the Future
national poll, approximately one
in six children will use inhalants
by eighth grade. The same report
notes that inhalants are most
popular with younger teens. Teens
use inhalants by sniffing or
“snorting” fumes from containers;
spraying aerosols directly into
the mouth or nose; bagging, by
inhaling a substance inside a
paper or plastic bag; huffing from
an inhalant-soaked rag; or
inhaling from balloons filled with
nitrous oxide |
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Inhalants are breathable chemical vapors
that produce psychoactive (mind-altering)
effects. Although people are exposed to
volatile solvents and other inhalants in
the home and in the workplace, many do not
think of “inhalable” substances as drugs
because most of them were never meant to
be used in that way.
Young people are likely to abuse
inhalants, in part, because inhalants are
readily available and inexpensive. Parents
should see that these substances are
monitored closely so that children do not
abuse them.
Inhalants fall into the following
categories:
Solvents
-
industrial or household solvents or
solvent-containing products, including
paint thinners or solvents, degreasers
(dry-cleaning fluids), gasoline, and
glues
-
art or office supply solvents, including
correction fluids, felt-tip-marker
fluid, and electronic contact cleaners
Gases
-
gases used in household or commercial
products, including butane lighters and
propane tanks, whipping cream aerosols
or dispensers (whippets), and
refrigerant gases
-
household aerosol propellants and
associated solvents in items such as
spray paints, hair or deodorant sprays,
and fabric protector sprays
-
medical anesthetic gases, such as ether,
chloroform, halothane, and nitrous oxide
(laughing gas)
Nitrites
-
aliphatic nitrites, including cyclohexyl
nitrite, which is available to the
general public; amyl nitrite, which is
available only by prescription; and
butyl nitrite, which is now an illegal
substance
Health Hazards
Health Effects and Risks.
Nearly all abused inhalants produce
effects similar to anesthetics, which act
to slow down the body’s functions. When
inhaled in sufficient concentrations,
inhalants can cause intoxicating effects
that can last only a few minutes or
several hours if inhalants are taken
repeatedly. Initially, users may feel
slightly stimulated; with successive
inhalations, they may feel less inhibited
and less in control; finally, a user can
lose consciousness.
Signs of Depression.
Research shows that inhalant use is also
associated with symptoms of depression.
Between 2004 and 2006, an estimated
218,000 U.S. youths aged 12-17 used
inhalants and also experienced depression
in the past year. The same research showed
that depressed teens were more than three
times as likely to start using inhalants
than teens with no symptoms of depression.
The reverse is also true, showing that
teens often started using inhalants
before depression began.¹
Irreversible hazards.
Inhalants are toxic. Chronic exposure can
lead to brain damage or nerve damage
similar to multiple sclerosis; damage to
the heart, lungs, liver and kidneys; and
prolonged abuse can affect thinking,
movement, vision and hearing.
Sniffing highly concentrated amounts of
the chemicals in solvents or aerosol
sprays can directly induce heart failure
and death. Heart failure results from the
chemicals interfering with the heart’s
rhythm regulating system, causing the
heart to stop beating. This is especially
common from the abuse of fluorocarbons and
butane-type gases. High concentrations of
inhalants also cause death from
asphyxiation, suffocation, convulsions or
seizures, coma, choking or fatal injury
from accidents while intoxicated. Other
irreversible effects caused by inhaling
specific solvents are:
-
Hearing loss – toluene (paint sprays,
glues, dewaxers) and trichloroethylene
(cleaning fluids, correction fluids)
-
Peripheral neuropathies or limb spasms –
hexane (glues, gasoline) and nitrous
oxide (whipping cream, gas cylinders)
-
Central nervous system or brain damage –
toluene (paint sprays, glues, dewaxers)
-
Bone marrow damage – benzene (gasoline)
-
Liver and kidney damage – toluene-
containing substances and chlorinated
hydrocarbons (correction fluids, dry-
cleaning fluids)
-
Blood oxygen depletion – organic
nitrites (“poppers,” “bold,” and “rush”)
and methylene chloride (varnish
removers, paint thinners)
Prevention. Parents can
keep their teens away from inhalants by
talking to them and letting them know the
dangers of inhalants. Most young users
don’t realize how dangerous inhalants can
be. Inhalants are widely available and
inexpensive, and parents should be mindful
about how and where they store common
household products.
Parents should be aware of the
following signs of an inhalant abuse
problem:
-
Chemical odors on breath or clothing;
-
Paint or other stains on face, hands, or
clothes;
-
Hidden empty spray paint or solvent
containers and chemical-soaked rags or
clothing;
-
Drunk or disoriented appearance;
-
Slurred speech;
-
Nausea or loss of appetite;
-
Inattentiveness, lack of coordination,
irritability, and depression;
-
Missing household items.
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Spice |
“Spice” refers to a wide variety
of herbal mixtures that produce
experiences similar to marijuana
(cannabis) and that are marketed
as “safe,” legal alternatives to
that drug. Sold under many names,
including K2, fake weed, Yucatan
Fire, Skunk, Moon Rocks, and
others—and labeled “not for human
consumption”—these products
contain dried, shredded plant
material and chemical additives
that are responsible for their
psychoactive (mind-altering)
effects. |
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False Advertising:
Labels on Spice products often claim that
they contain “natural” psycho-active
material taken from a variety of plants.
Spice products do contain dried plant
material, but chemical analyses show that
their active ingredients are synthetic (or
designer) cannabinoid compounds.
For several years, Spice mixtures have
been easy to purchase in head shops and
gas stations and via the Internet. Because
the chemicals used in Spice have a high
potential for abuse and no medical
benefit, the Drug Enforcement
Administration (DEA) has designated the
five active chemicals most frequently
found in Spice as Schedule I controlled
substances, making it illegal to sell,
buy, or possess them. Manufacturers of
Spice products attempt to evade these
legal restrictions by substituting
different chemicals in their mixtures,
while the DEA continues to monitor the
situation and evaluate the need for
updating the list of banned cannabinoids.
Spice products are popular among young
people; of the illicit drugs most used by
high-school seniors, they are second only
to marijuana. Easy access and the
misperception that Spice products are
“natural” and therefore harmless have
likely contributed to their popularity.
Another selling point is that the
chemicals used in Spice are not easily
detected in standard drug tests. |
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Salvia |
Salvia (Salvia divinorum) is an
herb common to southern Mexico and
Central and South America. The
main active ingredient in Salvia,
salvinorin A, is a potent
activator of kappa opioid
receptors in the brain.1,2 These
receptors differ from those
activated by the more commonly
known opioids, such as heroin and
morphine.
Traditionally, S. divinorum has
been ingested by chewing fresh
leaves or by drinking their
extracted juices. The dried leaves
of S. divinorum can also be smoked
as a joint, consumed in water
pipes, or vaporized and inhaled.
Although Salvia currently is not a
drug regulated by the Controlled
Substances Act, several States and
countries have passed legislation
to regulate its use.3The Drug
Enforcement Agency has listed
Salvia as a drug of concern and is
considering classifying it as a
Schedule I drug, like LSD or
marijuana |
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Health/Behavioral Effects
People who abuse Salvia generally
experience hallucinations or
“psychotomimetic” episodes (a transient
experience that mimics a psychosis).
Subjective effects have been described as
intense but short-lived, appearing in less
than 1 minute and lasting less than 30
minutes. They include psychedelic-like
changes in visual perception, mood and
body sensations, emotional swings,
feelings of detachment, and importantly, a
highly modified perception of external
reality and the self, leading to a
decreased ability to interact with one’s
surroundings. This last effect has
prompted concern about the dangers of
driving under the influence of salvinorin.
The long-term effects of Salvia abuse have
not been investigated systematically.
Recent experiments in rodents demonstrated
deleterious effects of salvinorin A on
learning and memory. |
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Bath salts |
Emerging and Dangerous
Products
Bath Salts, sold in small
packets with names like “Blue
Wave,”
“Cloud Nine,” and “White Lady,”
are the newest — and scariest —
designer drug.
“Bath Salts”, the newest fad to
hit the shelves (virtual and
real), is the latest addition to a
growing list of items that young
people can obtain to get high. The
synthetic powder is sold legally
online and in drug paraphernalia
stores under a variety of names,
such as “Ivory Wave,” “Purple
Wave,” “Red Dove,” “Blue Silk,”
“Zoom,” “Bloom,” “Cloud Nine,”
“Ocean Snow,” “Lunar Wave,”
“Vanilla Sky,” “White Lightning,”
“Scarface,” and “Hurricane
Charlie.” Because these products
are relatively new to the drug
abuse scene, our knowledge about
their precise chemical composition
and short- and long-term effects
is limited, yet the information we
do have is worrisome and warrants
a proactive stance to understand
and minimize any potential dangers
to the health of the public.
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We
know, for example, that these products
often contain various amphetamine-like
chemicals, such as
methylenedioxypyrovalerone (MPDV),
mephedrone and pyrovalerone. These drugs
are typically administered orally, by
inhalation, or by injection, with the
worst outcomes apparently associated with
snorting or intravenous administration.
Mephedrone is of particular concern
because, according to the United Kingdom
experience, it presents a high risk for
overdose. These chemicals act in the brain
like stimulant drugs (indeed they are
sometimes touted as cocaine substitutes);
thus they present a high abuse and
addiction liability. Consistent with this
notion, these products have been reported
to trigger intense cravings not unlike
those experienced by methamphetamine
users, and clinical reports from other
countries appear to corroborate their
addictiveness. They can also confer a high
risk for other medical adverse effects.
Some of these may be linked to the fact
that, beyond their known psychoactive
ingredients, the contents of “bath salts”
are largely unknown, which makes the
practice of abusing them, by any route,
that much more dangerous.
Unfortunately, “bath salts” have already
been linked to an alarming number of ER
visits across the country. Doctors and
clinicians at U.S. poison centers have
indicated that ingesting or snorting “bath
salts” containing synthetic stimulants can
cause chest pains, increased blood
pressure, increased heart rate, |
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Anabolic Steroids |
“Steroids” refers to the class of
drugs used to treat a wide variety
of conditions, from supporting
reproduction (e.g., estrogen) and
regulation of metabolism and
immune function, to increasing
muscle and bone mass and treating
inflammation and asthma (e.g.,
cortisone).
“Anabolic” steroids are the class
of steroids used to increase
muscle and bone mass. These drugs
are manufactured in a laboratory
to imitate the male sex hormone,
testosterone. Despite the fact
that there are various types of
steroids, teens tend to abuse the
“anabolic” muscle-building kind
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While anabolic
steroids are
available
legally by
prescription,
they are most
often
prescribed to
treat
conditions
that occur
when males
produce
abnormally low
amounts of
testosterone,
which can
result in
delayed
puberty,
osteoporosis
(weak bones),
and impotence.
They are also
prescribed to
treat body
wasting in
patients with
AIDS and other
diseases that
result in loss
of lean muscle
mass. However,
abuse of
anabolic
steroids can
lead to
serious health
problems, some
irreversible.
Why
Steroids Are
Dangerous to
Teens
As a parent,
you have the
challenge of
explaining to
your teen why
use of
steroids is a
serious issue.
First,
while they are
sometimes
prescribed to
treat medical
conditions
like cancer,
there are
significant
health risks
in using them
outside a
health
professional’s
care.
Typically, in
those
situations,
the benefits
of steroid use
under a
physician’s
supervision
outweigh the
risks, and
they can
improve the
patient’s
quality of
life.
Second,
both men’s and
women’s bodies
produce a
certain level
of
testosterone.
When teens
take steroids,
they are
adding more
testosterone
to their
growing
bodies, which
throws off
their hormonal
balance.
Third,
since steroids
are often
taken by
injection,
there is also
increased risk
of HIV and/or
hepatitis
infection from
an unsterile
needle or
syringe.
While
there are many
reasons teens
take steroids,
there are
natural
opportunities
to talk to
your child
about all the
reasons they
should stay
far away from
steroids. Here
are a few
suggestions:
-
When your
teen gets
more
involved
with
competitive
sports.
-
If you find
your teen is
growing more
preoccupied
with body
image, such
as wanting
to gain more
muscle or
appear
leaner.
-
If you
notice your
child’s
friends are
hitting
their growth
spurts and
“filling
out.”
Make sure your
teen
understands
that the
effects of
steroid abuse
may include:
sterility;
damage to the
cardiovascular
system and
liver;
increased risk
of injury; and
disease, such
as increased
levels of
cholesterol,
causing a
thickening of
arterial walls
that could
ultimately be
life
threatening.
Signs
and Symptoms
If you have
reason to
believe your
teen is
abusing
steroids, look
out for these
specific signs
and symptoms:
-
Noticeable
weight gain,
particularly
more muscle
-
Hair loss
and
premature
balding
-
Severe acne
-
Mood swings,
from
depression
to
aggressiveness
-
Increased
injuries,
specifically
to tendons
-
Yellow tinge
to the skin
(indicates
abnormal
liver
function)
-
Needle marks
in large
muscle
groups
-
Needles or
syringes in
your teen’s
belongings
If you notice
any of this,
talk with your
teen
immediately
and be very
clear that no
drug use is
allowed – and
discuss the
serious health
risks with
him. It’s also
important that
you speak with
a family
physician.
Some health
effects are
reversible,
like acne and
mood swings,
while others
(such as
baldness and
stunted
growth) are
not. A doctor
should also
supervise and
help your teen
stop taking
steroids
safely.
Where
Do Teens Get
Steroids?
Since anabolic
steroids are
available only
by
prescription,
and because
they are
regulated like
narcotics,
anabolic
steroid
abusers often
obtain the
drugs
illegally.
Some of the
ways abusers
can get
steroids
include:
purchasing
steroids
manufactured
in an illegal
drug
laboratory
(not subject
to FDA
standards and
regulations),
smuggling from
other
countries,
purchasing
through
Internet
sales, or
stealing from
U.S.
pharmacies.
Forms of
anabolic
steroids
containing
androstenedione
or “andro” can
be purchased
legally
without a
prescription
through many
commercial
sources,
including
health food
stores. An
anabolic
steroid
precursor is a
steroid that
the body
converts into
an anabolic
steroid. There
is evidence
that they may
increase the
risk of
serious,
long-term
health
problems.
How
Are Steroids
Used?
Anabolic
steroids can
be taken in
the following
ways:
-
Injection
directly
into the
bloodstream
-
Swallowed as
tablets or
capsules
-
Ointments or
patches
(through the
skin)
-
Preparations
that are
placed
between the
cheek and
gum of mouth
Doses taken by
abusers can be
up to 100
times more
than the doses
used for
treating
medical
conditions.
Health
Effects
Although
steroids do
not produce a
medically
intoxicating
effect, abuse
of steroids by
a growing teen
can lead to
serious
consequences:
Short-term
effects
-
Effects vary
by
individual,
but general
short-term
negative
effects for
both sexes
include
hostility,
aggression,
and acne.
-
Steroids can
have a
magnified
effect on
teens since
their bodies
are still
growing. Any
unnatural
substances,
such as
anabolic
steroids,
that are
designed to
physically
alter a body
before
adulthood,
can result
in stunting
height, and
this can be
permanent.
-
Males may
experience
shrunken
testicles,
difficulty
or pain in
urinating,
become
infertile or
impotent,
development
of breasts,
hair loss,
and
increased
risk for
prostate
cancer.
-
Girls can
experience
an excessive
growth of
body and
facial hair,
male-pattern
baldness,
decreased
body fat and
breast size,
changes in
or cessation
of the
menstrual
cycle, and a
deepened
voice.
Long-term
effects
The
long-term
effects for
both males and
females are
similarly
related to
extreme
stresses to
the body.
Long-term
effects
include:
-
High blood
pressure
-
Increased
risk of
blood
clotting
-
Increases in
LDL (bad
cholesterol)
-
Decreases in
HDL (good
cholesterol)
-
Jaundice
(yellowish
skin color,
tissues, and
body fluids)
-
Liver cysts
and cancer
-
Kidney
cancer
-
Fluid
retention
-
Severe acne
Mental effects
While
steroids are
not taken as
mood-altering
drugs, they do
have
potentially
negative
psychological
effects when
abused.
Scientific
research has
shown that
aggression and
other
psychiatric
side effects
may result
from abuse of
anabolic
steroids. Many
users report
feeling good
about
themselves
while on
anabolic
steroids, but
researchers
report that
extreme mood
swings also
can occur,
including
hyperactivity
or agitation,
and
uncontrolled
aggression
(known as
“roid rage”),
which can lead
to violence.
What
Is Steroid
Withdrawal?
Many steroid
abusers feel
strong and
“happy” when
they are
using. When
they stop,
they can
experience
feelings of
depression,
which can
result in
dependence.
Researchers
also report
that users may
suffer from
paranoid
jealousy,
extreme
irritability,
delusions, and
impaired
judgment
stemming from
feelings of
invincibility.
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5-
Treatment Approaches for Drug Addiction |
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Drug Addiction
Treatment |
Successful treatment has several
steps:
-
detoxification (the process by
which the body rids itself of a
drug)
-
behavioral counseling
-
medication (for opioid, tobacco,
or alcohol addiction)
-
evaluation and treatment for
co-occurring mental health
issues such as depression and
anxiety
-
long-term follow-up to prevent
relapse
A range of care with a tailored
treatment program and follow-up
options can be crucial to success.
Treatment should include both
medical and mental health services
as needed. Follow-up care may
include community- or family-based
recovery support systems.
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How
are medications used in drug addiction
treatment?
Medications can be used to manage
withdrawal symptoms, prevent relapse, and
treat co-occurring conditions.
Withdrawal. Medications
help suppress withdrawal symptoms during
detoxification. Detoxification is not in
itself "treatment," but only the first
step in the process. Patients who do not
receive any further treatment after
detoxification usually resume their drug
use. One study of treatment facilities
found that medications were used in almost
80 percent of detoxifications (SAMHSA,
2014).
Relapse prevention.
Patients can use medications to help
re-establish normal brain function and
decrease cravings. Medications are
available for treatment of opioid (heroin,
prescription pain relievers), tobacco
(nicotine), and alcohol addiction.
Scientists are developing other
medications to treat stimulant (cocaine,
methamphetamine) and cannabis (marijuana)
addiction. People who use more than one
drug, which is very common, need treatment
for all of the substances they use.
-
Opioids:
Methadone (Dolophine®,
Methadose®), buprenorphine (Suboxone®,
Subutex®), and naltrexone (Vivitrol®)
are used to treat opioid addiction.
Acting on the same targets in the brain
as heroin and morphine, methadone and
buprenorphine suppress withdrawal
symptoms and relieve cravings.
Naltrexone blocks the effects of opioids
at their receptor sites in the brain and
should be used only in patients who have
already been detoxified. All medications
help patients reduce drug seeking and
related criminal behavior and help them
become more open to behavioral
treatments.
-
Tobacco:
Nicotine replacement therapies have
several forms, including the patch,
spray, gum, and lozenges. These products
are available over the counter. The U.S.
Food and Drug Administration (FDA) has
approved two prescription medications
for nicotine addiction: bupropion (Zyban®)
and varenicline (Chantix®).
They work differently in the brain, but
both help prevent relapse in people
trying to quit. The medications are more
effective when combined with behavioral
treatments, such as group and individual
therapy as well as telephone quitlines.
-
Alcohol: Three
medications have been FDA-approved for
treating alcohol addiction and a fourth,
topiramate, has shown promise in
clinical trials (large-scale studies
with people). The three approved
medications are as follows:
-
Naltrexone blocks
opioid receptors that are involved in
the rewarding effects of drinking and
in the craving for alcohol. It reduces
relapse to heavy drinking and is
highly effective in some patients.
Genetic differences may affect how
well the drug works in certain
patients.
-
Acamprosate (Campral®)
may reduce symptoms of long-lasting
withdrawal, such as insomnia, anxiety,
restlessness, and dysphoria (generally
feeling unwell or unhappy). It may be
more effective in patients with severe
addiction.
-
Disulfiram (Antabuse®)
interferes with the breakdown of
alcohol. Acetaldehyde builds up in the
body, leading to unpleasant reactions
that include flushing (warmth and
redness in the face), nausea, and
irregular heartbeat if the patient
drinks alcohol. Compliance (taking the
drug as prescribed) can be a problem,
but it may help patients who are
highly motivated to quit drinking.
-
Co-occuring conditions:
Other medications are available
to treat possible mental health
conditions, such as depression or
anxiety, that may be contributing to the
person’s addiction.
How are behavioral therapies used to treat
drug addiction?
Behavioral therapies help patients:
-
modify their attitudes and behaviors
related to drug use
-
increase healthy life skills
-
persist with other forms of treatment,
such as medication
Patients can receive treatment in many
different settings with various
approaches.
Outpatient behavioral treatment includes
a wide variety of programs for patients
who visit a behavioral health counselor on
a regular schedule. Most of the programs
involve individual or group drug
counseling, or both. These programs
typically offer forms of behavioral
therapy such as:
-
cognitive-behavioral therapy, which
helps patients recognize, avoid, and
cope with the situations in which they
are most likely to use drugs
-
multidimensional family therapy—developed
for adolescents with drug abuse problems
as well as their families—which
addresses a range of influences on their
drug abuse patterns and is designed to
improve overall family functioning
-
motivational interviewing, which
makes the most of people's readiness to
change their behavior and enter
treatment
-
motivational incentives (contingency
management), which uses positive
reinforcement to encourage abstinence
from drugs
Treatment is sometimes intensive at first,
where patients attend multiple outpatient
sessions each week. After completing
intensive treatment, patients transition
to regular outpatient treatment, which
meets less often and for fewer hours per
week to help sustain their recovery.
Inpatient or residential treatment
can also be very effective, especially for
those with more severe problems (including
co-occurring disorders). Licensed
residential treatment facilities offer
24-hour structured and intensive care,
including safe housing and medical
attention. Residential treatment
facilities may use a variety of
therapeutic approaches, and they are
generally aimed at helping the patient
live a drug-free, crime-free lifestyle
after treatment. Examples of residential
treatment settings include:
-
Therapeutic communities, which
are highly structured programs in which
patients remain at a residence,
typically for 6 to 12 months. The entire
community, including treatment staff and
those in recovery, act as key agents of
change, influencing the patient’s
attitudes, understanding, and behaviors
associated with drug use.
-
Shorter-term residential treatment,
which typically focuses on
detoxification as well as providing
initial intensive counseling and
preparation for treatment in a
community-based setting.
-
Recovery housing, which
provides supervised, short-term housing
for patients, often following other
types of inpatient or residential
treatment. Recovery housing can help
people make the transition to an
independent life—for example, helping
them learn how to manage finances or
seek employment, as well as connecting
them to support services in the
community.
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