Addictions Psychiatry Flashcards
1
Q
cocaine negative effects
A
- damage to nose and airways
- convulsions with respiratory failure
- cardiac arrhythmia’s and MI
- hypertension and CVA
- toxic confusion
- paranoid psychosis
2
Q
cocaine withdrawal effects
A
- depression
- irritability
- agitation
- craving
- hyperphagia
- hypersomnia
3
Q
signs of opiate overdose
A
- respiratory arrest with a pulse
- pinpoint pupils unreactive to light
- snoring giving way to shallow respiration (< 8 breats/min)
- bradycardia and hypotension
- varying degree of reduced consciousness/coma
4
Q
side effects of opiates; short term, medium term and longer term
A
First time - nausea/vomiting and headache
Medium term - phlebitis, anorexia and constipation
Long term - tolerance, withdrawal, social and health problems
5
Q
symptoms of opaite withdrawal syndrome
A
- craving
- insomnia
- yawning
- muscle pain and cramps
- increased salivary, nasal and lacrimal secretions
- dilated pupils
- piloerection (hence ‘cold turkey’)
6
Q
ecstacy (MDMA) side effects
A
- nausea and dry mouth
- increased blood pressure and temperature
- in clubs users risk dehydration
- large doses can cause anxiety and panic
- drug-induced psychosis
- ? liver and brain cell damage
7
Q
side effects of cannabis
A
- respiratory problems as with tobacco
- toxic confusion
- exacerbation of mental illness
- ? cannabis psychosis
8
Q
anabolic steroids side-effects
A
- skin: acne, stretch marks, baldness
- feminisation in males: hypogonadism, gynaecomastia
- virilisation in women including hirsutism, deep voice, clitoral enlargement, menstrual irregularities, hair thinning
- CV: increased cholesterol and hypertension
- growth deficits due to premature closure of epiphyses
- liver disease: cholestatic jaundice, liver tumours
9
Q
anabolic steroids psychological side effects
A
- irritability and anger - ‘roid rage’
- hypomania and mania
- depression and suicidality on withdrawal
