Chapter 10

Question 1

OPIATES

Answer 1

native to the Middle East
come from a poppy seed plant
AKA heroin-> very addictive drug

Question 2

MEDICAL USES

Answer 2

Egyptians

Greek & Romans

Question 3

9TH CENTURY

Answer 3

spread to India & China

where we start seeing it smoked

Question 4

DISCOVERY OF MORPHINE

Answer 4

in 1803
major active form of opium
10x more potent than opium

Question 5

WAR BETWEEN CHINA & GREAT BRITAIN

Answer 5

GB was giving China opium that they didn’t want

there was a war and GB won the port in Hon Kong

Question 6

SOLDIERS DISEASE

Answer 6

many soldiers when they cam back from war were addicted to morphine because it cut out all the pain

Question 7

HARRISON ACT

Answer 7

1. didn’t allow opiates to be prescribed unless they were decreasing over time
2. couldn’t be prescribed to known addicts
3. heroin cold not be prescribed at all

Question 8

UNCUT HEROIN

Answer 8

odorless powder

snorted

Question 9

CHASING THE DRAGON

Answer 9

when the heroin was smoked

Question 10

LOW QUALITY HEROIN

Answer 10

dark brown, has to be melted down to inject

Question 11

DEATH RATE

Answer 11

50% - 100% times higher the death rate of the general population
at a higher risk for other diseases
25% of AIDS cases from sharing needles

Question 12

DESIGNER HEROIN

Answer 12

made by chemist illegally

MPTP -> cause Parkinson’s

Question 13

HISTORY ON OPIATES

Answer 13

men are more likely to use heroin

women are more likely to use prescription opiates

Question 14

MAJOR DIFFERENCE IN HEROIN & MORPHINE

Answer 14

heroin is lipid soluble
easier to pass the blood brain barrier
once in the brain, heroin will turn into morphine

Question 15

NALOXONE

Answer 15

opiate antagonist
given when someone has overdosed on heroin
can be mixed with Oxycontin to enhance pain relief

Question 16

MORPHINE

Answer 16

prototype opiate analgesic

analgesic-> releaves pain without causing unconsciousness

Question 17

MORPHINE USED TO TREAT:

Answer 17

diarrhea cough -> one of the earliest tx

Question 18

TREATMENT OF HEROIN ADDICTS

Answer 18

methedone

Question 19

ACUTE PSYCHOLOGICAL EFFECTS OF OPIATES

Answer 19

euphoria
reduce sexual drive and social interactions
dreamlike experiences
impairments in learning and memory

Question 20

ACUTE PHYSIOLOGICAL EFFECTS OF OPIATES

Answer 20

resemble depressant drugs
nausea
vomiting
constriction of pupils

Question 21

TOLERANCE

Answer 21

builds quickly

Question 22

WITHDRAWAL

Answer 22

cause for continued use 
  to avoid negative effects of the drugs
flu like symptoms
cold turkey
kicking the habit 
methadone detoxification

Question 23

PEAK LEVELS

Answer 23

48 - 72 hours