Drugs of Abuse (Iszard) Flashcards

(52 cards)

1
Q

Abstinence syndrome

A

The signs and symptoms that occur on withdrawal of a drug in a dependent person

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2
Q

Addiction

A

Compulsive drug-using behavior in which the person uses the drug for personal satisfaction, often in the face of known risks to health, formerly termed psychological dependence

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3
Q

Controlled substance

A

Drug deemed to have abuse liability that is listed on governmental schedules of controlled substances. Such schedules categorize illicit drugs, control prescribing practices and mandate penalties for illegal possession, manufacture and sale of listed drugs

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4
Q

Dependence

A

A state categorized by signs and symptoms, frequently the opposite of those caused by a drug, when it is withdrawn from chronic use or when the dose is abruptly lowered, formerly physical dependence

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5
Q

Designer drug

A

A synthetic derivative of a drug, with slightly modified structure but no major change in pharmacodynamic action. Circumvention of the schedule of controlled drugs is a motivation for making

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6
Q

Tolerance

A

A decreased response to a drug, necessitating larger doses to achieve the same eff3ct

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7
Q

Sensitization

A

An increase in response with repetition of the same dose of drug

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8
Q

Withdrawal

A

Adaptive changes that become fully apparent once drug exposure is terminated… withdraw is the evidence of physical dependence

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9
Q

Schedule 1 drug criteria and examples

A

Criteria: no medical use, high addiction potential

Examples: flunitrazepam, heroin, LSD, PCP, MDMA

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10
Q

Schedule II drug criteria and examples

A

Criteria: medical use, high addiction potential

Examples: amphetamines, cocaine, methylphenidate, strong opioids

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11
Q

Schedule III drug criteria and examples

A

Criteria: medical use, moderate abuse potential

Examples: anabolic steroids, barbiturates, ketamine, moderate opiate agonists

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12
Q

Schedule IV drug criteria and examples

A

Criteria: medical use, low abuse potential

Examples: benzodiazepines, mild stimulants, most hypnotics, weak opioids

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13
Q

Duration of symptoms EtOH

A

Approx 1 hours per each serving

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14
Q

Duration of symptoms tobacco

A

20 minutes

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15
Q

duration of symptoms Marijuana

A

2 to 4 hours

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16
Q

Duration of symptoms inhalants

A

5 minutes to 8 hours

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17
Q

Duration of symptoms stimulants

A

5 minutes to 12 hours

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18
Q

Duration of symptoms depressants

A

1 to 16 hours

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19
Q

Duration of symptoms hallucinogens

A

5 minutes to 12 hours

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20
Q

Duration of symptoms narcotics

A

4 to 24 hours

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21
Q

Duration of symptoms PCP

22
Q

Overdose effects of amphetamines, methylphenidate, cocaine

A

Agitation, HTN, tachycardia, delusions, hallucinations, hyperthermia, seizures, death

23
Q

Withdrawal symptoms amphetamines, methylphenidate, cocaine

A

Apathy, irritability, increased sleep time, disorientation, depression

24
Q

Overdose effects barbiturates, benzodiazepines, ethanol

A

Slurred speech, drunken behavior, dilated pupils, weak and rapid pulse, clammy skin, shallow respiration, coma, death

25
Withdrawal symptoms barbiturates, benzodiazepines, ethanol
Anxiety, insomnia, delirium, tremor, seizures, death
26
Overdose effects of heroin and other strong opioids
Constricted pupils, clammy skin, nausea, drowsiness, respiratory depression, coma, death
27
Withdrawal symptoms of heroin and other strong opioids
Nausea, chills,cramps, lacrimation, rhinorrhea, yawning, hyperpnea, tremor
28
Long term effect of PCP
May lead to irreversible schizophrenia-like psychosis
29
Long term effect of LSD
Can cause flashbacks of altered perception years after consumption
30
Caffeine uses (6)
Most commonly: mental alertness, treat migraine HA, treat HA after epidural anesthesia, asthma, ADHD, memory
31
How much EtOH does a standard drink contain
0.6 ounces
32
What is considered binge drinking for women
4 or more drinks on a single occasion
33
What is considered binge drinking for men
For men, 5 or more drinks during a single occasion
34
What is considered heavy drinking for women
8 or more drinks a week
35
What is considered heavy drinking for men
15 or more drinks per week
36
Enzyme for the conversion of alcohol —> acetalaldehyde
Alcohol dehydrogenase
37
Enzyme for the conversion of acetaldehyde —> acetic acid
Acetaldehyde dehydrogenase
38
What order of kinetics is alcohol metabolism?
Zero order kinetics
39
What does zero order kinetics mean?
Rate remains constant and is independent of concentration or amount of chemical (biological system is rate limiting factor) ***t1/2 increases with dose
40
What type of metabolism primarily processes EtOH?
Ethanol undergoes extensive first pass metabolism
41
How much EtOH can the average adult process in one hour?
7-10g of alcohol per hour or approximately one drink
42
What is used to treat methanol and ethylene glycol toxicity
Ethanol
43
Treat acute EtOH Intoxication (3)
1) monitor respiratory depression and aspiration on vomitus 2) glucose for hypoglycemia and ketosis 3) thiamine to protect from wernicke-korsakoff
44
Treat acute EtOH withdrawal (3)
- benzodiazepines - thiamine therapy - electrolyte rebalancing
45
Primary treatment for EtOH dependence
Psychosocial therapy
46
Naltrexone use
Approved for treatment of alcohol and opiate dependence
47
Naltrexone MOA
Mu opioid receptor antagonists (long-acting); reduces craving
48
What happens if a person is not opioid free before initiating naltrexone?
Naltrexone use will precipitate acute withdrawal syndrome
49
Acamprosate MOA/use
Weak NMDA-receptor antagonist and GABAa receptor agonist; reduces short and long- term EtOH relapse rates
50
Disulfiram MOA
Irreversibly inhibits aldehyde dehydrogenase and causes extreme discomfort in patients who drink alcoholic beverages
51
Disulfiram special instructions
Should not be administered with any medications that contain alcohol (cough syrup, cold preparations, mouthwashes)
52
Who is disulfiram indicated for
Patients with EtOH addiction who are highly motivated to quit