otc medicines that can be abused Flashcards

1
Q

What are the common opiate-containing products that can be abused?
Answer: Co-codamol, co-dydramol, codeine linctus, and morphine-containing liquids are some examples of opiate-containing products that can be abused.

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2
Q

What is the pharmacological action of opiate-containing products?
Answer: Opiate-containing products act as agonists at opiate receptors, producing analgesic and anti-tussive effects. They also affect the gastrointestinal tract at normal doses.

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3
Q

What are the licensed OTC indications of opiate-containing products?
Answer: Opiate-containing products are licensed for the relief of pain, cough, and diarrhea.

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4
Q

What are the reasons for abusing opiate-containing products?
Answer: Some people abuse opiate-containing products for their psychotropic effects, to self-detox from illicit opiates, or to prevent withdrawal symptoms. Others may become dependent on the OTC product.

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5
Q

What is loperamide and why is it dangerous at high doses?
Answer: Loperamide is an opiate-containing product that acts on the gastrointestinal tract at normal doses. However, it can produce toxic metabolites at high doses, which can be dangerous.

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6
Q

What are the common laxatives that can be abused?
Answer: Senna and bisacodyl are commonly abused laxatives.

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7
Q

What is the pharmacological action of stimulant laxatives?
Answer: Stimulant laxatives increase gut motility and are commonly abused to relieve constipation.

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8
Q

What are the licensed OTC indications of laxatives?
Answer: Laxatives are licensed for the relief of constipation.

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9
Q

What are the reasons for abusing laxatives?
Answer: Some people abuse laxatives to change their body image and attempt weight loss. Others may have eating disorders that contribute to the abuse.

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10
Q

What are the common sympathomimetic-containing products that can be abused?
Answer: Pseudoephedrine and phenylephrine-containing products such as Sudafed and Nurofen cold and flu are commonly abused sympathomimetics.

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11
Q

What are the licensed OTC indications of sympathomimetic-containing products?
Answer: Sympathomimetic-containing products are licensed for their decongestant effect in colds and flu

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12
Q

What are the common antihistamines that can be abused?
Answer: Promethazine and diphenhydramine are antihistamines that can be abused.

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13
Q

What is the pharmacological action of antihistamines?
Answer: Antihistamines block H1 receptors in the CNS, causing drowsiness and anticholinergic effects.

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14
Q

What are the licensed OTC indications of antihistamines?
Answer: Antihistamines are licensed as temporary sleep aids and as part of cold/flu products for their decongestant effect.

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15
Q

What are the reasons for abusing antihistamines?
Answer: Some people abuse antihistamines as a sleep aid, leading to dependence and perpetuating use. Promethazine can also produce moderate antipsychotic effects at high doses, which some people may seek to abuse.

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16
Q

What are the common cough suppressants that can be abused?
Answer: Dextromethorphan is a common cough suppressant that can be abused.

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17
Q

What is the pharmacological action of dextromethorphan?
Answer: Dextromethorphan acts as a dissociative anesthetic at high doses, affecting the user’s perception of pain, responses to environmental stimuli, and memory.

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18
Q

What are the licensed OTC indications of cough suppressants?
Answer: Cough suppressants are licensed for the relief of cough.

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19
Q

What are the reasons for abusing cough suppressants?
Answer: Some people abuse cough suppressants to achieve hallucinogenic effects similar to ketamine or PCP. This can lead to side effects such as psychosis, mania, and increased sympathetic drive.

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20
Q

What are some of the chemicals used in the clandestine manufacture of illicit drugs?
Answer: Alkalis, solvents, alcohols, and acids are among the chemicals used in the manufacture of illicit drugs.

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21
Q

What was the chemical used in the bombs used by the 7/7 London attackers?
Answer: Tricycloacetyl peroxide (TCPA) was the chemical used in the bombs used by the 7/7 London attackers. Concentrated hydrogen peroxide is one of the ingredients used in the manufacture of this chemical.

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