Principles of Addiction: Foundation Flashcards
4 C’s of Addiction
- Craving
- Control (loss of; in amount of frequency of use)
- Compulsion to use
- Consequences (use despite of)
Instrumental Use
motivation of drug user who takes drug for purpose other than getting high.
Licit-prescribed valium to relieve anxiety
Illicit-morphine w/out scrip to relieve pain
Recreational Use
motivation of drug user who takes drugs only to get high.
Licit-glass of wine to relax
Illicit-line of cocaine for euphoric effects
Drug Toxicity
physical or psychological harm that a drug may present the user.
e.g. dangerous, poisonous, interfere w/normal functioning
Acute Toxicity
immediate harm of a drug (soon after ingested)
e.g. accidental OD, dangerous combos of drugs w/alcohol, overmedication of prescription or OTC drugs
Chronic Toxicity
harm a drug might cause over long time period
e.g. liver disease=alcoholic, lung cancer/cardiovascular/pulmonary disease=tobacco,
Dose
quantity of drug taken into body
Dosage
measured in terms of milligrams (mg) or micrograms
Therapeutic Index
-measure of drugs relative safety for use.
-higher the ratio=safer the drug.
Pharmacodynamics
studies effects of a drug on body by measuring drug binding to receptors & dose-response curves.
Pharmacokinetics
branch of pharmacology that studies relationship between time & concentration of a drug @various sites in the body by measuring absorption, distribution, metabolism, & excretion of drug.
Common Harm Reduction Approaches
- O.D. Prevention Sites (supervised injection sites, safe consumption sites)
- Safe Supply Kits (sterile syringes, alcohol swabs, sterile water, tourniquets, spoons, filters, safe inhalation kits, sharps container)
- Free Condom Distribution
- STI Testing & Counselling
- Naloxone Kits & Naloxone Training
- Tobacco Control Policies
- Alcohol (designated driver programs)
- Retention in Treatment (integrate lapses/relapses into treatment as part of recovery process)
- Methadone/Suboxone Maintenance Therapy
Licit Drugs (Legal)
manufacture, sale, possession is legal.
e.g. alcohol, cannabis, nicotine, caffeine.
Illicit Drugs (illegal)
manufacture, sale, possession is illegal.
e.g. heroin, cocaine, club drugs
7 Classes/Classifications of Drugs
- Cannabinoids
- Depressants
3.Stimulants - Inhalants
- Opiates
- Hallucinogens
- Steroids