TOXICOLOGY AND DRUG OF ABUSE Flashcards
study of substances toxic to the body
toxicology
dose that would be predicted to produce a toxic response in 50% of the population
TD50
dose that would predict death in 50% of the population
LD50
dose that would be predicted as affective or has a therapeutic benefit in 50% of the population
ED50
Common CNS depressants which may cause disorientation, euphoria, confusion, and may progress to unconsciousness, paralysis and even death
Alcohol
Most common abused drug; a CNS depressant which causes diuresis by inhibiting ADH
Ethanol (Grain Alcohol)
Antidote for chronic intoxication of ethanol
diazepam
preferred method for ethanol
enzymatic using alcohol dehydrogenase reagent
commonly used solvent and a contaminant of homemade liquors. Converted to formaldehyde, and formic acid in the liver by alcohol dehydrogenase
methanol (wood alcohol)
preferred method for methanol
GC-MS
Rapidly absorbed by the GIT and is metabolized by hepatic alcohol dehydrogenase to acetone
Isopropanol (rubbing alcohol)
what is the antidote and preferred method for isopropanol?
Activated charcoal and gas chromatography
common constituent of hydraulic fluid and antifreeze
ethylene glycol
- hplc as preferred method
Colorless, odorless, tasteless gas and a very toxic substance. Produced by incomplete combustion of carbon-containing substances such as gasoline engines, organic materials in fire and cigarette smokes
carbon monoxide
symptoms of alcohol intoxication begin when the concentration is?
> 0.05%
Can exist as a solid, gas, or in solution. Super toxic substance and death may occur less than an hour. It is a component of insecticides and rodenticides , and a common suicidal agent
cyanide
-odor of bitter almonds
Common of ant poisons, rodenticides, paints, and metal alloys. Common suicide, and heavy metal poisoning
arsenic
- “odor of garlic” breath
It inhibits sulfhydryl enzymes throughout the body and it crosses the placenta
arsenic
antidote for arsenic?
British anti-lewisite
It is utilized in electroplating and galvanizing. It is a significant environmental pollutant and a pigment in paints and plastics. Causes Itai-Itai Disease
Cadmium
Potent enzyme inhibitor by blocking the delta aminolevulinic acid (ALA) synthase, pyrimidine-5’ nucleotidase, and NA-K-dependent ATPase
Lead
Metals that can cross the placenta
Lead, arsenic, cadmium, mercury
Neurological symptoms may include: encephalopathy characterized by a cerebral edema and ischemia. Severe can lead to stupor, convulsions and coma
Lead
-with a characteristic of wrist drop or foot drop
Binds with sulfhydryl proteins. And inhibits catecholamine-0-methyltransferase
Mercury
Major toxic effect of elemental mercury
Pink disease (acrodynia) and erethism
Major toxic effect if alkyl mercury
Congenital Minimata Disease
Method for mercury
Reinsch test
A product of incomplete combustion or heating of organic material containing carbon and hydrogen. Known environmental contaminant with carcinogenic property
Benzo (A) pyrene
Therapeutically used for treatment of narcolepsy and attentional deficit disorder. Structurally related to dopamine and catecholamines
Amphetamines
most abundant pesticide and responsible for 1/3 of pesticide poisoning
organophosphates
First marketed as benzedrine and was used to treat obesity before
Amphetamines
bennies, black beauties, crank, ice, speed and uppers
Amphetamines
also known as uppers because they increase the alertness and energy of the person taking them
stimulants
also known as opioids. Drugs that relieves pain
Narcotics
capable of analgesia, sedation, and anesthesia. Derived chemically from opium poppy.
Opiates
antagonist for opiate overdose
naloxon or narcan
Big H, Black Tar, Chiva, Hell Dust, Horse, Negra, Smack, and Thunder
Heroin
D, Dillies, Dust, Footballs, Juice and Smack
Hydromorphone
Amidones, Chocolate Chip cookies, Fizzies, Maria, Pastora, Salvia, Street Methadone and Wafer. This is a synthetic narcotic
Methadone
Most effective narcotic for pain. Principal constituent of opium and non-synthetic
Morphine
Dreamer, Emsel, first Line, god’s Drug, Hows, MS, Mister Blue, Morf, Morpho, and Unkie
Morphine
Ah-pen-yen, Aunti, Aunti Emma, Big O, Black Pill,
Chandoo, Chinese Molasses, Chinese Tobacco,
Dover’s Powder, Dream Gun, Dream Stick, Easing
Powder, God’s Medicine, Hops, Midnight oil, Joy Plant,
Zero, Toys and Toxy
Opium
Synthesize from thebaine, a constituent of the poppy plant. Hillbilly heroin, Kicker, OC, Ox, Roxy, Perc, Oxy
OXYCODONE
Heroin, Morphine, Oxycodone, Fentanyl, Methadone, Codeine, Hydrocodone
Constricted pupils
Marijuana, cocaine or crack, benzodiazepines, depressants (alcohol sedatives)
red eyes
Ampethamines, methamphetamines, cocaine or crack, hallucinogens, opiates, heroin, marijuana, speed
dilated pupils
● Coca, Coke, Crack, Flake, Snow and Sod Cot
● Has a strong addictive potentialve potential
Cocaine
● It is derived from coca plant and used
● Used as local anesthetics for as additive to some food
nasopharyngeal surgery
● A potent CNS stimulant that elicits a sense of
excitement and euphoria
● Can cause sudden death due to direct toxicity on
myocardium
● Overdosage may result to violent behavior
Cocaine
Inhibitor and treatment for cocaine
● Inhibitor: Prozac (anti-depressant)
● Treatment: Benzodiazepine
● Abyssinian Tea, African Salad, Catha, Chat, Kat, Oat
● Has a stimulant effect
Khat
“Zombie drugs” because of high energy and
aggressiveness and occassional skimming
Flakka
Shabu, Meth, Ice, Crank, Chalk, Crystal, Fire, go fast
and Speed
● “Poor man’s cocaine”
● Common in the Philippines
● CNS stimulant
Methamphetamine
This will put you to sleep, relieve pain, anxiety and muscle spasms and prevent seizure
DEPRESSANTS
Barbs, Block Buster, Christmas Trees, Goof Balls, Pinks,Red Devils, red and Blues and Yellow Jackets
BARBITURATES
Common for sedation, to induce sleep, anxiety, muscle spasm, and also for seizures.
BENZODIAZEPINES
a pill; “date-rape” pill (mga nilalagay sa
drinks)
Rohypnol
Easy Lay, G, Georgia Home Boy, GHB, Goop, Grievous bodily Harm, Liquid Ecstacy, Liquid X and
Scoop. Also sold as fish tank cleaner, ink stain remover, ink
cartridge remover and nail enamel remover
Gamma-Hydroxybutyric Acid
Circle, Forget-Me Pill, La Rocha, Lunch Money Drug,
Mexican Valium, Reynold, Roach, Roapies, Rophies,
Wolfies and Date-Rape Drug
Rohypnol
Adams, Beans, Clarity, Disco Biscuits, E, Eve, Go, Hug
Drug, Lover’s Speed, Peace, STP, X, Party drug and
XTC
ECSTACY / MDMA
Acid, Blotter Acids, Dots, Mellow Yellow and Window
Pane
Lysergic Acid Diethylamide (LSD)
Has no medical use
● For patients who has LSD or took LSD, they exhibit a
behavior described as “Mainitin ang ulo” (hot-headed)
Lysergic Acid Diethylamide (LSD) - diazepam ang antidote
It came from a plant that has a psychoactive properties
known as the Cannabis sativa / Cannabis indica /
Cannabis ruderalis
MARIJUANA/ CANNABIS
Aunt Mary, BC Bud, Blunts, Boom, Dope, Gangster,
Ganja, Grass, Hash, Hash-ish, Herb, Kif, Joint, Mary
Jane, Pot, Reefer, Sinsemilla, Skunk, Smoke, Weed
and Yerba
MARIJUANA/ CANNABIS
most potent component or the psychoactive substance of marijuana (induces euphoria)
Tetrahydrocannabinol (THC)
angel’s dust or angel hair
PHENCYCLIDINE
Chemically associated with male hormone
testosterone
ANABOLIC STEROIDS
Arnolds, Juice, Pumpers, Roids, Stackers, and Weight
Gainers
STEROID