U8.1.2 DRUGS OF ABUSE Flashcards
Hallucinogens
Substances that cause hallucinations
LSD, PCP, Ketamine, Scopolamine
Hallucinogens
- Lysergic acid diethylamide Claviceps purpurea
- synthetic agent related to ergot alkaloids
LSD
Hallucinogens
- NE, dopamine, serotonin
- 5-HT1a & 5-HT1c agonists
LSD
Hallucinogens
- one of the most potent drugs 1ug/kg
- absence of known fatalities
LSD
Hallucinogens
- duration based on dose
- waxing and waning e ffects
LSD
Hallucinogens
Symptoms :
rise in body temp, Hallucinations, uterine contractions, elevated sugar levels, Goosebumps, Euphoria, pupil dilation
LSD
Hallucinogens
- Lophophora williamsii
- Restricted but allowed occasionally to North
American Indians
Mescaline
Hallucinogens
Psilocybe mushroom
Psilocybin
Hallucinogens
Symptoms :
Mydriasis, muscle relaxation, dizziness
Psilocybin
Hallucinogens
Anesthetic, “special K” “vitamin K”
Ketamine
Hallucinogens
Symptoms : dream-like states, hallucination, delirium, amnesia,
high BP, depression, fatal respiratory problems
Ketamine
Hallucinogens
- phenylcyclohexamine derivative
- veterinary anesthetic
Phencyclidine
Hallucinogens
angel dust, PCP
Phencyclidine
Hallucinogens
- smoked with tobacco, snorted, Oral, IV
- antagonize NMDA
Phencyclidine
Hallucinogens
- long t1/2
- users tend to be violent and suicidal
- bad-trips
Phencyclidine
Hallucinogens
Hyoscyamus niger
Scopolamine
Hallucinogens
- block central muscarinic receptors
- unpleasant to users
Scopolamine
Hallucinogens
Erythroxylon coca
Cocaine
Hallucinogens
- dopaminergic reuptake transmitter
- inhibit reuptake of dopamine and NE
Cocaine
Hallucinogens
- free base is absorbed as fast as IV
- t1/2= 1hr, repeated 30min
Cocaine
Hallucinogens
Symptoms :
- feeling of bugs under skin
- paranoia and schizophrenia like state
- exhaustion by lack of sleep and food
- appetite, exhaustion, depression
Cocaine
Hallucinogens
- increase catecholinergic neurotransmitters
- dopamine not be metabolized thus released
Amphetamines
Hallucinogens
- treat narcolepsy and ADHD
Amphetamines
Hallucinogens
paranoid psychosis, necrotizing arteritis, OD is rarely fatal
Amphetamines
Hallucinogens
Symptoms:
Decreased appetite, inc. stamina, energy, sexual
drive, loss of REM sleep, tremor, restlessness, anxiety,
Amphetamines
Hallucinogens
related drugs (shabu, ecstasy)
Amphetamines
Hallucinogens
intimacy and empathy
Ecstacy
Hallucinogens
- “raves” designer drug
- SERT
Ecstacy
Substance of Abuse
reverse the effects of fatigue on both mental and physical tasks
Stimulants
Substance of Abuse (Stimulants)
tobacco products
Nicotine
Substance of Abuse
coffee, tea, some soft drinks, and many non-prescription medicines
Caffeine
Substance of Abuse
Nicotiana tobacum
Nicotine
Substance of Abuse
nicotinic cholinergic receptor agonist
Nicotine
Substance of Abuse
strong psychological and physiological dependence (more addictive than heroin and cocaine)
Nicotine
Substance of Abuse
- increased dopamine
- SIDS, carcinogenic
Nicotine
Substance of Abuse
xanthine alkaloid from Coffea arabica
Caffeine (1,3,7-trimethylxanthine)
Substance of Abuse
- adenosine receptors
- low chance of abuse and addiction
Caffeine (1,3,7-trimethylxanthine)
Substance of Abuse
- anesthetic gases
- industrial solvents
Inhalants
Substance of Abuse
- aerosol propellants
- organic nitrites
Inhalants
Substance of Abuse
psychoactive effects
Inhalants
Substance of Abuse
Symptoms :
alcohol-like intoxications, hallucinations, hypoxia, pneumonia, cardiac failure, headache, nausea, vomiting, slurred speech, loss of motor coordination, wheezing
Inhalants
Substance of Abuse
difficulty in concentrating, dreaminess, euphoria, numbness, tingling
Anesthetics
Substance of Abuse
- N2O= 35% used; 100% death
- ether & chloroform
Anesthetics
Substance of Abuse
- gasoline, toluene, benzene, trichloro-ethylene
- euphoria, “drunk” feeling, disorientation, slow passage of time
Industrial solvents
Substance of Abuse
Eg. Glue, correction fluid, gas
Industrial solvents
Substance of Abuse
- amyl nitrite, isobutyl nitrite
- dizziness, rapid heart rate, lowered BP, “speeding,” flushing of skin
Organic nitrites
Substance of Abuse
- enhance, prolong erection
Organic nitrites
Substance of Abuse
- Liver, kidney, peripheral nerve, and brain damage
- bone marrow suppression, pulmonary disease, death
Toxicities
Substance of Abuse
bone growth, appetite, puberty, muscle growth
Anabolic Steroids
Substance of Abuse
Symptoms:
change in libido, irritability, violence, mood swings, forgetfulness, confusion, fatigue, depressed mood, craving for steroids
Anabolic Steroids
Substance of Abuse
hypertrophied muscles, acne, oily skin, hirsutism in females, gynecomastia in males, needle punctures
Anabolic Steroids
Substance of Abuse
high LDL; low HDL
Anabolic Steroids
Substance of Abuse
elevated liver function
Anabolic Steroids