drug abuse & addiction

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Table of Contents
Drug Addictions
Marijuana
Ecstasy
Special K
Cocaine & Crack
GHB
Crank
Inhalants
Rohypnol or "Roofies"
Hallucinogens
PCP
Overdoses & Dependence


Drug Addictions

Why Do People Use Drugs?
People may use drugs for a number of reasons. Some take them out of curiosity to see what they feel like or because their friends are using them. Others take them to escape painful feelings and situations. Some use drugs because they are addicted and they cannot stop; the drug becomes more important than family, friends, or school. Still others use drugs because they believe in myths - that a drug can make someone more confident, get more work done, feel less sad, improve their sex life, and have more fun. The biggest myth is that occasional drug use is harmless.

What Effects Can Drugs Have On Me?
Depending on the frequency and type of use, drugs can have severe and long-lasting effects on the body. Some drugs will cause damage after just one use, while others will hurt the body and mind more slowly. Here are some examples of possible effects different drugs can have:

Nicotine - diminished sense of smell and taste, smoker's cough, emphysema, heart disease, stroke, cancer, frequent colds, and chronic bronchitis.

Cocaine and Crack - heart attacks, strokes, respiratory failure, seizures, and reduction of the body's ability to resist infection.

Steroids - liver tumors, high blood pressure, hair loss, severe acne, testicular shrinking, stunted growth, and an irregular menstrual cycle.

Marijuana- sleeplessness, reduced concentration, paranoia, hallucinations, intense anxiety, cancer, and increased risk of infertility.

Inhalants - severe mood swings, suffocation, loss of sense of smell, nosebleeds, liver, lung and kidney impairment, and brain damage.

Caffeine - sleeplessness, reduced concentration, intense anxiety, and restlessness.

One can become dependent on any drug, including those listed above.




Marijuana

Marijuana ("smoke" or "pot") and Hashish ("hash") -both contain the chemical THC. Side effects include impairment of judgment, memory and concentration and some inexperienced users experience anxiety attacks. This drug, like alcohol, is often used in social situations because of the enhancement of sensory perception and lowered inhibitions some users experience. The immediate danger is psychological dependence where getting high is used to avoid personal problems or uncomfortable feelings. Used repeatedly, this drug can cause brain damage and impairment of body functions. This drug may also be contaminated with other chemicals in order to "enhance" the effect, and with pesticides or other agricultural chemicals sprayed on the plants.



Ecstasy

  • "E" has skyrocketed onto the club scene, with millions of pills taken annually. But is it harmless fun or a one-way trip to the ER? If E feels so great, then why is everyone condemning it? The reality is that ecstasy is a potent substance, treated the same legally as crack or heroin.

  • Many people think that ecstasy is a mixture of many drugs, but it is actually just one drug, MDMA, or Methylenedioxymethamphetamine. (How do you like that for a handle?) It works by triggering a massive release of serotonin (the neurotransmitter that helps control bodily functions like mood, sleep, memory, temperature regulation, and heart rate) in the brain, making you feel euphoric and carefree - for a short time. When you take E, you're using up your brain's supply of serotonin, and until it can be replaced, many of your body's functions will work improperly.

  • It's not known how long the effects of ecstasy last in your body, but a recent study by the National Institute on Drug Abuse showed conclusively that serotonin levels in a post-Ecstasy brain are significantly lower than normal. That deficiency can lead to severe long-term depression, or at least several days of feeling pretty awful. Sometimes the come-down is really bad.

  • Some research has pointed to symptoms similar to those of patients with Alzheimer's in the brains of animals injected with Ecstasy. Whether or not this is proven conclusively, it has already been found in research reported from Guy's Hospital Poisons Unit that Ecstasy is the only drug to permanently damage the nerve terminals in the brain.

  • There are, of course, more acute health risks to taking E. One of the drug's immediate side effects is that it dehydrates the body. The dehydration can be exacerbated by intense dancing or failing to drink water regularly. In fact, if users don't drink enough water, their bodies can undergo severe dehydration, leading to coma, convulsions and eventually death. At the other extreme, in rare instances E causes people to drink water compulsively. Too much water can lead to hyponatremia, a potentially fatal condition in which sodium levels become dangerously low.

  • Ecstasy users may experience an increase in sweating, increased blood pressure and heart rate, nausea, grinding of the teeth and jaw pain, anxiety or panic attacks, blurred vision, and vomiting. There is also the potential, from relatively small doses, for strong negative effects that may last for days or weeks. These include confusion, panic, insomnia, or even convulsions. There is extensive evidence in animals that recreational doses of Ecstasy can cause permanent neurological damage.

  • It's true that people on Ecstasy don't always swagger like they're drunk or space out like potheads. But don't let that lull you into a false sense that E is a safe weekend drug. It can have serious - even deadly - side effects, some of which probably aren't yet known. You need to be prepared to handle the consequences.

  • In addition to the direct effects of Ecstasy on the brain, there are knock-on effects to the body which are noted in the reported fatalities to users. If the user has not noticed they are getting tired, due to the stimulating effects of the drug they continue to dance, raising their body temperature and tiring or straining muscles and impacting their bones. If, as in many clubs, users are drinking alcohol, which is a dehydrating substance, their bodies will become dehydrated. This, along with the raised body temperature from dancing frantically in a hot crowded club, causes collapse and possible failure of body organs like the kidneys, heart or liver.

  • Another frightening report has been that of internal hemorrhaging (bleeding) in users. This could be due to E having anti-coagulant properties--that is, it stops blood from clotting and therefore a person runs the risk of bleeding to death.

  • Finally, there is the risk of what a user is actually taking. A wide range of products have been passed off as E. These range from pure amphetamines, paracetamol, methadone and any mixture of these with pure Ecstasy in addition to some more alarming items such as worming pills and fish tank oxygenating tablets.

  • Besides the possibility of physical toxicity, the ultimate risk in taking E is psychological. Because your boundaries are gone with E, you are more liable to the possibility of psychosis. Anyone who has an inner feeling that they have had difficulty distinguishing reality from fantasy should realize that they are at high risk. Persons who are very anxious and prone to anxiety disorders, phobias, depression and panic attacks are more likely to suffer adverse consequences from psychedelic and MDMA-like drugs. E can cause anxiety disorders and chronic panic attacks.

  • Depression and mania definitely can be triggered by Ecstasy if you are predisposed. MDMA lowers serotonin, and low serotonin levels have been linked with depression and suicide in some studies (not of MDMA users). The effect of many antidepressants (e.g. Prozac) is to increase the action of serotonin. In very simple terms, antidepressants have the opposite effect on serotonin action to MDMA. There are thus theoretical reasons to propose that MDMA use will show an association with depression and possibly suicidal thoughts, though this association has not been established as yet. Doctors are worried that in ten to fifteen years time, there may be a generation of suicidal depressed people who have used E on a regular basis.



Special K

Special K is the street name for the drug Ketamine. Other names by which it is known are Ketalar, Ketaject, and Super-K. Ketamine is closely related to PCP, and it produces very similar effects. Like PCP, Ketamine use produces a reaction called a dissociative state (formerly called multiple personalities), and also like PCP, Ketamine is known to cause bad reactions in some of its users. However, unlike PCP, Special K is a legal prescription drug intended for use as an anesthetic for people and large animals. In recent years, Ketamine has begun to be used recreationally. Similar to PCP, Ketamine can have a significant impact on coordination, thought, and judgment, and it can produce agitation, violence, confusion, and communication difficulties.




Cocaine & Crack

"What is Cocaine?"
Cocaine hydrochloride is a central nervous system stimulant derived from the coca plant. Abused for the intoxicating effects, cocaine interferes with the reabsorption process of dopamine, a chemical messenger in the brain responsible for controlling pleasure, alertness and movement. Cocaine also has topical anesthetic properties which do not cause intoxication.

Many slang terms exist that refer to cocaine. The most common include coke, snow, white lady, soda, nose candy, blow, blizzard, caine, sleet, snow cone, sniff, blanco, cubes, devil drug, ready rock, moonrocks, freebase, crack, hail, pebbles, boulder, hell, chalk, kibbles n' bits, and casper.

"How long has cocaine been used?"
The Incas were probably the first to use cocaine 5,000 years ago, but the cocaine that we are familiar with today was first refined by a German chemist in 1858. In its concentrated, purified form, cocaine was used in various medications and led to the first major epidemic of cocaine abuse around 1900. Soon after, restrictions were placed on the drug because of adverse side effects and addictive properties. Today, cocaine is classified as a Schedule 2 Controlled Substance under the federal Controlled Substances Act and is illegal in most circumstances.

"Why do people use cocaine?"
Individuals may use cocaine for the exhilarating high, increased energy, and improved confidence. They may also seek the approval of their peers, stress reduction, or rebellion against authority. What they do not realize is that cocaine use can disrupt the chemical balance in the brain, depleting the "feel good" chemicals the brain needs to function normally after the "high" wears off. That's why users experience fatigue and depression or "crash" after the intoxicating effects subside.

"What does cocaine look like?"
Cocaine hydrochloride is a white, crystalline powder that is snorted or dissolved in water and injected. Crack cocaine is a form of freebase or "smokable" cocaine that has been processed with baking soda so that it can be smoked. Named after the crackling sound heard when heated, crack cocaine looks like white to tan pellets or chunks that resemble rock salt or soap. Crack is usually smoked in a pipe and can also be smoked with marijuana and tobacco products.

"Is cocaine used with other substances?"
Yes. Cocaine is often used with other illicit drugs, especially alcohol, marijuana, and heroin. Some users alternate snorting lines of cocaine and heroin, known as "crisscrossing," or inject the two drugs as a "speedball." Crack is also smoked with marijuana joints or marijuana cigars/blunts, a combination called a "primo." Alcoholic beverages can intensify cocaine's effects, and may place users at greater risk of sudden death.

"How pure is cocaine?"
Powder cocaine is processed with many volatile solvents, such as
kerosene, benzene, and gasoline, and these poisons can remain in the cocaine found on the street. In addition, dealers on the street may "cut" or combine the cocaine with other substances, like talcum powder, amphetamines, anesthetics, and other substances that may bring the purity down and cause unwanted side effects.

"What are cocaine's short-term effects?"
Depending on the route of administration, users may begin to feel an intense "high" characterized by a surge of energy, intense pleasure, and increased feelings of confidence. Cocaine intoxication is rather short, lasting only 15-30 minutes for powder cocaine and 5-10 minutes for crack. Crack fumes can reach the brain as quickly as 10 seconds. These short periods of intoxication can lead to cocaine "binges" where cocaine is used over and over to prolong the "high." When drug supplies are depleted and/or the user becomes tolerant to cocaine's intoxicating effects, the binge abruptly ceases. After the pleasurable effects wear off the user will experience a "coke crash," which is characterized by depression, irritability, fatigue, paranoia, anxiety, and intense craving for more of the drug.

"What are cocaine's physical effects?"
Cocaine use can cause dilated pupils, nausea, headaches, sweating, increased heart rate, elevated blood pressure, insomnia, loss of appetite, and seizures. Cocaine speeds up the heart by stimulating the same nerves that cause fear causing the heart to beat erratically or stop. Cocaine also shrinks the peripheral blood vessels and places extra pressure on the heart and circulatory system. These effects can lead to heart attacks, strokes, brain seizures, cardiac arrest, and respiratory failure in otherwise healthy people. New and chronic users can die suddenly.

"What are cocaine's long-term effects?"
Chronic use of cocaine can cause heart problems, permanent liver damage, nutritional deficiencies, and long-term changes in the brain, triggering intense craving for cocaine. In addition, research has shown that long-term cocaine use can compromise the immune system. Other effects are related to how cocaine is administered.

Snorting: Snorting cocaine may cause a loss of the sense of smell, nose bleeds, sores around the nose and upper lip, swallowing problems, hoarseness, and sinus problems. Stuffy or runny nose is common, and chronic use may damage the structures on the inside of the nose. Because of cocaine's anesthetic effects, users may not be aware of the extent of damage to their nose and mouth.

Smoking: Smoking crack can cause severe chest pain, wheezing, chronic cough, parched lips, tongue and throat, extreme hoarseness, singed eyebrows and lashes, and burns on fingers. In the extreme, crack can cause bleeding in the lungs and "crack lung," a condition characterized by pneumonia-like symptoms.

Injecting: Users may have collapsed and scared veins, bacterial
infections, infections of the heart lining and valves, abscesses or boils, pneumonia and tuberculosis, and other infectious diseases. Injecting users are at risk of contracting HIV, the virus that causes AIDS, and hepatitis B and C, liver diseases that can lead to cancer. These diseases are spread by sharing needles and using unsterilized drug paraphernalia.

"What are cocaine's effects on the mind?"
Cocaine causes severe behavior changes, causing violent, erratic behavior in some and suicidal feelings in others. Users under the influence may experience tactile hallucinations, where they feel "coke bugs" crawling on their body. After using cocaine, they may be confused, anxious, and depressed. They may even lose interest in food or sex, have trouble feeling pleasure, and act paranoid after long term use. In severe cases, users may exhibit cocaine-induced psychosis where users lose touch with reality and exhibit paranoid behavior. Because of its effects on behavior, cocaine intoxication is often listed as a contributing factor in drownings, car crashes, burns, and suicides.

"Is cocaine really addictive, and what does that mean?"
Yes. The onset of addiction is rapid and severe, and not even "recreational users" who limit their use to weekends are immune from the threat of addiction. Once more, all methods of cocaine use cause addiction.

"Does treatment for cocaine addiction work?"
Yes. Cocaine addiction is a chronic, relapsing "brain disease" characterized by compulsive drug seeking and use as a result of chemical imbalances in the brain. Long-term use of cocaine can alter the brain's chemistry to the point that the individual may have very long-term and possibly permanent cravings for cocaine.




GHB

  • Gamma Hydroxybutyric Acid (GHB), a chemical promoted as an alternative to steroids for bodybuilding, recently has gained favor as a recreational drug because of its intoxicating effects.

  • The Food & Drug Administration (FDA) has reissued a warning against this drug because it is potentially dangerous.

  • Since 1990 there have been numerous symptoms reportedly GHB related, including vomiting, dizziness, tremors, and seizures. Many people have required hospitalization and several deaths have occurred.

  • This drug is often promoted as an aphrodisiac or an easy high, under street names such as "cherry meth", "liquid X", and "liquid ecstacy".

  • GHB is usually a clear liquid or a white powder, with a salty taste that can be easily disguised in a beverage. Because of it's effect, it has been used to render a potential victim more helpless and vulnerable to rape.


Crank

  • Methamphetamine (sometimes known as "Crank") is making a comeback. Even Iowa, a small rural state, is reporting a dramatic increase of users. It is reported that in 1996 over 50,000 Iowans were involved with "Crank." The report on "Crank" use in Iowa showed that people there are using "Crank" as a method for staying up over a week at a time. Some have even stayed up as long as 30-40 days without sleeping at all. This takes a devastating toll on the body and mind.

  • There may be some students who might turn to 'crank' as a method for staying awake to increase studying time; however, "Crank" does kill. Some "Crank" users die due to the body being unable to fight off infections, others suffer from brain damage and some experience convulsions and comas. This is a dangerous drug and people should be aware of its consequences. ( Some of the symptoms to watch for include: loss of appetite, decreasing body weight, irritability, and staying up for hours on end. "Crank" may seem 'attractive' as a possible, although desperate, way to lose weight.


Inhalants

  • Amyl nitrate, butyl nitrate, nitrous oxide, propane, butane, glue and paint are all inhalants that can be abused by "huffing" or inhaling them. Because of the easy availability of these common products, this new wave of drug use is reaching epidemic proportions. The latest statistics involving seventh and eighth graders in Massachusetts shows that one in four of them have already used inhalants!

  • The use of inhalants causes many problems both long and short term. Immediate effects include relaxation of sphincter muscles and lowered blood pressure. Long term usage can cause headaches, dizziness, accelerated heart rate, nausea, loss of erection, hallucinations, liver, kidney, bone-marrow and brain damage and death. There is also a high psychological addiction rate with the use of inhalants.

  • As you can see, the effects of "huffing" are serious and deadly! Even brief experimentation can cause brain damage and death. The ease of availability of these products makes inhalants very risky business. Don't gamble with your life and health!


Rohypnol or "Roofies"

  • The drug Rohypnol, or "Roofies" is also called "ruffies", "roche", "R-2", "rib" and "rope" and reportedly is quickly becoming the "date rape drug of choice." Rohypnol is a brand name for flunitrazepam (a benzodiazepine), a very potent tranquilizer similar in nature to valium (diazepam), but many times stronger.

  • The drug produces a sedative effect, amnesia, muscle relaxation, and a slowing of psychomotor responses. Sedation occurs 20-30 minutes after administration and lasts for several hours. The drug is often distributed on the street in it's original "bubble packaging" which adds an air of legitimacy and makes it appear to be legal. The drug is not commonly used by physicians in the United States and is not even listed in the commonly used Physician's Desk Reference.

  • According to a University of Florida drug hotline, "Roofies" are often combined with alcohol, marijuana, or cocaine to produce a rapid and very dramatic "high". Even when used by itself, users can appear extremely intoxicated, with slurred speech, no coordination, swaying, and blood-shot eyes...with no odor of alcohol. The drug has been added to punch and other drinks at fraternity parties and college social gatherings, where it is reportedly given to female party participants in hopes of lowered inhibitions and facilitating potential sexual conquest.

  • Police departments in several parts of the country say that after ingestion of "Roofies" that several young women have reported waking up in frat houses with no clothes on, finding themselves in unfamiliar surroundings with unfamiliar people, or having actually been sexually assaulted while under the influence of the drug. As insidious, disgusting and perilous as this may sound, the dangers don't stop there.

  • Besides the worries of unprotected sex, Rohypnol, particularly when mixed with alcohol or other drugs may lead to respiratory depression, aspiration, and even death. When taken repeatedly, it can lead to physical and psychic dependence, which is thought to increase with both dose and duration of use. An amnesia producing effect of "Roofies" may prevent users from remembering how or why they took the drug or even that they were given it by others. This makes investigation of sexually related or other offenses very difficult and may account for repeated reports of "date rapes" involving the use of the drug.



Hallucinogens

LSD ("acid"), Mescaline and Psilocybin are hallucinogens which cause powerful, extreme and unpredictable changes in mood and perception during a 10-12 hour "trip" period. The trip can be unpleasant and disorienting with unpredictable reoccurrence ("flashbacks") for months afterward. A "bad trip" can cause considerable anxiety.



PCP

Phencyclidine (PCP or "angel dust") produces a masking of inhibitions and pain perception and disrupts the intellect. While some people enjoy the disorientation, others experience confusion, agitation, unrealistic fears, speech disturbances, memory and mood problems.



Overdoses

A serious problem with many drugs is the potential for overdose.
Because these drugs are not distributed under controlled conditions, it is impossible to know their strength (or exact composition). Many users do not understand the dangers of mixing drugs which multiply each others' effects. Combining alcohol, depressants, cocaine and/or narcotics can drastically lower the overdose threshold. High doses shut down vital brain control centers leading to death from lack of oxygen.


Dependence

Try to stop using drugs (including legal ones) for one month. If you have trouble doing so, you have a problem and need professional help.


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