PSYCHOACTIVE DRUGS: Addiction: a physical or psychological Tolerance: it takes more than before to get Withdrawal: physical illness or discomfort Stimulants A class of psychoactive drugs that arouse/excite CNS.
Increase heart rate, stamina, respiration, and blood
Caffeine (coffee, soda…) Suppresses adenosine (a depressant of the brain) Increased feelings of alertness Addictive - Caffeinism is a dependence on caffeine
w/ insomnia, loss of appetite, irritability, racing heart,
and elevated body temp. Withdrawal = lethargy, irritability, lack of
concentration and headache Link with caffeine and birth defects
Nicotine (cigs, chew…) Activates and increases Ach (Acetylcholine)
Makes the user feel more relaxed – even though it
Can be lethal (chain smoking 17-25)
Overdose: dizziness, nausea, muscle tremors…
One of the most addicting of all drugs
Heart disease, gum disease, lung disease, cancer,
Amphetamines (speed, methamphetamines, diet pills…) Activates DA and NE, prevents reuptake
Amphetamine Psychosis = mental illness due to
chronic amphetamine drug use – paranoid delusion
Heart attacks, aggression, odd behavior
** Amphetamine Sensitization – for occasional users, a
small amount of the drug has a bigger effect than
Cocaine/Crack Increases transmission of NE and DA Euphoria and increased alertness Originally used as local anesthesia Until 1906 was found in Coca Cola (hence the name)
Highly addictive Increased body temp, heart attack, stroke, seizures Len Bias – drafted by Celtics celebrated with cocaine–
Withdrawal = fatigue, anxiety, paranoia, boredom,
depression, and Anhedonia (inability to feel pleasure)
Particularly dangerous when used with alcohol or heroine
Stimulants cont… Methylenedioxymethamphetamine (MDMA, ecstasy) Increases release of 5-hT (Serotonin) and NE
Euphoria, heightened sensory experiences, empathy,
lowered inhibitions, diminished sexual response
Dry mouth, clenched jaw, grinding teeth, agitation, blurred
vision, rapid eye movement, nausea, chills, and sweating.
Overdose: Increased body temperature that leads to
kidney failure and heart failure, heart attack, overdose of
Long term effects – linked to damaged serotonin receptors,
damaged serotonergic brain cells, clinical depression, decreased sexual response.
Most pills sold in the US are NOT MDMA Depressants
A class of psychoactive drugs that inhibit or slow the
Reduce anxiety, help with insomnia, slow reflexes,
Anti-Anxiety (Valium, Xanax…) Activates/enhances GABA
Benzodiazepines (tranquilizers) = lowers anxiety,
reduces tension, relieves insomnia Valium, Xanax, Halcion, Rohypnol (10x more potent)
Dangerous drug interaction with alcohol
Sedatives-Hypnotics and Anti-Anxiety (barbiturates,
Barbiturates = depress brain activity, highly addictive,
GHB = Gamma-hydroxybutyrate. Relaxes and sedates
Slows heartbeat and respiration, loss of muscle control,
loss of gag reflex, loss of consciousness, death
Dangerous drug interaction with alcohol
Alcohol Enhances GABA (an inhibitory NT), decreases
effectiveness of DA, effects Cerebral Cortex, Limbic
System, Cerebellum, Hypothalamus, and Medulla
Effects may vary – range from euphoria to excitement to
confusion to stupor and eventually to coma and death
Problems with drinking? See page 279
Alcohol cont… CNS damage, liver/pancreas damage, cirrhosis of the
liver, kills brain cells reducing total brain mass, stomach/
intestinal ulcers, increased bp, decreased sex hormones,
lowered immune system, memory loss, anemia,
Fetal Alcohol Syndrome Withdrawal = convulsions, hallucinations, tremors Hangover = withdrawal due to acute intoxication Treatment = antabuse, therapy, rehab, AA
Some Signs / Symptoms:
Unconscious or semi-consciousness.
Slow respiration (breaths) of eight or less per
minute or lapses between breaths of more than eight seconds.
Cold, clammy, pale or bluish skin.
Alcohol Poisoning: Appropriate Action: CALL 911. Do what you would do in any
medical emergency--call immediately.
gently turn the intoxicated person on his/her side
and place a pillow in the small of the person's back. This is important to prevent aspiration (choking) should the person vomit.
Stay with the person until medical help arrives. Narcotics
Class of psychoactive drugs that reduce pain, reduce
Opiates: Derived from the opium poppy
Opioids: Same chemical structure, but synthetic)
Morphine, Heroin, Codeine, Methadone, Percodan,
Euphoria, reduction of pain, depressed breathing,
Body stops producing endorphins, making
withdrawal very difficult and addiction quite easy
Heroin withdrawal = starts in 4-6 hours with running
nose, watery eyes, and cramping. By 12-18 hours
there is no appetite, severe diarrhea, severe cramps,
chills, and fever that will last for days.
Naloxone (blocks the drug) Methadone program
Hallucinogens
A class of psychoactive drugs that alter
consciousness of inner and outer worlds.
Lysergic Acid Diethylamide (LSD) Blocks 5hT Dizziness, creeping skin, nausea, tremors, loss of time,
mood swings, hallucinations, extreme cognitions,
Not addictive, but tolerance does occur Long term physical effects not yet known, but linked to Delta-9-tetrahydrocannabinal (THC) THC mimics Anandamide (a NT) by binding
with cannabinoid receptors in the brain.
These receptors affect short-term memory,
coordination, learning, sensory and time
Disconnected ideas, loss of time/space,
hunger , distorted perception, increased heart
rate, paranoia, pre-cancerous changes in
Other long term problems not yet known Psychological dependence
Phencyclidine (PCP, “angel dust”) and Ketamine Anesthetic drugs with hallucinogenic effects and
Euphoria PCP = hostile and aggressive bxs, violence, mimics
Psilocybin and Mescaline (peyote) Two other hallucinogens that are found naturally Still have hallucinogenic effects, exhilaration, distorted
Can intensify existing psychological problems and
There are a variety of drugs available to treat migraines. You should work carefully with your doctor to decide which one is best for you. TRIPTANS Triptans are the newest and most effective drugs used in the treatment of migraine. They are also the first class of drugs specifically developed for migraine patients, although they are effective against other types of headaches, too. Triptan
CRITICAL ISSUES IN HEALTH ECONOMICS B. J. Dooley, Louisiana State University at Eunice Arthur Schroeder, Louisiana State University at Eunice Fred Landry, Louisiana State University at Eunice Edwin Deshautelle, Louisiana State University at Eunice Cynthia Darbonne, , Louisiana State University at Eunice ABSTRACT The healthcare industry faces critical issues including co-pay