Substance Abuse and Addiction

Sedative-Hipnotics/Anxiolytics

Benzodiaprines

Ativan

Clonopin

Effects like Alcohol, less euphoria

Barbiturates - Barbarians and Bitches [VERY DANGEROUS]

Power Sedatives

Highly lethal, only need 10x the normal => Coma or Death

Withdrawal dangerous => Sudden Death

Stimulants

Amphetamines

Meth [ snort, iv, smoke ]

Adderall [ pill ]

Methamphetamines (The abused ones)

tactile hallucinations, skin sores

Psychosis, Hypertension

Cocaine [ Snort ]

Aggression - Euphoria - Crash after use - Psychosis - Permanent Paranoia

Stroke + Cardiomyopathy (Since your heart is RACING)

Cerebral Atrophy with long term use

Synthetic Cathinones (Bath Salts) [ Snort, Pill, Smoke,IV]

Hallucinations - Paranoia - Panic Attacks - Violent

Opioids [ Oral, intranasal, IV]

Euphoria, Sedation

IV => Dirt needle, endocarditis, hepatits

Coma, Slow breathing, hypothermia, hyportension, bradycardia

Triad: Coma, Pinpoint Pupils and Respiratory Depression

Naloxone, NARCAN!

Maintenance and Treatment

Maintenance

Methadone

Withdrawal can include: Cramps, bone ache, profuse diarrhea, abdominal cramps, fever, hypertension, tachycardia, temperature dysregulation, piloerection, lacrimation, rhinorrhea - none life threatening

Buprenorphine (can be in office )

Buprenorphine / naloxone (Suboxone)

Cannabis - WEED - the devil's lettuce

Dilate pupils - Couch potato - Mild tachy - Hunger -red eyes - impaired motor skills - orthostatic hypotension at high doses

Synthetic Cannabinoids

K2, Spice

Hallucinations, Psychosis, Delirium if prolonged

SEVERE psychomotor agitation, seizures and coma

Hallucinogens

Psilocybin (mushrooms)

Mescaline (Peyote Cactus

LSD

Ketamine

PCP (Angel Dust)

MDMA (Ecstasy

Pupils Dilate - Tachycardia - Sweating - Palpitations - Heightened sense of Feeling -Tremors - Blurry Vision -In-coordination - Hallucinations

Inhalants

Solvents, Glues, Aerosols, Paints, Fuels

Fearfulness, Sensory illusions, visual hallucinations, disortion of body size, slurred speech, decreased rate of speech, ataxia

Long term: Irritability, emotional lability, impaired memory

Steroids

Anger, Arousal, Hostility, Irritability, Anxiety, Depression when not using

Stroke, hyperlipidemia, hyertension, MI, cardiomyopathy, testicular atrophy, sterility, acne, badlness

Tobacco

Cardiovascular and cancer risks

Help

Varenicline AKA Chantix

Bupropion ( Zyban or Wellbutrin SR)

reduces cravings, lowers seizure threshold

reduces withdrawal symptoms.. SUICIDE thoughts, mood swings