CNS Stimulate Fact Sheet Physiological Complications/Psych Valerie Ditter What is a CNS stimulate Central nervous system (CNS) stimulants, also called psychomotor stimulants or uppers, are a class of drugs that speed up physical and mental processes. Names of various CNS stimulates Examples of CNS stimulants include amphetamines, such as methylphenidate (Ritalin®), methamphetamine (e.g. Desoxyn® or Desoxyn Gradumet®), caffeine (e.g. coffee or tea), nicotine (cigarettes or cigars), and the illegal drug cocaine. Examples of otc stimulants are Keep Alert, Vivarin and No Doz Max. Strength. Street names Bams, Blackbirds, crosses, poppers, speed, thrusters, uppers, uppies, whites, bernies, big, bloke, blow, heaven dust, her, school boy, snow, crank, crystal, meth, splash, dexies, pep pills, bennies. Therapeutic uses Stimulants are typically used to treat medical conditions such as attention-deficit hyperactivity disorder (ADHD), attention-deficit disorder (ADD), fatigue, and narcolepsy. Some stimulants have been used as appetite suppressants, although the safety of this use remains controversial. Cocaine has shown to be effective as a local anesthetic. CNS Stimulate Fact Sheet Physiological Complications/Psych Valerie Ditter Neurological Effects of abuse Stimulants have chemical structures that are similar to key brain neurotransmitters called monoamines, including dopamine and norepinephrine. Their therapeutic effect is achieved by slow and steady increases of dopamine that are similar to the natural production of this chemical by the brain. The doses prescribed by physicians start low and increase gradually until a therapeutic effect is reached. However, when taken in doses and routes other than those prescribed, stimulants can increase the brain’s dopamine levels in a rapid and highly amplified manner—as do most other drugs of abuse—disrupting normal communication between brain cells, producing euphoria, and increasing the risk of addiction. Physiological effects of abuse In general, side effects of abuse may include anxiety, insomnia, dry mouth, depersonalization, feeling of euphoria, increased heartbeat, crying, dysphoria, decreased appetite, hyperventilation, irritability, depression, nervousness, paranoia, mood swings, restlessness, and shaking or trembling. . Withdrawal Effects Individuals who stop taking stimulants after they become addicted to them usually experience withdrawal symptoms. In general, symptoms of withdrawal may include irritability, headaches, nausea, vomiting, and mood swings. The severity of withdrawal symptoms varies, depending on the specific drug. For instance, individuals who are addicted to caffeine may experience symptoms of fatigue or headaches when they stop drinking coffee. In contrast, individuals who abuse methamphetamines experience much more severe withdrawal symptoms that may even be life threatening. Examples of these symptoms include intense cravings for the drug, psychotic reactions, anxiety, moderate to severe depression, intense hunger, irritability, fatigue, mental confusion, and insomnia. CNS Stimulate Fact Sheet Physiological Complications/Psych Valerie Ditter Health Risks There is a high potential for addiction, paranoia, and sleep deprivation (which can cause psychotic episodes). There is also a danger of long-term insomnia, digestive problems, and erratic weight change. Stimulants are most dangerous when used with over-the-counter medications including cold medications containing decongestants; antidepressants, unless supervised by a physician; and some asthma medications. Signs and Symptoms of dependence CNS stimulants may cause physical or mental dependence when taken over long periods. Anyone who shows signs of dependence should check with his or her doctor right away. Dependence can be indicated by an unusually strong desire to keep taking the medicine. Other signs include the need to take larger and larger doses of the medicine to get the same effect, and withdrawal symptoms, such as depression, nausea or vomiting, stomach cramps or pain, trembling, or unusual tiredness or weakness when the medicine is stopped. References: http://www.wellness.com/reference/conditions/cns-stimulants/symptoms-and-causes http://www.nida.nih.gov/infofacts/painmed.htm http://www.faqs.org/health/topics/38/Central-nervous-system-stimulants.htmll CNS Stimulate Fact Sheet Physiological Complications/Psych Valerie Ditter