Drug Matrix Samantha Kiefer MPTC Drug Matrix Drug classifications Subcategories of Drugs Specific Drugs in class CNS & Physiological Effects Withdrawal Effects Unique treatment issues Therapeutic uses Legal/illegal/prescription/ OTC Sedative Hypnotics/CNS depressants Benzodiazepines Xanax Ativan Klonipin Halcion drowsiness/lethargy nightmares irritability sweating mental & physical impairment anxiety insomnia depression panic convulsions n/a anxiety neurosis muscle relaxation Insomnia prescription (legal) Barbiturates Amytal Luminal Fioricet sedation increased heart rate frequent urination liver damage coma seizures anxiety depression paranoia/panic convulsions n/a anxiety relieve tension Insomnia Antihistamines Visteril Claratin Zyrtec relaxation/drowsiness insomnia dry mouth agitation n/a n/a allergies common cold sleep aid GHB “date rape drug” hormonal problems nausea/vomiting drowsiness hallucinations insomnia anxiety none in US anesthetic Heroin drowsiness/LBP constipation euphoria respiratory depression urinary retention agitation anxiety Insomnia stomach cramps/nausea used in treatment of alcohol addiction & narcotic dependence use opiates to treat opiate addiction: Narcotic/ Narcotic analgesics Opiates none in US analgesic antitussive prescription (legal) OTC prescription (legal) illegal prescription (legal) illegal constricted pupils nausea/vomiting mental clouding LBP CNS Stimulants runny nose/tears loss of appetite vomiting/diarrhea chills/fever aching bones/muscles vomiting cravings HBP cold/hot flashes flu-like symptoms Suboxone Methadone rapid detox Narcoticrelated Drugs Clonidine Naltrexone Dextromethorphan altered perceptions/floating hallucinations/visual distortions paranoia/psychotic reactions “same as above” treatment of opiate addiction cough suppressant prescription (legal) OTC Other narcotics Morphine Oxycodone Methadone Fentanyls Tramadol itching urinary retention clammy skin convulsions coma death “same as above” treatment of opiate addition analgesic pain reliever cough suppressant anti-diarrheal prescription (legal) Natural subst. Papaverine Major Stimulants: Amphetamines Ritalin Adderall Dexadrine Ecstasy illegal decreased fatigue restlessness increased irritability confidence irritability nausea/vomiting mood swings psychotic reactions cocaine vaccine Drugs used narcolepsy ADHD weight reduction prescription (legal) illegal Meth Cocaine Bath salts fearfulness distrust of people behavioral stereotypy hallucinations insomnia/intense hunger obsession w/drug seeking to treat: Bromocriptine neonatal apnea local anesthetic Busprenorphine Minor Stimulants: Caffeine- like Xanthenes (caffeine) OTC Sympathomimetics Ephedrine Pseudephedrine Naphazoline Phenylephrine Herbal Stimulants “rave herbal stimulant” “legal herbal weed” enhances alertness causes arousal diminishes fatigue increase in stomach juices insomnia tension/anxiety muscle twitches headache decreased alertness/vigor fatigue/lethargy nervousness Antidepressants stay awake OTC/legal decongestant (colds, allergies, sleep aids) diet medications excessive use can cause: seizures heart attack stoke death OTC/legal dietary supplements for: energy boosters diet aids performance enhancers (doctors do advise people of using these stimulants) OTC/legal illegal (ephedrine/ephedra) OTC (legal) Hallucinogens Traditional (LSD Types) LSD psychosis/”freakout” paranoia panic attacks ”flashbacks” seeing geometrical shapes in intense colors dizziness numbness altered perceptions ”electrical storm” in neural activity sweating/anxiety pupil dilation nausea/vomiting muscular sedation/contraction slow heart rhythm depression double vision n/a n/a n/a illegal Phenylethylamine DOM/STP MDA/ MDMA Ecstasy loss of appetite increased feelings/selfperceptions/sense of aesthetic enjoyment muscle aches drowsiness depression acne n/a n/a illegal Anticholinergic Belladonna Atropine Hyocyamine stimulation/excitement depression anesthesia/analgesia flushing/sweating blank stare increased blood pressure increase heart rate by 100%(atropine) n/a colds prescription (legal) Mandrake Jimson- illegal Antidepressants weed days without eating/sleeping dilated pupils dry mouth/nose/throat constipation urinary retention Other PCP Ketamine DextroMetorphan Marijuana severe hallucinations dry mouth hyperthermia seizures/death short-term memory loss Natural Substances Salvia Divinorum mushrooms Trycyclic Elavil Tofranil Pamelor drug seeking behavior n/a n/a dry mouth/nose blurry vision constipation increased appetite/weight urinary retention cognitive/memory impairment increased body temperature restlessness/dizziness muscle twitches/weakness nausea/vomiting irregular heart rhythms “withdrawal syndrome”(brain “zaps/shocks/shivers” sweating nausea tremor confusion/nightmares vertigo) anxiety insomnia headache nausea/malaise motor disturbance when going off antidepressants doctors advise patients to taper off slowly week by week, day by day (Ketamineanesthetic medical purposes-legal to use in these circumstances illegal OTC (legal) research of active ingredient in salvia divinorum may be used to treat: chronic pain dementias bipolar schizophrenia drug addiction clinical depression ADHD chronic pain/eating disorders PTSD/OCD narcolepsy smoking cessation Tourette syndrome legal prescription (legal) (not considered addictive) MAOI’s SSRI’s Inhalants (non-regulated) Volatile Substances (adhesive aerosols solvents/gases cleaning agents dessert topping sprays Nardil Parnate Emsam insomnia nausea dizziness muscle spasms/weakness confusion edema/weight gain sexual dysfunction suicidal thoughts (“withdrawal syndrome”) insomnia nausea dizziness weight gain/edema muscle spasms/weakness confusion sexual dysfunction Zoloft Prozac Paxil Luvox Wellbutrin Effexor Cymbalta nausea diarrhea nervousness headache suicidal feelings serotonin syndrome sexual dysfunction dry mouth (“withdrawal syndrome”) drowsiness anxiety/confusion muscle twitches nausea/vomiting restlessness/dizziness sexual dysfunction airplane glue deodorant hair spray fuel gas nail polish remover degreaser whipped cream whippets nausea irritation of airways coughing/sneezing lightheadedness mild stimulation/loss of control lack of coordination/disorientation possible hallucination relaxation sleep/coma brain damage/death hypertension damage to heart muscle/peripheral n/a “same as above” “same as above” n/a depression anxiety/panic disorders OCD trichtotillomania Parkinson’s disease prescription (legal) depression anxiety/panic/ eating disorders chronic pain some personality disorders PTSD OCD prescription (legal) n/a legal nerves/brain/kidneys loss of appetite fatigue nosebleeds Anesthetics gas liquid Nitrites “poppers” Acne Medications Stri-dex peroxide alcohol salicylic acid resorcinol sulfur Retin-A vitamin A Accutane Sleep Aids laughter loss of sensation limb spasms altered perceptions blackouts n/a n/a nitrous oxide (used by health professionals) legal n/a n/a n/a legal dry skin discontinued use may cause the acne to come back n/a acne conditions OTC prescription (legal) Ambian sedation/drowsiness nightmares eating/driving in sleep Discontinued use may cause insomnia/anxiety n/a insomnia prescription (legal) Benadryl (antihistamines) sedation anti-anxiety action “same as above” n/a mild/temporary sleep disturbances caused by: physical discomfort/jet- OTC (legal) Drugs not easily specified OTC Drugs lag/extreme emotional upset Excedrin PM Triaminic Cold/allergy Midol PM Tylenol cold reliefnighttime (analgesics) relaxation/drowsiness pain relief Melatonin ( natural) drowsiness “same as above” n/a pain reliever sleep aid OTC (legal) n/a natural sleep aid OTC (legal)