WHAT’S SPEED GOT TO DO WITH IT? IMPORTANT INFORMATION FOR PEOPLE WITH MENTAL OR EMOTIONAL PROBLEMS Speed, whizz, sulphate; the drugs that hype you up and give you a rush. They include Amphetamines and Cocaine and are called psycho stimulants because they speed up messages going through your nervous system. They can reduce tiredness, increase endurance and help you stay awake. Amphetamines usually come as a smelly white, yellow or brown powder, but you can also find it as tablets, capsules, crystals or red liquid. It can be smoked, swallowed, inhaled through the nose (‘snorted’) or dissolved in a small amount of water and injected. Because they don’t have many medical uses, most amphetamines are crudely made in backyard laboratories, often mixed with other substances, which means they can have very unpredictable effects. STIMULANTS AND MENTAL HEALTH People who have emotional or psychiatric problems are worse off if they use speed. While amphetamines can make someone feel full of energy and confidence, in a person with a mental illness it is more likely to set off a major breakdown. Speed is one of the few drugs that is thought can actually cause mental illness. Some drugs can trigger a hidden illness, but anyone who takes speed long enough or in large amounts can become mentally ill. Even small doses can cause people to experience the symptoms of bipolar illness, so people who already have schizophrenia or bipolar disorder should think about avoiding speed. Other illnesses, including Obsessive Compulsive Disorder (OCD) and Post Traumatic Stress Disorder (PTSD) can also be made worse by speed. The immediate effects of ecstasy include: A feeling of tranquillity Increased confidence Raised blood pressure Increased heart rate Feeling close to other people Jaw clenching, grinding teeth Dry mouth and throat Nausea and loss of appetite Anxiety and paranoia DEPRESSION AND SPEED All the good effects that go with using speed have a down side. Feeling full of energy and selfconfidence easily becomes out of control, hyperactive behaviour. Speed is often linked with Larger does cause: Sweating aggression and violence. Hallucinations It is very common to become Irrational behaviour depressed after using speed, or Vomiting even suicidal. This is part of the Convulsions withdrawal effect and while it normally wears off in a few day or The next day a severe hangover weeks, that’s not always the case. may leave you feeling ‘burned out’. There is a special kind of depression Symptoms include: loss of appetite, depression, aching caused by speed and cocaine, which insomnia, muscles and difficulty in can last for months. concentrating. Speed or uppers make people feel good by flooding the brain with a Too much ecstasy results in very blood pressure, body chemical called serotonin. Ecstasy high temperature and racing heartbeat, releases even more serotonin than speed. It makes many people feel which can lead to heart failure and open and warm towards each other. stroke. But regular use damages your brain’s ability to handle serotonin, SCHIZOPHRENIA AND SPEED and the long periods of depression All the symptoms of schizophrenia that follow can last for ages, even can be caused by speed:, delusions, needing psychiatric treatment to help paranoid thoughts / feelings, the sufferer cope. It takes many hallucinations and badly scrambled months without speed before this thinking. The illness (often called a condition starts to get better, and for drug-induced psychosis)) is treated some people, it never does. like schizophrenia usually in a psychiatric ward, and can take a few ECSTASY (MDMA) weeks t bring under control. Once a Methylenedioxymethamphetamine person has had one drug induced or ‘ecstasy’ is an unusual stimulant, psychosis, they may be more likely because it also acts likes a to have further episodes, and a hallucinogenic (hallucinogenics are small number of people will continue to experience these symptoms even drugs like LSD). if they stop altogether. using stimulants More importantly, stimulant use can come to have such an important place in a users life that it interferes For people who have schizophrenia, with relationships, education, work, or who have a relative with the friendships and family life. Health is illness, speed is a very risky drug to often neglected and people do some use. It will make the illness worse very risky things to ensure their and prevent medication working supply is not interfered with. properly. IS SPEED A DANGEROUS DRUG? The earlier schizophrenia starts, the Speed is currently one of the most harder it can be to treat, many young widely used injecting drugs in the people use speed and because it UK. may be a trigger for the first episode in people who are vulnerable to the Because of the way it is illness (E.g. If a close family member manufactured, people who use has schizophrenia) it may be worth speed have a higher chance of avoiding. contracting HIV / AIDS, hepatitis and other blood borne diseases. Using BIPOLAR DISORDER AND SPEED speed is also associated with violent Speed does more than mimic mania; or aggressive behaviour. You might it triggers manic episodes in people injure someone else, or you could be who have a bipolar disorder. In the the victim! same way, the ‘crash’ that follows speed use can result in a severe SPEED AND OTHER DRUGS depressive episode in someone who Speed & Cannabis has a bipolar disorder, leading to Cannabis starves your body of feelings of suicide or hospitalisation. oxygen and increases the amount of The effects are usually worse with poisonous carbon monoxide in your cocaine and crack cocaine. bloodstream. Speed pumps up your heart and makes sure this poison DEPRESSION AND SPEED gets to your brain and to all the If you are depressed it seems logical organs of your body. That’s not to take a drug like speed that makes good. Cannabis will also make many you feel happy, high and confident. people paranoid at times and that But there is a catch: two catches increases the chance of triggering a really. The first is that what is true for schizophrenic illness especially bipolar illness is also true for when you use stimulants on top. depression. When you come off, you They shouldn’t be used together, or are likely to be far more depressed even within a few days of each than when you took it. The other other, because the active part of catch is that taking speed or cocaine cannabis stays in your system for a over a long period ‘burns out’ certain very long time after you take it. parts of the brain (serotonin receptors), leading to chronic Speed & Alcohol depression, which does not respond Speed increases your heart rate to well to treatment with medication. 120 beats per minute or more. At the same time, it increases your blood IS SPEED ADDICTIVE? pressure, and makes the heart beat Some speed users find that they irregular and erratic. Add alcohol, need increasingly larger doses to get which also interferes with circulation the effect they are looking for from and blood pressure and the the drug. This increasing “tolerance” combination is pretty dangerous. is an indication of physical addiction. Depressants (alcohol, Benzos and opiates) work on different parts of the brain, giving your body conflicting signals, which disrupt many functions. Depressants can slow your breathing reflex which results in less oxygen at the time your racing, irregular pulse is demanding extra. It can be a fatal combination and the risk grows as you get older. Speed & Medication Some HIV / AIDS drugs can lead to liver damage if taken with speed. Medications for mental illness won’t work properly if you are on speed, but the side effects will actually get worse, and antidepressants are ineffective while you are taking speed. The combination of speed and antidepressants increases the risk of having an amphetamine psychosis. Some drugs, like anticoagulants (for stroke, heart disease and blood clots) can become fatal if used with speed. OTHER ISSUES Users often take other drugs to counter effects like insomnia, leading to polydrug use. Stimulants are appetite suppressants, and loss of weight; poor nutrition and neglect go along with using. So does becoming vulnerable to infection and disease. If you want to know more about speed and your mental health or want a fact sheet on another substance call Manchester Dual Diagnosis Service on 0161 720 2005. Acknowledgements: D. Rich, SW Sydney Area Health Service. S. Bazire, Psychotropic Drug Directory. Drugscope, Drug Abuse Briefing. Manchester Dual Diagnosis Service: A Collaboration between Manchester Drug & Alcohol Strategy Team and Manchester Mental Health & Social Care Trust.