Methamphetamine Patty Chenevey Kate Mahoney Ben Lohr Introduction Methamphetamine is such a huge problem for New Mexico and its residents This presentation will provide the history, methods of production, distribution and use, the biological and physical effects, the mechanisms and medical uses and the recovery process of the drug. History Synthesized in 1887 In 1930’s meth was marketed over the counter for nasal congestion In 1937, available by prescription in pill form Used in WWII to keep the troops going In 1950’s Dexedrine and Methedrine were used by truck drivers, students and athletes non-medically History Widely prescribed in the 1950’s and 60’s for depression and obesity 1970 – Controlled Substance Act was passed severely restricting the legal production of the injectable drug Schedule II drug under federal regulations, meaning it has a high potential for abuse and dependence Effect on New Mexico Most of the methamphetamine is smuggled across the border from Meixco Locally produced is also available Most seizures occur on interstate highways and in the Four Corners Area Death rate in 2006-2007: (1.8 per 100,000) 44 people died of methamphetamine in 2007 Effect on New Mexico Bernalillo county is the county with the most deaths Small towns have most occurrence of meth labs Since 2001, roughly 20 methamphetamine labs have been busted a year 30% of meth lab busts have children on the scene Production & Distribution Produced most commonly using the ephedrine/pseudoephedrine reduction method Large scale production in California and Mexico, which is then smuggled into the country Production & Distribution The production is difficult and has caused explosions, fires, fumes and irreparable damage to people and the environment Methods of Use Meth is a central nervous system stimulant can be snorted, smoked, or injected Injection causes the strongest effect Can be combined with household materials like drain cleaner, battery acid and antifreeze Methods of Use Can be combined with heroin into a “meth speedball" “Biker's coffee" a combination of methamphetamine and coffee Smoked out of glass pipes or in aluminum foil heated by flame Effects of the High The high experience lasts from four to sixteen hours As the high begins to wear off, the methamphetamine user enters a stage called "tweaking," in which he or she is prone to violence, delusions, and paranoia Effects of the High euphoria hyperexcitability extreme nervousness accelerated heartbeat increased blood pressure vasoconstriction pupil dilation hyperglycemia formication – ‘crank bugs’, the user hallucinates bugs crawling on their skin and try to scratch them off causing open sores sweating dizziness fatigue restlessness insomnia tooth grinding incessant talking irritability Aggressiveness increased alertness increased energy decreased appetite Paranoia auditory and visual hallucinations Effects of the High Effects of the High Prolonged high does produces anxiety reactions, fearfulness, concern about well-being, hallucinations, suspicion, depression, suicidal thoughts Attack on immune system which leads to infections due to malnutrition, sleep deprivation, etc. Tooth decay Lung Damage Deteriorating nasal cartilage when snorted Biological Effects Onset can be immediate (in the case of injection), or can take as long as 30-40 minutes if ingested orally Will stay in the plasma between 4 to 6 hours A toxic reaction (or overdose) can occur at relatively low levels, 50 milligrams of pure drug for a non-tolerant user Biological Effects Children of MA abusers are at risk of neglect and abuse Use of MA by pregnant women can cause growth retardation, premature birth, and developmental disorders in neonates and enduring cognitive deficits in children Biological Effects Brain Effects: Causes the release of high levels of dopamine creating an intense rush of pleasure or prolonged sense of euphoria Over time, meth destroys the wiring in the brain's pleasure centers (dopamine receptors) making it impossible to feel pleasure Biological Effects Brain Effects: When addicts take meth over and over again, their brain chemistry is modified Studies have demonstrated that these tissues can grow back over time, the process can take years, and the repair might never be complete Biological Effects Structural changes to the brain Biological Effects Structural changes to the brain Medical Uses Used to treat attention deficit hyperactivity disorder (ADHD) Used to treat obesity after other diets or medications have been tried without successful weight loss Recovery Low glucose metabolism in brain regions Meth addicts are the hardest to treat and need the most time for recovery Withdrawal symptoms: extreme fatigue insomnia mental depression dangerous psychotic reactions high anxiety flu like symptoms cravings Results and Discussion - What was learned overall Reasons for Meth’s detrimental effects: It is a potent neurotoxin High level of potential for abuse Its capability to inflict irreparable damage on the human body All the dangers that encompass manufacturing it such as fires and poisonous vapors Abuse and neglect of children that have parents or caretakers who are meth addicts Results and Discussion - What was learned overall Reasons for Meth’s detrimental effects (CTD) The methyl group on meth is responsible for increasing this drug’s toxicity This methyl group makes it more lipophilic, therefore enhancing its ability to penetrate the blood brain barrier and boosting its stability against MAO degradation The next slide is meth and this methyl group is attached to the nitrogen represented in purple Results and Discussion - What was learned overall Results and Discussion - What was learned overall The benefits of Meth: The only advantages to meth are concentrated in the medical field and the treatment of specific ailments The less potent demethylated parent compound of meth is amphetamine, which can be used to treat ADHD and narcolepsy Results and Discussion - What the authors were trying to convey Based on research conducted, the authors’ overall goals were to express the negative side of meth, due to the fact the benefits of meth are greatly out-numbered compared to the drawbacks However, some authors were researching how methamphetamine derivatives can be used to benefit people Summary and Conclusions In general this presentation was designed to inform the viewer of a multitude of deleterious side effects surrounding meth abuse Also, its effects on target tissues (CNS) and the mechanism of action should be noted Summary and Conclusions Lastly, emphasis on the high potential for abuse and the problems recovering addicts have should not be overlooked Summary and Conclusions - Use of Our Results A great way to utilize our results could be in awareness and education Making the general public aware (or more aware) of a drug can have profound affects on decreasing the incidence of abuse Our results could also be used as a basis for further research into the medical benefits of methamphetamine and its derivative compounds Summary and Conclusions - Future Research Future research should be directed towards medicine The recovery process from meth is one of the hardest out of all drugs, so finding ways to make recovery faster and easier could benefit the medical community Summary and Conclusions - Future Research A study done by Rothman, et al in 2008 concluded that dual dopamine/serotonin releasers could be used to treat withdrawal symptoms and decrease the prevalence of relapse Medical research should also be aimed at finding meth derivatives, which can treat specific ailments and decrease the harmful side effects associated with methamphetamine drugs References Anglin MD, Burke C, Perrochet B, Stamper E, Dawud-Noursi S UCLA Drug Abuse Research Center/UCLA Department of Psychiatry; UCLA/Matrix Coordinating Center for the CSAT Methamphetamine Treatment Project. 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References Nation Drug and Intelligence Center. Methamphetamine. Available at: http://www.usdoj.gov/ndic/pubs07/803/meth.htm. Accessed April 24, 2009. National Institute on Drug Abuse. Methamphetamine. Available at: http://www.drugabuse.gov/infofacts/methamphetamine.html. Accessed March 15, 2009. New Study Suggests Methamphetamine Withdrawal Is Associated With Brain Changes Similar To Those Seen In Depression And Anxiety. ScienceDaily (Jan. 6, 2004) Available at: http://www.sciencedaily.com/releases/2004/01/040106081122.htm. Accessed April 4, 2009. New Mexico Office of Medical Investigator. Annual Report 2007. Available at: http://omi.unm.edu/pdf/AR2007.pdf. Accessed April 24, 2009. North Carolina Governor's Crime Commission. Methamphetamine Fact Sheet. Available at: http://www.ncgccd.org/pubs%5Csystats%5Cmeth.htm. Accessed April 4, 2009. Oc detox. Methamphetamine Effects and Withdrawal Symptoms. Available at: http://www.methamphetamine-detox.com/about.htm. Accessed April 4, 2009. Rothman RB, Blough BE, Baumann MH. Dual dopamine/serotonin releasers: potential treatment agents for stimulant addiction. Experimental and Clinical Psychopharmacology. 2008 Dec; 16(6): 458-74. World of Molecules. Methamphetamine. Available at: www.worldofmolecues.com/drugs/methamphetamine.htm. Accessed April 24 2009.