Drugs & Addiction Psychoactive Drugs • Mood altering drugs that affects brain activity. Most abused drugs are psychoactive. • Many psychoactive drugs typically create a pleasurable feeling that the user wants to repeat. • This can often leads to addiction Addiction & The Brain • Brain releases a chemical called dopamine with normal, pleasurable activities. • It releases extra amounts when using drugs. This is dangerous because it makes the user have intense cravings for the drug. • After a while, the brain doesn’t respond to normal levels of dopamine because it damages the dopamine receptors and the user no longer feels pleasure from normal activities. • In addition abnormal levels of dopamine is associated with diseases like schizophrenia and Parkinson disease. • Serotonin is another chemical in the brain affected by drug use. Serotonin influences many psychological and bodily functions like: mood, appetite memory, learning, social behavior, temperature regulation and sexual desire. • Drugs increase serotonin levels and motivates a person to take the drug because it’s associated with pleasure. • Drugs also make it difficult to process serotonin and causes problems with the user with all the things serotonin influences. Factors Influencing Addiction Risk Factors • Family: poor family relationships, absence of supervision, genetics • Social: peer pressure, role models, competitive pressure, exposure • Personal: stress, low self-esteem, poor coping skills Protective Factors • Family: strong family bonds, parental awareness, clear and enforced rules • Social: drug free friends, supportive and accepting friends, strong bonds at school and in community • Personal: strong values and beliefs, healthy self esteem, commitment to academic success and extracurricular activities Drug Classifications (Chapter 17) Drugs are categorized according to their actions and effects on the body. Stimulants (Includes: Amphetamines, Methamphetamines, Cocaine, and Nicotine) Stimulants speed up the body’s activities (page 442 443) • • • • • • • Immediate Effects Heart rate Breathing Blood pressure Alertness & insomnia Dilate pupil Decrease appetite Heart attack & stroke • • • • • • • • Long Term Effects Anxiety & delusions Hyperactivity &irritability Weight loss &malnutrition Irreversible brain damage Aggression Paranoia Depression heart irregularities and respiratory failure Types of Stimulants Prescribed Illegal Called Amphetamines when Prescribed • Cocaine • Crack Cocaine (stronger, more concentrated cocaine • Methamphetamine RX for: • Appetite Suppressant (diet pills) • Narcolepsy • ADD/ADHD Not prescribed but legal • Caffeine • Nicotine – Speed or Crystal when swallowed or sniffed – Crank when injected – Ice or Glass when smoked Methamphetamine • Made in Meth labs using otc cold meds and allergy pills • Other chemicals include: fertilizer, cat litter, battery acid, drain cleaner, and break cleaner. • Chemical are explosive and can cause harm or death to the lab operators and neighbors. • Chemicals are often dumped into streams, rivers, drains, and fields causing toxicity to the area and community, endangering the health of others and costing a lot of money to clean up. Physical Effects of Meth….. Depressants (includes barbiturates, CNS Depressants, Opiates, and Alcohol) Depressants slows down body functions. Two categories: Barbiturates CNS Depressants (also called sedatives) (also called tranquilizers) • Relax a person • RX sleeping pills, but rare because of high addiction rate • Effects when abused: slow, slurred speech, loss of motor skills and reflexes. Withdrawal can be fatal. • Risk: overdose, respiratory failure, coma, death • Long term effects: sleepiness, irritability, confusion • Slows nerve activity, relax muscle tension, lower alertness, and can causes drowsiness & slurred speech • Not as strong as barbiturates so more commonly prescribed • RX for anxiety, sleep disorders, muscle spasms, seizures, and convulsions • Long term effects: blood and liver disease Mixing two depressants can result in accidental overdose and is linked to suicide. A synergistic effect below…. Opiates (also called narcotics) Made from compounds in the seed pods of poppy plants Opiates have depressant effects but also act to dull senses, relieve pain, and induce sleep. Illegal Prescribed (pain killers) • Morphine • Codeine • Vicodin • Oxycontin ** Opiates are extremely addicting and have severe withdrawals.** • Heroin – Most powerful opiate – Once prescribed – Commonly injected in vein – Increased risk for infections, HIV, and hepatitis C Hallucinogens Overload the brain with sensory information, causing a distorted sense of reality. Person may hear, see, believe, and feel things that aren’t’ really there or true. May last hours to days. All hallucinogenic drugs are illegal and have no medical use Types of hallucinogens • LSD (also called acid): can either stimulate or depress CNS system, associated with unexpected flashbacks/bad trip • Psilocybin “Shrooms”- chemical found in certain mushrooms • PCP “Angel Dust” (once used to as a painkiller for large animals), most dangerous, • Peyote “Cactus” • Salvia, bath salts, and spice are newer drugs that haven’t been studied long term but can extremely dangerous and even deadly. Effects on the Body (effects are unpredictable) Immediate Effects • Hallucinations • Psychotic reactions • Decreased sensitivity to touch or pain • Coma, heart/lung failure • Self inflicted death Long Term Effects • Irreversible brain damage • Schizophrenia • Flashbacks (bad trip) sudden hallucinations Inhalants Inhalants are chemicals whose fumes are sniffed or inhaled to give an hallucinogenic high. This is the drug most commonly used (drug of choice) for middle school kids. Types of Inhalants Include: • Aerosols • Glues • Spray paints • Gasoline • Other common household products Effects of Inhalants • Fumes go directly to the brain causing mental confusion, dizziness, lack of coordination, and hallucinations. May only last a couple of minutes. • Incredibly dangerous because the chemicals replace oxygen in the brain and kill brain cells. • Can result in immediate death • Death can also be a result of passing out and choking on vomit or by cardiac arrest. • 33% inhalant deaths are first time users More Effects of Inhalants (these effects are long lasting and often permanent) • • • • Short term use Palpitations Headaches Breathing difficulties Addiction • • • • • Long term use Liver and kidney damage Loss of bladder control Loss of smell Brain cell death Dangerous chemical imbalances Club Drugs (first gained popularity at dance clubs and raves) Club Drugs Include • Ecstasy (X): Formally MDMA (a drug used for depression and as an appetite suppressor) declared a class 1 drug so illegal now. It’s often combined with other chemicals. Has stimulant and hallucinogenic affects. Taken orally as a pill. • GHB (Gammahydroybutyrate): CNS depressant, colorless, tasteless, odorless, liquid associated with date rape • Ketamine (K or Special K): used by veterinarians as animal tranquilizers. It’s an anesthetic so blackouts can occur along with a numbing of the body. Comes in powder form and snorted or smoked for hallucinogenic effects Effects of Club Drugs vary. Long term effects are still not completely known for some of these drugs. • • • • • • Immediate Effects Increased sensitivity to touch Hallucinations Tingling of skin Increased energy Dehydration Numbness to pain, results in injury • • • • • • Long Term & Severe Effects Seizures Coma Memory loss Brain damage Heart/lung failure Death Marijuana (comes from the leaves of the cannabis plant) Effects of Marijuana The effects of marijuana depends on several factors: • The user’s previous experience with the drug • How strong it is (how much THC) • What the user expects to happen • Where and how the drug is taken • Whether alcohol or other drugs are used with it Some users feel nothing. Others may feel high or relaxed or feel hungry and/or thirsty. Some users may suffer bad reactions and experience feelings of extreme anxiety and paranoia. Short Term Effects • • • • • • Problems with memory and learning Distorted perceptions (sights, sounds, touch, time) Problems with thinking, problem solving, and judgment Loss of motor control and coordination Increased heart rate Athletes can find their performance off due to timing, coordination, and movement being affected • Harmful to lungs – 1 joint = 5-10 cigarettes in terms of carcinogens because of extended time holding in lungs which is needed to feel the effects. Long Term Effects • Lungs and airway problems – increases infections, pneumonia, and coughing and wheezing • Lower immune system – impairs T Cell functions • Impaired mental function on memory, learning, and attention. Studies also show that it can cause changes in the brain similar to alcohol, cocaine, and heroin. • Mental addiction – used to medicate their feelings. Marijuana and alcohol are the 2 most common drugs teens are in rehab. • Physical addiction because attacks dopamine center • Increase risk for depression, chronic anxiety, and psychosis