bh

• opiod receptor antagonist formerly used to tx narcotic dep now used for etoh
• decr craving
• 50 mg/d
• liver toxicity w high doses

• roofies, date rape
• sedative and amnesic

• gamma hydroxybutyrate
• ecstacy, liquid ecstasy

• club drug popular among youth
• PO, Inj, or snorted
• used by sex predators
• sched 1 drug

• commonly used bc cheap
• gas 
• glue
• aerosal propellants

• hydrocarbon solvents (gas and glue)
• aerosal propellants (spray cans)
• anesthetic and gases (chloroform, nit oxide, laughing gas)

• decr cns + incr hilarity
• excitability
• dangerous cannot be controlled

• asphyxiation
• suffocation
• choking on vomit

• mouth ulcers
• gi probs
• anorexia
• confusion
• ha
• ataxia

for children coming into contact

• frontal lobe
• cerebellar
• hippocampal 
• leads to ataxic gait and mem dysfunc

• sniffing fumes from cont
• bagging
• huffing rags

• oxycodone
• morphine
• codeine
• heroin
• methadone

swallowing, smoked, snorted, inj (skin pop)

• helps detox from opiods alternatively to methadone
• more money
• c narcan = expensive

• most prevalent drug of abuse
• derived from morphine
• less expensive
• less devastating compared to coke

speed ball

• effective painkiller available in
• percocet
• percodon
• tylox

• crush and swallow
• snort
• inj powder

• cough suppressant
• abuse bc readily availble
• otc now limited

• prevent opiod wd sx
• analgesic for ca
• given po and poorly metabolised by liver
• long half life 15-30 h (morphine is 2)

• naloxone narcan
• buprenorphine buprenex

• blocks neuroreceptors affected by opiods
• response in few mins w iv narcan

resp depress associated w opiod od

yawning, rhinorrhea, sweating, chills, goose bumps, tremors, restlessness

caffeine, nicotine, cocaine/crack, amphetamines/meth, ecstasy

• highly addictive
• esp crack
• users use q 20 - 60 mins

speed

• designer drug
• raves

natural and synthetic

• mescaline peyote
• psilocybin mushrooms

religious ceremonies; po - norm epinephrine synapse; lasts 12 h

closes eyes sees vivid colors, beautiful music, intense sounds, good exper, joy and hilaritiy

• converted to psilocin in stom
• lasts 8 hrs
• hall of time, space, and perceptual alterations

• dilates pupils
• incr hr, bp, and temp
• tingling skin, invol movements, inability to concentrate, feelings of anx, panic and paranoia

• indian hemp plant
• difficult to categorize
• good for ca pts

• produces sense of well being
• relaxed
• incr hunger

• balance and stability impaired for 8 h
• short term mem
• decision making impaired
• concentration "
• dry mouth 
• sore throat
• incr hr
• dilated pupils and red eyes

• lyseric acid diethylamide lsd
• phenocyclidine pcp

• distortion in bd image
• sense of depersonalization
• loss of sense of reality

panic, anx, confusion, paranoid reactions

bad trip

• stimulates nev sys by tightly binding to serotonin receptors po
• # have killed themselves
• lasts 12 hrs

as tattoos

• phenomenon
• incr bp, tachy, trembling
• sense of unreality
• perceptual alterations
• distortions
• impaired judgement
• flashbacks

• blending of senses, smell a color
• taste a sound

ans, paranoia, acute pain

• angel dust
• po iv smoke snort
• lasts 6-8 hrs

• high
• peaceful feeling
• perceptual distortions

• incr bp and hr
• ataxia, salivation, vomit
• psych- hostile, bizarre, blank stare, agitation
• catatonic- muscle rigidity alternating w violent outburst

• cow cat tranquilizer
• causes dissociative effect
• bad exp- k hole bc amnesia

• aa and na
• al-anon
• alateen
• rational recovery

• coping skills
• fam communication
• est a trusting ther relationship
• express empathy
• safe environment
• hope for future
• genuineness

• pair w partner
• partner punished when u act up

• urine - best
• etoh bldd

• what are you doing
• how much
• when did you last use

• c cutdown
• a annoyed
• g guilty
• e eye opener

• short
• michigan
• alcoholism
• screening
• tool

roid rage

• decr htn and nvd
• used in detox process

• being around other users
• severe craving
• stop going to aa
• not expressing feelings
• going thru major emotional crisis