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Drugs of Abuse


Drug Categories for Substances of Abuse

To assist you in locating substances in this document, the following cross reference by category is provided.

Narcotics Alfentanil Stimulants/
Inhalants
Amphetamine
Cocaine* Benzedrine
Codeine Benzphetamine
Crack Cocaine* Butyl Nitrite
Fentanyl Dextroamphetamine
Heroin Methamphetamine
Hydromorphone Methylphenidate
Ice Phenmetrazine
Meperidine
Methadone Hallucinogens Bufotenine
Morphine LSD
Nalorphine MDA
Opium MDEA
Oxycodone MDMA
Propoxyphene Mescaline
MMDA
Depressants Benzodiazepine Phencyclidine
Chloral Hydrate Psilocybin
Chlordiazepoxide
Diazepam Cannabis Marijuana
Glutethimide Tetrahydrocannabinol
Meprobamate  
Methaqualone
Nitrous Oxide Alcohol Ethyl Alcohol
Pentobarbital Steroids Dianabol
Secobarbital Nandrolone


*Cocaine, while classified under the Controlled Substances Act (CSA) as a narcotic, is also discussed as a stimulant.

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Drug Category Profile

Narcotics


Drug

Dependence
Physical/Psychological

How Used

Duration
(hours)


Opium

High/High

Oral, smoked

3-6

Morphine

High/High

Oral, smoked,
injected

3-6

Codeine

Mod./Mod.

Oral, injected

3-6

Heroin

High/High

Smoked, injected,
sniffed

3-6

Hydromorphone

High/High

Oral, injected

3-6

Meperidine

High/High

Oral, injected

3-6

Methadone

High/High

Oral, injected

12-24


What are Narcotics?
Drugs used medicinally to relieve pain
High potential for abuse
Cause relaxation with an immediate "rush"
Initial unpleasant effects - restlessness, nausea


Possible Effects
Euphoria
Drowsiness, respiratory depression
Constricted (pin-point) pupils

Symptoms of Overdose
Slow, shallow breathing, clammy skin
Convulsions, coma, possible death

Withdrawal Syndrome
Watery eyes, runny nose, yawning, cramps
Loss of appetite, irritability, nausea
Tremors, panic, chills, sweating

Indications of Possible
Misuse

Scars (tracks) caused by injections
Constricted (pin-point) pupils
Loss of appetite
Sniffles, watery eyes, cough, nausea
Lethargy, drowsiness, nodding
Syringes, bent spoons, needles, etc.

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Drug Category Profile

Depressants


Drug

Dependence
Physical/Psychological

How Used

Duration
(hours)


Barbiturates

High/mod.

Oral

1-16

Methaqualone

High/High

Oral

4-8

Tranquilizers

High/High

Oral

4-8

Chloral Hydrate

Mod./Mod.

Oral

5-8

Glutethimide

High/Mod.

Oral

4-8


What are Depressants?
Drugs used medicinally to relieve anxiety, irritability, tension
High potential for abuse, development of tolerance
Produce state of intoxication similar to that of alcohol
Combined with alxohol, increase effects, multiply risks

Possible Effects
Sensory alteration, anxiety reduction, intoxication
Small amounts cause calmness, relaxed muscles
Larger amounts cause slurred speech, impaired judgment,
loss of motor coordination
Very large doses may cause respiratory depression, coma, death
Newborn babies of abusers may show dependence, withdrawal
symptoms, behavioral problems, birth defects

Symptoms of Overdose
Shallow respiration, clammy skin, dilated pupils
Weak and rapid pulse, coma, death

Withdrawal Syndrome
Anxiety, insomnia, muscle tremors, loss of appetite
Abrupt cessation or reduced high dose may cause convulsions, delirium, death

Indications of Possible
Misuse

Behavior similar to alcohol intoxication (without odor of
alcohol on breath)
Staggering, stumbling, lack of coordination, slurred speech
Falling asleep while at work, difficulty concentrating
Dilated pupils

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Drug Category Profile

Stimulants


Drug

Dependence
Physical/Psychological

How Used

Duration
(hours)


Cocaine*

Possible/High

Sniffed, smoked, injected

1-2

Amphetamines

Possible/High

Oral, injected

2-4

Methamphetamine

Possible/High

Oral, injected

2-4

Phenmetrazine

Possible/High

Oral, injected

2-4

Methylphenidate

Possible/Mod.

Oral, injected

2-4

Other Stimulants

Possible/High

Oral, injected

2-4

Ice

High/High

Smoked, oral injec., inhaled

4-14


What are Stimulants?
Drugs used to increase alertness, relieve fatigue, feel stronger and more decisive; used for euphoric effects or to counteract the "down" felling of tranquilizers or alcohol

Possible Effects
Increased heart and respiratory rates, elevated blood pressure, dilated pupils and decreased appetite; high doses may cause rapid or irregular heartbeat, loss of coordination, collapse; may cause perspiration, blurred vision, dizziness, a feeling of restlessness, anxiety, delusions

Symptoms of Overdose
Agitation, increase in body temperature, hallucinations, convulsions, possible death

Withdrawal Syndrome
Apathy, long periods of sleep, irritability, depression, disorientation

Indications of Possible
Misuse

Excessive activity, talkativeness, irritability, argumentativeness or nervousness
Increased blood pressure or pulse rate, dilated pupils
Long periods without sleeping or eating
Euphoria


*Cocaine, while classified under the Controlled Substances Act (CSA) as a narcotic, is also discussed as a stimulant.

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Substances of Abuse - Brief Profiles

Cocaine

Also known as:
Coke, Dust, Snow, Flake, Blow, Girl

You probably know why cocaine is abused -

  • Carefree Feeling
  • Euphoria
  • Relaxation
  • In control

But did you know that -

  • A cocaine "high" lasts only about 5 to 20 minutes.
  • Cocaine use may cause severe "mood swings" and irritability.
  • You need more and more cocaine each time you want a "high.
  • Cocaine increases your blood pressure and heart rate -
    particularly dangerous if you have a heart condition.
  • One use can cause death!
  • Possession and use are illegal and can result in fines and arrest.

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Substances of Abuse - Brief Profiles

Crack

Also known as:
Crack, "Crack cocaine", Freebase rocks, Rock

You probably know why crack is abused -

  • Quick high
  • Power
  • Euphoria

But did you know that -

  • Crack is almost instantly addictive.
  • One use could cause a fatal heart attack.
  • Repeated use may cause insomnia, hallucinations, seizures, paranoia.
  • The euphoric effects of crack last only a few minutes.
  • Crack possession and use are illegal in all fifty states.
  • There are more hospitalizations per year resulting from crack and
    cocaine use than any other illicit substance.

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Substances of Abuse - Brief Profiles

Ice

Also known as:
Meth, Crystal, Crank, Methamphetamine

You probably know why ice is abused -

  • Temporary mood elevation
  • Exhilaration (high)
  • Increased mental alertness
  • Upper-increase wakefulness

But did you know that -

  • Ice is extremely addictive - sometimes with just one use!
  • Ice can cause convulsions, heart irregularities, high blood pressure, depression, restlessness, tremors, severe fatigue.
  • An overdose can cause coma and death
  • When you stop using ice you may experience a deep depression.
  • Ice causes a very jittery high, along with anxiety, insomnia, sometimes paranoia.

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Substances of Abuse - Brief Profiles

Inhalants

Some of the substances that are abused:

  • Butyl nitrite
  • Amyl nitrite (Gas in aerosol cans)
  • Gasoline and Toluene vapors (Correction fluid, glue, marking pens)

You probaly know why inhalants are abused -

  • Cheap High
  • Quick buzz
  • Fun

But did you know that inhalants may cause -

  • Loss of muscle control
  • Slurred speech
  • Drowsiness or loss of consciousness
  • Excessive secretions from the nose and watery eyes
  • Brain damage and damage to lung cells

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Drug Category Profile

Hallucinogens


Drug

Dependence
Physical/Psychological

How Used

Duration
(hours)


PCP
Angel Dust
Loveboat

Unknown/High

Smoked, oral,

Up to days
injected

LSD
Acid
Green/Red Dragon

None/Unknown

Oral

8-12 hrs.

Mescaline, Peyote

None/Unknown

Oral, injected

8-12 hrs.

Psilocybin

None/Unknown

Oral, injected,
smoked, sniffed

Variable

Designer Drugs*
Ecstacy - PCE

Unknown/Unknown

Oral, injected,
smoked

Variable


What are Hallucinogens?
Drugs that produce behavioral changes that are often multiple and dramatic
No known medical use, but some block sensation to pain and use may result in self-inflicted injuries
"Designer Drugs", made to imitate certain illegal drugs, are often many times stronger than drugs they imitate

Possible Effects
Rapidly changing feelings, immediately and long after use
Chronic use may cause persistent problems, depression, violent behavior, anxiety, distorted perception of time
Large doses may cause convulsions, coma, heart/lung failure, ruptured blood vessels in the brain
May cause hallucinations, illusions, dizziness, confusion, suspicion, anxiety, loss of control
Delayed effects - "flashbacks" may occur long after use
Designer drugs - one use may cause irreversible brain damage

Symptoms of Overdose
Longer, more intense "trip" episodes, psychosis, coma, death

Withdrawal Syndrome
No known withdrawal syndrome

Indications of Possible
Misuse

Extreme changes in behavior and mood; person may sit or recline in a trance-like state; person may appear fearful
Chills, irregular breathing, sweating, trembling hands
Changes in sense of light, hearing, touch, smell, and time
Increase in blood pressure, heart rate and blood sugar


*Phencyclidine analogs, Amphetamine vaiants

Hallucinogens

Types:

  • LSD (Acid, Red/Green Dragon
  • Ecstacy (designer drug)
  • PCP (Angel Dust, Loveboat)
  • PCP & Cocaine (Beam me up Scottie)
  • Mescaline
  • Psilocybin

You probably know why hallucinogens are abused -

  • Fun
  • Stimulation or depression
  • Behavorial changes

But did you know that

  • One use of LSD or PCP can cause multiple and dramatic behavioral changes.
  • Large doses of hallucinogens may cause convulsions, ruptured blood vessels in the brain and irreversible brain damage.
  • Many hallucinogens cause unpleasant and potentially dangerous "flashbacks," long after the drug was used.
  • Most hallucinogens cause "hallucinations," i.e., changes in perception of time, smell, touch, etc.

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Drug Category Profile

Cannabis


Drug

Dependence
Physical/Psychological

How Used

Duration
(hours)


Marijuana

Unknown/Moderate

Smoked, oral
pot, grass

2-4

Tetrahydro-
cannabinol

Unknown/Moderate

Smoked, oral

2-4

Hashish

Unknown/Moderate

Smoked, oral

2-4

Hashish Oil

Unknown/Moderate

Smoked, oral

2-4


What is Cannabis?
Hemp plant from which marijuana and hashish are produced;
Hashish consists of resinous secretions of the cannabis plant;
Marijuana is a tobacco-like substance

Possible Effects
Euphoria followed by relaxation; loss of appetite; impaired memory, concentration, knowledge retention; loss of coordination; more vivd sense of taste, sight, smell, hearing; stronger doses cause fluctuating emotions, fragmentary thoughts, disoriented behavior, psychosis; may cause irritation to lungs, respiratory system; may cause cancer

Symptoms of Overdose
Fatigue, lack of coordination, paranoia, psychosis

Withdrawal Syndrome
Insomnia, hyperactivity, sometimes decreased appetite

Indications of Possible
Misuse

Animated behavior, loud talking, followed by sleepiness
Dilated pupils, bloodshot eyes
Distortions in perception; hallucinations
Distortions in depth and time perception; loss of coordination

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Substances of Abuse - Brief Profiles

Marijuana

Also known as:
Pot, Grass, Joints, Roaches, Reefer, Weed, Mary Jane

You probably know why marijuana is abused--

  • Relaxation
  • Euphoria

But did you know that-

  • Marijuana may cause impaired short-term memory, a shortened attention span and delayed reflexes.
  • During pregnancy, marijuana may cause birth defects.
  • Marijuana may cause a fast heart rate and pulse.
  • Repeated use of marijuana may cause breathing problems.
  • Possession of marijuana is illegal in all fifty states.
  • Marijuana may cause relaxed inhibitions, disoriented behavior.

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Drug Category Profile

Alcohol


Drug

Dependence
Physical/Psychological

How Used

Duration
(hours)


Ethyl Alcohol

Possible/Possible

Oral

1-4

Ethanol

Possible/Possible

Oral

1-4


What is Alcohol?
Liquid distilled product of fermented fruits, grains and vegetables
Used as solvent, antiseptic and sedative
Moderate potential for abuse

Possible Effects
Intoxication
Sensory alteration
Anxiety reduction

Symptoms of Overdose
Staggering
Odor of alcohol on breath
Loss of coordination
Slurred speech, dilated pupils
Fetal alcohol syndrome (in babies)
Nerve and liver damage

Withdrawal Syndrome
Sweating
Tremors
Altered perception
Psychosis, fear, auditory hallucinations

Indications of Possible
Misuse

Confusion, disorientation, loss of motor nerve control
Convulsions, shock, shallow respiration
Involuntary defecation, drowsiness
Respiratory depression and possible death


Alcohol

Also known as:
Booze, Juice, Brew, Vino, Sauce

You probably know why alcohol is abused--

  • Relaxation
  • Sociability
  • Cheap High

But did you know that-

  • Alcohol is a depressant that decreases the responses of the central nervous system.
  • Excessive drinking can cause liver damage and psychotic behavior.
  • As little as two beers or drinks can impair coordination and thinking.
  • Alcohol is often used by substance abusers to enhance the effects of other drugs.
  • Alcohol continues to be the most frequently abused substance among young adults.

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Drug Category Profile

Steroids


Drug

Dependence
Physical/Psychological

How Used

Duration
(hours)


Dianabol

Possible

Oral

days - wks

Nandrolone

Possible

Oral

days - wks


What are Steroids?
Synthetic compounds available legally and illegally
Drugs that are closely related to the male sex hormone, testosterone
Moderate potential for abuse, particularly among young males

Possible Effects
Increase in body weight
Increase in muscle strength
Enhance athletic performance
Increase physical endurance

Symptoms of Overdose
Quick weight and muscle gains
Extremely aggressive behavior or "Roid rage"
Severe skin rashes
Impotence, withered testicles
In females, development of irreversible masculine traits

Withdrawal Syndrome
Significant weight loss
Depression
Behavioral changes
Trembling

Indications of Possible
Misuse

Increased combativeness and aggressiveness
Jaundice
Purple or red spots on body; unexplained darkness of skin
Persistent unpleasant breath odor
Swelling of feet or lower legs


Steroids

Three types of steroids:

  • Anabolic (male hormone)- steroids most frequently abused
  • Cortical
  • Estrogenic (female hormone)

You probably know why steroids are abused--

  • Increase strenght
  • Increase muscle size
  • Help muscles recover

But did you know that abuse of steroids may cause-

  • Severe acne, rashes, stunted growth
  • Sexual function problems
  • Women to take on masculine traits, develop hairiness
  • Behavioral changes, aggressiveness ("roid rages")
  • Long-term effects, such as cholesterol increases, heart disease, liver tumors, cancer, cataracts and death

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U.S. Department of Labor,
"America in Jeopardy: The Young Employee and Drugs in the Workplace."
Appendix A & B




 



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