About Chemical Dependency

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Alcohol Cannabis Depressants Hallucinogens Narcotics Stimulants Steroids

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
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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Cannabis

Drug Dependence
(physical/psychological)
How Used Duration
(hours)
Marijuana Unknown/Moderate Smoked, Oral 2-4
Tetrahydrocannabinol 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 vivid 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

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 50 states
  • Marijuana may cause relaxed inhibitions, disoriented behavior
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Depressants

Drug Dependence
(physical/psychological)
How Used Duration
(hours)
Barbiturates High/Moderate Oral 1-16
Methaqualone High/High Oral 4-8
Tranquilizers High/High Oral 4-8
Chloral Hydrate Moderate/Moderate Oral 5-8
Glutethimide High/Moderate 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
  • Increased effects/risks when combined with alcohol
Possible effects:
  • Sensory alteration, anxiety reduction, intoxication
  • Small amounts cause calmness, relaxed muscles
  • Larger amounts cause slurred speech, impaired judgement, 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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Hallucinogens

Drug Dependence
(physical/psychological)
How Used Duration
(hours)
PCP
Angel Dust, Loveboat
Unknown/High Smoked, Oral, Injected Up to days
LSD
Acid, Green/Red Dragon
None/Unknown Oral 8-12
Mescaline, Peyote None/Unknown Oral, Injected 8-12
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
You probably know why hallucinogens are abused:
  • Fun
  • Stimulation or depression
  • Behavioral 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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Narcotics

Drug Dependence
(physical/psychological)
How Used Duration
(hours)
Opium Unknown/High Smoked, Oral 3-6
Morphine High/High Oral, Smoked, Injected 3-6
Codeine Moderate/Moderate Oral, Injected 3-6
Heroin High/High Injected, Smoked, Sniffed 3-6
Hydromorphine 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 such as restlessness and nausea
Possible effects:
  • Euphoria
  • Drowsiness, respiratory depression
  • Constricted (pinpoint) 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
  • Loss of appetite
  • Sniffles, watery eyes, cough, nausea
  • Lethargy, drowsiness, nodding
  • Syringes, bent spoons, needles, etc.
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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/Moderate Oral, Injected 2-4
Other Stimulants Possible/High Oral, Injected 2-4
Ice High/High Smoked, Oral, Injected, Inhaled 4-14

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

What are stimulants?
  • Drugs used to increase alertness, relieve fatigue, feel stronger and more decisive
  • Used for euphoric effects or to counteract the "down" feeling 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, argumentative or nervousness
  • Increased blood pressure or pulse rate, dilated pupils
  • Long periods without sleeping or eating
  • Euphoria

Cocaine

  • Also known as: Coke, Dust, Snow, Flake, Blow, Girl
You probably know why cocaine is abused:
  • Carefree Feeling
  • Euphoria
  • Relaxation
  • Feeling of being 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
  • Just one use can cause death
  • Possession and use are illegal and can result in fines and arrest

Crack

  • Also known as Crack, Crack cocaine, Freebase, Rock cocaine
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 50 states
  • There are more hospitalizations per year resulting from crack and cocaine use than any other illicit substance

Methamphetamine

  • Also known as Speed, Crystal Meth, Crank, Ice
You probably know why ice is abused:
  • Temporary mood elevation
  • Exhilaration (high)
  • Increased mental alertness
  • Increased 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

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 probably 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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Steroids

Drug Dependence
(physical/psychological)
How Used Duration
(hours)
Dianabol Possible/Possible Oral days-weeks
Nandrolone Possible/Possible Oral days-weeks

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
Three types of steroids:
  • Anabolic (male hormone)—steroids most frequently abused
  • Cortical
  • Estrogenic (female hormone)
You probably know why steroids are abused:
  • Increase strength
  • 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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