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Transcript
CLUB DRUGS
DANCE ‘TILL YOU DROP
MAJOR CLUB DRUGS
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MDMA/ECSTASY
GHB/GBL
KETAMINE
NITROUS OXIDE
POPPERS
LSD
MISCELLANEOUS
DRUGS
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2C-B
GBL – GAMMA BUTYL LACTONE
DEXTROMETHORPHAN
HERBAL ECSTASY
MUSHROOMS
ESCTASY
• MDMA
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METHYLENEDIOXYMETHAMPHETAMINE
ADAM
X-TC
CLARITY
ESSENCE
STACY
LOVER’S SPEED
EVE
DOSAGES
• THRESHOLD – 30 MG
• AVERAGE – 75-125 MG
• LETHAL DOSE – 106 - ~ 6000MG
MDMA ACTIONS
• DURATION
• PRIMARY EFFECTS 3-4 HRS
• “CRASH” 2-6 HRS
• HANGOVER
– (MAY LAST UP TO 5 DAYS)
• POST –MDMA DEPRESSION
MECHANISM OF
ACTION
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DECREASES DOPAMINE RELEASE
INHIBITS REUPTAKE OF SEROTONIN
RELEASES SEROTONIN
RESEMBLES HYBRID AMPHETAMINE
& MESCALINE
COMMON
CONTAMINANTS
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CHALK
LSD
AMPHETAMINES
HEROIN
CAFEINE
KETAMINE
EPHEDRINE
ECSTASY
BEHAVIORAL EFFECTS
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INCREASED ENERGY
EMPATHY TOWARD OTHERS
INCREASED AFFECTION
EMOTIONAL OPENNESS
PROFOUND POSITIVE FEELINGS
EUPHORIA
DECREASED INHIBITIONS
DECREASED ANXIETY
EXTREME RELAXATION
MDMA ACUTE EFFECTS
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TEETH CLENCHING
NAUSEA
HALLUCINATION
CHILLS
SWEATING
TREMORS
BLURRED VISION
MUSCLE CRAMPING
ACUTE SIDE EFFECTS
• HYPERTHERMIA
– INCREASED BODY TEMPERATURE
• DEHYDRATION
• CARDIOVASCULAR STIMULATION
METABOLIC ACIDOSIS
• RHAMDOMYOLOSIS
– MUSCLE BREAKDOWN
ACUTE TOXICITY
• HYPERTHERMIA
• CONVULSIONS
• DISSEMINATED
INTRAVASCULAR
COAGULATION
• ACUTE RENAL FAILURE
• CARDIAC ARRYTHMIAS
• HEPATITIS
MDMA OVERDOSE
• HIGH BLOOD
PRESSURE
• FAINTNESS
• PANIC ATTACKS
• LOSS OF
CONSCIOUSNES
S
• SEIZURES
• HEART FAILURE
• HEAT STROKE
MDMA AFTER EFFECTS
• ANXIETY
• PARANOIA
• DEPRESSION
MDMA PERMANENT
DAMAGE
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DEPRESSION
ANXIETY
MEMORY LOSS
CHANGES IN SLEEP PATTERNS
LEARNING IMPAIRMENTS
EMOTIONAL PROBLEMS
MDMA TOXICITY
• SIMILAR TO HEAT STROKE
• URINARY pH LESS THAN 5.6 IN
METABOLIC ACIDOSIS
• CAUSES MYOGLUBIN CASTS
• HYPERKALEMIA RELATED TO
CARDIAC ARRYTHMIA
• WATER INTOXICATION
NEUROTOXICITY
• NEURONAL DAMAGE
• DECREASE IN DOPAMINE
• LOSS OF SEROTONIN NERVE
TERMINALS
• PARKINSONISM
• APPETITE SUPPRESSION
PROTECTIVE
MEASURES?
• VIAGRA FOR SEXUAL
PROBLEMS
• SSRIs e.g. PROZAC
• DRUGS THAT BLOCK DA
RELEASE
• ANTIOXIDANTS
GHB
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GAMMA HYDROXYBUTYRATE
LIQUID X, GREVIOUS BODILY HARM
CNS DEPRESSANT
ALSO USED BY BODY BUILDERS
SALTY TASTING LIQUID
ONSET OF ACTION 10-20 MIN
EFFECTS LAST UP TO 4 HOURS
CLEARED QUICKLY
GHB USES
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INTOXICATING PROPERTIES
SEDATIVE ACTIONS
EUPHORIC EFFECTS
RELIEVE ANXIETY
PRODUCE RELAXATION
GH RELEASING PROPERTIES
GHB OVERDOSE
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DROWSINESS
NAUSEA/VOMITING
HEADACHE
LOSS OF CONSCIOUSNESS
LOSS OF REFLEXES
IMPAIRED BREATHING
COMA/DEATH
GHB DANGERS
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DROWSINESS
DIZZINESS
NAUSEA
UNCONSCIOUSNESS
SEIZURES
SEVERE RESPIRATORY DEPRESSION
COMA
DEATH
GHB WITHDRAWAL
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ANXIETY
RESTLESSNESS
INSOMNIA
RAPID HEART
BEAT
• NAUSEA
GHB DEATH LIST
KETAMINE
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SEDATIVE-HYPNOTIC
SPECIAL k & k
GENERAL ANESTHETIC
HALLUCINOGEN
ANALGESIC
RAPID ONSET
LASTS ~ ONE HOUR
KETAMINE EFFECTS
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IMPAIRED COORDINATION
IMPAIRED JUDGEMENT
PERISTENT MEMORY PROBLEMS
PSYCHOTIC SYMPTOMS
DREAMLIKE STATES
HALLUCINATIONS
NEAR DEATH EXPERIENCE (K-HOLE)
SENSORY IMPAIRMENT
NITROUS OXIDE
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LAUGHING GAS
DISSOCIATIVE ANESTHETIC
AVAILABLE IN “WHIPPITS”
INHALED FROM TANK OR
BALLOONS
• EFFECTS IMMEDIATE & SHORTLIVED
NITROUS EFFECTS
• EUPHORIA
• ANALGESIA
• LOSS OF CONSCIOUSNESS
ADVERSE EFFECTS
• TEMPORARY LOSS OF MOTOR
CONTROL
• SENSATIONS & PERCEPTIONS
DISCONNECTED
• DREAMY MENTAL STATE
• MILD AUDIO & VISUAL
HALLUCINATIONS
DANGERS
• COLD GAS BURNS LIPS, THROAT,
LUNGS
• HYPOXIA
• LONG-LASTING NUMBNESS IN
EXTREMITIES
POPPERS
AMYL NITRATE/BUTYL NITRATE
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RELAX SMOOTH MUSCLE
PRODUCE FEELING OF “RUSH”
FLUSHING
DIZZINESS
HEADACHE
PROGRESSIVE LOSS OF
CONSCIOUSNESS
LSD
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POTENT HALLUCINOGEN
ERGOT FUNGUS
30 g DOSE
ONSET WITHIN 30-90 MIN
“HIGH” LASTS 6-12 HOURS
LSD EFFECTS
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DILATED PUPILS
HIGHER BODY TEMPERATURE
INCREASED HEART RATE
INCREASED BLOOD PRESSURE
SWEATING
DRY MOUTH
TREMORS
NUMBNESS/WEKNESS
LSD ACTIONS
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DILATED PUPILS
INCREASED BODY TEMPERATURE
INCREASED HEART RATE
INCREASED BLOOD PRESSURE
LOSS OF APPETITE
INCREASED SWEATING
DRY MOUTH
TREMORS
“BAD TRIP”
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TERRIFYING THOUGHTS
SEVERE AGITATION
FEAR OF LOSING CONTROL
FEAR OF INSANITY & DEATH
SEVERE ANXIETY
SUICIDAL THOUGHTS
PRECIPITATE PSYCHOSIS
ACCIDENTAL DEATH
LSD PSYCHOSIS
• AFFECT PERCEPTION OF
REALITY
• INABILITY TO THINK
RATIONALLY
• DRAMATIC MOOD SWINGS
• VIVID VISUAL DISTURBANCES
• HALLUCINATIONS
HALLUCINOGEN PERSISTING
PERCEPTION DISORDER (HPPD)
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EPISODIC VISUAL DISTURBANCES
“FLASHBACKS”
FALSE FLEETING PERCEPTIONS
FLASHES OF COLOR
GEOMETRIC PSEUDOHALLUCINATIONS
POSITIVE AFTERIMAGES
PERMANENT ALTERATION IN VISUAL
SYSTEM
PCP
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DEVELOPED IN 1950
WAS USED AS IV ANESTHETIC
DISSOCIATIVE “OUT OF BODY”
PRODUCES DELIRIUM
EXTREME AGITATION
RAPID ONSET
LASTS FOR SEVERAL HOURS
PCP ACTIONS
• DISRUPTS NMDA RECEPTORS
• AFFECT GLUTAMATE
ACTIVITY
• GLUTAMATE ROLE IN PAIN,
COGNITION, LEARNING &
MEMORY
• ALSO AFFECTS DA CAUSING
EUPHORIA OR “RUSH”
PCP EFFECTS
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SHALLOW RAPID BREATHING
INCREASED BLOOD PRESSURE
INCREASED HEART RATE
ELEVATED TEMPERATURE
NAUSEA
BLURRED VISION
DECREASED PAIN AWARENESS
PCP EPISODE
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DETACHEMENT FROM REALITY
DISTORTION OF TIME/SPACE
ALTERED BODY IMAGE
FEELING INVULNERABLE
EXAGGERATED STRENGTH
SEVERE DISTORIENTATION
SUICIDAL BEHAVIOR
DEXTROMETHORPHAN
• OTC COUGH MEDICINE
• NMDA ANTAGONIST
• DISSOCIATIVE EFFECTS
ROHYPNOL
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FLUNITRAZEPAM
ROOFIES
ILLEGAL IN US
TASTELESS/ODORLESS
1 MG DOSE LASTS 8-12 HOURS
ROHYPNOL ACTIONS
• SEDATIVE EFFECTS 10X THAN
VALIUM
• EFFECTS APPEAR 15-20 MIN
• LAST 4-6 HOURS
• RESIDUAL EFFECTS UP TO 12
HOURS
ROHYPNOL USES
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BOOST HIGH FROM ALCOHOL
BOOST HIGH FROM HEROIN
MODULATE COCAINE EFFECTS
RAVE DRUG
“DATE RAPE” DRUG
ROHYPNOL ADVERSE
EFFECTS
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LOSS OF MOTOR CONTROL
LACK OF COORDINATION
SLURRED SPEECH
CONFUSION
GI DISTRESS
RESPIRATORY DEPRESSION
IMPAIRED COGNITION
AMNESIA
METHAMPHETAMINE
EFFECTS
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MEMORY LOSS
VIOLENCE
PSYCHOTIC BEHAVIOR
CARDIAC ARRYTHMIAS
NEUROLOGICAL DAMAGE
METH TOXICITY
• REDUCTION IN DA TRANSPORTERS
• MASSIVE RELEASE OF DA & NE
END
• HIT ESCAPE TO END
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