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Session 3 Effects of ATS Use Preventing Amphetamine-Type-Stimulant (ATS) Use Among Young People A UNODC Training Workshop Challenges in researching the effects of ATS ATS often contain other substances. ATS users use other substances concurrently. The lifestyle associated with use may contribute to some of the effects, not just the drug alone. Preventing ATS use among youth A UNODC Training Workshop Immediate and short term effects of meth/amphetamine Sought after effects are similar to that of cocaine, but cheaper and longer lasting. Methamphetamine is more quickly and fully absorbed by the brain than amphetamine, therefore the effects are stronger. Short term negative effects: State of agitation that can lead to violence; Inability to sleep, hallucinations; Weight loss (women might see it as a desirable effect); Paranoia and aggression. Overdose can happen but is rare. Preventing ATS use among youth A UNODC Training Workshop Effects of longer term meth/amphetamine use (1) High potential for addiction and dependence, especially methamphetamine. Amphetamine psychosis: Violent tendencies usually linked to psychotic episodes; Violence, accidental or otherwise, is the leading cause of amphetamine related deaths; Usually ends on stopping use. Malnourishment. Preventing ATS use among youth A UNODC Training Workshop Effects of longer term meth/amphetamine use (2) Depression, cognitive and memory problems: Abstract thought, verbal competency, ability to learn and retain new information. Sexual dysfunction: Rough sex > risk of bleeding and STIs; Inability to achieve or maintain erection. High rates of HIV among injecting users: Because of needle sharing, increased no. of partners, increased no. of unprotected sex. Physical damage: Dental erosion, skin lesions Damage to heart, lungs and brain. Preventing ATS use among youth A UNODC Training Workshop Short term effects of ecstasy use Sought after effects reported by users are positive changes in feelings, enhanced communication, empathy, pleasure in touching. However, especially in higher doses, use can produce distortion in perception, thinking and memory. Serotonine syndrome can result in extreme rise in body temperature, as serotonin regulates temperature. Some individual appear to have particular vulnerability to toxic effects of ecstasy. Preventing ATS use among youth A UNODC Training Workshop Effects of longer term ecstasy use Hangover characterised by depression, fatigue, dehydration and difficulties in concentrating. Weight loss, kidney & liver damage. Impairment in short term memory: Not clear if it reverses stopping use or not. Depression, panic attacks, paranoia. Dependence: A proportion of heavy ecstasy users show evidence of dependence according to diagnostic criteria. Preventing ATS use among youth A UNODC Training Workshop Effects of methyphenidate use Higher doses and chronic use result in effects similar to those of meth/amphetamine Preventing ATS use among youth A UNODC Training Workshop The drug, the person and the context The effects and the level of risk that a person is taking depends on three aspects of the situation that will vary with each occasion: The substance What is it? In which dose is it taken? How? Are other substances being taken concurrently? The person The physical and mental condition of the person taking the substance, his/her expectations and past experiences. The context Physical and social setting in which the substance is taken, including interpersonal atmosphere and group expectations. Preventing ATS use among youth A UNODC Training Workshop