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Depressants
In medicine, a drug or
other agent that slows the activity of vital organs
of the body. Depressants acting on the central nervous
system include general anesthetics, opiates, alcohol,
and hypnotics. Tranquilizing drugs (ataractics) act
primarily on the lower levels of the brain, relieving
tension without reducing mental sharpness.
Chloral
Hydrate
| Classification |
Depressants |
| CSA |
Schedule
IV |
| Trade
or Other Names |
Noctec;
Somnos; Felsules |
| Medical
Uses |
Hypnotic |
| Physical
Dependence |
Moderate |
| Tolerance |
Yes |
| Duration |
5-8(hours) |
| Usual
Method |
Oral |
| Possible
Effects |
Slurred
speech; Disorientation; Drunken behavior without
odor of alcohol |
| Overdose |
Shallow
respiration; Clammy skin; Dilated pupils; Weak
and rapid pulse; Coma; Possible death |
| Withdrawal |
Anxiety;
Insomnia; Tremors; Delirium; Convulsions; Possible
death
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Barbiturates
| Classification |
Depressants |
| CSA |
Schedule
II, III, IV |
| Trade
or Other Names |
Amytal;
Florinal; Nembutal; Seconal; Tuinal; Phenobarbital;
Pentobarbital |
| Medical
Uses |
Anesthetic;
Anti-convulsant; Sedative; Hypnotic; Veterinary
euthanasia agent |
| Physical
Dependence |
Moderate |
| Tolerance |
Yes |
| Duration |
5-8(hours) |
| Usual
Method |
Oral;
Injected |
| Possible
Effects |
Slurred
speech; Disorientation; Drunken behavior without
odor of alcohol |
| Overdose |
Shallow
respiration; Clammy skin; Dilated pupils; Weak
and rapid pulse; Coma; Possible death |
| Withdrawal |
Anxiety;
Insomnia; Tremors; Delirium; Convulsions; Possible
death
|
Benzodiazepines
| Classification |
Depressants |
| CSA |
Schedule
IV |
| Trade
or Other Names |
Ativan;
Dalmane; Diazepam; Librium; Xanax; Serax; Valium;
Tranxene; Verstran; Versed; Halcion; Paxpam; Restoril |
| Medical
Uses |
Anti-anxiety;
Sedative; Anti-convulsant; Hypnotic
Physical Dependence Low |
| Physical
Dependence |
Low |
| Tolerance |
Yes |
| Duration |
4-8(hours) |
| Usual
Method |
Oral;
Injected |
| Possible
Effects |
Slurred
speech; Disorientation; Drunken behavior without
odor of alcohol |
| Overdose |
Shallow
respiration; Clammy skin; Dilated pupils; Weak
and rapid pulse; Coma; Possible death |
| Withdrawal |
Anxiety;
Insomnia; Tremors; Delirium; Convulsions; Possible
death
|
Glutethimide
| Classification |
Depressants |
| CSA |
Schedule
II |
| Trade
or Other Names |
Doriden |
| Medical
Uses |
Sedative;
Hypnotic |
| Physical
Dependence |
High |
| Tolerance |
Yes |
| Duration |
4-8(hours) |
| Usual
Method |
Oral |
| Possible
Effects |
Slurred
speech; Disorientation; Drunken behavior without
odor of alcohol |
| Overdose |
Shallow
respiration; Clammy skin; Dilated pupils; Weak
and rapid pulse; Coma; Possible death |
| Withdrawal |
Anxiety;
Insomnia; Tremors; Delirium; Convulsions; Possible
death
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Narcotics
The narcotic analgesics
act primarily on the CNS. The perception of and emotional
response to pain is modified when the narcotic analgesics
bind with stereospecific receptors in the CNS. Five
major groups of opioid receptors are known: mu, kappa,
sigma, delta and epsilon. Narcotic analgesic activity
occurs at the mu, kappa and sigma receptors. Opioid
agonists such as morphine and others exert their activity
mainly at the mu receptor. Mixed agonist-antagonists
such as butorphanol, nalbuphine and pentazocine act
primarily at the kappa receptors (thought to mediate
analgesic effects) and sigma receptors (may produce
subjective and psychotomimetic effects).
As well as analgesia, opioid
agonist activity in the CNS causes suppression of
the cough reflex, change in mood such as euphoria
or dysphoria, mental clouding and EEG changes. Nausea
and vomiting, probably caused by stimulation of the
chemoreceptor trigger zone, can also occur. Peripheral
vasodilation, reduced peripheral resistance and the
inhibition of baroreceptors can result in orthostatic
hypotension and fainting. The inhibition of peristalsis
can lead to constipation while increased bladder sphincter
tone may cause urinary retention.
Large doses may elicit
excitation or seizures. Morphine and its congeners
cause miosis. In therapeutic doses they increase accommodation
and sensitivity to light reflex and decrease intraocular
pressure in both normal patients and those with glaucoma.
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Stimulants
Any
drug that excites any bodily function, but more specifically
those that stimulate the brain and central nervous
system. Stimulants induce alertness, elevated mood,
wakefulness, increased speech and motor activity and
decrease appetite. Their therapeutic use is limited,
but their mood-elevating effects make some of them
potent drugs of abuse.
The major stimulant drugs are amphetamines and related
compounds, methylxanthines (methylated purines), cocaine,
and nicotine.
Amphetamines
achieve their effect by increasing the amount and
activity of the neurotransmitter norepinephrine (noradrenaline)
within the brain. They facilitate the release of norepinephrine
by nerve cells and interfere with the cells' reuptake
and breakdown of the chemical, thereby increasing
its availability within the brain. The most commonly
used amphetamines are methamphetamine (Methedrine),
amphetamine sulfate (Benzedrine), and dextroamphetamine
sulfate (Dexedrine). Amphetamines were first used
in the 1930s to treat narcolepsy and subsequently
became prescribed for obesity and fatigue.
Their
heavy or prolonged use causes irritability, restlessness,
hyperactivity, anxiety, excessive speech, and rapid
mood swings. Still higher doses or chronic use can
cause agitation, tremor, confusion, and, in the most
serious cases, a state resembling paranoid schizophrenia.
Moreover, letdown effects of deep depression and physical
exhaustion may occur after only a single dose of moderate
strength wears off. With repeated use, tolerance develops,
so that a user needs to take larger doses, but the
accompanying dependence is not strong enough to be
termed a physical addiction. Amphetamines are widely
abused, in some cases by workers or students seeking
enhanced physical energy and mental acuity to fulfill
demanding tasks.
Certain drugs related to the amphetamines
have the same mode of action but are somewhat milder
stimulants. Among them are phenmetrazine (Preludin)
and methylphenidate (Ritalin). The latter drug is
widely used to slow down hyperactive children
and improve their ability to concentrate.
The methylxanthines are even milder
stimulants. Unlike the amphetamines and methylphenidate,
which are synthetically manufactured, these compounds
occur naturally in various plants and have been used
by humans for many centuries. The most important of
them are caffeine, theophylline, and theobromine.
The strongest is caffeine, which is the active ingredient
of coffee, tea, cola beverages, and maté. Theobromine
is the active ingredient in cocoa. Caffeine constricts
blood vessels of the brain; for this reason it is
often a component of headache remedies. Theophylline
is used in the treatment of severe asthma because
of its capacity for relaxing the bronchioles in the
lungs.
Cocaine is one of the strongest and
shortest-acting stimulants and has a high potential
for abuse owing to its euphoric and habit-forming
effects. Nicotine, the active ingredient in cigarettes
and other tobacco products, may also be regarded as
a stimulant.
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Hallucinogins
Hallucinogenic drugs are
substances that distort the perception of objective
reality. The most well-known hallucinogens include
phencyclidine, otherwise known as PCP, angel dust,
or loveboat; lysergic acid diethylamide, commonly
known as LSD or acid; mescaline and peyote; and psilocybin,
or "magic" mushrooms. Under the influence
of hallucinogens, the senses of direction, distance,
and time become disoriented.
These drugs can produce
unpredictable, erratic, and violent behavior in users
that sometimes leads to serious injuries and death.
The effect of hallucinogens can last for 12 hours.
LSD produces tolerance,
so that users who take the drug repeatedly must take
higher and higher doses in order to achieve the same
state of intoxication. This is extremely dangerous,
given the unpredictability of the drug, and can result
in increased risk of convulsions, coma, heart and
lung failure, and even death.
Mescaline
& Peyote | Amphetamine Variants
| Phencyclidine & Analogs
LSD
| Classification |
Hallucinogen |
| CSA |
Schedule
I |
| Trade
or Other Names |
Acid;
Microdot |
| Medical
Uses |
None |
| Physical
Dependence |
None |
| Psychological
Dependence |
Moderate |
| Tolerance |
Yes |
| Duration |
8-12(hours) |
| Usual
Method |
Oral |
| Possible
Effects |
Illusions
and hallucinations; Altered perception of time
and distance |
| Overdose |
Fatigue;
Paranoia; Possible psychosis |
| Withdrawal |
Longer;
more intense "trip" episodes; Psychosis;
Possible death
Withdrawal Unknown |
Mescaline
& Peyote
| Classification |
Hallucinogen |
| CSA |
Schedule
I |
| Trade
or Other Names |
Mescal;
Buttons; Cactus |
| Medical
Uses |
None |
| Physical
Dependence |
None |
| Psychological
Dependence |
Moderate |
| Tolerance |
Yes |
| Duration |
8-12(hours) |
| Usual
Method |
Oral |
| Possible
Effects |
Illusions
and hallucinations; Altered perception of time
and distance |
| Overdose |
Fatigue;
Paranoia; Possible psychosis |
| Withdrawal |
Longer;
more intense "trip" episodes; Psychosis;
Possible death
Withdrawal Unknown |
Amphetamine Variants
| Classification |
Hallucinogen |
| CSA |
Schedule
I |
| Trade
or Other Names |
2,5-DMA;
STP; MDA; MDMA; Ecstacy; DOM; DOB |
| Medical
Uses |
None |
| Physical
Dependence |
None |
| Psychological
Dependence |
Moderate |
| Tolerance |
Yes |
| Duration |
Variable(hours) |
| Usual
Method |
Oral;
Injected |
| Possible
Effects |
Illusions
and hallucinations; Altered perception of time
and distance |
| Overdose |
Fatigue;
Paranoia; Possible psychosis |
| Withdrawal |
Longer;
more intense "trip" episodes; Psychosis;
Possible death
Withdrawal Unknown |
Phencyclidine
& Analogs
| Classification |
Hallucinogen |
| CSA |
Schedule
I, II |
| Trade
or Other Names |
PCE;
PCPy; TCP; PCP; Hog; Loveboat;Angel Dust |
| Medical
Uses |
None |
| Physical
Dependence |
None |
| Psychological
Dependence |
High |
| Tolerance |
Yes |
| Duration |
Days(hours) |
| Usual
Method |
Oral;
Smoked |
| Possible
Effects |
Illusions
and hallucinations; Altered perception of time
and distance |
| Overdose |
Fatigue;
Paranoia; Possible psychosis |
| Withdrawal |
Longer;
more intense "trip" episodes; Psychosis;
Possible death
Withdrawal Unknown |
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Anabolic
Steriods
Anabolic Steroid abuse
has become a national concern. These drugs are used
illicitly by weight lifters, body builders, long distant
runners, cyclists, and others who claim that the drugs
give them a competitive advantage and/or improve their
physical appearance. Once viewed as a problem associated
only with professional athletes, recent reports estimate
that 5 to 12 percent of male high school students
and 1 percent of female students have used anabolic
steroids by the time they were seniors.
Concerns over a growing
illicit market and prevalence of abuse combined with
the possibility of harmful long-term effects of steroid
use, led Congress to place anabolic steroids into
Schedule III of the Controlled Substance Act (CSA).
The CSA defines anabolic
steroids as any drug or hormonal substance chemically
and pharmacologically related to testosterone (other
than estrogens, progestins, and corticosteroids),
that promotes muscle growth. Most illicit anabolic
steroids are sold at gyms, competitions and through
mail order operations.
For the most part, these
substances are smuggled into the United States. Those
commonly encountered on the illicit market include:
boldenone (Equipose), ethylestrenol (Maxibolin), fluoxymesterone
(Halotestin), methandriol, methandrostenolone (Dianabol),
Depo-Testosterone Android - 25 (mehyltestosterone),
nandrolone (Durabolin, Deca-Durabolin), oxandrolone
(Anavar), oxymetholone (Anadrol), stanozolol (Winstrol),
testosterone and trenbolone (Finajet). In addition,
a number of bogus or counterfeit products are sold
as anabolic steroids.
A limited number of anabolic steroids
have been approved for medical and veterinary use.
The primary legitimate use of these drugs in humans
is for the replacement of inadequate levels of testosterone
resulting from a reduction or absence of functioning
testes. In veterinary practice, anabolic steroids
are used to promote feed efficiency and to improve
weight gain, vigor, and hair coat. They are also used
in veterinary practice to treat anemia and counteract
tissue breakdown during illness and trauma.
When used in combination with exercise
training and high protein diet, anabolic steroids
can promote increased size and strength of muscles,
improve endurance and decrease recovery time between
workouts. They are taken orally or by intramuscular
injection. Users concerned about drug tolerance often
take steroids on a schedule called a cycle. A cycle
is a period of between six and 14 weeks of steroid
use followed by a period of abstinence or reduction
in use.
Additionally, users tend to "stack"
the drugs, using multiple drugs concurrently. Although
the benefits of these practices are unsubstantiated,
most users feel that cycling and stacking enhance
the efficiency of the drugs and limit their side effects.
Another mode of steroid use is "pyramiding."
Users slowly escalate steroid use (increasing the
number of drugs used at one time and/or the dose and
frequency of one or more steroids) reaching a peak
amount at mid-cycle and gradually tapering the dose
toward the end of the cycle. The escalation of steroid
use can vary with different types of training. Body
builders and weight lifters tend to escalate their
dose to a much higher level than do long distance
runners or swimmers.
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Cannabis
Plant genus belonging to
the family Cannabaceae of the nettle order (Urticales).
The genus comprises one species, hemp (q.v.; C. sativa),
a stout, aromatic, erect annual herb that originated
in Central Asia and is now cultivated widely in the
North Temperate Zone. A tall, canelike variety is
raised for the production of hemp fibre, while the
female plant of a short, branchier variety is prized
as the more abundant source of marijuana.
Marijuana
| Classification |
Cannabis |
| CSA |
Schedule
I |
| Trade
or Other Names |
Pot;
Acapulco Gold; Grass; Reefer; Sinsemilla; Thai
sticks |
| Medical
Uses |
None |
| Physical
Dependence |
Unknown |
| Psychological
Dependence |
Moderate |
| Tolerance |
Yes |
| Duration |
2-4(hours) |
| Usual
Method |
Smoked;
Oral |
| Possible
Effects |
Euphoria;
Relaxed inhibitions; Increased appetite; Disorientation |
| Overdose |
Fatigue;
Paranoia; Possible psychosis |
| Withdrawal |
Occasional
reports of insomnia; Hyperactivity; Decreased
appetite |
Tetrahydrocanabinol
| Classification |
Cannabis |
| CSA |
Schedule
I, II |
| Trade
or Other Names |
THC;
Marinol |
| Medical
Uses |
Anti-nauseant |
| Physical
Dependence |
Unknown |
| Tolerance |
Yes |
| Duration |
2-4(hours) |
| Usual
Method |
Smoked;
Oral |
| Possible
Effects |
Euphoria;
Relaxed inhibitions; Increased appetite; Disorientation |
| Overdose |
Fatigue;
Paranoia; Possible psychosis |
| Withdrawal |
Occasional
reports of insomnia; Hyperactivity; Decreased
appetite |
Hashish
& Hashish Oil
| Classification |
Cannabis |
| CSA |
Schedule
I |
| Trade
or Other Names |
Hash;
Hash oil |
| Medical
Uses |
Anti-nauseant |
| Physical
Dependence |
Unknown |
| Tolerance |
Yes |
| Duration |
2-4(hours) |
| Usual
Method |
Smoked;
Oral |
| Possible
Effects |
Euphoria;
Relaxed inhibitions; Increased appetite; Disorientation |
| Overdose |
Fatigue;
Paranoia; Possible psychosis |
| Withdrawal |
Occasional
reports of insomnia; Hyperactivity; Decreased
appetite |
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