Physical and Psychological Effects of Substances of Abuse

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PHYSICAL AND PSYCHOLOGICAL EFFECTS OF OPIATES/OPIOIDS (NARCOTICS)

(EX: OXYCONTIN/PERCOCET/HEROIN/MORPHINE)

Withdrawal reactions include:

1. Runny nose
2. Involuntary Muscle Spasms (“kicking”)
3. Attacks Central Nervous System
4. Nausea and vomiting
5. Diarrhea
6. Muscle aches/Cramping
7. Bone pain
8. Insomnia

Physical effects include:

1. Respiratory depression (Heart Failure)


2. Nausea and vomiting
3. Constipation
4. Loss of appetite
5. Weight loss
6. Increased risk of having different infection, e.g. tuberculosis
7. Hepatitis C/HIV
8. Collapsed Veins
9. Overdose/Death

PHYSICAL AND PSYCHOLOGICAL EFFECTS OF SEDATIVES-HYPNOTICS (“BENZO’S”)


(EX: XANEX, VALIUM, ATIVAN, KLONOPIN)

Withdrawal reaction of benzodiazepine:

1. Tremor
2. Fatigue
3. Loss of appetite
4. Nausea and vomiting
5. Restlessness
6. Anxiety
7. Headache and muscle pain
8. Depression
9. Tinnitus
10. Increased blood pressure
11. Palpitation
12. Insomnia
13. Poor memory
14. Impaired attention
15. Delusion
16. Suspiciousness
17. Convulsion/Seizures
18. Loss of consciousness
Common psychological and psychiatric effects of benzodiazepine:
1. Risk of dependency
2. Confusion
3. Amnesia

Physical effects of benzodiazepine:


1. Sedation
2. Dizziness
3. Respiratory depression
4. Accidents, e.g. traffic accident, falls

PHYSICAL AND PSYCHOLOGICAL EFFECTS OF HALLUCINOGENS & “PARTY DRUGS”

(EX: LSD, ECSTASY, GHB, KETAMINE, MDMA -METHYLENEDIOXYMETHAMPHETAMINE)

Psychological effect of LSD include:

1. Perceptual distortion
2. Impaired judgments
3. Anxiety
4. Elated mood
5. Depression
6. Labile mood
7. Impaired attention
8. Impaired motivation
9. Delusion
10. Hallucination
11. Confusion
12. Self-destruction behavior
13. Flashbacks
14. Schizophrenia like state in chronic user

Physical effects of LSD include:

1. Increased in blood pressure


2. Tachycardia
3. Dilated pupil
4. Hyperthermia
5. Nausea and vomiting
6. Sweating
7. Dizziness
8. Coordination Problems
9. Blurring of vision
10. Muscle twitching
11. Convulsion

Psychological and psychiatric effects of MDMA:

1. Feeling of relatedness to others


2. Increased empathy
3. Altered perception of time
4. Increased libido but diminished ability to achieve aroused and orgasm
5. Increased emotional expressiveness
6. Reduced ability and desire to perform mental tasks
7. Anxiety
8. Restlessness
9. Euphoria
10. Reduced defensiveness and decreased aggression
11. Disinhibition and increased awareness of emotion
12. Perceptual distortion and hallucination
13. Confusion
14. Flashback
15. Paranoid psychosis
16. Hangover effects-depressed mood, loss of energy, sleepiness, fatigue, lack of
motivation

Physical effects of MDMA:

1. Restlessness
2. Teeth-grinding
3. Tightening of jaw
4. Loss of appetite
5. Sweating
6. Hot flashes
7. Tremor
8. Gooseflesh
9. Increased or decreased body temperature
10. Severe changes in blood pressure
11. Increased heart rate
12. Arrhythmia
13. Coagulopathy
14. Acute renal failure
15. Liver toxicity
16. Neurotoxicity
17. Intracerebral hemorrhage
18. Dehydration
19. Death

PHYSICAL AND PSYCHOLOGICAL EFFECTS OF CANNABINOIDS (MARIJUANA)

Psychological effect of cannabis include:

1. Amnesia
2. Impaired concentration
3. Distorted perception of time, sound, touch and taste
4. Paranoid reaction
5. Hallucination
6. Depersonalization
7. Lack of motivation-chronic cannabis syndrome
(also known as a motivational syndrome)
8. Muddled thinking
9. Panic
10. Depression
11. Schizophrenia
12. Dementia like state
13. Risk of dependency
Physical effects of cannabis include:
1. Dry mouth
2. Increased appetite
3. Conjunctiva injection
4. Tachycardia
5. Decreased in blood pressure

PHYSICAL AND PSYCHOLOGICAL EFFECTS OF ALCOHOL

Psychological effects of alcohol:

i. Intoxication -
1. Elated mood
2. Disinhibition
3. Impaired judgment
4. Belligerence
5. Impaired social and occupational functioning
6. Mood labiality
7. Cognitive impairment
8. Reduced attention span
9. Slurred speech
10. Incoordination
11. Unsteady gait
12. Nystagmus
13. Stupor
14. Coma
15. Depression

Alcohol withdrawal
1. Hand tremor
2. Insomnia
3. Sweating
4. Increased heart rate
5. Hypertension
6. Anxiety
7. Illusion
8. Visual, tactile or auditory hallucination
9. Seizure

Physical effects of Alcohol:

1. Dementia
2. Liver damage-hepatitis, liver cirrhosis, liver cancer
3. Cancers of mouth, pharynx and esophagus
4. Unsteady gait, slurred speech.
5. Peripheral neuropathy: numbness, pain and prickly feeling or burning of the skin, especially the feet.
6. Stroke
PHYSICAL AND PSYCHOLOGICAL EFFECTS OF STIMULANTS/METHAMPHETAMINE
(EX: COCAINE, CRYSTAL METH, ADDERAL/RITALIN)

Withdrawal reaction:

1. Depression
2. Anxiety
3. Irritability
4. Agitation
5. Craving
6. Fatigue
7. Hyperplasia
8. Loss of energy
9. Loss of interest
10. Suicide

Psychological and psychiatric effects:

1. Risk of dependency
2. Anxiety
3. Elated mood
4. Irritability
5. Panic
6. Agitation
7. Paranoid state
8. Psychosis
9. Aggressive behavior
10. Self-destructive behavior

Physical effects:

1. Loss of appetite
2. Weight loss
3. Insomnia
4. Tachycardia
5. Increased in blood pressure
6. Muscle twitching
7. Hyperthermia
8. Cardiac arrhythmia
9. Malignant hypertension
10. Heart failure
11. Stroke

PHYSICAL AND PSYCHOLOGICAL EFFECTS OF VOLATILE SOLVENT (INHALELANTS)


(EX: COMPUTER CLEANERS, GAS, SOLVENTS, CLEANING FLUIDS, ADHESIVES)

Effects during intoxication:

1. Irritability
2. Euphoria
3. Slurring of speech
4. Indecisiveness
5. Incoordination
6. Disinhibition
7. Abdominal pain, nausea and vomiting
8. Blurring of vision
9. Chest pain
10. Difficulty in breathing
11. Tinnitus
12. Hallucination
13. Disorientation
14. Prone to accidents
15. Coma
16. Arrhythmia
17. Cardiac arrest
18. Inhalation of stomach content
19. Asphyxia
20. Death

Psychological and psychiatric effects of chronic abuse:

1. Risk of dependency
2. Nervousness
3. Depression

Physical effects of chronic abuse:

1. Headache
2. Loss of appetite
3. Skin problems
4. Neurotoxic effects, e.g. peripheral neuropathy, impaired cerebellar function,
encephalitis, dementia
5. Damage to liver, kidney, heart, lungs, bone marrow and adrenal glands
6. Nausea, vomiting and vomiting blood

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