DRUG ABUSE PROBLEMS AND QUESTIONS
Symptom Definition
-
Known or suspected drug abuse
-
Questions or concerns related to drug intoxication, dependence, abuse, or use
General Information
Common Illegal Drugs of Abuse, their ‘Street Names' and Routes of Use:
- Cocaine (coke, crack, rock) - inject/smoke/snortThe possibility of pregnancy must be considered in all women
of childbearing age.
- Heroin (smack, horse, junk) - inject/smoke/snort
- LSD (acid, microdot, blotter) - ingest
- Marijuana (grass, pot, reefer, weed, blunts) -
smoke/ingest
- Methamphetamine (crank, crystal, ice, glass, meth)
- inject/smoke/ingest/snort
- PCP/phenyclidine (angel dust, embalming fluid,
rocket fuel) - inject/ingest/smoke
- For a comprehensive listing of over 2000 street
drug names, see: http://www.whitehousedrugpolicy.gov/streetterms/default.asp
Types of Drugs
- Anabolic Steroids - These drugs are related to male sex hormones. They are
abused to enhance athletic performance, strength or physical appearance. They
may cause strange behavior, delusions, hallucinations or over-aggressiveness
("steroid rage").
- Club Drugs - These drugs are very popular
in the dance-club setting and among young adults. The most well-known
one is Ecstasy (MDMA), a designer amphetamine. It is a stimulant and
a hallucinogen. Users describe initial anxiety and nausea, followed
by relaxation and euphoria. Abuse of this drug can lead to death associated
with hyperthermia (over-heating).
- Dextromethorphan - Dextromethorphan (DM) is present in over-the-counter
cough medicines. It can cause a LSD-like picture (i.e., visual hallucinations,
confusion, agitation and excitation). Abuse can also lead to coma and death.
- Hallucinogens (e.g., LSD, mescaline) - This
group of drugs can cause visual hallucinations, perceptual alterations
and a dream-like state.
- Inhalants - Vapors of various household products are inhaled by some people
because of their mind-altering effects. Users may experience giddiness or
euphoria. Abuse can also cause unconsciousness and rarely may cause sudden death
from cardiac arrhythmias. Examples of inhalants are toluene (Glue), gasoline,
butane, trichlorethane (Typewriter correction fluid), air freshener.
- Marijuana - Marijuana is the most commonly used illegal drug. Marijuana sold
on the streets today is much stronger than it was in the 1960's/1970's.
Marijuana causes euphoria and in higher concentrations can be associated with
paranoia, delusions, and hallucinations.
- Narcotics - Narcotics are addictive and are also referred to as opiates.
Examples include heroin, morphine, codeine, pentazocine, methadone. Narcotics
cause sedation and euphoria. Overdose can cause breathing to slow or stop, coma,
and death. Withdrawal from opiates is not life-threatening. However, the
withdrawal symptoms are extremely uncomfortable (i.e., yawning, nausea,
vomiting, diarrhea, muscle cramps)
- Sedative-Hypnotics - Abuse of these drugs can cause sedation, drowsiness and
euphoria. Overdose can lead to coma and death. Examples of drugs in this group
are barbiturates, benzodiazepines (e.g., Valium), tranquilizers.
- Stimulants - Examples include cocaine, crack
cocaine, amphetamine, and methamphetamine. These drugs cause hyper-alertness,
stimulation, restlessness and euphoria. They can also cause stroke,
coma, arrhythmias, and death.
See More Appropriate Topic (instead of this one) If
WHEN TO CALL YOUR DOCTOR FOR DRUG ABUSE PROBLEMS
Call 911 Now (you may need an ambulance) If
- Unconscious (e.g., not moving, not talking, not
responding to stimulation)
- Difficult to awaken or acting very confused
- Seeing or hearing or feeling things that are not
there (i.e., hallucinations)
- Seizure
- Slow, shallow and weak breathing
- Attempted suicide or threatening suicide
- Violent behavior or threatening to kill someone
Call Your Doctor Now (night or day) If
- You feel
weak or very sick
- Strange, bizarre, or confused behavior
- Fever and injects drugs
Call Your Doctor Within 24 Hours (between 9am and 4pm) If
- You think
you need to be seen
- You think you need to be admitted to a hospital
for drug abuse
- You want to talk with a counselor (substance abuse
counselor, mental health worker, etc.)
- Pregnant
Call Your Doctor During Weekday Office Hours If
- You have
other questions or concerns
- Drug abuse is interfering with work or school
Self Care at Home If
- General questions about drug problems
HOME CARE ADVICE FOR DRUG ABUSE QUESTIONS
- CSAT National Helpline:
- Center for Substance Abuse Treatment (CSAT)Avoid alcohol or caffeinated beverages
- The CSAT Helpline is a great resource for
locating community drug and alcohol treatment programs.
- National toll-free phone number: 800-662-HELP.
- Alcohol and Drug Helpline:
- National Toll-free number - 800-821-4357.
Available 24 hours a day.
- Referrals to local alcohol and drug-dependency
units and self-help groups.
-
Call Your Doctor If:
- You have questions about drug problems
- You become worse or develop any of the Call
Your Doctor symptoms.
References and Resources
- Narcotics Anonymous:
- Narcotics Anonymous is "a nonprofit fellowship
or society of men and women for whom drugs had become a major problem .
. . who meet regularly to help each other stay clean... We are not
interested in what or how much you used . . . but only in what you want
to do about your problem and how we can help."
- Membership is open to any drug addict, regardless
of the particular drug or combination of drugs used. Chapters of
Narcotics Anonymous are present in every state in the United States and
in many countries of the world. Each has a local contact phone number.
- Membership is open to any drug addict, regardless
of the particular drug or combination of drugs used. Chapters of
Narcotics Anonymous are present in every state in the United States and
in many countries of the world. Each has a local contact phone number.
- http://www.na.org/
- SAMHSA's National Clearinghouse for Alcohol
and Drug Information
- SAMHSA'S Substance Abuse Treatment Facility
Locator
- A comprehensive listing of over 2000 street
drug names
- Information on common drugs of abuse from the
National Institute on Drug Abuse
Disclaimer:
This information is not intended be a substitute for professional medical
advice. It is provided for educational purposes only. You assume full
responsibility for how you choose to use this information.
Adult HouseCalls Online. Copyright © 2001-2005
David Thompson, M.D. FACEP
Reviewed 6/8/2005
Revised 6/8/2005
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