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Thinking Critically About Drugs -- What Are Drugs -- History of Drug Classification
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Drug
A chemical substance that alters the functions of the body or mind
Psychoactive Drug
Any chemical that alters behavior, cognition, or emotion
the most addictive drugs
Illicit Drug
Drugs that are currently illegal or heavily regulated including heroin, cocaine, marijuana; the illegal use of a legal drug.
Licit Drug
Drugs that can be purchased legally w/o many restrictions
Alcohol (over 21)
Caffeine
Nicotine (over 18)
Pharmacology
The study of the effects of drugs on living systems
Psychopharamcology
The study of effects of drugs on behavior
Shamanism
Trance (often helped along by hallucinogenic drugs) is a key component
Shaman — exalted within society —> religious leader in the tribes of some religions
Found all over the world
Placebo Effect
When receive effects of a treatment because we believe it is doing something good
Narcotic
Drugs that are opium derivatives and bind to opiate receptors; relieve pain.
Analgesic
Substances that relieves pain
Tylnole
Ibuprofen
Dissociative
Drugs that produce feelings of dissociation
PCP
Ketamine
Salvia
Psychedlic
Drugs that alter cognition and perception
LSD
Psilocybin
Deliriant
Drugs that cause confusion and disorientation
High doses of diphenhydramine
Mandark
Drugs Schedules
The Controlled Substances Act classifies drugs into 5 categories based on:
potential for abuse
medical benefits (if any)
likelihood for producing physical or psychological dependence
Schedule 1
No accepted medical use in the US
Lack of safety with medical supervision
High risk for abuse; the most dangerous
There is lack of accepted safety for use of the drug or other substance under medical supervision
Drugs: LSD,, heroin, marijuana, MDMD, peyote, GHB
Schedule 2
Can treat medical conditions in the correct circumstances, but have a high risk of abuse that may lead to severe psychological or physical dependence.
Drugs: cocaine, methamphetamine, morphine, oxycodone, Adderall
Schedule 3
Potential risk for abuse
Can lead to low or moderate physical dependence or high psychological dependence
Some opioids
Drugs: Anabolic steroids, narcotic solutions, vicodin, ketamine, long-acting barbituates
Schedule 4
Low risk for abuse of substances in Schedule 3
The drug or other substance has currently accepted medical use in the US
Abuse of the drug or other substance may lead to limited physical dependence or psychological dependence relative to the drugs or other substances in schedule 3
Drugs: most benzodiazephines (Valium, Xanax, Ativan) and prescription sleep aids, rohyphnol
Schedule 5
Low risk of abuse in substances in schedule 4
Limited amount of certain narcotics
May lead to limited physical dependence or psychological dependence relative to the drugs or other substances in schedule 4
Ebers Papyrus
Egyptian scroll detailing pharmacological treatments
Castor Oil & Opium were common ingredients
Cannabinoids
Marijuana
Complex behavioral effects
Main effect is on cannabinoid neurotransmitter system
Depressants
Depresses CNS activity leading to decreased physiological activity and sedation
Alcohol
Barbiturates — amobarbital, batabarbial
Benzodiazepines
Sleep aids
Stimulants
Stimulate CNS leading to increases in physiological processes and motor behavior
Cocaine
Amphetamine
Caffeine
Nicotine
Hallucinogenes
Substance that alter perception and consciousness
tends to not be addictive
Endogenous Substance
Produced and secreted within the bod
Endorphins
Anadomide
Chemical Name for Drugs
Describes the molecular structure of the drug
Generic Name for Drugs
official, nonproprietary, designations
not captitalized
Brand/Trade Name for Drugs
Proprietary. Chosen by the company that manufactures the drug.
Capitalized
Naturally-occurring Drugs
Drugs that come from plants, bacteria, fungi, or animals
Ex. Marijauna, pencilliin
Often, after the active substance in a plant has been identified, it is purified & synthesized in a lab
Ex. cocaine and morephine
Synthetic Drugs
Drugs made in a lab
Ex. Heroin, MDMA (Ectasy)
Natural Opioids
Derived from the poppy papaver
Heroin, morephine, codeine
Semi-Synthetic Opioids
Synthesized from naturally occurring opium products
Oxycodone, hydrocodone, hydromorphone, oxymorphone
Synthetic Opioids
Made entirely in a lab
Methodone, trad, fent
Drug Abuse Control Acts of the 1980s
Strengthened federal anti-drug policies
Foreiture laws
Established Office of National Drug Control Policy
Lowered BAC to 0.08 from 0.1
Racial inequalities
The Marijuana Tax Act 1937
Essentially banned the use of marijuana
The impetus for this law was largely political
Targeted at Mexican immigrants
Opposed by the AMA
1st person arrested under the act was a Mexican-American
Overturned in 1969 following a case w/Timothy Leary (5th ammendent violation)
Narcotics Control Act 1956
Increased mandatory minimum sentence & permitted the death penalty in some cases.
Forbade judges from suspending or imposing probation in cases where they felt a prison sentence was inappropriate.
Denied the right to parloe consideration for those imprisoned for drug offenses (even though rapists & murders still could get parole).
Food, Drug, and Cosmetics 1938
Gave FDA more authority and responsibility
Increased the accountability of drug companies regarding the safety of drugs.
The Controlled Substances Act of 1970
Repealed, replaced, and consolidated previous federal drug laws
Created 5 schedules of drugs
Beneficial Drug Use
Positive health, social or spiritual effects
Ex: med-psychpharamaceuticals, coffee/tea to increase alertness; moderate consumption of red wine; sacramental use of ayahuasca or peyote.
Casual/Non-problematic Use
Recreational, casual, other use that has negligable health or social effects.
Problematic Use
Begins to have negative consequences for the individual family/friends or society.
Ex: DUI, binge consumption, harmful routes of administration
Chronic Dependence
Use that becomes habitual and compulsive despite negative health and social effects
Misdemeanor
Minor; 1 year or less in prison
Felony
More serious; over 1 year in prison
2 Categories of Illicit Drug Crime
Drug-defined offenses
Drug-related offenses
Drug-defined Offenses
Laws prohibiting the possession, use, distribution, or manufacture of illegal drugs
Drug-related Offenses
Offenses in which a drug contribute to the commission of a crime
Types of drug-related crime
Pharmacological violence
Economically compulsive violence
Systemic violence
Pharmacological Violence
Ingestion of drug causing individuals to become excitable, irrational, or inclined to exhibit violent behavior
Economically Compulsive Violence
Need for money to buy drugs as the primary motivation for violence
Systemic Violence (Type of Drug-related Crime)
Disputes overt territory between rival drug dealers
Violent acts committed to enforce discipline
Elimination of police informants
Punishment for selling adulterated drugs
Punishment for defrauding the drug dealer
Schedule 1 Drugs
Heroin
LDS
Marijuana
MDMA
peyoe
GHB
Schedule 2 Drugs
cocaine
methamphetamine
morphine
oxycodone
opium
fentanyl
Schedule 3 Drugs
anabolic steroids
narcotic solutions
vicodin
ketamine
long-acting barbituates
Schedule 4 Drugs
most benzodiazephines (Valium, Xanax, Ativan)
prescription sleep aids
rohypnol
Libirium
Schedule 5 Drugs
codeine-containing cough medicines
Lomotil
Lyrica
Some antidiarrheals
Smoking Opium Exclusion Act of 1909
Targeted Chinese immigrants
Banned the importation and use of opium for smoking
Harrison Narcotics Tax Act of 1914
Limited the amount of ppl who could legally dispense narcotics/opiates
Gave doctors the authority to prescribe narcotics in the course of normal treatment
First major regulation of opiates
The Volstead Act
Prohibition
Porter Narcotic Farm Act 1929
Established two narcotics hospitals for addicts in Federal prisons in response to addicts crowding local prisons
First time the US started considering addiction as a mental disorder
5 Ways a Drug Charge becomes Federal
Federal informant named you
Arrested by a federal officer
Crime took place on federal property
Crime involved crossing state lines or out of the country
‘Catch-all’ category
Harm Reduction Policies
Reduce the health risks associated w/drug use
Reduce prison overcrowding
Focus on treatment rather than on punishment