what is addiction?
compulsive and uncontrollable behavior or use of substances
what is the most serious form of addiction?
chemical dependency on drugs
what feeds addiction (what system)?
limbic system
what are the four f’s of the limbic system and how do they relate to addictive behavior?
fight (risk: gambling)
flight/fear
feed (caring)
f*cking (sex)
these are all basic human needs to be met and when acitivated, can become addictive because they are a need
how much money is lost each year in American health costs, crime, and lost productivity due to the misuse of alcohol, nicotine, illicit drugs, and prescription drugs?
$700 billion
what are some common factors the predispose people to addiction?
the behavior is reinforced
an attempt to meet basic human needs (limbic system)
an attempt to relive stress temporarily
a response to peer pressure
acceptable in a person’s value system
serious physical illness
pressure to perform or succeed
self-hatred
a genetic link
allowed by society
what is a drug? give examples
any substance that alters the user’s ability to function
over-the-counter meds
prescription meds
illegal substances
when tolerance to a drug increases..
why?
a higher dose is needed to achieve the same result because the body can accommodate/dilute effects on the body
what is considered a safe amount of caffeine per day?
400 mg
what are commonly abused prescription medications?
opioids (codeine, oxy, morphine)
CNS depressants (valium, Xanax)
stimulants (Adderall, Ritalin, Concerta)
inhalants involve what type of use? give examples
common household products (vapors or aerosol gases)
whipped cream canisters, cooking sprays, hair spray, glue, nail polish remover, spray paint, gasoline, lighterfluid
what percent of individuals of the age 12 to 17 abuse inhalants?
2%
what are the serious consequences of inhalants?
suffocation, organ damage, unconsciousness, sudden cardiac death
what is marijuana?
relaxant
psychoactive drug prepared from the hemp plant Cannabis sativa
what is the active ingredient in weed?
THC
(potency has tripled over the past few decades)
what are the short term effects of weed?
confusion, memory loss, tachycardia
what are the long term effects of weed?
motivational syndrome and brain damage
how many states is weed legal in?
21 for recreational use
37 for medical use
what are the other three “forms” of weed?
CBD
epidiolex
THC mimic meds
what is CBD?
the “inactive” ingredient in weed (does not cause a high)
is CBD FDA approved?
no because it is unknown how much should be used
what can CBD help with (although research is ongoing)?
reduce pain, inflammation, anxiety
what is epidiolex?
purified form of CBD that is FDA approved and can treat seizure disorders
what are THC mimic medications?
marinol, syndros, cesamet
helpt to treat nausea and stimulate appetite in cancer patients and AIDS patients with wasting syndrome
why can CBD be harmful? give an example
can slow down the breakdown of some meds causing increased levels of medications in the body and possibly harmful side effects
if you are on blood thinners and take CBD, it can stay in your system for too long and cause your blood to be too thin
what substance has the most compulsive addiction?
cocaine
an overdose of cocaine causes what?
death
what are the long term effects of cocaine?
paranoia and hallucinations
what is crack cocaine?
smokable form of cocaine
usually more potent that powdered
what is methamphetamine?
Potent form of amphetamine that is highly addictive
an overdose on methamphetamine can cause what?
death
what are the long term effects of methamphetamine?
insomnia, confusion, hallucinations, inflammation of the heart lining, schizophrenia-like mental disorder, brain cell damage (similar to stroke)
how does methamphetamine cause Parkinson’s like symptoms?
it reduces the level of dopamine released
what is MDMA?
ecstasy
a synthetic hallucinogen with chemical structure similar to MDA and methamphetamine
what type of drug is ecstasy?
stimulant (that damages the brain)
what are the side effects of MDMA and what can those then lead to?
side effects: elevated BP, elevated HR, elevated temp
leads to: seizures, kidney failure, heart attack, stroke, or death
what is heroine?
synthesized form of morphine that can be injected, snorted, sniffed, or smoked and is extremely addictive (tolerance develops quickly
an overdose on heroine can cause what?
convulsions, coma, and death
(withdrawal is painful and prolonged)
what is mexican tar heroine?
ultra-potent form, known to kill unsuspecting users nearly immediately
what are New Psychoactive Substances (NPS)?
unregulated substances of abuse
also called synthetic or designer drugs
mimic the effects of controlled substnaces
highest concentrations in North America and Europe
what are synthetic cannabinoids?
fake pot
100 times more potent that weed
usually sprayed onto mixture of herbs
what are the side effects of cannabinoids?
seizures, high BP, anxiety attacks, hallucinations, nausea, loss of consciousness, chemical dependency
what is alchohol?
ethyl alcohol
depressant drug that affects the brain and slows down the CNS
what is alcoholism?
disease in which an individual loses control over drinking alcoholic beverages
has both a genetic and environmental component
what are some medical complications of addiction?
death
reduced or overtolerance to meds
neuropathy
seizures
cardiovascular
psychological (hallucinations)
organ damage (kidney, lungs, and liver)
what effects can addiction have on the body?
sense perception (proprioception)
motor skills
judgement
self-control
linked to more than half of all car accident deaths, and to violent behavior such as rape, child abuse, suicide, and murder
what is a synergistic action?
effect of mixing two or more drugs, which can be much greater than the sum of the drugs acting by themselves
what is cirrhosis?
damage or scarring of the liver
(from the abdomen filling with fluid and therefore retaining toxins)
what is cardiomyopathy
disease affecting the heart muscle
does alcohol addiction develop slow or fast?
slow
what systems does long term alcohol abuse affect?
brain
immune system
liver
oral
heart
stomach and intestines
reproductive system
what is the number one drug problem among college students?
alcohol
alcohol use in college students leads to what percentage of drop outs?
25%
alcohol use in college students can lead to?
lower GPA
driving while intoxicated
risky sexual behavior
deaths from alcohol poisoning
what is the first step in recovery from addiction?
recognizing the problem
what is tobacco?
contains tar, nicotine, and over 7,000 other toxic materials (about 70 of the 700 are proven carcinogens)
how are tobacco and education level related?
tobacco use goes up → education level goes down
what percent of people will die each year from smoking-related illnesses?
10%
6 million people per year
what are the types of tobacco products?
pipes and cigars: lower risks for heart disease and lung cancer compared to cigs, but higher risk for lip, mouth, and larynx cancer
smokless tobacco: use leads to gingivitis and periodontitis, greater risk of oral cancer, senses of smell and taste diminish
cigarettes: more death are caused annually by tobacco use than by all deaths combined from HIV, illegal drug use, car accidents, alcohol use, suicides, and murders
what are the effects of smoking on the cardiovascular system?
increases HR, increases BP, increases blood clots
increases risk of atherosclerosis, coronary artery spasm, and cardiac arythmia
lowers HDL cholesterol
damages inner walls of arteries
smoking causes approximately how many coronary heart disease deaths?
1/3 (33%)
what percentage of lung cancer is attributed to smoking?
87%
what are the health effects of smoking?
stroke
cancer of larynx
lung cancer
heart attacks
peptic (stomach) ulcers
cervical cancer
unborn babies
mouth (oral) cancer
esophageal cancer
chronic lung disease
circulatory disease
bladder and kidney diseases
how long after inhalation can chemical changes be detected within the body’s blood clotting mechanism, increasing the risk for heart attack or stroke?
20 minutes
how many individuals are killed by smoking each year?
480,000 Americans
42,000 from second hand smoke
top three reasons people begin to smoke?
peer pressure
desire to appear “grown up”
rebellion against authority
how many packs of cigs can lead to psychological addiction and dependency?
3
nicotine is how much more addictive than alcohol?
6 to 8 times
what are the 6 factors related to feelings when smoking?
stimulation
handling
pleasure/pleasurable relaxation
crutch: tension reduction
craving: psychological addiction
habit
what percentage of smokers would like to quit?
70%
physiological addiction to nicotine is broken how many days following the last cig?
3