INTOXICATION AND WITHDRWAL

LENTI

Alcohol I

Slurred speech.

• 2. Incoordination.

• 3. Unsteady gait.

• 4. Nystagmus.

• 5. Impairment in attention or memory.

• 6. Stupor or coma.

Alcohol W

• 1. Autonomic hyperactivity (e.g., sweating or pulse rate greater than 100 bpm).

• 2. Increased hand tremor.

• 3. Insomnia.

• 4. Nausea or vomiting.

• 5. Transient visual, tactile, or auditory hallucinations or illusions.

• 6. Psychomotor agitation.

• 7. Anxiety.

• 8. Generalized tonic-clonic seizures.

Caffeine I

• 1. Restlessness.

• 2. Nervousness.

• 3. Excitement.

• 4. Insomnia.

• 5. Flushed face.

• 6. Diuresis.

• 7. Gastrointestinal disturbance.

• 8. Muscle twitching.

• 9. Rambling flow of thought and speech.

• 10. Tachycardia or cardiac arrhythmia.

• 11. Periods of inexhaustibility.

• 12. Psychomotor agitation.

Caffeine W

• 1. Headache.

• 2. Marked fatigue or drowsiness.

• 3. Dysphoric mood, depressed mood, or irritability.

• 4. Difficulty concentrating.

• 5. Flu-like symptoms (nausea, vomiting, or muscle pain/stiffness).

Cannabis I

• 1. Conjunctival injection.

• 2. Increased appetite.

• 3. Dry mouth.

• 4. Tachycardia.

Canabbis W

• 1. Irritability, anger, or aggression.

• 2. Nervousness or anxiety.

• 3. Sleep difficulty (e.g., insomnia, disturbing dreams).

• 4. Decreased appetite or weight loss.

• 5. Restlessness.

• 6. Depressed mood.

• 7. At least one of the following physical symptoms causing significant discomfort: ab dominal pain, shakiness/tremors, sweating, fever, chills, or headache.

Phencyclidine I

1. Vertical or horizontal nystagmus.

2. Hypertension or tachycardia. 528 Substance-Related and Addictive Disorders

3. Numbness or diminished responsiveness to pain.

4. Ataxia.

5. Dysarthria.

6. Muscle rigidity.

7. Seizures or coma.

8. Hyperacusis

Other Hallucinogen I

• 1. Pupillary dilation.

• 2. Tachycardia.

• 3. Sweating.

• 4. Palpitations.

• 5. Blurring of vision.

• 6. Tremors.

• 7. Incoordination.

Inhalant I

• 1. Dizziness.

• 2. Nystagmus.

• 3. Incoordination.

• 4. Slurred speech.

• 5. Unsteady gait.

• 6. Lethargy.

• 7. Depressed reflexes.

• 8. Psychomotor retardation.

• 9. Tremor.

• 10. Generalized muscle weakness.

• 11. Blurred vision or diplopia.

• 12. Stupor or coma.

• 13. Euphoria.

Opiod I

• 1. Drowsiness or coma.

• 2. Slurred speech.

• 3. Impairment in attention or memory.

Opiod W

• 1. Dysphoric mood.

• 2. Nausea or vomiting.

• 3. Muscle aches.

• 4. Lacrimation or rhinorrhea.

• 5. Pupillary dilation, piloerection, or sweating.

• 6. Diarrhea.

• 7. Yawning.

• 8. Fever.

• 9. Insomnia.

Sedative, Hypnotic, or Anxiolytic I

• 1. Slurred speech.

• 2. Incoordination.

• 3. Unsteady gait.

• 4. Nystagmus.

• 5. Impairment in cognition (e.g., attention, memory).

• 6. Stupor or coma.

Sedative, Hypnotic, or Anxiolytic W

• 1. Autonomic hyperactivity (e.g., sweating or pulse rate greater than 100 bpm).

• 2. Hand tremor.

• 3. Insomnia.

• 4. Nausea or vomiting.

• 5. Transient visual, tactile, or auditory hallucinations or illusions.

• 6. Psychomotor agitation.

• 7. Anxiety.

• 8. Grand mal seizures.

Stimulant I

• 1. Tachycardia or bradycardia.

• 2. Pupillary dilation.

• 3. Elevated or lowered blood pressure.

• 4. Perspiration or chills.

• 5. Nausea or vomiting.

• 6. Evidence of weight loss.

• 7. Psychomotor agitation or retardation.

• 8. Muscular weakness, respiratory depression, chest pain, or cardiac arrhythmias.

• 9. Confusion, seizures, dyskinesias, dystonias, or coma.

Bradycardia W

• 1. Fatigue.

• 2. Vivid, unpleasant dreams.

• 3. Insomnia or hypersomnia.

• 4. Increased appetite.

• 5. Psychomotor retardation or agitation.

Tobacco Use W

• 1. Irritability, frustration, or anger.

• 2. Anxiety.

• 3. Difficulty concentrating.

• 4. Increased appetite.

• 5. Restlessness.

• 6. Depressed mood.

• 7. Insomnia.