CNS stimulants amphetamine, cocaine and caffeine

Amphetamine Clinically used for narcolepsy (sudden day-time onset sleep) and Attention Deficit Hyperactivity Disorder (ADHD) formerly used as a short-term slimming agent, as an antidepressant and to boost athletic performance recreational use widespread tolerance develops readily highly addictive regular users suffer many health problems and a reduced life expectancy amphetamine psychosis may develop, with similar symptoms to acute paranoid schizophrenia. 

Cocaine Clinically used as a local anaesthetic during eye surgery recreational use widespread tolerance develops readily highly addictive, especially crack cocaine severe potential problems similar to amphetamine users often become suspicious and paranoid, displaying antisocial and troublesome behaviour patterns. 

MDMA (Ecstasy) No clinical uses, although it has been used for psychotherapy recreational use widespread acute hyperthermic problems midweek depression during neurochemical depletion long-term problems include neurotoxicity, memory/cognitive deficits and a range of psychiatric problems. 

Phenmetrazine Clinically used for short-term appetite suppression in the longer term its supposed benefits for weight control are very doubtful recreational use is rare, with weaker CNS effects than amphetamine, but it is still addictive. 

Strychnine No clinical uses since it is lethal at low doses present as an impurity in some recreational drugs produced in illicit laboratories its presence as a low-dose impurity of LSD tablets may generate alertness. 

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Some CNS stimulants have an effect on the same systems that are involved in wakefulness, including glutamate-, NE-, DA-, 5-HT-, histamine-, hypocretin- and ACh-containing neurons. This group includes molecules such as cocaine, amphetamine, and nicotine. The sleep-promoting systems are concentrated in the medial part of the brainstem, dorsal reticular substance of the medulla, anterior hypothalamus, and basal forebrain (Jones 2005). Other stimulants, such as caffeine and theophylline, block some sleep-inducing mechanisms. Modafinil is also a CNS stimulant with an unknown mechanism of action. 

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