Prescription pills

Users also have specific trends regarding how and with what they consume Ecstasy. Though generally taken orally in pill form, Boston users in their late teens and early twenties sometimes inject MDMA and ketamine intramuscularly, and Sioux Falls users increasingly crush and snort it. Ecstasy is also frequently taken in combination with or sequentially with alcohol, marijuana, or both. Other drugs are also taken with MDMA (LSD, GHB, ketamine, prescription pills, heroin, cough syrup, camphor/menthol inhalants, Viagra , and nitrous oxide). 

Why do some prescription pills come in such elaborate colors/capsules ... 

Elicit adverse effects of drug therapy using a non-leading approach and ask the patient/caregiver to judge their severity and what measures, if any, the patient used to ameliorate them. Assess adherence (ask patient about missed doses or do a pill count if the prescription container was brought to the visit). 

Elicit adverse events of therapy in a non-leading manner and ask the patient to judge their severity. Ask the patient or par-ents/guardians what measures if any were used to ameliorate them. Assess adherence (ask patient or parents/guardians about missed doses do pill counts if the prescription vial is available). 

In a particularly dramatic case of placebo-induced side effects, doctors at a hospital in Jackson, Mississippi, treated a young man who came into the emergency room, said to the receptionist, Help me, I took all my pills and then collapsed to the floor, dropping an empty prescription container. His blood pressure was abnormally low, and he was treated with intravenous fluids, which brought it back to within a normal range. The prescription bottle bore a label indicating that the medication was part of a clinical trial of antidepressants. Further investigation revealed that he had... 

With the high prevalence and steady increase in overweight and obesity in the United States comes a steady increase in the use of various diet supplements, including both nonprescription and prescription diet pills. 

Phenylropanolamine was initially believed to have a very low risk of side effects, and the FDA allowed it to be available over the counter, without a prescription. After some time, phenylpropanolamine became the active ingredient in many nonprescription diet pills, such as Acutrim , Dexatrim , and Protrim. Early studies demonstrated that the drug s main side effect was an increase in energy that sometimes led to insomnia or agitation. 

Figure 5.2 Shown here is a picture of phenteramine pills. If this medication, or any of the others discussed in this chapter, is purchased from an illegal Website without a prescription, the pills might not look like this. Pills purchased from Website without a prescription may not contain phenteramine and only contain sugar or, worse, may be laced with other illegal, more potent drugs.

This book has examined how diet pills work and which herbal and prescription products are most commonly used for weight loss. Disorders such as anorexia, bulimia, and body dysmorphic syndrome may lead someone to abuse both over-the-counter and prescription diet pills. There are health and legal ramifications of diet pill abuse that are ignored or not even realized when abuse is taking place. 

Abuse of diet pills is a problem not only due to the concern about the health effects, but also because laws can be broken in the process. Obviously, it is easier to abuse drugs that are more readily available—for example, an over-the-counter laxative— but it can be surprisingly easy to obtain diet pills that require a prescription. .. if one is willing to risk the dangers of dealing with the black market. ... 

Do not take any other medications without first checking with me. These medications include over-the-counter medicines bought without prescription, such as cold tablets, nose drops, cough medicine, and diet pills. 

Pills continue to be sold mainly in loose tablet form. Sometimes sold in small plastic bags, prescription bottles, plastic wrap, coin rolls, or tinfoil, more creative packaging occasionally surfaces. For instance, in St. Louis, large quantities are sold in cigarette packs. 

Compounds that competitively block histamine at H4 receptors have been used in the treatment of allergic conditions for many years, and many Hi antagonists are currently marketed in the USA. Many are available without prescription, both alone and in combination formulations such as "cold pills" and sleep aids (see Chapter 63). 

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