Substance abuse amphetamines

King GR, Ellinwood EH Amphetamines and other stimulants, in Substance Abuse A Comprehensive Textbook, 3rd Edition. Edited by Lowinson JH, Ruiz P, Mill-man RB, et al. Baltimore, MD, Williams Wilkins, 1997, pp 207—233 Klawans HE, Margolin Dl Amphetamine-induced dopaminergic hypersensitivity in guinea pigs implications in psychosis and human movement disorders. Arch Gen Psychiatry 32 725—732, 1975... 

Srisurapanont M, Jarusuraisin N, Kittirattanapaiboon P Treatment for amphetamine dependence and abuse. Cochrane Database Syst Rev 4 CD003022, 2001 Srisurapanont M, Ali R, Marsden J, et al Psychotic symptoms in methamphetamine psychotic in-patients. Int J Neuropsychopharmacol 6 347-352, 2003 Substance Abuse and Mental Health Services Administration Overview of Findings From the 2002 National Survey on Drug Use and Health (DHHS Publ No SMA 03-3774). Rockville, MD, Substance Abuse and Mental Health Services Administration, 2003... 

The treatment goals for withdrawal from ethanol, cocaine/ amphetamines, and opioids include (1) a determination if pharmacologic treatment of withdrawal symptoms is necessary, (2) management of medical manifestations of withdrawal such as hypertension, seizures, arthralgias, and nausea, and (3) referral to the appropriate program for substance abuse treatment. 

King GR and Ellinwood EH (1992) Amphetamines and other stimulants. In JH Lowinson and P Ruiz (eds), Substance Abuse A Comprehensive Textbook (pp. 247-266). Williams Wilkins, Baltimore. 

Dopamine-Stimulating Medications. A variety of drugs that increase the availability of dopamine have been studied in cocaine addicts including L-DOPA, bupropion, amantadine, and methylphenidate. In small uncontrolled trials, these have shown some benefit, but definitive studies have yet to be performed. In addition, some dopamine-stimulating medications (in particular, the stimulants like methylphenidate or the amphetamines) are themselves subject to abuse, though, of note, this is typically not a problem when they are prescribed to patients who do not have a history of substance abuse such as, for example, in the treatment of attention deficit-hyperactivity disorder. 

Violent acts are a part of the drug abuse scene. Such acts may result from psychosis and excitable states produced by substances such as amphetamines and similar, from frustrated attempts to obtain substances, by merciless substance vendors - the pushers (who may themselves be abusers), and from the criminal sub-culture which can attract and prey on those who hopelessly substance dependant. One should take care in managing all situations with substance abusers to avoid personal risk, which must also include the risk of infection with HIV and hepatitis. 

Wilens, T. and Spencer, T. (1998) Amphetamine pharmacology. In Tarter, R., Ammerman, R., and Ott, P., eds. Handbook on Substance Abuse Neurobehavioral Pharmacology. New York Plenum Press ... 

Current research has demonstrated that there are no medical treatments effective for treating amphetamine abuse. This means that other drugs cannot be substituted to assist in the weaning process. However, thousands of individuals have successfully gone through withdrawal and continue to abstain from amphetamine use despite the long and uncomfortable process. Twelve-step programs are helpful for many substance abusers in recovery. 

Amphetamine abusers and addicts become preoccupied with when and where they will be able to get their next dose. Relationships with family and friends frequently deteriorate as the drug takes center stage in the addict s life. Money problems may began to surface as the addict funds his growing habit. Substance abuse also contributes to crime, domestic violence, sexual assault, drop-out rates, unemployment, and homelessness. It is also a factor in the spread of sexually transmitted diseases (STDs) and unwanted pregnancy. 

Ongoing education against the dangers of substance abuse must continue at school level and in the home. The widespread use of Tik and others has lead to the situation where any individual, admitted to the emergency room, with severe hypertension, must be questioned about the use of amphetamines. 

Benzodiazepine abuse is different from other substance abuse disorders (opiates, amphetamines, and nicotine) because benzodiazepines cause much less euphoria and do not activate the classic reward systems that are activated with other substances (mainly the mesolimbic and mesocortical dopaminergic projections). In fact, most people do not find the subjective effects of benzodiazepines pleasant beyond their therapeutic anxiolytic or sleep-inducing effects. Therefore, abuse of benzodiazepines is usually secondary to other substance-abuse disorders, with the benzodiazepine being taken for relief from symptoms induced by the use of another drug. As potential drugs of abuse, short-acting benzodiazepines seem to be preferred among addicts because of the rapidity of their onset of action (aiprazoiam, fiunitrazepam, and iorazepam). 

Frishman,W. H., Del Vecchio, A., Sanal, S., and Ismail, A. (2003) Cardiovascular manifestations of substance abuse part 2 alcohol, amphetamines, heroin, cannabis, and caffeine. Heart Dis. 5, 253-271. 

Risk factors for acute dystonia include young age, male sex, previous history, substance abuse, rapid titration and high-potency antipsychotics. A case of a 24-year-old male daily amphetamine user who developed acute dystonia on low-dose risperidone resolving on olanzapine is reported [254 ]. 

Glassification of Substance-Related Disorders. The DSM-IV classification system (1) divides substance-related disorders into two categories (/) substance use disorders, ie, abuse and dependence and (2) substance-induced disorders, intoxication, withdrawal, delirium, persisting dementia, persisting amnestic disorder, psychotic disorder, mood disorder, anxiety disorder, sexual dysfunction, and sleep disorder. The different classes of substances addressed herein are alcohol, amphetamines, caffeine, caimabis, cocaine, hallucinogens, inhalants, nicotine, opioids, phencyclidine, sedatives, hypnotics or anxiolytics, polysubstance, and others. On the basis of their significant socioeconomic impact, alcohol, nicotine, cocaine, and opioids have been selected for discussion herein. 

The abused substances covered in this chapter include nicotine, alcohol, cocaine, amphetamines, cannabis, and opioids. While many more substances can be and have been abused, these drugs are among the most popular. 

Schedule II—The drug or other substance has (1) a high potential for abuse, (2) a currently accepted medical use in treatment in the United States or a currently accepted medical use with severe restrictions, and (3) abuse of the drug or other substances may lead to severe psychological or physical dependence. Examples cocaine, PCP, morphine, fentanyl and meperidine, codeine, amphetamine and methamphetamine, Ritalin . 

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