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Prescription Drug Abuse
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Some Commonly Prescribed Medications: Use and Consequences

Opioids

Oxycodone (OxyContin)
Propoxyphene (Darvon)
Hydrocodone (Vicodin)
Hydromorphone (Dilaudid)
Meperidine (Demerol)
Diphenoxylate (Lomotil)

CNS Depressants

Barbiturates
Mephobarbital (Mebaral)
Pentobarbital sodium (Nembutal)

Benzodiazepines
Diazepam (Valium)
Chlordiazepoxide hydrochloride (Librium)
Alprazolam (Xanax)
Triazolam (Halcion)
Estazolam (ProSom)

Stimulants

Dextroamphetamine (Dexedrine)
Methylphenidate (Ritalin)
Sibutramine hydrochloride monohydrate (Meridia)

Generally prescribed for

Postsurgical pain relief
Management of acute or chronic pain
Relief of coughs and diarrhea

Generally prescribed for

Anxiety
Tension
Panic attacks
Acute stress reactions
Sleep disorders
Anesthesia (at high doses)

Generally prescribed for

Narcolepsy
Attention-deficit hyperactivity disorder (ADHD)
Depression that does not respond to other treatment
Short-term treatment of obesity
Asthma

In the body

Opioids attach to opioid receptors in the brain and spinal cord, blocking the transmission of pain messages to the brain.

In the body

CNS depressants slow brain activity through actions on the GABA system and, therefore, produce a calming effect.

In the body

Stimulants enhance brain activity, causing an increase in alertness, attention, and energy.

Effects of short-term use

Blocked pain messages
Drowsiness
Constipation
Depressed respiration
(depending on dose)

Effects of short-term use

A "sleepy" and uncoordinated feeling during the first few days, as the body becomes accustomed - tolerant - to the effects, these feelings diminish.

Effects of short-term use

Elevated blood pressure
Increased heart rate
Increased respiration
Suppressed appetite
Sleep deprivation

Effects of long-term use

Potential for tolerance, physical dependence, withdrawal, and/or addiction

Effects of long-term use

Potential for tolerance, physical dependence, withdrawal, and/or addiction

Effects of long-term use

Potential for addiction

Possible negative effects

Severe respiratory depression or death following a large single dose

Possible negative effects

Seizures following a rebound in brain activity after reducing or discontinuing use

Possible negative effects

Dangerously high body temperatures or an irregular heartbeat after taking high doses
Cardiovascular failure or lethal seizures
For some stimulants, hostility or feelings of paranoia after taking high doses repeatedly over a short period of time

Should not be used with

Other substances that cause CNS depression, including:
Alcohol
Antihistamines
Barbiturates
Benzodiazepines
General anesthetics

Should not be used with

Other substances that cause CNS depression, including:
Alcohol
Prescription opioid pain medicines
Some over-the-counter cold and allergy medications

Should not be used with

Over-the-counter cold medicines containing decongestants
Antidepressants, unless supervised by a physician
Some asthma medications

Index of Terms

TermDefinition
Addiction ad·dic·tion - n. the condition of being addicted to something [trying to conquer an addiction to drugs]
Alcohol The world's most popular drug and legally used in most countries. Alcohol is produced through the fermentation of fruits, vegetables or grains.
Antihistamines Drugs that block the effects of the allergy chemical histamine to relieve sneezing, watery eyes, runny nose and itching of the nose and throat.
Barbiturates A drug commonly used to calm nervousness and induce sleep. It’s derived from barbituric acid.
Drugs Drugs essentially are poisons. The degree they are taken determines the effect. A small amount acts as a stimulant. A greater amount acts as a sedative. A larger amount acts as a poison and can kill one dead. This is true of any drug. Each has a different amount at which it gives those results.
Tranquilizers Drugs that have a sedative or calming effect without inducing sleep.
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