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Narcotic Opiates. Factsheets J. Meyer. What are Opiates?. Also called Opioids or Narcotics This refers to naturally occurring substances derived from the opium poppy and synthetic substitutes.
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Narcotic Opiates Factsheets J. Meyer
What are Opiates? Also called Opioids or Narcotics • This refers to naturally occurring substances derived from the opium poppy and synthetic substitutes. • Medically, they are used as painkillers (analgesics), -cough-suppressant (anti-tussive) and anti-diarrheal agents, preanaesthetics. • Pharmacologically, they work by activating endorphin receptors, blocking transmission of pain to the spine and brain stem.
Heroin Heroin is the illegal form of medical Diamorphine (for post-operative pain & terminal illness) It is highly soluble in lipids and diffuses through the blood brain barrier 100X faster than morphine STREET NAMES Horse, H Smack, Brown Sugar Dope, Skag Junk, Mud
Physiological Effects of Abuse of Opiates It only takes 1 dose! http://www.youtube.com/watch?v=lbfKzDYzDJw
Dependence & Withdrawal Effects Early symptoms of withdrawal: Agitation Anxiety Muscle aches Increased tearing Insomnia Runny nose Sweating Yawning Late symptoms of withdrawal: Abdominal cramping Diarrhea Dilated pupils Goose bumps Nausea Vomiting Hallucinations, Blackouts, Body aches, Overdose/death
Treatment Approaches Methadone: can be used for 10 years cheap Clonidine: reduce withdrawal symptoms Buprenorphine (suboxone) Less addictive than methadone Prescribed by doctor Naloxone/naltrexone Blocks the effect of heroin for a few days Behavioral: drug free test rewards Cognitive/behavioral: Stress coping skills Modifying drug expectations/behavior
Resources • Lee Bowman. (2012, July 17). Heroin on rise, numbers show. Retrieved from http://addictions.about.com/od/dailylifewithaddiction/a/What-To-Expect-From-Heroin-Withdrawal.htm • Hanson, G. R., Venturelli, P. J., & Fleckenstein, A. E. (2001). Drugs and society. (11th ed.). Salt Lake City, Utah: Jones & Bartlett Publishers. • National library of Medicine. (2012, march 17). Health topics. Retrieved from http://www.nlm.nih.gov/medlineplus/heroin.html • Volkow, N. D. (2005, May). National institute on drug abuse. Retrieved from http://www.drugabuse.gov/publications/research-reports/heroin-abuse-addiction/what-are-treatments-heroin-addiction