Chapter 4 - Downers (depressants) Opiates/Opioids Opium,...

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Unformatted text preview: Downers (depressants) Opiates/Opioids Opium, codeine, morphine, heroin Vicodin , OxyContin Benzodiazepines, e.g., Valium Barbiturates, e.g., Seconal Others, e.g., Rohypnol , Miltown Beer, wine, hard liquor Copyright 2004, CNS Productions, Inc. 1 Sedative-Hypnotics Alcohol Others Downers Antihistamines Skeletal muscle relaxants Over-the-counter downers Lookalike downers Copyright 2004, CNS Productions, Inc. 2 Opiates/Opioids From Opium Semisynthetic opium morphine codeine thebaine heroin hydrocodone (Vicodin ) hydromorphone (Dilaudid ) oxycodone (OxyContin ) Synthetic methadone propoxyphene (Darvon ) meperidine (Demerol ) fentanyl (Sublimaze ) Copyright 2004, CNS Productions, Inc. 3 Copyright 2004, CNS Productions, Inc. 4 Effects: Opiates/Opioids Pain suppression Pinpoint pupils Lowered heart rate, blood pressure, respiration Constipation Cough suppression Lax muscle tone Dryness of mouth Euphoria Copyright 2004, CNS Productions, Inc. 5 Natural Pain Suppression Copyright 2004, CNS Productions, Inc. 6 Artificial Pain Suppression Copyright 2004, CNS Productions, Inc. 7 Copyright 2004, CNS Productions, Inc. 8 Copyright 2004, CNS Productions, Inc. 9 Copyright 2004, CNS Productions, Inc. 10 Needle Use Infections Abscesses Septicemia Cotton fever Hepatitis B & C Endocarditis Embolism HIV & AIDS Copyright 2004, CNS Productions, Inc. 11 Methadone (Dolophine ) Copyright 2004, CNS Productions, Inc. 12 Depressant Effects of Increasing Amounts of Sedative-Hypnotics or Alcohol Physical depression grows Increasing amounts of depressants (sedative-hypnotics or alcohol) Copyright 2004, CNS Productions, Inc. 13 Sedative-Hypnotics Benzodiazepines Xanax , Valium , Halcion , Librium , Rohypnol , Klonopin , Restoril , Ativan Barbiturates Seconal , Nembutal , Amytal , phenobarbital Others Chloral hydrate, GHB, GBL, Placidyl , etc. Copyright 2004, CNS Productions, Inc. 14 Benzodiazepines Very Long Acting Short Acting Halazepam (Paxipam ) Alprazolam (Xanax ) Prazepam (Centrax ) Temazepam (Restoril ) Flurazepam (Dalmane ) Oxazepam (Serax ) Lorazepam (Ativan ) Intermediate Acting Very Short Acting Clonazepam (Klonipin ) Triazolam (Halcion ) Chlordiazepoxide (Librium ) Diazepam (Valium ) Copyright 2004, CNS Productions, Inc. 15 Effects of Benzodiazepines Anxiety control (e.g., panic attack) Relaxation Drowsiness & sleep Control seizures Reduced muscular coordination Dulled physical sensations Tolerance to effects develops Copyright 2004, CNS Productions, Inc. 16 United States 33% Australia 1% Africa 1% Japan 18% Europe 29% Middle East 2% Latin America 7% Canada 1% Southeast Asia & China 8% World Prescription Drug Market Copyright 2004, CNS Productions, Inc. 17 ...
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