Substance Abuse - Substance Abuse Monday 5:03 PM Opioid...

Substance Abuse
Monday, April 21, 2008
5:03 PM
Opioid Intoxication, cont'd
Physical
o
Pupil constriction
o
Drowsiness
o
Slurred sppech
Opioid Withdrawal
•
Three of the following developing within three days of cessation or
antagonist therapy (????)
o
Dysphoric mood
o
Nausea or vomiting
o Muscle aches
o
Lacrimation or rhinorhhea (watery eyes, runny nose)
o Pupillary dilation, piloerection (hair stands up on arms etc) ,
sweating
o Diarrhea
o
Yawning
o Fever
o
Insomnia
Flu-like symptoms

Stimulants
•
Amphetamines (Dexedrine, Ritalin)
•
Cocaine
•
Ecstasy (MDMA)
•
Caffeine
•
Nicotine
Caffeine
Intoxication
•
Consumption of more than 250 mg of caffeine
o
More than 2-3 cups of crewed coffee
•
At least five of the following
o
Restlessness
o
Nervousness
o
Excitement
o
Insomnia

o
Flushed face
o
Diuresis (excessive urination)
o
Gastrointestinal disturbance
o
Muscle twitching
o
Rambling flow of thought and speech
o
Tachycardia or cardiac arrhythmia
o
Periods of inexhaustibility
o Psychomotor agitation
•
Cause significant distress or impairment
•
No formal withdrawal syndrome
o
Headaches irritability, tachycardia, nausea
Nicotine
•
25% of Americans smoke tobacco
o
More people who smoke become dependent than those who
drink alcohol