Drugs of Abuse: Opiates


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Reviews types of opiates, side effects and effects on sports performance. NBCC, NAADAC, CAADAC, and California Board of Behavioral Sciences approved Mental Health continuing education and addictions counselor training series. Narrated versions and CEUs available at http://www.allceus.com

Published in: Health & Medicine

Drugs of Abuse: Opiates

  1. 1. Objectives <ul><li>To provide information about opiates </li></ul><ul><li>To assist students in understanding consequences of opiate use </li></ul><ul><li>To assist students in understanding drug interactions </li></ul><ul><li>To educate students about the symptoms of toxicity, overdose and withdrawal </li></ul><ul><li>To motivate students to make informed choices about opiate use </li></ul>
  2. 2. Overview <ul><li>Opiates are better known as painkillers or narcotics. </li></ul><ul><li>Not all pain relievers are opiate based, but many prescription ones are. </li></ul><ul><li>They relieve pain and induce a state of sedation and apathy </li></ul>
  3. 3. Description/terms <ul><li>Narcotics: Strong prescription painkillers such as Demerol, Stadol, or Codeine </li></ul><ul><li>Heroin: a narcotic painkiller </li></ul><ul><li>Methadone </li></ul><ul><li>Naltrexone </li></ul>
  4. 4. Overview <ul><li>Heroin </li></ul><ul><ul><li>Heroin WebCast </li></ul></ul><ul><ul><li>WebCast II </li></ul></ul><ul><ul><li>Heroin Info at a Glance </li></ul></ul><ul><ul><li>Various Definitions of Heroin </li></ul></ul><ul><ul><li>Other Opiates </li></ul></ul><ul><ul><li>Other Pain Medications at a Glance </li></ul></ul><ul><ul><li>Hydrocodone ( Vicodin , Lortab ) </li></ul></ul>
  5. 5. Effects and Symptoms of Toxicity <ul><li>General effects: pain relief, euphoria, drowsiness/nausea, constipation, confusion, sedation, respiratory depression and arrest, tolerance, addiction, unconsciousness, coma, death Also, for codeine—assists in cough suppression, less analgesia, sedation, and respiratory depression than morphine Also, for heroin—staggering gait </li></ul>
  6. 6. Detoxification Symptoms <ul><ul><li>intense cravings for the drug </li></ul></ul><ul><ul><li>irritability </li></ul></ul><ul><ul><li>nausea or vomiting </li></ul></ul><ul><ul><li>muscle aches </li></ul></ul><ul><ul><li>runny nose or eyes </li></ul></ul><ul><ul><li>dilated pupils </li></ul></ul><ul><ul><li>sweating </li></ul></ul><ul><ul><li>diarrhea </li></ul></ul><ul><ul><li>yawning </li></ul></ul><ul><ul><li>fevers </li></ul></ul><ul><ul><li>chills </li></ul></ul><ul><ul><li>inability to sleep </li></ul></ul><ul><ul><li>depression </li></ul></ul>
  7. 7. Interaction with other drugs <ul><li>Alcohol </li></ul><ul><li>Depressants (GHB, inhalants, benzodiazepines) </li></ul><ul><li>OTC </li></ul><ul><ul><li>Antihistamines </li></ul></ul><ul><ul><li>Decongestants </li></ul></ul><ul><li>Stimulants </li></ul>
  8. 8. Legal Issues and Consequences <ul><li>First Conviction: </li></ul><ul><ul><li>  Up to one year imprisonment and fined at least $1,000 (but not more than $100,000) or both. </li></ul></ul><ul><li>After One Prior Drug Conviction: </li></ul><ul><ul><li>At least 15 days in prison (but not to exceed two years) and fined at least $2,500 (but not more than $250,000) or both. </li></ul></ul><ul><li>After Two or More Prior Drug Convictions: </li></ul><ul><ul><li>At least 90 days in prison (but not to exceed three years) and fined at least $5,000 (but not more than $250,000) or both. </li></ul></ul>
  9. 9. Issues in Pregnancy <ul><li>Common pregnancy complications include miscarriage, placental abruption, poor fetal growth, premature delivery, low birth weight and stillbirth. </li></ul><ul><li>In sufficient quantity, opiates can depress the heart rate of the baby sufficiently to kill the fetus </li></ul><ul><li>Most babies of heroin users suffer from withdrawal symptoms after birth, including fever, sneezing, trembling, irritability, diarrhea, vomiting, continual crying and, occasionally, seizures. </li></ul><ul><li>Babies exposed to heroin before birth also face a ten-fold increased risk of sudden infant death syndrome (SIDS). </li></ul>
  10. 10. Effects on Sports Performance <ul><li>The Physician and Sports Medicine Thomas L. Schwenk Md </li></ul><ul><li>Drug Free Sport---NCAA </li></ul>
  11. 11. Rumors and Myths <ul><li>There are three major misconceptions about Methadone : </li></ul><ul><li>” Methadone is more addictive than heroin”. Although withdrawal from methadone does last significantly longer than that from heroin, methadone is not more addictive </li></ul><ul><li>” Methadone depresses the immune system”. Methadone is the only narcotic that does not depress the immune system. </li></ul><ul><li>” Methadone rots the teeth”. Many heroin addicts do not take care of their teeth, but when stabilized on methadone , individuals become aware of their dental problems </li></ul>
  12. 12. Additional Resources <ul><li>Analgesics & Opiates </li></ul><ul><li>&quot;Heroin Chic&quot; from W. J. Bailey </li></ul><ul><li>The Dextromethorphan FAQ by W. E. White </li></ul>
  13. 13. Summary <ul><li>Overview Online Reading </li></ul><ul><li>Responsible Use </li></ul><ul><ul><li>Use opiates as prescribed </li></ul></ul><ul><ul><li>Do not mix with alcohol or other depressants </li></ul></ul><ul><ul><li>Do not drive while using opiates </li></ul></ul>