Club drugs are a pharmacologically diverse group of psychoactive substances like GHB, Rohypnol, ketamine, and ecstasy that are often abused by teens and young adults at parties and nightclubs. They can cause serious health issues and adverse brain effects, and some can even be life-threatening. Ecstasy is currently the most popular club drug and produces feelings of empathy and closeness but can also cause increased energy, anxiety, and potential overdose issues. GHB is a central nervous system depressant that was approved for treating narcolepsy but any non-medical use is illegal. Ketamine is used as a veterinary anesthetic and produces feelings of detachment from one's surroundings. Treatment options

1. Club Drugs

2. Definition
 Are pharmacologically heterogeneous group of psychoactive.
 Tend to abused by teens and young adults at bars, parties, nightclubs,
concerts.
 Example: Gamma hydroxybutyrate (GHB), Rohypnol, Ketamine, Ecstasy.
 Cause serious issue and adverse effect to brain and health, even life-
threatening.

3. Ecstasy
 Is the most popular in this class, in small colored pills that are often
stamped with logo or character’s image.
 Is refer as wo term of empathogen and entactogen which bring to user the
feeling of empathy and make people get deeply close to someone else
even it is the first time they met.
 Effects: increase energy, have great feeling o dancing, lack of appetite,
chills, muscles cramping, anxiety, addiction.
 Can last between here to six hours
 If overdose, can lead to overheated which harm to organs or even death.

4. Gamma Hydroxybutyrate (GHB)
 Is the central nervous system depressant.
 Was approved by FDA in 2002 for use for treatment of narcolepsy
(sleeping disorder) with serve restriction.
 It can be available with no odor, no taste in liquid, powder, pills, or capsule.
 The affect can last up to four hours.
 Effects: dizziness, confusion, vomiting, nausea, disorientation, coma, liver
failure, death.
 Has very limited in medical use, any other use is illegal.

5. Ketamine
 Is a primarily used as a veterinary anesthetic.
 Is a dissociative drug because it distorts perception of sight and sound and
produce feeling of detachment from the environment and self.
 Is usually snorted and injected intramuscularly. It is tasteless and odorless.
 Effects: numbness, weakness, rapid heart rate, amnesia, loss of
coordination, confusion, dizziness…
 May be use as a date rape drug. A person raped after being given
Ketamine may even remember that it happened.

6. Rohypnol
 It is type of benzodiazepine and illegal in U.S.
 it takes effects very quickly and available in odorless, colorless , and
tasteless.
 Acts at the GABAA receptor. It can produce anterograde amnesia, in which
individual may not remember events hey experienced.
 Like other benzodiazepine, Rohypnol can produce tolerance, physical
dependence, and addiction.
 May be lethal when mix with alcohol or other CNS depressants.
 Effects: amnesia, dizziness, confusion, loss of social restraints, lower blood
pressure, inability o fight off the rapist.

7. Treatment options
 There is very little information available in treatment for person who abuse
or depend on club drugs
 Example: there are no GHB detection test available in the emergency room,
and the staff are very unfamiliar with this type of drug; Patients with a
ketamine overdose are managed through supportive care for acute
symptoms, with special attention to cardiac and respiratory functions.

8. References:
 https://medlineplus.gov/clubdrugs.html
 https://familydoctor.org/condition/club-drug-use/
 http://www.narconon.org/drug-abuse/club-drugs/effects.html
 https://www.medicinenet.com/club_drugs/article.htm