Cocaine is a highly addictive stimulant derived from the coca plant. It was first used medically in the 1880s but banned in the 1920s due to health risks. Cocaine can enter the body through sniffing, smoking, or injection, stimulating brain receptors and creating euphoria but also increasing tolerance over time. Short and long-term effects of cocaine include increased heart rate and blood pressure, strokes, seizures, and damage to blood vessels in the heart, brain, and intestines. Getting caught with excessive amounts of cocaine can result in long prison sentences and large fines. Cocaine is classified as a Schedule II drug and is illegal for recreational use in the United States due to its highly addictive nature and
Kevin W. O'Neil, MD, FACP, CMD and Chief Medical Officer of Internal Medicine and Geriatrics reviews how to navigate the intricacies of substance abuse in older adults.
This presentation was done on the 'First Qilu Doctoral Forum on Health Economy and Policy' Conference on 15th May 2019 at Shandong University, Jinan, China
Kevin W. O'Neil, MD, FACP, CMD and Chief Medical Officer of Internal Medicine and Geriatrics reviews how to navigate the intricacies of substance abuse in older adults.
This presentation was done on the 'First Qilu Doctoral Forum on Health Economy and Policy' Conference on 15th May 2019 at Shandong University, Jinan, China
All drugs, including alcohol, chemically alter the mind and body. As a result, use of drugs and/or alcohol can impair motor skills, hinder judgment, distort perception, decrease reaction time and interfere with other skills necessary to do a job safely and efficiently.
Substance Abuse
outlines
Definition
Factsheet
Risk factors
ICD classification
Sign and Symptom
The harmful effect of substance abuse on health and behaviour
Prevention and Rehabilitation for substance abusers
References
Its defined as patterns of drinking or using drugs (prescription and illicit) that result in harm to a person’s health, well-being, relationships, and productivity. A person who abuses drugs and alcohol is not necessarily an addict. However, abuse of these substances is a risk factor for developing an addiction because continuous abuse can lead to physical and psychological dependence.
All drugs, including alcohol, chemically alter the mind and body. As a result, use of drugs and/or alcohol can impair motor skills, hinder judgment, distort perception, decrease reaction time and interfere with other skills necessary to do a job safely and efficiently.
Substance Abuse
outlines
Definition
Factsheet
Risk factors
ICD classification
Sign and Symptom
The harmful effect of substance abuse on health and behaviour
Prevention and Rehabilitation for substance abusers
References
Its defined as patterns of drinking or using drugs (prescription and illicit) that result in harm to a person’s health, well-being, relationships, and productivity. A person who abuses drugs and alcohol is not necessarily an addict. However, abuse of these substances is a risk factor for developing an addiction because continuous abuse can lead to physical and psychological dependence.
Cocaine
A powerfully addictive psychoactive chemical that stimulates the central nervous system, cocaine is the subject of songs, movies, videos, blogs and podcasts.
Cocaine
Debra Hanselman, LMSW, MHA 1500 Winter 2019
Cocaine comes from the coca bush, which grows on the slopes of the Andes Mountains in South America.
Historically, the Colombian coca chewer carried his coca leaves in a pouch hung on his shoulder.
He mixes powdered lime (from shells) with his cocaine to increase absorption.
Native cultures, especially the Incas, have used cocaine for thousands of years for energy, to ward off cold and hunger.
Image: Fitz Hugh Ludlow Memorial Library
Drinking Cocaine Wine
These ads for cocaine wine appeared at the end of the Nineteenth century.
Each glass of wine contained the equivalent of a half-line of cocaine.
Cocaine was also widely used in patent medicines.
In 2006, 1 oz. of cocaine, sold legally, cost about $150 to $200.
When manufactured and sold illegally, 1 oz. costs about $2,000. A kilogram of the cocaine shown on the right costs an average of $23,000 wholesale.
Image courtesy of DEA
Popularity of Cocaine
Nearly 34 million Americans have used cocaine at some time in their lives.
About 2 million people in the United States reported current use of cocaine.
2.5 percent of young people ages 12 to 17 reported that they had used cocaine at least 1 time.
16 percent of young adults ages 18 to 25 reported using cocaine at least 1 time
Who Uses Cocaine?
Adults 18 to 25 years old have a higher rate of current cocaine use than those in any other age group.
Overall, men have a higher rate of current cocaine use than do women.
Just a Few Street Names for Cocaine
Base
Big C
Blow
Candy
Coke
Crack
Flake
Gold Dust
Happy Powder
Rock
Roxanne
Seven-up
Snort
Snow
Snow Cone
White Dust
White Horse
Zip
Cocaine can be used in many different ways.
How do people use cocaine? People…
Snort
Snort cocaine powder through the nose
Rub
Rub it into their gums
Inject
Dissolve the powder and inject it into the bloodstream
Smoke
Process the powder and smoke it
Crack Cocaine
Debra Hanselman, LMSW, MHA 1500 Winter 2019
Crack is the hard form of cocaine that develops when the drug is mixed with water and other solvents and then cooked into a hard, rock form.
The drug is highly potent and extremely addicting despite the chemical changes that take place when it is cooked.
Crack cocaine is actually more powerful than powder cocaine, causes physical dependence to set in more quickly and is far more dangerous than the powder counterpart.
This Photo by Unknown Author is licensed under CC BY-SA
Crack Cocaine
The name comes from the crackling sound of the rock as it's heated.
Some people also smoke Crack by sprinkling it on marijuana or tobacco, and smoke it like a cigarette.
COCAINE AFFECTS YOUR BODY. People who use cocaine often don’t eat or sleep regularly. They can exper ...
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DECODING THE RISKS - ALCOHOL, TOBACCO & DRUGS.pdfDr Rachana Gujar
Introduction: Substance use education is crucial due to its prevalence and societal impact.
Alcohol Use: Immediate and long-term risks include impaired judgment, health issues, and social consequences.
Tobacco Use: Immediate effects include increased heart rate, while long-term risks encompass cancer and heart disease.
Drug Use: Risks vary depending on the drug type, including health and psychological implications.
Prevention Strategies: Education, healthy coping mechanisms, community support, and policies are vital in preventing substance use.
Harm Reduction Strategies: Safe use practices, medication-assisted treatment, and naloxone availability aim to reduce harm.
Seeking Help for Addiction: Recognizing signs, available treatments, support systems, and resources are essential for recovery.
Personal Stories: Real stories of recovery emphasize hope and resilience.
Interactive Q&A: Engage the audience and encourage discussion.
Conclusion: Recap key points and emphasize the importance of awareness, prevention, and seeking help.
Resources: Provide contact information and links for further support.
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2. History of Cocaine
Known as blow, flake, coke, dust, and/or snow
Incas were the first known to chew “coca” leaves
Cocaine first extracted from leaves in 1859 by Albert Niemann
Started to become used medically in 1880’s
Banned in the 1920’s
5,000 deaths in one year that were cocaine related
2008
3. How is cocaine administered in the body?
Can enter body through sniffing, smoking, and/or injection
Stimulate brain receptors
Creates a sense of euphoria
Causes one to develop a tolerance
In order to continue feeling euphoria:
Consuming a higher dosage than the time before
More frequent intervals
Addiction is inevitable
4. What is in cocaine?
Leaves from a coca plant are main ingredient
In addition:
Dangerous additives used
Levamisole- parasitic killer in livestock
Benzocaine, Lidocaine, Procaine- anesthetics
Hydroxyzine-veterinary medicine tranquilizer
Diltiazem- used for heart condition treatment
5. How is cocaine classified?
Drugs are classified into five groups or “Schedules”
Schedule I- not known to be medically used but have potential for being
abused
Schedule II- higher potential for abuse/ becoming psychologically/physically
dependant
Schedule III, IV, and V- low potential for abuse and dependencies
Cocaine- Schedule II drug classification
Illegal stimulant in the United States if recreationally used
6. Complications
Psychologically
Causes one to feel anxious, paranoid, angry, hostile
Out of control of user
Socially
b/c of intense emotional responses, relationships strained
One cannot control emotions well:
Lash out at loved ones
7. Short-term & Long-term effects
Cardiovascular System
Increased blood pressure/heart
rate
Permanent damage to blood
vessels of heart and increased
risk for heart attacks
Nervous System
Hyperstimulation and convulsions
Strokes, seizures, permanent
damage to brain blood vessels
● Respiratory System
○ Increased breathing rate
○ Destruction of nasal tissue (sniffing)
○ Respiratory failure (if smoked)
● Digestive System
○ Blood vessels of intestines constrict b/c
of damage due to cocaine
○ Causes Gangrene
■ Sections of intestines die because
of blood supply loss
○ Can be fatal if not handled properly
8. Legal Complications, Medical Use, and Mixtures
If found in possession of >500 grams
of cocaine
Imprisonment for 5-40 years
Fines of up to millions of dollars based on
circumstances
If found in possession of 5 kg of
cocaine
Minimum of 10 years of prison, maximum
of life sentence
Millions of dollars of fine based on
● Medical Uses
○ 1880- used to treat morphine addictions
○ Today- stop nosebleeds, manage pain
before nose surgery, anesthesia by oral
surgeons/dentists
● Mixtures
○ Cocaine and other drugs
■ Marijuana, heroin, etc= fatal
○ Cocaine and alcohol
■ Heart conditions such as arrhythmia
■ Build up of fatal chemical-
cocaethylene
9. What To Understand
Cocaine can and will ruin relationships
Causes violent, uncontrollable emotional responses
May emotionally/physically injure a loved one
Gives one an all-consuming addiction
Detrimental to one’s physical, psychological, and social health
Damages one from the inside out and vice versa
Just say NO!
11. Check for Understanding Quiz
What are two slang terms for cocaine?
Weed & lolly
Crack & Blow
Jitter & Zoom
What classification is cocaine?
Schedule I
Schedule II
Schedule IV
What is one way euphoria can be felt after the
● What is one long-term cardiovascular effect of
cocaine?
○ Increased risk for heart attacks
○ Stroke
○ Hyperventilation
● It is safe to mix cocaine with other drugs/alcohol.
○ True
○ False
● What is one effect of one being caught with
excessive amounts of cocaine?
○ Life imprisonment
○ Death penalty
○ Community service
12. Check for Understanding Cont.
There are no medical uses for
cocaine.
True
False
What kind of complications can
result from taking cocaine?
Psychological dependence
Compromised relationships
Paranoia
● Who first used cocaine?
○ Albert Niemann
○ Aztecs
○ Incas