Recreational Drugs

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Recreational Drugs

• Use Misuse Abuse and Dependence

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Too Many to Talk About

• Focus on
• Marijuana
• Cocaine
• Hallucinogens Ecstasy, LSD, Mushrooms
• Heroin

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Prevalence

• Drug Past Year Last 30 Days
• Marijuana 46.2 15.7
• Cocaine 3.6 1.2
• Amphetamines 3.6 1.5
• Heroin .34 .10
• LSD 3.7 .95
• MDMA 4.7 - 24
• 47 reported have used marijuana at least once

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Marijuana Effects Consequences

• Sedation, Euphoria, Increase Appetite, Mild
  Perceptual Disturbance, Anxiety/Panic
• Dependence
• Physiological No
• Tolerance No
• Withdrawal Equivocal
• Abused Yes
• Health Hazards Injury, Exacerbates Psychosis,
  Respiratory/Cancer??????
• Medical Uses Cancer Tx., AIDS, MS

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Cocaine Effects Consequences

• Euphoria, Grandiosity, Energy, Stimulation,
  Increased Craving
• Dependence
• Physiological Yes ---Moderate
• Tolerance Yes and No
• Withdrawal Non-lethal Depression Fatigue
• Abused Yes, easily
• Health Hazards Injury, Exacerbates Psychosis,
  Cardio problems
• Medical Uses Local anesthetic

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Hallucinogens Effects and Consequences

• Altered perception and mood, stimulation
• Dependence
• Physiological No
• Tolerance No
• Withdrawal No, but coming down can suck
• Abused Yes, but difficult
• Health Hazards Injury, Exacerbates Psychosis,
  Stroke
• Medical Uses Parkinsons????

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Heroin Effects and Consequences

• Dependence
• Physiological Yes, severe
• Tolerance Yes, rapid
• Withdrawal Yes, not lethal, but difficult
• Abused Yes, easily
• Health Hazards Injury,
• Medical Uses Pain killer, but there are much
  safer ones

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Use Misuse Abuse Dependence

• The line between these relationships can be quite
  blurry
• Marijuana
• Cocaine
• Hallucinogens
• Heroin

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Gateway Theory of Drug Use

• What are the Gateway Drugs?
• Alcohol Cigarettes
• Marijuana
• Difficult to tell if there are really GDs
• Retrospective Studies
• 1 in 1000 marjiuana users go on to use heroin
• Host Factors Genetics Psychopathology
• Environment Factors Access, Norms, Policy

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In Sum

• Everyone has a relationship w/ETOH Drugs
• That relationship can be non-use use misuse abuse
  or dependence
• The line can be difficult if not impossible for
  some drugs because of the DRUG
• The line can be difficult if not impossible for
  some drugs because of the PERSON