Benzodiazepines, opiod analgesics and other sedatives have indispensable medical uses, but they can also stimulate the reward center in the brain. In susceptible individuals, this can lead to sedative abuse and misuse (defined as any use of those prescription medications outside of the intent for which it was prescribed), and create a plethora of serious consequences. Sedative use disorders are regarded as considerable contributors to disability and mortality worldwide. Despite strict government regulation of these drugs in most of the countries, their abuse and its consequences have not only persisted, but also increased. Therefore physicians who are in charge of prescribing sedatives have a significant role in reversing such trends. One …show more content…
Abuse of benzodiazepines is commonly defined as non-medical, recreational use for the sole purpose of creating an intoxicated or "high" state of mind. The National Survey on Drug Use and Health conducted in the United States in 2010 revealed an estimated 186 thousand new abusers of benzodiazepine drugs. Studies suggests that the abuse burden of benzodiazepines may only be evident in specific clinical populations, most notably in detoxified alcoholics and recreational users of other types of drugs. In addition, the abuse of benzodiazepines among individuals kept on opioid agonists (e.g. methadone and buprenorphine) has been repeatedly described in the medical literature. In accordance with the latter claim, the U.S. Treatment Outcome Prospective Study showed that 73% of heroin users entering into treatment reported some extent of benzodiazepine use in the preceding year, with substantially lower rates of barbiturate use. Furthermore, almost 25% of such patients reported daily benzodiazepine …show more content…
Thus, attention should be focused on maintaining adequate oxygenation, airway, as well as hemodynamic support. Supplemental oxygen and aspiration prevention are considered the cornerstones of treatment. Invasive therapy (other than respiratory support) is rarely required in patients with sedative overdose. Hemodialsysis is sometimes considered when patients who overdose with large quantities of chloral hydrate develop life-threatening cardiac symptoms. 24 hours of observation is requred for patients overdosed with long-acting sedative hypnotics such as clonazepam. Albeit the effectiveness of delayed orogastric lavage is not confirmed, this approach is often considered in overdoses with sedatives that slow the motility of the gastrointestinal tract or those that develop concretions (namely meprobamate and phenobarbital). The use of orogastric lavage in overdose cases should always be done with
The novel Buzzed is a book written by three authors that talk about the most popular drugs in today’s world and what they do to our bodies. These authors include Scott Swartzwelder who is a professor of Psychiatry at Duke University School of Medicine, Cynthia Kuhn, who is a professor of Pharmacology at Duke University School of Medicine, and Wilkie Wilson, who is a professor of Prevention Science at Duke University. Buzzed, based on the current psychological and pharmacological research provides a reliable look at not only the use but also the abuse of the popular legal and illegal drugs. The first part of this book includes chapters on each of a total of 12 kinds of drugs which include alcohol, caffeine, enactogens, hallucinogens, herb drugs,
As in Frankenstein the creation is undergoing a series of monster like actions and with Xanax users have trouble with speech ,keeping their balance at times , difficulty concentrating , depression , and suicidal ideation all come into play . Even though this drug is prescribed it is mostly abused by taking more dosage than given or consuming the drug when you should not be . Xanax is based on the chemical properties of alprazolam which was first released by UpJohn in 1981. At the time is was first given to calm panic disorders and within the first two years of its marketing Xanax became a blockbuster drug in the US. Xanax is a negative technological advancement which results in addiction , mental health problems , as well as death, to which anyone taking this medication needs to be aware of these
Within the same period, the data show, 81 percent of first-time heroin users had previously abused prescription drugs” (Markon and Crites, 2014). Prescription painkillers and heroin are known to
Because of this, it is readily available and easily leads to abuse. Someone who abuses Xanax may seem to be extremely tired and unmotivated. They may find it difficult to enjoy activities that they once loved. Someone who needs Xanax detox may also become withdrawn from their friends and family.
Thank you for an informative paper. What troubles me about methadone treatment is how it is a substitute for another narcotic. It is sad about heroin addicts that do not want to get off their narcotic dependence. However, I do not feel that methadone is the answer because it is replacing one narcotic for another; although they have less craving.
Patients evaluated in acute pain will often have narcotics withheld until after the patient has been evaluated by a surgeon and has given informed consent. Concern that the patient would have impaired judgment due to narcotic effects often prevents the administration of timely pain relief. Similarly administration of anxiolytics and benzodiazepines are avoided until the patient has consented to the procedure. As there is a considerable heterogeneity in the metabolism of a particular drug depending on age and patient characteristics, there is no specific timeline of how long should one wait prior to getting consent if these medications are given accidentally.
Underlying Causes: The increase in the sale of opioids is considered to be the root of the opioid crisis, as the drugs have been proven to be highly addictive. An addiction to prescriptive opioids, however, can lead to an addiction to synthetic, illegal opioids, such as heroine or fentanyl, which are less expensive and easier to acquire. In fact, in their journal article, “Associations of nonmedical pain reliever use and initiation of heroin use in the United States” Pradip Muhuri and associates discovered that “the recent (12 months preceding interview) heroin incidence rate was 19 times higher among those who reported prior nonmedical prescription pain reliever (NMPR) use than among those who did not (0.39 vs. 0.02 percent)” (Muhuri et. al). In other words, abusing prescription opioids significantly raises the chances of abusing illicit drugs, such as heroin.
Without patient’s being aware of how to power the drug was, it eventually leads to the Opioids Crisis in America which now put a horrible word for the doctors and companies when it all starts by one person abusing the opioid pill. President Donald J. Trump idea that he had in mind was stated in the article of America’s Opioid Crisis, “But he reinforced the idea that the victims are to blame with an offhand reference to LSD.” Which indeed has the fact that people are to blame for misusage of the
Person immediately opened eyes after getting naloxone shot but drifted to drowsiness/respiratory depression after couple of minutes as people around did not know that naloxone dose needs to be repeated till emergency helps arrives. Some people may be allergic to naloxone, and others may not be good candidates like people with heart disease or pregnant females. Although naloxone could prove of vital importance in saving lives in certain situation, but it could also give false sense of security for higher risk behaviors of people causing unfortunate consequences including deaths. One needs to have certain level of clinical expertise to recognize overdose symptoms of opioid use that may include slowed breathing, or no breathing, very small or pinpoint pupils in the eyes, slow heartbeats or extreme drowsiness, especially if you are unable to wake the person from
Sam Quinones’ Dreamland is a commentary about the opioid problem in America. Quinones draws attention to how in the twentieth century opioids were seen as addictive: “[D]octers treating the terminally ill faced attitudes that seemed medieval when it came to opiates” (184). In the 1970s, Purdue Pharma stated that opioids such as morphine were not addictive substances. After this study was released, many doctors began to view opioids as a viable option for pain relief. Throughout the rest of the book, Quinones explains the shift from doctors never prescribing opiates to prescription opiates being used to treat any sort of pain: chronic back pain, arthritis, severe headaches, etc.
Studies show a “…range from 7.1% to 29% among adults, 5.3% to 55% among college students, and 1.7% to 4.5% among adolescents” (Weyandt et al. 20). The abuse of Adderall and other ‘study drugs’ e.g.
These pills, such as xanax and oxycodone allow people for short periods of time to withdraw from the harsh reality faced today. “Between 1997 and 2002, sales of oxycodone and methadone nearly quadrupled” (Okie). Around 15 years later and the prescription pill problem is continuing to skyrocket. Since prescription pills are dispersed out to anyone by doctors, many people do not realize that it is as much of an illicit drug as cocaine and heroin is. “Misinformation about the addictive properties of prescription opioids and the perception that prescription drugs are less harmful than illicit drugs are other possible contributors to the problem” (NIDA).
Prescription drugs (opiates only) have caused over 165,000 deaths within the last 15 years and is currently on the rise. Over 2 million Americans in 2014 were addicted to Opiate prescription narcotics. The most troubling fact is listed directly on the Center for Disease Control and Prevention (CDC) website: “As many as 1 in 4
In contrast to the first group (nonlaxative-abusing subjects), the researchers found that the group purging on laxative had scored higher on the STAI-State, but did not on the STAI-Trait scales (Weltzin, 142). The age of these patients, and the duration of their illness “did not correlate with the scores on these scales” nor did their “purging frequency or any other weight characteristics” (Weltzin, 142). The researchers also compared the anxiety ratings in the patients who were given medications (alprazolam to treat their anxiety) during their hospitalization to those patients who did not receive any (Weltzin, 142). The researchers found that the group who was treated with alprazolam had scored higher of state, but not on trait scales compared to the group who were not treated with alprazolam (Weltzin, 142).
The Benefits of Using Hallucinogenic Drugs in Modern Medicine and Their Positive Effects on Psychological Disorders Eloisa Underhill Depaul University In the United States addictive disorders and psychological disorders are extremely common. The lifetime rates for the United States population of nicotine use disorder, 25%; alcohol use disorder, 12%; and illicit drug use disorder, 10.3%; (Bogenschutz & Johnson, 2016). The lifetime rates for the United States population of any disorder, 46.4%; anxiety disorders, 28.8%; mood disorders, 20.8&; substance use disorders, 14.6% (Kessler et al., 2005). All of the addictive disorders are preventable and treatable but are the leading cause of death and disability not only in the United States but also around the world and half of the United States will meet the criteria for a DSM IV disorder sometime in their lifetime (Kessler et al., 2005). Ever since the 1800’s when mescaline was introduced and described there has been a huge scientific interest in hallucinogenic drugs to treat substance use disorders.