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Drug Dependence and Abuse

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Subash Patra

This document discusses drug dependence and abuse. It begins with definitions of drug and drug abuse. It then provides a brief history of drug abuse dating back to ancient times. It discusses various terminologies related to drug dependence and addiction. It describes common routes of drug administration and some resulting fatal consequences. The document also discusses characteristics of dependence on specific drugs like cannabis, cocaine, heroin, and alcohol. It concludes with sections on epidemiology, management through treatment and drug rehabilitation programs, and relevant Indian laws.

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DRUG DEPENDENCE AND ABUSE SUBASH KUMAR PATRA 5TH SEMESTER SCBMCH
WHY ?
Drug Dependence and Abuse
Drug Dependence and Abuse
Drug Dependence and Abuse
Drug Dependence and Abuse
Drug Dependence and Abuse
Drug Dependence and Abuse
Drug Dependence and Abuse
Drug Dependence and Abuse
DRUG Any substance other than that required for maintenance of normal health, when administered to any living organism modifies one or more functions. DRUG ABUSE: Persistent or sporadic excessive drug use inconsistence with or unrelated to acceptable medical practice
HISTORY Ebers Papyrus (1500 BC): 1st drug of abuse- OPIUM Epistratos (300 BC): abuse potential 17-18th century: Liquor 19th century: Tobacco : Cocaine Now: Designer drugs
TERMINOLOGIES PHYSICAL DEPENDENCE: Appearance of withdrawal phenomena when a chronically administered drug is discontinued or displaced from its receptor Polysubstance dependence- RAINBOW parties
EVER CONFUSED? DRUG HABITUATION DEPENDENCE CRAVING RELAPSE INCREASE IN DOSE WITHDRAWAL SYMPTOMS PREOCCUPATION DRUG ADDICTION
ROUTES OF DRUG ADMINISTRATION ORAL INHALATIONAL SNIFFING BAGGING HUFFING
SNORTING cocaine INJECTION SKIN POPPING (s.c.) MAIN LINING (i.v.) # Drug abusers elbow
FATAL RESULTS Overdose Contaminant toxicity Infection Gangrene Anaphylactic reaction
CAN A NEWBORN SUFFER FROM WITHDRAWAL SYMPTOMS BORN OUT OF ADDICTED MOTHER? Features: Hyperactivity Muscular twitching Convulsions
newspaper
Seen this movie?
Body packer syndrome Body packers/ Surgical mules/ Courier Body Stuffers Hot shot
EPIDEMIOLOGY 5% of population Most commonly abused drugs: Legally Caffeine Nicotine Alcohol Illegally Cannabis Cocaine Heroine
CANNABIS Marijuana Ganja Bhang Hashish Hash oil
Majoon: (sweet) Bhang+Honey+ghee Run Amok
COCAINE Why called Crack? Magnan sign/ Formication Bromptons cocktail Pain relief in cancer
HEROINE Why the name Heroin? Cutting Booting Flash blood SPEED BALL: IV Heroine + cocaine Cotton fever (Pantoea agglomerans)
ALCOHOL Stages of alcohol poisoning Stage of Excitement (0.05-0.1%) Stage of Incoordination (0.15- 0.25%) Stage of Stupor (0.3-0.5%) McEwens Sign
Wernicks Encephalopathy Korsakoffs Psychosis Delirium Tremens
MANAGEMENT TREATMENT DRUG REHAB. DRUG COURT
NARCOTIC ACT NARCOTIC DRUGS AND PSYCHOTROPIC SUBSTANCES ACT (1985) PREVENTION OF ILLICIT TRAFFIC IN NARCOTIC DRUGS AND PSYCHOTROPIC SUBSTANCES ACT (1988)
Drug Dependence and Abuse
Drug Dependence and Abuse

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