45
A GUIDE TO SUBSTA N CE MISUSE For Medical Professionals

For Medical Professionals · 2014. 4. 9. · Health Service Executive South A Guide To Substance Misuse For Medical Professionals (Edition 1.2) Compiled by: Sinead O’Mahony Carey

  • Upload
    others

  • View
    0

  • Download
    0

Embed Size (px)

Citation preview

  • A GUIDE TO SUBSTANCE MISUSEFor Medical Professionals

  • Health Service Executive South

    A Guide To Substance MisuseFor Medical Professionals

    (Edition 1.2)

    Compiled by: Sinead O’Mahony Carey

    Substance Misuse Service11-12 Peter St., Clonmel. (052) 77900

    Graphic Design: Leo McCormack

  • Introduction ...................................................................................................................................................................................... 03

    Section One - Drug Category

    1. Hallucinogens ...........................................................................................................................................................................5 .....................................................................................................................................7

    ..............................................................................................................................................................................8 .......................................................................................................................................................................... 10

    ..................................................................................................................................................................................... 12 ..................................................................................................................... 13

    ..................................................................................................................................................................................... 14 ................................................................................................................................................................................ 16

    ...................................................................................................................................................................... 17 ............................................................................................................................................................................... 18

    ........................................................................................................................ 18 ............................................................................................................................................. 22

    ............................................................................................................................................................................. 25 ................................................................................................................................................................. 26

    ......................................................................................................................................................................... 27 ........................................................................................................................................................ 28

    ...................................................................................................................... 29....................................................................................................................... 31

    ............................................................................................................................................................................... 32 .............................................................................................................................................................. 35

    .................................................................................................................................................... 36 ............................................................................................................................................................................ 37

    ............................................................................................................................................................ 38 .................................................................................................................. 39

    ............................................................................................................................................................................. 40 ............................................................................................................ 42

    ................................................................................................................................................ 43 .......................................................................................................................................................... 43

    ..................................................................................................................................................................................... 44 .................................................................................................................................................................................... 45

    ............................................................................................................................................................................... 46 ................................................................................................................................. 47

    ................................................................................................................................................................................ 48 .................................................................................................................................................................. 49

    ............................................................................................................................................................................ 50 ................................................................................................................................................................... 52

    ............................................................................................................................................................................ 54 .............................................................................................................................................................................. 54

    Contents

  • Section Two - Recognising Drug Use

    ......................................................................................................................................................................... 58 ................................................................................................................................................................. 58

    ............................................................................... 58 ........................................................................................................................................................ 59

    ............................................................................................................................................................... 59 .................................................................................................................... 59

    Section Five - Drugs and the Law

    1. Introduction ........................................................................................................................................................................... 78 ................................................................................................................................... 78

    Section Six - The Jargon

    .............................................................................................................................................................................. 86 ............................................................................................................................. 94

    3. Notes ......................................................................................................................................................................................... 96

    Section Three - Facts about drugs

    ............................................................................................................................................................. 62 .................................................................................................................................................................... 62

    ...................................................................................................................................................................... 62 ..................................................................................................................... 62

    ............................................................................................................................. 63 .............................................................................................................................................. 63

    ..................................................................................................................................................... 64 ........................................................................................................................................... 64

    .............................................................................................................................................................. 65 ........................................................................................................................ 66

    ................................................................................................................................................ 67 ........................................................................................................................................................ 69

    .................................................................................. 70 ................................................................................................... 71

    Section Four - Drug Dangers

    1. Injection ................................................................................................................................................................................... 73 ........................................................................................................................................................................... 73 ........................................................................................................................................................................... 73

    ......................................................................................................................................................... 74 .............................................................................................................................. 74

    ............................................................................................................................................................................... 74 .................................................................................................................................................... 74

    ........................................................................................................................................................................... 75 ........................................................................................................................................................................ 75

    ............................................................................................................................................................................ 76

  • Introduction

    Tony Barden - Regional Drug Coordinator HSE South

  • A Guide To Substance Misuse For Medical Professionals

    4

    Drug Category Section One

    Drug Category

  • Section 1

    Drug

    Cate

    gory

    Hallucinogens

    Drugs include:

    DRUG NAME STREET NAME

    Amanita muscaria (Fly agaric) Magic mushrooms, M&Ms

    Cannabis Pot, dope, blow, skunk

    Lysergic acid diethylamide LSD, Acid

    Ketamine Special K

    Phencyclidine PCP, Angel dust

    Psilocybe semilanceata Liberty cap, Magic mushrooms

    Cannabis joints (rolled) and Cannabis pipe

  • A Guide To Substance Misuse For Medical Professionals

    6

    Drug Category

    Hallucinogens

    stored.

  • Section 1

    7

    Drug

    Cate

    goryHallucinogens

    Amanita Muscaria (Fly agaric)

    Hallucinogen

    storage.

    No

  • A Guide To Substance Misuse For Medical Professionals

    8

    Drug Category

    Hallucinogens

    Cannabis (Tetra-hydrocannabinol)

  • Section 1

    9

    Drug

    Cate

    goryCannabis (Tetra-hydrocannabinol)

  • A Guide To Substance Misuse For Medical Professionals

    10

    Drug Category

    Hallucinogens

    Ketamine

    Ketamine in 10 mL Vial Bottle

  • Section 1

    11

    Drug

    Cate

    goryWhat is ketamine?

    angel dust.

    Ketamine was fi rst synthesized in 1962 by Calvin Stevens at Parke Davis Labs while searching for PCP anaesthetic replacements. He named it “CI581”. In 1965 Ketamine was discovered to be a useful anaesthetic and was fi rst used recreationally by Edward Domino who coined the term “dissociative anaesthetic”. Ketamine was used for anaesthesia because it suppresses breathing much less than most other available anaesthetics, but in the 1970’s patients began to report unwanted visions while under its infl uence. In 1978, John Lilly published his book “The Scientist” and Ketamine popularity grew through the 1980’s until in 1995 the DEA in the United States added Ketamine to its “emerging drugs list”. In 1998 & 1999, Ketamine was lumped by media and legislators with GHB as a ‘date rape drug’ and a ‘club drug’ and was emergency scheduled by the DEA on August 12, 1999.

    A brief history of Ketamine

  • A Guide To Substance Misuse For Medical Professionals

    12

    Drug Category

    Hallucinogens

    LSD (Lysergic Acid Diethylamide)

    Hallucinogen

    Sample of LSD printed onto Blotting Paper

  • Section 1

    13

    Drug

    Cate

    goryHallucinogens

    Psilocybe semilanceata (Liberty cap)

    No

  • A Guide To Substance Misuse For Medical Professionals

    14

    Drug Category

    Opiates

    Drugs include:

    DRUG NAME BRAND/COMMON NAME STREET NAMETHERAPEUTIC DOSE

    RANGE

    CodeineActifed, Phensedyl,

    Codeine, LinctusCodis

    Buprenorphine Temgesic Tems 0.6-1.6mg

    Dextropropoxyphene Distalgesic Co-proximol

    Dextromoramide Palfi um Palf, peach 5-10mg

    Diamorphine Heroin Smack, H

    Dihydrocodeine DF118 DFs, diff s 120-180mg

    Dipipanone Diconal Dikies 30mg

    Methadone Physeptone Meth, phy 15-40mg

    Morphine

    MST Continus, Kaolin and Morphine

    Cyclimorph

    Opium Gees Linctus

    Nubain Nalbuphinehydrochloride 1 ml vial

  • Section 1

    15

    Drug

    Cate

    goryOpiates

  • A Guide To Substance Misuse For Medical Professionals

    16

    Drug Category

    Opiates - Heroin

    Heroin powder

    Heroin powder (Asian)

  • Section 1

    17

    Drug

    Cate

    goryOpiates - Methadone

    Yes

    .

  • A Guide To Substance Misuse For Medical Professionals

    18

    Drug Category

    Stimulants

    General information on Stimulants

    Drugs include:

    DRUG NAME STREET NAME

    Amphetamine sulphate Speed

    Cocaine hydrochloride Cocaine

    Catha edulis-khat Khat

    Dexamphetamine sulphate Dexedrine

    Methlamphetamine Methamphetamine/crystal meth/meth/ice

    Methylenedioxymethamphetamine Ecstasy

  • Section 1

    19

    Drug

    Cate

    gory

    Stimulants (continued)Ecstasy Tablets

  • A Guide To Substance Misuse For Medical Professionals

    20

    Drug Category

    Stimulants (continued)

    Stimulant drugs (amphetamines, butyl nitrite, cocaine)

    Dexredine Capsules

    Butyl Nitrite (Poppers)

    Cocaine Powder

  • Section 1

    21

    Drug

    Cate

    gory

  • A Guide To Substance Misuse For Medical Professionals

    22

    Drug Category

    Stimulants

    Amphetamine Sulphate

  • Section 1

    23

    Drug

    Cate

    goryAmphetamines

  • A Guide To Substance Misuse For Medical Professionals

    24

    Drug Category

    Amphetamines (continued)

    Amphetamine Tablets

  • Section 1

    25

    Drug

    Cate

    goryStimulants

    Cocaine hydrochloride (cocaine/cocaine freebase)

  • A Guide To Substance Misuse For Medical Professionals

    26

    Drug Category

    Stimulants

    Crack Cocaine

  • Section 1

    27

    Drug

    Cate

    gory

    Stimulants

    Dexamphetamine sulphate (Dexedrine)

  • A Guide To Substance Misuse For Medical Professionals

    28

    Drug Category

    Stimulants

    Catha edulis-khat (contains cathinone and cathine)

    culture.

  • Section 1

    29

    Drug

    Cate

    gory

    Stimulants

    Crystal Methamphetamine

  • A Guide To Substance Misuse For Medical Professionals

    30

    Drug Category

    Stimulants

    Crystal Methamphetamine(continued)

  • Section 1

    31

    Drug

    Cate

    goryStimulants

    Methylamphetamine (methedrine)

  • A Guide To Substance Misuse For Medical Professionals

    32

    Drug Category

    Stimulants

    Methylenedioxymethamphetamine (MDMA)(Ecstasy)

  • Section 1

    33

    Drug

    Cate

    gory

    A selection of Ecstasy tablets depicting popular cultural images.

    Various ecstasy tablets

  • A Guide To Substance Misuse For Medical Professionals

    34

    Drug Category

    Stimulants

    Methylenedioxymethamphetamine (MDMA)(Ecstasy)

  • Section 1

    35

    Drug

    Cate

    goryVolatile Substances

  • A Guide To Substance Misuse For Medical Professionals

    36

    Drug Category

    Volatile Substances

    Adhesives and Glues

  • Section 1

    37

    Drug

    Cate

    goryVolatile Substances

    Aerosols

    use.

  • A Guide To Substance Misuse For Medical Professionals

    38

    Drug Category

    Volatile Substances

    Cleaning and de-greasing agents

  • Section 1

    39

    Drug

    Cate

    goryVolatile Substances

    Petrol, lighter fuel and other products

  • A Guide To Substance Misuse For Medical Professionals

    40

    Drug Category

    Volatile Substances

    Poppers

  • Section 1

    41

    Drug

    Cate

    goryVolatile Substances

    General Information on Solvent Misuse

    The physical damage includes:

    Short Term Eff ects Long Term Eff ects

  • A Guide To Substance Misuse For Medical Professionals

    42

    Drug Category

    Volatile Substances

    Sudden Sniffi ng Death Syndrome

    lose coordination.

  • Section 1

    43

    Drug

    Cate

    gory

    Miscellaneous Substances

    Anabolic steroids(e.g. Durabolin, Stanozolol, Dianabol)