1 Club Drugs D. Deitch, PhD Emeritus Professor of Psychiatry UCSD - CCARTA Key Messages… 1. Our concern is for health and safety. 2. Not using is safest. 3. If you do use, there are ways to reduce harm. 4. There is less risk with less use, more risk with more use. 5. Mixing drugs increases risk for harm. 6. Everyone responds differently to drugs. 7. If you do use, learn as much as you can: -About your body. -About your supplier. -About the drug. 8. Use with trusted others, possibly even experienced others. Key Messages…
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Club Drugs
D. Deitch, PhDEmeritus Professor of Psychiatry
UCSD - CCARTA
Key Messages…1.Our concern is for health and safety.2.Not using is safest.3. If you do use, there are ways to reduce harm.4.There is less risk with less use, more risk
with more use.
5.Mixing drugs increases risk for harm.6.Everyone responds differently to drugs.7. If you do use, learn as much as you can:
-About your body.-About your supplier.-About the drug.
8.Use with trusted others, possibly evenexperienced others.
Key Messages…
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Club Drugs
• Alcohol• Ecstasy• Methampheta
mine• Inhalants
• LSD• GHB• Rohypnol• Ketamine
What is it and how does it work?• Ethyl alcohol or ethanol.• Natural product of fermenting sugars. It is
usually made from grains such as hops, barleyor rice and/or fruits.
• Central nervous system depressant.• Passes from the stomach into the small
intestine, where it is rapidly absorbed into theblood and distributed throughout the body.
Alcohol
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• Effects: Feelings of relaxation, loweredinhibitions, increased sociability, dizziness,kills pain, nausea, slurred speech, slowerreflexes, sleepiness, bad judgment,dehydration and a hangover the next day.
• Serious Risks: Loss of motor control, black-outs, temporary coma, brain/liver damage,death.
Alcohol
Cautions:• Taking other medications and being fatigued can
increase the alcohol’s effects.• Highly addictive - tolerance develops quickly.• Consuming too much alcohol at once can cause
death.• Long term use can damage the liver, brain and
other organs.
Alcohol
Reducing Risks:• Know your own limits and pace yourself.• Know the alcohol content. A standard drink is:
• 12 oz. of beer.• 5 oz. of table wine.• 1.5 oz. of liquor.
• EAT - food delays blood alcohol concentration.• Avoid driving - designate a driver.• Avoid mixing, particularly with other depressants.
Alcohol
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What is it and how does it work?• MDMA
(3,4-methylenedioxymethamphetamine)• An amphetamine analogue that produces
euphoria, feelings of closeness to others andstimulant effects.
• Acts as a short term antidepressant byreleasing large amounts of Serotonin (aneurotransmitter).
Ecstasy
• Names: XTC, X, E, Adam, Clarity, Lover’sSpeed, hug-drug, E-bombs.
• Method Used: Swallowed: tablet or capsule.Normal dosage --100-125 mg.
• The “High”: Positive feelings and empathy forothers, feelings of being close to others,decrease in anxiety, euphoria, decreasedappetite, decreased thirst or need for sleep.
MethamphetamineCautions:• Using a lot of meth can lead to serious
emotional and physical problems.• Smoking and injecting meth is the most
dangerous.• Meth contains a lot of dangerous
chemicals.
MethamphetamineReducing Risks:• Know your source.• Eat and drink plenty of water before, during
and after use.• Don’t stay up longer than 2-3 days.• Take some quite/relaxation time.• Be aware of your own risk-taking behavior.• If injecting, use brand new equipment.
• Names: Acid, boomers, liquid sunshine,blotters.
• Method Used: Sucking on a “blotter” on thetongue, sugar cube.
• The “High”: Visual hallucinations.
LSD
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LSD
• Effects: Dilated pupils, higher bodytemperature, increased heart rate and bloodpressure, sweating, loss of appetite,sleeplessness, dry mouth, and tremors,numbness, weakness, or trembling, nausea,hallucinations, laughing.
• Serious Risks: Possible “flashbacks”; poorjudgement leading to accidents (crashes,jumping off high places).
LSD
Reducing Risks:• Use with those you know.• Use in a safe environment.• Do not drive!
• Serious Risks: Violent behavior, loss ofconsciousness, loss of feeling in hands andfeet, Kidney damage, brain damage, loss ofsmell, hearing, memory and bone marrow;hepatitis.
Inhalants
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InhalantsCautions:• Huffing or using plastic bags increases
your risk of overdosing/death.• Inhalants can cause serious damage to
lungs and brain.• Poppers and Viagra can lower blood
pressure, cause heart or brain damage andlead to death!
Sherms(Embalming Fluid)
• Names: Sherms, Fry, Wet Sticks, HappySticks.
• Method Used: Cigarettes, cigars, jointssoaked and smoked.
• Content: Embalming Fluid: Formaldehyde,methanol, alcohol or other solvents andsometimes PCP.
• The “High”: Hallucinations: seeing colors,designs. A different reality.
• The “High”: “Pleasant” feelings,weightlessness, decreased inhibitions, out-of-body experience. Minor Hallucinogen. “K-Hole”: near death type experience.
Ketamine
Ketamine
• Effects: Lack of coordination, confusion,seizures, high blood pressure, depression,numbness in legs.
• Serious Risks: Sexual assault, respiratorycollapse-death, kidney damage, difficultymoving, death.
Ketamine
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Reducing Risks:• Avoid mixing Ketamine with other drugs,
especially alcohol and other depressants.• Start by taking a small dose and wait.• Avoid injecting.• If injecting, use clean, sterile equipment.
Ketamine
Key Messages…1.Our concern is for health and safety.2.Not using is safest.3. If you do use, there are ways to reduce harm.4.There is less risk with less use, more risk
with more use.
5.Mixing drugs increases risk for harm.6.Everyone responds differently to drugs.7. If you do use, learn as much as you can:
-About your body.-About your supplier.-About the drug.
8.Use with trusted others, possibly evenexperienced others.