Chapter 4

Question 0

Cocaine psychosis

Answer 0

A set of symptoms, including hallucinations, paranoia, and disordered thinking, produced by chronic use of cocaine

Question 1

Formication

Answer 1

Hallucinatory behavior produced by chronic cocaine or amphetamine abuse, in which the individual feels insects or snakes crawling either over or under the skin

Question 2

Kindling effect

Answer 2

A phenomenon in the brain that produces a heightened sensitivity to repeated administrations of some drugs, such as cocaine. This is the opposite effect of tolerance

Question 3

Cocaine hydrochloride

Answer 3

The form of cocaine that is inhaled or injected into the bloodstream

Question 4

Free base cocaine

Answer 4

Smokable form of cocaine

Question 5

Crack

Answer 5

Smokable form of cocaine

Question 6

Methamphetamine

Answer 6

A type of amphetamine once marked under the brand name Methedrine. Meth, speed, or crack.

Question 7

Amphetamine

Answer 7

A family of ephedrine based stimulant drugs

Question 8

Amphetamine psychosis

Answer 8

A set of symptoms, including hallucinations, paranoia, and disordered thinking, resulting from high doses of amphetamines.

Question 9

Ice

Answer 9

Smokable form of methamphetamine hydrochloride. Crystal meth.

Question 10

D-amphetamine

Answer 10

Shortened name of detextroamphetamine, a potent form of amphetamine marketed under the brand name Dexedrine

Question 11

What shrub is cocaine derived from?

Answer 11

Coca shrub—

Question 12

Scientific name for the coca shrub?

Answer 12

Erythroxolyn coca

Question 13

When did Coca Cola de cocainize the drink?

Answer 13

1903

Question 14

What popular physician raved about the wonders of cocaine?

Answer 14

Freud, which he experienced formication

Question 15

If cocaine is injected or snorted, how long does it take to feel the effects?

Answer 15

Matter of seconds and lasts 5-10 minutes

Question 16

What are the initial effects of cocaine if injected or smoked?

Answer 16

Powerful burst of energy

Question 17

If cocaine is snorted, what are the initial effects??

Answer 17

Less intense burst of energy

Question 18

How long does the sensation last if cocaine is snorted?

Answer 18

15-30 minutes

Panic attacks can occur

Question 19

What happens to ones body while on cocaine?

Answer 19

Sudden elevation in the sympathetic branch of the ANS
Heart rate and respiration increases
Appetite diminishes
Blood pressure restricts, so blood pressure rises
Sympathetic arousal
Cardia arrhythmia may occur

Question 20

What are the effects of coming down of cocaine?

Answer 20

Irritability, depression, can lead to thoughts of suicide

Question 21

What are the effects of chronic cocaine use on sexual performance?

Answer 21

Decreased sexual performance and loss of desire. Drugs take the place of the sex

Question 22

What are the physiological effects of cocaine?

Answer 22

Increased heart rate
Increased respiration
Dilated pupils
Increased blood pressure

Question 23

What are some risks of cocaine use?

Answer 23

Heart failure
Cerebral hemorrhaging
Cardiac arrhythmia (irregular heartbeat)

Question 24

What is the nickname for the driving tendencies of an individual using cocaine?

Answer 24

Diagonal driving

Question 25

What are some characteristics of cocaine abusers?

Answer 25

``` Irritable Depressed Paranoid May suffer from formication May suffer from cocaine psychosis Continual stuff or runny nose ```

Question 26

What effect does cocaine have on your eating behavior and weight?

Answer 26

Leads to significant weight loss | Decreased appetite

Question 27

What are some medical uses of cocaine?

Answer 27

Anesthetic for nasal, tear duct, and throat surgery | Local anesthetic is brief and requires reapplication to remain effective

Question 28

What neurotransmitter does cocaine effect?

Answer 28

Dopamine. | It blocks reuptake and can lead to decline in experience of pleasure from any source

Question 29

What is the kindling effect associated with cocaine?

Answer 29

Sensitization (the opposite of tolerance) to certain effects from repeated use

Question 30

What are the dangers of the kindling effect?

Answer 30

Motor behavior and brain excitation that may result in brain seizures Repeated exposure to cocaine can lower the threshold for seizures Death from cocaine after the kindling effect may occur from low doses of cocaine

Question 31

What are the different forms of coca?

Answer 31

``` Coca paste Cocaine hydrochloride Free base cocaine Crack cocaine Chewed leaves ```

Question 32

What are the modes of administration for the different forms?

Answer 32

Smoke: free base or crack | Snort or inject: cocaine hydrochloride

Question 33

What is a cheap form of cocaine in Argentina?

Answer 33

Paco

Question 34

Treatments for cocaine abuse?

Answer 34

``` Impatient program Outpatient program Combined approach Cocaine anonymous Cognitive behavioral therapy ```

Question 35

What is more potent d-amphetamine or l-amphetamine?

Answer 35

D-amphetamine

Question 36

Amphetamine is a synthetic form of what?

Answer 36

Ephedrine

Question 37

What was amphetamine used for in WWII?

Answer 37

To keep soldiers awake and alert

Question 38

What neurotransmitter does amphetamine work on in the brain?

Answer 38

Dopamine Norepinephrine Increases the release of both and slows down their reuptake

Question 39

What are some physiological effect of amphetamine?

Answer 39

Faster breathing Faster heart rate Hyperthermia (increased body temp) Elevated blood pressure

Question 40

What are some other effects of amphetamine use?

Answer 40

Feeling of euphoria Feeling if invincibility Decreased appetite Boosts in alertness and energy

Question 41

What are some of the potential consequences of amphetamine use?

Answer 41

Convulsions Chest pain Stroke

Question 42

What might heavy users of methamphetamine experience or engage in?

Answer 42

``` Formication hallucinations Compulsive or repetitive behavior Intense mood swings Bizarre delusions Hallucinations Tendency towards violence Amphetamine psycosis ```

Question 43

What were amphetamines prescribed for?

Answer 43

Weight control | Way to control drowsiness

Question 44

Where is an area that you might find a meth lab?

Answer 44

Small town or rural area

Question 45

What must retail stores limit sales of and why?

Answer 45

Cold remedies such as Sudafed or Tylenol Cold | Contains pseudoephrines

Question 46

What are the different patterns of use between methamphetamine and cocaine?

Answer 46

Methamphetamine: tend to use throughout the day. 2-4 hour intervals Cocaine:tend to use in the evening or nighttime. Binge like fashion

Question 47

What is withdrawal from amphetamine like?

Answer 47

``` Crash (1-4 hours after drug taking has dropped) Intense depression Hunger Agitation Anxiety ``` Withdrawal (6-18 weeks) Intense craving for the drug slowly subside

Question 48

What is a common medical use of amphetamine and amphetamine like drugs??

Answer 48

ADHD or ADD Narcolepsy Nasal decongestant

Question 49

What is a side effect of amphetamine use for ADD or ADHD?

Answer 49

``` Suppression of height and weight Discontinuance of use may result in Lethargy Lack of motivation Depression ```

Question 50

How is the treatment of ADHD by methylphenidate believed to work?

Answer 50

Improvement in attention and decrease in distractibility | Potential heightening in motivation in regards to a particular task