Prescription Drugs: Lichtblau

Question 1

What are the 3 drug classes of concern for prescription drug abuse?

Answer 1

Opioids, Anxiolytics, CNS Stimulants

Question 2

What is abuse potential of opioids based on?

Answer 2

The ability of the drug to produce a state in which the user is indifferent to his/her environment.

Question 3

What is abuse potential of Anxiolytics based on (bentos, barbs, etc…)?

Answer 3

Their ability to induce “disinhibition euphoria”. *Exactly the same effect you get if you titrate yourself properly on alcohol. “white collar alcoholism”

Question 4

What is the abuse potential of CNS stimulants?

Answer 4

Their ability to increase wakefulness, attentiveness, and increase athletic performance.

Question 5

What does the WHO consider the most dangerous drug in the world?

Answer 5

Alcohol because it is easy access and it causes cellular damage

Question 6

What is a psychoactive drug?

Answer 6

any drug that affects behavior

Question 7

Is every psychoactive drug abused? Ex. anti-depressants

Answer 7

no: they are psychoactive but they are not abused

Question 8

Who determines what drug abuse is?

Answer 8

society, not medicine

Question 9

Tolerance?

Answer 9

if you give a drug repeatedly, you get smaller and smaller effect or to get the same effect you need to keep escalating the doses

Question 10

Cross tolerance

Answer 10

to drugs in the same category (opioids, bezos, barbs…within each individual group)

Question 11

Tolerance to opioids, what develops rapidly and what develops slowly?

Answer 11

To the analgesic effects: rapid, the constipating effects: slow

Question 12

Psychological dependence

Answer 12

you think you need the drug to have a sense of well-being

Question 13

Physical dependence

Answer 13

some sort of change at the cellular level, if you quit giving drug person will go through withdrawal.

Note: Withdrawal from Benzodiazepines is life threatening! It can trigger seizures and arrhythmias!
Withdrawal from opioids is not life threatening

Question 14

Psychological dependence with which classes?

Answer 14

all 3

Question 15

physical dependence with which classes?

Answer 15

Opioids, Benzodiazepines, (stimulants are questionable)

Question 16

Is addiction the same as physical dependence?

Answer 16

NO, in addiction the drug becomes a central part of the patient’s life

Question 17

What is misuse?

Answer 17

using the drug within the context of a medical treatment, but not wisely

Question 18

What is abuse?

Answer 18

using the drug to get high. non-medical use. has nothing to do with the physiological consequences.

Question 19

Type I drug abuser

Answer 19

just wants to get high, no medical issues

Question 20

Type II drug abuser

Answer 20

Begins taking drug for legitimate medical reason and then they get addicted to it.

Question 21

If you diagnose a patient properly, they will never turn into a drug addict! If you diagnose properly and this is the right med, that is the med you use.

Answer 21

*

Question 22

what percentage of street drugs are prescription drugs?

Answer 22

30 %

Question 23

Can we help addiction patients with their addiction by prescribing drugs?

Answer 23

No, we need to send them to an addiction specialist.

Question 24

What are the 4 D’s?

Answer 24

1. Dishonest
2. Disabled
3. Deceived
4. Dated

Question 25

How do you verify a DEA number?

Answer 25

AS6928254 Joe Smith, MD
Does the second letter match the first letter of the prescriber’s last name (AS6928254…Smith)
Add the 1st, 3rd and 5th numbers together (AS6928254; 6 + 2 + 2 = 10)
Add the 2nd, 4th and 6th numbers together and double that total (AS6928254 ; 9 + 8 + 5 = 22 x 2 = 44)
Now, add the two totals together. The number on the right of the total should be the same as the last number of the DEA # (10 + 44 = 54… AS6928254)