Prescription Drugs: Lichtblau Flashcards Preview

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Flashcards in Prescription Drugs: Lichtblau Deck (25):

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

Opioids, Anxiolytics, CNS Stimulants


What is abuse potential of opioids based on?

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


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

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


What is the abuse potential of CNS stimulants?

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


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

Alcohol because it is easy access and it causes cellular damage


What is a psychoactive drug?

any drug that affects behavior


Is every psychoactive drug abused? Ex. anti-depressants

no: they are psychoactive but they are not abused


Who determines what drug abuse is?

society, not medicine



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


Cross tolerance

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


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

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


Psychological dependence

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


Physical dependence

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


Psychological dependence with which classes?

all 3


physical dependence with which classes?

Opioids, Benzodiazepines, (stimulants are questionable)


Is addiction the same as physical dependence?

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


What is misuse?

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


What is abuse?

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


Type I drug abuser

just wants to get high, no medical issues


Type II drug abuser

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


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.



what percentage of street drugs are prescription drugs?

30 %


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

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


What are the 4 D's?

1. Dishonest

2. Disabled

3. Deceived

4. Dated


How do you verify a DEA number?

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)