Amphetamines: Difference between revisions
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==Background== | ==Background== | ||
*Unlike cocaine, duration of action may be 12hr or longer | |||
- Time- oral- 30min, inhaled instant | - Time- oral- 30min, inhaled instant | ||
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- hallucinogenic amphet deriv may not show up on tox screen AKA Entactogens- enabling user to touch within | - hallucinogenic amphet deriv may not show up on tox screen AKA Entactogens- enabling user to touch within | ||
=== | ===Methamphetamine=== | ||
*More combative | |||
*Delusions of parasites, formication, self-mutilate | |||
*more dysphoric | |||
===MDMA Ecstacy=== | ===MDMA Ecstacy=== | ||
*Increases serotonin, dopamine | |||
*Lasts 3 - 5hrs | |||
*Hyponatremia | |||
* | |||
==Diagnosis== | ==Diagnosis== | ||
===Alpha=== | ===Alpha=== | ||
*pupils dilate | |||
*sweat | |||
*decrease gi peristalsis | |||
*constrict blood vessels | |||
===Beta=== | ===Beta=== | ||
*inc HR and contractility | |||
*dilate bronchi | |||
*dilate muscle beds | |||
===Mixed=== | ===Mixed=== | ||
*delusions, paranoia, aggression, poor judgement, hallucinate, confusion | |||
==Treatment== | ==Treatment== | ||
Benzos | *Benzos | ||
==See Also== | ==See Also== | ||
Revision as of 03:28, 5 January 2012
Background
- Unlike cocaine, duration of action may be 12hr or longer
- Time- oral- 30min, inhaled instant
- hepatic and renal excretion- lasts 6- 24 hrs
- if tolerance developes- physical exam may yield normal findings
- desipramine and amantadine can give false positive for urine amphet test
- hallucinogenic amphet deriv may not show up on tox screen AKA Entactogens- enabling user to touch within
Methamphetamine
- More combative
- Delusions of parasites, formication, self-mutilate
- more dysphoric
MDMA Ecstacy
- Increases serotonin, dopamine
- Lasts 3 - 5hrs
- Hyponatremia
Diagnosis
Alpha
- pupils dilate
- sweat
- decrease gi peristalsis
- constrict blood vessels
Beta
- inc HR and contractility
- dilate bronchi
- dilate muscle beds
Mixed
- delusions, paranoia, aggression, poor judgement, hallucinate, confusion
Treatment
- Benzos
See Also
Source
MISTRY 6/06