Amphetamines: Difference between revisions
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==Background== | ==Background== | ||
*Unlike cocaine, duration of action may be 12hr or longer | *Unlike cocaine, duration of action may be 12hr or longer | ||
- Time- oral- 30min, inhaled instant | - Time- oral- 30min, inhaled instant | ||
Revision as of 03:47, 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