Public Law 106-172 106Th Congress An
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Methadone Information Your Safety and the Safety of Everyone
Methadone Information Your Safety and the Safety of Everyone Methadone, when taken as prescribed is safe. Methadone taken by any individual it is NOT prescribed to, can be deadly; and when mixed with other drugs, can be deadly; and in the hands of a child, is most certainly deadly. Why? Because it is often difficult to know what other drugs including prescription medications others are being prescribed including herbal/ natural medications; and because unless you are a pharmacist or an experienced physician who is knowledgeable about METHADONE you truly don’t know what will happen when medications are mixed. Treatment Rules and Regulations clearly state: “It is extremely important that medication (this means METHADONE!) be stored in a VERY secure place away from children once the patient takes it to their home. It is not advisable to store the medication in the refrigerator unless it is in a locked, childproof container.” “Patients are not to give away… (Take) home medications (methadone).”It is clearly stated in Rules and Regulations that “Children cannot be held while dosing.” “…The mixing of chemicals may be harmful or fatal.” This is why Locked boxes must meet stringent criteria; to protect you, and those around you. Methadone is a Central Nervous System (CNS) Depressant. This means that Methadone slows down all your central nervous systems including breathing, heart rate, Some medications should NEVER be taken with methadone because they too are CNS depressants. These include alcohol, Benzodiazepines, Naltrexone, Soma, other Opiates and Barbiturates. These drugs taken together potentiate or add to each other: 1+1 no longer = 2; it equals 5 or more If you are a child or anyone the drug is NOT prescribed for you may not know you are in danger as your heart slows, and your breathing becomes shallower and then you die. -
Substance Abuse and Dependence
9 Substance Abuse and Dependence CHAPTER CHAPTER OUTLINE CLASSIFICATION OF SUBSTANCE-RELATED THEORETICAL PERSPECTIVES 310–316 Residential Approaches DISORDERS 291–296 Biological Perspectives Psychodynamic Approaches Substance Abuse and Dependence Learning Perspectives Behavioral Approaches Addiction and Other Forms of Compulsive Cognitive Perspectives Relapse-Prevention Training Behavior Psychodynamic Perspectives SUMMING UP 325–326 Racial and Ethnic Differences in Substance Sociocultural Perspectives Use Disorders TREATMENT OF SUBSTANCE ABUSE Pathways to Drug Dependence AND DEPENDENCE 316–325 DRUGS OF ABUSE 296–310 Biological Approaches Depressants Culturally Sensitive Treatment Stimulants of Alcoholism Hallucinogens Nonprofessional Support Groups TRUTH or FICTION T❑ F❑ Heroin accounts for more deaths “Nothing and Nobody Comes Before than any other drug. (p. 291) T❑ F❑ You cannot be psychologically My Coke” dependent on a drug without also being She had just caught me with cocaine again after I had managed to convince her that physically dependent on it. (p. 295) I hadn’t used in over a month. Of course I had been tooting (snorting) almost every T❑ F❑ More teenagers and young adults die day, but I had managed to cover my tracks a little better than usual. So she said to from alcohol-related motor vehicle accidents me that I was going to have to make a choice—either cocaine or her. Before she than from any other cause. (p. 297) finished the sentence, I knew what was coming, so I told her to think carefully about what she was going to say. It was clear to me that there wasn’t a choice. I love my T❑ F❑ It is safe to let someone who has wife, but I’m not going to choose anything over cocaine. -
RUNNING HEAD: Anomalous Experiences and Hypnotic Suggestibility
Anomalous experiences and hypnotic suggestibility 1 RUNNING HEAD: Anomalous experiences and hypnotic suggestibility Anomalous experiences are more prevalent among highly suggestible individuals who are also highly dissociative David Acunzo1, Etzel Cardeña2, & Devin B. Terhune3* 1 Centre for Mind/Brain Sciences, University of Trento, Rovereto, Italy 2 Department of Psychology, Lund University, Lund, Sweden 3 Department of Psychology, Goldsmiths, University of London, London, UK * Correspondence address: Devin B. Terhune Department of Psychology Goldsmiths, University of London 8 Lewisham Way New Cross, London, UK SE14 6NW [email protected] Word count: 3,186 The data that support the findings of this study are openly available in Open Science Framework at osf.io/cfa3r. Anomalous experiences and hypnotic suggestibility 2 Abstract Introduction: Predictive coding models propose that high hypnotic suggestibility confers a predisposition to hallucinate due to an elevated propensity to weight perceptual beliefs (priors) over sensory evidence. Multiple lines of research corroborate this prediction and demonstrate a link between hypnotic suggestibility and proneness to anomalous perceptual states. However, such effects might be moderated by dissociative tendencies, which seem to account for heterogeneity in high hypnotic suggestibility. We tested the prediction that the prevalence of anomalous experiences would be greater among highly suggestible individuals who are also highly dissociative. Methods: We compared high and low dissociative highly suggestible participants and low suggestible controls on multiple psychometric measures of anomalous experiences. Results: High dissociative highly suggestible participants reliably reported greater anomalous experiences than low dissociative highly suggestible participants and low suggestible controls, who did not significantly differ from each other. Conclusions: These results suggest a greater predisposition to experience anomalous perceptual states among high dissociative highly suggestible individuals. -
An FAQ Explaining the Use of Benzodiazepine Sedative Hypnotic Medications in the Elderly
Pharmacy Quality Measures An FAQ Explaining the Use of Benzodiazepine Sedative Hypnotic Medications in the Elderly by Natalie Bari WHERE DOES THIS MEASURE sures feature medications from the the diagnoses (such as insomnia, agi- FIT INTO THE OVERALL MEDI- American Geriatrics Society’s Beers tation, delirium) that the Beers Criteria CARE PART D STAR RATINGS? Criteria for potentially inappropriate state should be avoided. This measure was endorsed by the medication use in older adults. The Pharmacy Quality Alliance (PQA) original HRM measure discussed the WHAT DOES THIS MEASURE in May 2014. But to date, it has not use of non-benzodiazepine sedative ANALYZE? been adopted by the Medicare Part D hypnotics, but it did not include This measure calculates the percent of Star Ratings program. The measure benzodiazepines as they were listed as patients 65 years of age and older who is often described as an extension “avoid only for treatment of insomnia, have received two or more prescription of the PQA measure on the use of agitation or delirium.” The additional fills for any benzodiazepine sedative high-risk medications in the elderly measure was created to address the hypnotic for a cumulative period of (HRM), which was used in the calcu- concern that an unintended conse- more than 90 days. The benzodiaze- lation of the CMS 2015 Star Ratings quence of the HRM measure would be pine sedative hypnotic medications using 2013 claims data. Both mea- increased use of benzodiazepines for are defined to include estazolam, 32 America’s PHARMACIST | January 2015 temazepam, triazolam, flurazepam, them frequently over a prolonged peri- use of the benzodiazepine agents spe- and quazepam. -
Herbal Remedies and Their Possible Effect on the Gabaergic System and Sleep
nutrients Review Herbal Remedies and Their Possible Effect on the GABAergic System and Sleep Oliviero Bruni 1,* , Luigi Ferini-Strambi 2,3, Elena Giacomoni 4 and Paolo Pellegrino 4 1 Department of Developmental and Social Psychology, Sapienza University, 00185 Rome, Italy 2 Department of Neurology, Ospedale San Raffaele Turro, 20127 Milan, Italy; [email protected] 3 Sleep Disorders Center, Vita-Salute San Raffaele University, 20132 Milan, Italy 4 Department of Medical Affairs, Sanofi Consumer HealthCare, 20158 Milan, Italy; Elena.Giacomoni@sanofi.com (E.G.); Paolo.Pellegrino@sanofi.com (P.P.) * Correspondence: [email protected]; Tel.: +39-33-5607-8964; Fax: +39-06-3377-5941 Abstract: Sleep is an essential component of physical and emotional well-being, and lack, or dis- ruption, of sleep due to insomnia is a highly prevalent problem. The interest in complementary and alternative medicines for treating or preventing insomnia has increased recently. Centuries-old herbal treatments, popular for their safety and effectiveness, include valerian, passionflower, lemon balm, lavender, and Californian poppy. These herbal medicines have been shown to reduce sleep latency and increase subjective and objective measures of sleep quality. Research into their molecular components revealed that their sedative and sleep-promoting properties rely on interactions with various neurotransmitter systems in the brain. Gamma-aminobutyric acid (GABA) is an inhibitory neurotransmitter that plays a major role in controlling different vigilance states. GABA receptors are the targets of many pharmacological treatments for insomnia, such as benzodiazepines. Here, we perform a systematic analysis of studies assessing the mechanisms of action of various herbal medicines on different subtypes of GABA receptors in the context of sleep control. -
Drug Class Review on Newer Sedative Hypnotics
Drug Class Review on Newer Sedative Hypnotics Final Report December 2005 The Agency for Healthcare Research and Quality has not yet seen or approved this report The purpose of this report is to make available information regarding the comparative effectiveness and safety profiles of different drugs within pharmaceutical classes. Reports are not usage guidelines, nor should they be read as an endorsement of, or recommendation for, any particular drug, use or approach. Oregon Health & Science University does not recommend or endorse any guideline or recommendation developed by users of these reports. Susan Carson, MPH Po-Yin Yen, MS Marian S. McDonagh, PharmD Oregon Evidence-based Practice Center Oregon Health & Science University Mark Helfand, MD, MPH, Director Copyright © 2005 by Oregon Health & Science University Portland, Oregon 97201. All rights reserved. Final Report Drug Effectiveness Review Project TABLE OF CONTENTS Introduction....................................................................................................................... 4 Scope and Key Questions ............................................................................................. 4 Methods.............................................................................................................................. 6 Literature Search........................................................................................................... 6 Study Selection ............................................................................................................ -
Psychoactive Drugs
9 Psychoactive Drugs Lesson PLanning CaLendar Use this Lesson Planning Calendar to determine how much time to allot for each topic. Schedule Day One Day Two Day Three Traditional Period (50 minutes) What are Psychoactive Drugs? Stimulants Prevention Alcohol: A Depressant Marijuana Hallucinogens Block schedule (90 minutes) What are Psychoactive Drugs? Marijuana Alcohol: A Depressant Prevention Stimulants Hallucinogens 156a B2E3e_book_ATE.indb 1 3/19/12 11:19 AM 9 MODULE 9 aCTiviTy PLanner From The TeaCher’s resourCe maTeriaLs Psychoactive Drugs Use this Activity Planner to bring active learning to your daily lessons. Topic Activities What are Psychoactive drugs? Getting Started: Critical Thinking Activity: Fact or Falsehood? (10 min.) What Are Psychoactive Drugs? Analysis Activity: Signs of Drug Abuse (15 min.) Alcohol: A Depressant Analysis Activity: The Internet Addiction Test (15 min.) Stimulants ● Caffeine Building Vocabulary: Crossword Puzzle (15 min.) ● Nicotine Enrichment Lesson: Factors in Drug Use (15 min.) ● Cocaine ● Amphetamines alcohol: a depressant Digital Connection: (2nd ed.), Module 22: “Depressants and Their Addictive Effects on the Brain” The Mind ● Ecstasy (10 min.) Hallucinogens Digital Connection: The Mind (2nd ed.), Module 29: “Alcohol Addiction: Hereditary Factors” (10 min.) ● LSD Marijuana Enrichment Lesson: Alcohol Consumption Among College Students (15 min.) Prevention Enrichment Lesson: Rohypnol—A Date Rape Drug (15 min.) Cooperative Learning Activity: Blood Alcohol Concentrations (30 min.) Many people drink coffee in the morning to “get going.” The chemical in coffee that stimulants Enrichment Lesson: Caffeine—Is It Harmful? (15 min.) achieves this effect is actually a psychoactive drug. Surprised? Let’s take a close hallucinogens Enrichment Lesson: The LSD Experience (20 min.) look at psychoactive drugs and how they affect us. -
Prescription Drug Abuse See Page 10
Preventing and recognizing prescription drug abuse See page 10. from the director: The nonmedical use and abuse of prescription drugs is a serious public health problem in this country. Although most people take prescription medications responsibly, an estimated 52 million people (20 percent of those aged 12 and Prescription older) have used prescription drugs for nonmedical reasons at least once in their lifetimes. Young people are strongly represented in this group. In fact, the National Institute on Drug Abuse’s (NIDA) Drug Abuse Monitoring the Future (MTF) survey found that about 1 in 12 high school seniors reported past-year nonmedical use of the prescription pain reliever Vicodin in 2010, and 1 in 20 reported abusing OxyContin—making these medications among the most commonly abused drugs by adolescents. The abuse of certain prescription drugs— opioids, central nervous system (CNS) depressants, and stimulants—can lead to a variety of adverse health effects, including addiction. Among those who reported past-year nonmedical use of a prescription drug, nearly 14 percent met criteria for abuse of or dependence on it. The reasons for the high prevalence of prescription drug abuse vary by age, gender, and other factors, but likely include greater availability. What is The number of prescriptions for some of these medications has increased prescription dramatically since the early 1990s (see figures, page 2). Moreover, a consumer culture amenable to “taking a pill for drug abuse? what ails you” and the perception of 1 prescription drugs as less harmful than rescription drug abuse is the use of a medication without illicit drugs are other likely contributors a prescription, in a way other than as prescribed, or for to the problem. -
The Experience Elicited by Hallucinogens Presents the Highest Similarity to Dreaming Within a Large Database of Psychoactive Substance Reports
ORIGINAL RESEARCH published: 22 January 2018 doi: 10.3389/fnins.2018.00007 The Experience Elicited by Hallucinogens Presents the Highest Similarity to Dreaming within a Large Database of Psychoactive Substance Reports Camila Sanz 1, Federico Zamberlan 1, Earth Erowid 2, Fire Erowid 2 and Enzo Tagliazucchi 1,3* 1 Departamento de Física, Universidad de Buenos Aires, Buenos Aires, Argentina, 2 Erowid Center, Grass Valley, CA, United States, 3 Brain and Spine Institute, Paris, France Ever since the modern rediscovery of psychedelic substances by Western society, Edited by: several authors have independently proposed that their effects bear a high resemblance Rick Strassman, to the dreams and dreamlike experiences occurring naturally during the sleep-wake University of New Mexico School of cycle. Recent studies in humans have provided neurophysiological evidence supporting Medicine, United States this hypothesis. However, a rigorous comparative analysis of the phenomenology (“what Reviewed by: Matthias E. Liechti, it feels like” to experience these states) is currently lacking. We investigated the semantic University Hospital Basel, Switzerland similarity between a large number of subjective reports of psychoactive substances and Michael Kometer, University of Zurich, Switzerland reports of high/low lucidity dreams, and found that the highest-ranking substance in *Correspondence: terms of the similarity to high lucidity dreams was the serotonergic psychedelic lysergic Enzo Tagliazucchi acid diethylamide (LSD), whereas the highest-ranking in terms of the similarity to dreams [email protected] of low lucidity were plants of the Datura genus, rich in deliriant tropane alkaloids. Specialty section: Conversely, sedatives, stimulants, antipsychotics, and antidepressants comprised most This article was submitted to of the lowest-ranking substances. -
CENTRAL NERVOUS SYSTEM DEPRESSANTS Opioid Pain Relievers Anxiolytics (Also Belong to Psychiatric Medication Category) • Codeine (In 222® Tablets, Tylenol® No
CENTRAL NERVOUS SYSTEM DEPRESSANTS Opioid Pain Relievers Anxiolytics (also belong to psychiatric medication category) • codeine (in 222® Tablets, Tylenol® No. 1/2/3/4, Fiorinal® C, Benzodiazepines Codeine Contin, etc.) • heroin • alprazolam (Xanax®) • hydrocodone (Hycodan®, etc.) • chlordiazepoxide (Librium®) • hydromorphone (Dilaudid®) • clonazepam (Rivotril®) • methadone • diazepam (Valium®) • morphine (MS Contin®, M-Eslon®, Kadian®, Statex®, etc.) • flurazepam (Dalmane®) • oxycodone (in Oxycocet®, Percocet®, Percodan®, OxyContin®, etc.) • lorazepam (Ativan®) • pentazocine (Talwin®) • nitrazepam (Mogadon®) • oxazepam ( Serax®) Alcohol • temazepam (Restoril®) Inhalants Barbiturates • gases (e.g. nitrous oxide, “laughing gas”, chloroform, halothane, • butalbital (in Fiorinal®) ether) • secobarbital (Seconal®) • volatile solvents (benzene, toluene, xylene, acetone, naptha and hexane) Buspirone (Buspar®) • nitrites (amyl nitrite, butyl nitrite and cyclohexyl nitrite – also known as “poppers”) Non-Benzodiazepine Hypnotics (also belong to psychiatric medication category) • chloral hydrate • zopiclone (Imovane®) Other • GHB (gamma-hydroxybutyrate) • Rohypnol (flunitrazepam) CENTRAL NERVOUS SYSTEM STIMULANTS Amphetamines Caffeine • dextroamphetamine (Dexadrine®) Methelynedioxyamphetamine (MDA) • methamphetamine (“Crystal meth”) (also has hallucinogenic actions) • methylphenidate (Biphentin®, Concerta®, Ritalin®) • mixed amphetamine salts (Adderall XR®) 3,4-Methelynedioxymethamphetamine (MDMA, Ecstasy) (also has hallucinogenic actions) Cocaine/Crack -
Insomnia in Adults
New Guideline February 2017 The AASM has published a new clinical practice guideline for the pharmacologic treatment of chronic insomnia in adults. These new recommendations are based on a systematic review of the literature on individual drugs commonly used to treat insomnia, and were developed using the GRADE methodology. The recommendations in this guideline define principles of practice that should meet the needs of most adult patients, when pharmacologic treatment of chronic insomnia is indicated. The clinical practice guideline is an essential update to the clinical guideline document: Sateia MJ, Buysse DJ, Krystal AD, Neubauer DN, Heald JL. Clinical practice guideline for the pharmacologic treatment of chronic insomnia in adults: an American Academy of Sleep Medicine clinical practice guideline. J Clin Sleep Med. 2017;13(2):307–349. SPECIAL ARTICLE Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults Sharon Schutte-Rodin, M.D.1; Lauren Broch, Ph.D.2; Daniel Buysse, M.D.3; Cynthia Dorsey, Ph.D.4; Michael Sateia, M.D.5 1Penn Sleep Centers, Philadelphia, PA; 2Good Samaritan Hospital, Suffern, NY; 3UPMC Sleep Medicine Center, Pittsburgh, PA; 4SleepHealth Centers, Bedford, MA; 5Dartmouth-Hitchcock Medical Center, Lebanon, NH Insomnia is the most prevalent sleep disorder in the general popula- and disease management of chronic adult insomnia, using existing tion, and is commonly encountered in medical practices. Insomnia is evidence-based insomnia practice parameters where available, and defined as the subjective perception of difficulty with sleep initiation, consensus-based recommendations to bridge areas where such pa- duration, consolidation, or quality that occurs despite adequate oppor- rameters do not exist. -
Psychoactive Substance Profile (All Drugs)
PSYCHOACTIVE SUBSTANCE PROFILE: Codeine What is the street/slang name(s)? Lean, sizzurp, purple drank, purp, syrup, and dirty sprite. Is this substance considered a depressant, stimulant, hallucinogenic? Depressant and an Opiate. How is this substance typically taken? It is a cough syrup, so it is taken by mouth. What are the desired effects of this substance (be thorough)? Motor skills impairment, lethargy, pain relief, drowsiness, mild euphoria, and hallucinations. How prevalent is the use of this substance in the United States? Very popular in the hip hop and rap communities. It originated in Houston. In 2004, the University of Texas found that 8.3% of college students in Texas had taken codeine syrup to get high. From a poll of 2,000 young adults, 6.5% of them had tried lean. Can one develop a tolerance to this substance? Yes. What side effects may result from continued use of this substance? Seizures and heart attacks. Is there an abstinence syndrome (withdrawal) related to the use of this substance? If so, describe some of the symptoms. Muscle aches, insomnia, anxiety, runny nose, sweating, stomach cramps, nausea and vomiting. PSYCHOACTIVE SUBSTANCE PROFILE: Adderall What is the street/slang name(s)? Addy Is this substance considered a depressant, stimulant, hallucinogenic? Stimulant How is this substance typically taken? Orally What are the desired effects of this substance (be thorough)? Adderall is used to treat ADHD and narcolepsy. It helps one focus on one thing at a time, keeps one alert and awake. How prevalent is the use of this substance in the United States? Consumption rate has gone up about %70-%80 since the 1990’s.