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Health: The Basics

Fifth Canadian Edition

Chapter 9

Licit and Illicit Drug Use: Understanding Addictions

Copyright 2011 Pearson Canada Inc.

Drug Use, Misuse, and Abuse


Drug use: taking a drug as it was intended Drug misuse: taking a drug not prescribed for you or for a purpose or way not intended Drug abuse: the excessive use of a drug Individual Response to Psychoactive Drugs: Set and Setting
Response to drugs is influenced by ones internal environment (set) and total external environment (setting)

Defining Addiction
Addiction: persistent compulsive dependence on a behaviour or substance.
Aspects of addiction include:
Excessive use of a substance or behaviour

Persistent desire to cut down or control use


Frequent incapacitation due to use Use of the substance or behaviour to avoid withdrawal symptoms

Physiological and psychological dependence are intertwined

Defining Addiction
The Physiology of Addiction
Tolerance Withdrawal

The Addictive Process


Nurturing through avoidance

Signs of Addiction
Compulsion Loss of control Negative consequences Denial

Addictive Behaviours
Gambling
Video lottery terminals play a role in gambling problems More men than women; increasing among students Unable to control urge to gamble

Shopping and Borrowing


Excessive spending on purchases Easy credit (students target of credit card companies) Compulsive gambling and shopping can lead to compulsive borrowing

Drug Dynamics
All drugs are chemical substances that have the potential to alter the structure and function of our bodies To minimize risk from drugs:

Ask questions of health providers


Be a critical consumer of all drugs
Receptor site theory: specialized cells to which drugs can attach themselves

Controlled Substances

Figure 10.1: How the Body Metabolizes Drugs

Types of Drugs
Each category includes drugs that stimulate, depress, produce hallucinations, or alter mood (psychoactive drugs):
Prescription drugs Recreational drugs Over-the-counter drugs Herbal preparations

Illicit (illegal) drugs


Commercial preparations

Types of Drugs
Routes of Administration of Drugs Oral ingestion Injection (Intravenous, Intramuscular,
Subcutaneous)

Inhalation
Inunction Suppositories

Drug Interactions
Many people unaware of the risks of taking several drugs simultaneously

Drug Interactions
Synergism (effects multiplied)

Antagonism (action of one drug blocks the action of


another at same site)

Inhibition (one reduces effect of other)

Intolerance (drug combination produces extremely


uncomfortable reactions)

Cross-tolerance (person develops a tolerance for a


similar drug)

Prescription Drugs
Types of Prescription Drugs
Antibiotics: fight bacterial infection Sedatives: central nervous system depressants Tranquillizers: central nervous system depressants Antidepressants: inhibits release of certain neurotransmitters in the brain Amphetamines: stimulants

Use of Generic Drugs


Less expensive Same active ingredient as brand-name drug

Over-The-Counter (OTC) Drugs


Nonprescription drugs used in self-diagnosis and self-medication Millions spent annually Dependency, tolerance, addiction and adverse toxic reactions possible

Over-The-Counter (OTC) Drugs


Types of OTC Drugs
Analgesics pain relief
Cold, Cough, Allergy, and Asthma Relievers Stimulants (caffeine is most common ingredient)

Sleeping Aids and Relaxants


Dieting Aids abuse of laxatives or diuretics

Common Over-the-Counter Drugs


OTC Drug
Antihistamines
Claritin, Benadryl

Use
CNS depressant dry runny nose clear sinus congestion

Side-effects
drowsiness, dizziness sedation

Decongestants
Sudafed, DayQuil

reduce nasal stuffiness

nervousness, restless excitability


painful urination, skin rash, bruising

Acetaminophen
Tylenol

pain relief, reduce fever

Aspirin
Bayer

pain relief, reduce fever stomach upset, ulcer, reduce inflammation vomiting, thinning of blood

Common Over-the-Counter Drugs


OTC Drug
Ibuprohen
Advil, Motrin

Use
pain relief, reduce fever reduce inflammation relieves heartburn

Side-effects
fluid retention, liver damage, thinning of blood mineral malabsorption, concealed ulcers, blood thinner nervousness, irritability, dehydration

Antacids
Tums, Malox

Diet pills, caffeine


Dexatrim

weight loss

Laxatives
Exlax

reduce constipation

dehydration, malabsorption of minerals from food

Common Over-the-Counter Drugs

Solutions to the Problem


Upward trend in overall rate of drug offences Multimodal approach is best teach about use, misuse, and abuse Often scare tactics and moralizing are unsuccessful Teach people to control drugs and about the influence of set and setting, and reinforce selfesteem Drug use has been around for thousands of years and is unlikely to disappear in the near future

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