Stimulants

• Purpose of stimulants: to cause euphoria
• Signs of abuse of stimulants: 

  Hyper - tension

  Tachy - cardia 

  Tachy - pnea

  Pupil Dilation

  • all HIGH
• Stimulants - mnemonic: CC MDAP
• Stimulants

  CC MDAP

  • cocaine
  • caffeine
  • methylphenidate
  • dextroamphetamine
  • amphetamine
  • pemoline
• The two commonly abused stimulants are methamphetamine and cocaine
• Sign of cocaine abuse: excoriated nostrils
• Sign of cocaine withdrawal: bipolar cycling - increases suicide risk
• Signs of Methamphetamine abuse - mnemonic: SHABUS
• Signs of Methamphetamine abuse

  Shabus

  • strained and rotting teeth (bruxism)
  • hygiene (low)
  • appetite (low)
  • body weight (loss)
  • uppers
  • sleep (insomnia)
• Signs of methamphetamine withdrawal (Boards: lost his job or no money): Hallucinations
• Medical management of cocaine use: Bromocriptine (Parlodel) – decreases cravings