Hepatitis C is a form of serious, liver-damaging illness triggered by infection with a virus commonly known as the hepatitis C virus (HCV). Current evidence indicates that, throughout the U.S. and the rest of the world, the majority of new cases of this illness stem from the unsanitary injection of IV drugs (intravenous drugs). In a study published in June 2013 in the Harm Reduction Journal, a multi-institution research team reviewed some of the potentially overlooked factors that contribute to the ongoing connection between IV drug use and HCV infection. The researchers concluded that patient-doctor miscommunication and lack of access to required resources have a considerable impact on the reinforcement of this connection.

How Is Hepatitis C Spread?

Hepatitis C is one of four viral diseases that get their names because they damage function inside the human liver. It is a blood-borne illness that typically occurs when an individual with HCV knowingly or unknowingly exposes others to his or her infected blood. Common routes for this exposure include intentional or accidental needle sticks or injections, as well as the accidental entry of infected blood through a cut or through the mouth. Additional, less common potential routes of exposure include mother-to-child transmission inside the womb, organ transplant procedures, kidney dialysis procedures and blood transfusions.

Hepatitis C Symptoms

The hepatitis C virus can produce either acute (short-term) infections or chronic (long-term) infections. In both cases, affected individuals often have few or no early symptoms of the changes going on inside their livers. If early symptoms do occur, they are as follows.

Early Hepatitis C Symptoms

• Jaundice
• Loss of energy
• Spikes in body temperature (i.e., fevers)
• Swelling in the abdomen
• Abdominal pain in the liver region
• Nausea and vomiting
• Declining appetite

Eventually, people affected by chronic hepatitis C can develop serious or potentially fatal cases of cirrhosis (liver scarring) or liver cancer. Roughly 75 percent to 85 percent of people who contract hepatitis C develop the chronic form of the illness.

IV Drug Use And Risky Behaviors

IV drug users have an uncommonly high rate for hepatitis C (and a number of other serious, infectious diseases) for several reasons. First, the introduction of a hypodermic needle into a vein provides direct access to a person’s bloodstream. In combination with poor needle-related hygiene, this method of drug use provides the hepatitis C virus with a very easy avenue for entry into the human body. The most common unhygienic practice associated with transmission of the virus is the sharing of dirty needles among two or more drug users. In addition, people who take drugs intravenously often establish other patterns of behavior that can further increase their risks for HCV exposure. Examples of these harmful behavioral patterns include having unprotected intercourse with intimates and engaging in sex-for-drugs exchanges with others.

Factors For The Connection Between Hepatitis C Infections And IV Drug Use

In the study published in the Harm Reduction Journal, researchers from seven U.S. institutions looked at some of the lesser-known factors that can account for the strong, enduring connection between IV drug use and hepatitis C infections. Rather than take a large-scale approach, they focused on 14 groups of IV drug users in the San Francisco area and the New York City area. Altogether, these groups contained 95 individuals. Each of the participating individuals took part in a series of discussions designed to identify specific hindrances to the adequate prevention or treatment of HCV in IV drug-using populations.

After reviewing and analyzing the results of the participants’ discussions, the researchers identified several potential barriers to the receipt of adequate services or the accurate transmission of HCV-related information from doctors and other health care professionals to people who use IV drugs. These barriers include lack of a full understanding among IV drug users about the significance of an HCV diagnosis, lack of drug user knowledge regarding the symptoms and potential consequences of hepatitis C, a poor drug user understanding of the need to monitor the course of a hepatitis C infection, lack of facilities where intravenous drug users can actively seek out HCV testing, and lack of a broad range of options for the treatment of diagnosed cases of hepatitis C.

Health Care Professional’s Role In HCV/ Hepatitis C Treatment

In light of their findings, the authors of the study published in the Harm Reduction Journal concluded that health care professionals must increase their efforts to relay accurate, sufficiently detailed information about HCV and hepatitis C. They also concluded that these improved educational efforts must take place both in drug treatment centers and in facilities that perform disease screenings.

Read More About IV Drug Users And Other Dangerous Risks

Addiction is a complicated disease. For those of us who have never had an addiction, it can be easy to wonder why addicts can’t seem to make the decision to stop using and then do it. There are complicated brain chemical pathways that are affected by drugs and alcohol that lead to addiction and that make it almost impossible to stop using. Modern research has uncovered much of the role of the brain in addiction, but more recently has found that the immune system is also important.

The Immune System And The Brain

Your body’s immune system is a complex network of different types of cells that are dedicated to protecting you from foreign invaders that cause sickness. Many of those immune cells live in the brain. These are called glial cells and they work alongside your neurons, or brain cells. The brain cells and immune cells that work together to regulate the responses of the immune system are called collectively, the neuroimmune system. This system keeps the brain healthy and mediates communication between the immune system and the central nervous system.

Addiction’s Effects On The Neuroimmune System

Parts of the neuroimmune system are activated by various factors. Stress is one factor, which is why the feeling of being stressed can actually make you physically sick. Alcohol and drugs also trigger responses in the neuroimmune system. The responses can lead to disrupted decision making. This helps to explain why addicts make choices about using even when doing so is bad for them.

The response of the neuroimmune system to drugs and alcohol also changes a person’s affect and causes feelings of depression. Again, these feelings are characteristic of addiction. Researchers have even found that people with certain genetic variations in their neuroimmune system are more likely than others to succumb to addiction.

Innovative Addiction Treatments

With the increased understanding of how the immune system in the brain impacts addiction, researchers are able to come up with new treatments for this devastating disease. One such possible treatment may help addicts who use opioids like heroin and prescription painkillers. Studies have found that morphine, an opioid drug, binds to a certain immune system receptor that changes the dopamine pathway in the brain.

Dopamine is the brain chemical that is released when we feel something pleasurable. Drugs release huge floods of dopamine, which plays a role in developing addictions. The researchers hope that if they can block the immune receptor with a medication, they can stop the release of dopamine when someone uses an opioid. With no pleasurable sensation, there would be no addiction.

Methamphetamine is another seriously addictive drug that can be just as hard to quit as opioids. Research has shown how the drug negatively impacts the immune system of the user, so new studies have focused on targeting the immune system for treatment medications. A drug being developed for a variety of immune diseases may also help meth addicts. The drug reduces the immune response in the brain, which could help meth addicts feel better. One major hurdle to quitting is that the users feel awful when they give up meth. With the new medication, they may feel better, and less inclined to going back to using.

Other researchers have tackled cocaine addiction by working with the immune system. The new treatment is actually a vaccine. The researchers who developed it created a vaccine that would target cocaine and treat it as if it were an invader like a virus or bacterium. After being injected with the vaccine, mice in laboratory experiments showed an immune response that tackled any cocaine in the body. The result was that the mice did not get a high from cocaine. If the vaccine works in human trials, it could help addicts stop using. If they get no high, there will be no reason to use the drug.

The exciting field of addiction and the immune system is coming up with new information about the disease of addiction every day. With this new knowledge, researchers are able to create treatments that are medically- and evidence-based that may truly help people recover from addiction.

“Mother’s little helper” has been around for decades. In 1966, The Rolling Stones released a hit song about the abuse of drugs, like Valium, by mothers looking to take the edge off a busy day. Now, some moms are using different substances to get through the day: prescription stimulants. Although they can provide a boost of much-desired energy, many women develop a drug addiction to these commonly prescribed “legitimate” medications.

Prescription stimulants are normally used to treat a range of medical conditions, including attention-deficit hyperactivity disorder (ADHD), narcolepsy, and depression. Common stimulant medications include Dexedrine (dextroamphetamine), Adderall (amphetamine and dextroamphetamine), Ritalin (methylphenidate), and Concerta (methylphenidate).

Legitimate Stimulant Use

Chemically, these drugs are similar to natural neurotransmitters within the brain, including norepinephrine and dopamine. When taken to treat a genuine medical condition, a physician will prescribe the medication at a low level and gradually increase it until the drug produces the desired effects. In addition, the stimulant typically comes in a capsule or tablet form that allows for the slow release of the medication into the body. This slow, steady rise in dopamine mimics the body’s natural production. When used as directed by a physician, ADHD medications and other prescription stimulants are not addictive and produce no high.

Stimulant Abuse And Emergency Room Visits

The effect is different when stimulants are abused, however. Instead of capsules or tablets generating a slow, steady rise of dopamine over time, the pills are crushed before being snorted or they are dissolved in water and then injected. This causes a dopamine rise so rapid that it disrupts the brain and produces feelings of euphoria.

Evidence suggests that drug addiction to stimulants is on the rise. For example, emergency room visits involving stimulant abuse skyrocketed between 2005 and 2010. Visits more than tripled for people over age 26 [1].

Why Mom’s Are Abusing Stimulants

The demands placed on mothers in this culture can feel overwhelming. From single moms to homeschooling moms to moms who work outside the home, many feel the pressure of being the master multitasker. Some mothers turn to stimulants in the belief they will help them focus better on their responsibilities or help them make it through a hectic day. It’s important to note that while these prescriptions can increase concentration in those with a medical need for them, there is no clinical evidence that abusing these drugs sharpens focus.

Women also frequently use stimulants to lose weight. For example, Adderall can speed up metabolism and lower appetite, resulting in weight loss. However, it’s not a healthy or permanent weight loss solution. When a woman stops taking the drug, she typically gains the weight back – and sometimes even more.

Dangers Of Stimulant Abuse

Abusing any drug can have a serious impact on a mother’s emotional and physical well-being; however, stimulant abuse is particularly dangerous. When abused, these medications can trigger irregular heartbeat, heart failure, seizures, and dangerously high body temperatures. As mentioned earlier, stimulants also cause decreased appetite, which, in serious cases, can cause malnutrition. In addition, women addicted to high doses often experience episodes of paranoia or hostility. Instead of helping a mother meet the demands of a busy lifestyle, stimulants make it harder to handle normal responsibilities, including caring for children.

There is also added danger in the method some addicts use to get high. When the drug is dissolved in water, some insoluble fillers in the pill may not break down completely. While these solid pieces are small enough to be injected, they are also large enough to block small blood vessels, creating the risk for serious health complications.

Stimulants are also dangerous because they don’t mix well with other substances. The ER study mentioned above showed that 63% of visits involving stimulants included the use of alcohol, painkillers, sleep aids, or anti-anxiety medications [1]. The use of other drugs adds an additional layer of risk to stimulant drug addiction.

Stimulant Drug Addiction Treatment

If you’re addicted to or abusing stimulant prescription drugs, you need drug rehab treatment. Addicts experience psychological withdrawal from chronic stimulant abuse, so the first step will likely be a medically-monitored detox to wean your body from the drugs.

After detoxification, therapy begins. There are several therapies used to treat this addiction, and your rehab team will recommend one or more based on your situation. Cognitive-behavioral therapy (CBT) is often used to examine the negative thoughts, beliefs, behaviors, and emotions that contribute to addiction. Once you better understand how those contribute to your drug addiction, you’ll learn how to positively change those thinking patterns in order to cope in a healthier way. Although considered a short-term type of therapy, CBT involves a gradual process that takes time and effort in order to be effective.

Contingency management is another treatment that may be used for abuse of Adderall and other prescription stimulants. Sometimes called voucher-based reinforcement (VBR), the program provides tangible rewards for positive behaviors and staying drug free. For example, an addict who stays clean for a specified period of time, as verified through urine samples, may earn a voucher for food, movie tickets, or other goods and services that promote drug-free behavior. The value of the voucher starts low and increases the longer the addict stays clean.

Studies of contingency management show that it can reduce stimulant abuse when used as part of a comprehensive treatment strategy [2]. Additionally, one study suggests that, on its own, contingency management may be more effective at treating stimulant use than CBT alone [3].

Treatment for stimulant drug addiction will also likely include support groups. Often based on the 12-step program first developed by Alcoholics Anonymous (AA), self-help groups provide guidance and assistance to recovering addicts. You’ll be able to connect with others going through the same struggles, which may help reduce feelings of hopelessness or isolation. Meetings are free, and you can attend them for as long as needed to help you stay abstinent.

Drug addiction in mothers can lead to serious consequences for herself and her children. Contact a drug rehab treatment facility about getting help for stimulant abuse or addiction. With treatment, it’s possible to stop abusing drugs and start learning healthier ways to live life, no matter how hectic your life may be.

References:

[1] http://www.samhsa.gov/newsroom/advisories/1301241230.aspx

[2] http://www.ncbi.nlm.nih.gov/pubmed/23138961

[3] http://www.ncbi.nlm.nih.gov/pubmed/16445555

Statistics gathered by the Substance Abuse and Mental Health Services Administration, or SAMHSA, show a disturbing trend among older Americans. Members of the Baby Boom generation are using drugs and getting addicted to them in record numbers. Whether we can explain the trend or not, the fact remains that elder drug abuse presents some unique problems that require unique approaches for prevention and treatment.

The statistics from SAMHSA show that among older Americans in recent years, marijuana use has increased five-fold, cocaine use has quadrupled, heroin abuse has doubled, and abuse of prescription drugs has more than quadrupled. The survey from SAMHSA also records treatment for drug abuse and addiction and found increases in the numbers of Boomers getting help for alcohol abuse in combination with cocaine use, and for abusing prescription painkillers. Emergency room visits for painkiller abuse and overdoses increased greatly over the last decade.

Explanations And Complications Of Drug Abuse In Older Americans

At first glance, the statistics surrounding the use and abuse of drugs in older Americans seems surprising. However, it is important to understand that we are discussing a generation of people who came of age in the 1960s, a time of experimentation and rebellion against authority. In tracking the drug and alcohol behaviors of this generation over the years, finding that they now, in their older years, are still using drugs is not a surprise. It only seems shocking when compared with the generations that came before them.

Unfortunately, drug abuse is even more of a problem for a person in his 50s and 60s than it was when he was in his 20s. As we age, our metabolism slows. For an older person abusing drugs or drinking too much alcohol, the time it takes to metabolize and get out of his system is much longer. An older person using may be intoxicated for longer and, therefore, at risk for more accidents and injuries.

Another issue is that drug users in their 50s or 60s are more likely to have health problems than they did in their younger years. Drug or alcohol abuse may exacerbate these problems, or even interact badly with prescribed medications. Furthermore, the symptoms of these other health conditions may mask the usual signs of drug abuse or addiction.

Signs Of Drug Abuse

Drug abuse and addiction are serious problems at any age, but in older Americans they present greater risks and complications. It is important to be aware of the possibility of drug use and to look out for signs in loved ones. Because another health problem may cause symptoms that mask the physical signs of drug abuse, watch for changes in behavior as the sign of a problem. Mood swings that are unexplained could be a sign of addiction, drinking or drug abuse. Changes in personality are also troubling. When someone just doesn’t seem like himself anymore, there could be a problem with drug abuse.

Prescription abuse is a growing problem among all age groups, so look for signs that your older friend or family member is abusing them. This could mean that he is requesting more refills for painkillers, seeing several doctors to get more prescriptions, going to more than one pharmacy or in other ways is trying to get more of his medications than has been prescribed.

Getting Help For A Loved One Abusing Drugs Or Alcohol

If anyone you love or care about is abusing drugs or alcohol, it is important to help him seek treatment; with an older person, it is especially imperative. Drug abuse can cause even more problems for someone who is older and should be stopped in its tracks. Having the courage to confront your parent, spouse, or other loved one about your suspicions could just save his life.

Confrontation is never easy so be prepared. Bring one or two other people along, friends or family members your loved one trusts. Be ready with solutions so that you are not simply accusing, but helping. Do your research ahead of time and find facilities for treatment that are prepared to work with older patients. As the problem of drug abuse continues to rise in the older demographic, more treatment centers are focusing on the age group. You should be able to find treatment plans that will suit the specific needs of your loved one and that will help him feel comfortable while getting well.

Read More About Seniors And Addiction

Fans of the hit crime drama Breaking Bad may have become familiar with the dangers of methamphetamine use. However, as a parent, you may have questions about methamphetamine abuse in teenagers and whether it requires drug rehab treatment. Surveys suggest that 2 to 3.5% of adolescents have used methamphetamines [1]. Also called “speed” or “glass”, it’s a highly addictive stimulant.

How Meth Works

Methamphetamine – or “meth” for short – is a type of amphetamine, a drug that acts on the body’s central nervous system. The drug works by increasing dopamine levels within the brain to very high levels. Dopamine is the brain chemical that’s linked to pleasure, reward, motivation, and also motor function. When dopamine levels skyrocket, as they do during meth use, the user experiences a pleasurable rush that is often compared to euphoria.

While there are several types of amphetamines, meth is generally considered the most potent. The drug can be snorted, injected, or taken orally. Some abusers use a method called parachuting, which involves crushing a pill and then rolling the powder into a piece of tissue or toilet paper. The entire package – tissue and all – is then swallowed, delivering what’s believed to be a stronger, faster high because the pill’s outer protective layer has been destroyed.

Teen meth addicts will typically use daily or nearly daily. Addiction requiring drug rehab treatment can develop quickly, sometimes within just a few uses. Chronic abuse of the drug leads to tolerance.  As one’s tolerance level increases so does the amount of the drug that’s needed in order to achieve the euphoric high.

Effects Of Meth

Since meth is a stimulant, like cocaine, a teen will experience immediate physical effects, even when the drug is taken in small amounts. Meth users experience increased heart rate and respiration, irregular heartbeat, high body temperature, decreased appetite, inability to sleep, and increased physical activity.

An adolescent with a long-term meth addiction can experience more serious effects. Anxiety, confusion, and extreme weight loss are common. Many develop severe dental problems, such as tooth decay and loss, because the drug reduces output of saliva, which normally protects the mouth, and drug users often have poor dental hygiene.

Teen meth addicts are also at risk because the drug enhances the sex drive. Several studies have found that youth, especially females, who use meth are more likely to engage in risky sexual behaviors [2]. This potentially leads to unsafe sexual practices, including having sex without protection. Research has found a strong association between meth users and sexual risk-taking. A study of adults using meth found they were 1.7 times more likely to have gonorrhea and twice as likely to have chlamydia [3].

Chronic methamphetamine abusers might experience serious psychotic symptoms, including hallucinations, delusions, or paranoia. This can lead to physical problems as well. For instance, a meth user might scratch and gouge at their skin to remove “bugs.” Auditory hallucinations can be particularly dangerous if the addict believes “voices” are commanding him or her to harm others, a symptom that makes drug rehab treatment that much more important.

Meth use in teens can also cause permanent brain damage. Research shows that chronic use causes structural and functional changes to brain areas linked to memory and mood [4, 5]. In addition, brain imaging has shown that meth use changes the dopamine system in a way that reduces verbal learning and motor skills [6]. Using the drug over time also disrupts the body’s normal production of dopamine; as a result, chronic users show severe mood swings.

Signs Of Meth Abuse In Teens

• Euphoric moods (may appear unusually happy)
• Paranoia
• Reduced appetite
• Incessant talking
• Rapid weight loss
• Dilated pupils
• Dry, itchy skin
• Skin sores
• Intense mood swings
• Anxiety, nervousness
• Shaky hands
• Violent or aggressive behavior
• Excessive sweating

Symptoms can become worse as a teen’s meth addiction deepens. For instance, a meth addict often appears undernourished or even sick. He or she may have frequent mood swings, abruptly switching from chatty and friendly one moment to aggressive and hostile the next.

Treatment For Meth Addiction

Due to the serious short-term and long-term health risks, including brain damage and even death, meth addiction in adolescents requires immediate drug rehab treatment.  Meth abusers can experience intense withdrawal symptoms, including severe agitation, anxiety, sleeplessness, and strong urges to use. Since withdrawal symptoms can be so powerful, teens should detox in a treatment center where they can be medically monitored.

After the drug is out of the body, your teen will start a treatment plan that will likely have several components based on his or her needs. Currently, there are no approved medications to treat methamphetamine addiction.  However, rehab centers have a number of therapies for helping adolescents recover. For example, an addictions specialist may recommend cognitive behavioral therapy.  This particular type of therapy helps teens learn more about the factors, such as negative emotions, irrational thoughts, or unhealthy behaviors, that contribute to their drug use. This therapy also teaches them how to deal with those factors in a drug-free way. Contingency management may also be beneficial in a drug treatment program.  It provides tangible incentives, such as movie tickets or cash, for drug-free urine samples.

Alternate Therapies For Addiction

Other therapies may help your teen as well. For example, animal-assisted therapy, which involves the use of animals like dogs or horses, can be especially powerful.  This treatment approach can help addicted teens reduce anxiety, build self-confidence, and develop trust. Talk with an addiction specialist to learn more about the benefits of animal-assisted therapy.

Family education and counseling will also be essential for guiding your teen through recovery. Educational sessions help parents and family members better understand the nature of addiction.  They also show ways to help an addicted teen stay free of drugs. In family counseling, a therapist works with family members to pinpoint and resolve conflicts and communication issues, including those that have played a role in your teen’s decision to use drugs.  Family therapy can play an important role in helping your teen avoid a relapse down the road.

Meth Affects The Brain’s Pleasure Center Long After Use

Treating an addiction to meth is challenging, in part, because the brain’s ability to produce dopamine is hampered for up to 6 months or more after drug use stops. As a result, addicts may be unable to experience pleasure. This can make it difficult for them to find enjoyment in even simple activities like spending time with friends, seeing a movie, or relaxing on the beach. This lack of positive emotion can compel many teens to start using again, just so they can feel some form of pleasure.

Yet, despite the challenges, adolescents can fully recover from a methamphetamine addiction. If you suspect or know that your teen is abusing meth, consult a drug rehab treatment as soon as possible – preferably one that is skilled in handling meth abuse and addiction in teens. The staff will work with you to lay out a plan for recovery that gives your teen the best chance for success.

 Read More About What Meth Use Can Do To You

References:

[1] http://www.drugabuse.gov/drugs-abuse/methamphetamine

[2] http://www.biomedcentral.com/1471-2431/8/48/abstract

[3] http://www.healio.com/infectious-disease/hiv-aids/news/print/infectious-disease-news/%7B458a3b28-01a8-45ca-af13-dead2d781f8b%7D/methamphetamine-use-increases-risk-of-acquiring-hiv-stds-and-mrsa

[4] http://www.jneurosci.org/content/24/26/6028.long

[5] http://www.ncbi.nlm.nih.gov/pubmed/14706946

[6] http://www.ncbi.nlm.nih.gov/pubmed/11229977

Marijuana is a plant-based drug known for its potential to produce physical/mental dependence and other significant health issues when used repeatedly over extended periods of time. Generally speaking, health risks associated with marijuana use are linked to such factors as consumption level and the potency of any given batch of the drug. In a study published in October 2013 in the journal Addiction, a multi-institution Dutch research team sought to determine whether young adult users can accurately gauge their level of marijuana consumption or the potency of the marijuana they smoke or ingest. These researchers concluded that young adults generally do a poor job of accurately tracking their marijuana usage.

Effects And Health Consequences Of Marijuana

Marijuana is the most readily available form of a plant-based drug called cannabis, which has a chief active ingredient called THC (tetrahydrocannabinol). When THC molecules enter the bloodstream, they attach themselves to nerve cells inside the brain and trigger a form of mind alteration classically associated with effects such as heightened pleasure levels, reduced body coordination and substantial changes in normal thought and perception. In controlled circumstances, marijuana use is now legal in certain jurisdictions across the U.S. However, most states still consider marijuana use illegal, and federal statutes also prohibit use of the drug.

According to the National Institute on Drug Abuse, marijuana use is associated with mental and physical health risks that include learning and memory deficits during adolescence, lowered IQ scores during adulthood, temporary heart rate increases, heartbeat irregularities, impaired judgment and decision-making, impaired memory functions, a reduced ability to control body movements, the same types of lung-related ailments that commonly affect cigarette smokers and temporary bouts of psychosis (a mental health term for hallucinations and/or delusional thinking). In addition, habitual smokers of the drug have heightened risks for developing longer-term forms of psychosis that persist over time.

Marijuana Addiction Risks

Marijuana has a relatively benign reputation when compared to other powerful, illicit or illegal substances such as amphetamine/methamphetamine, cocaine or opioid narcotics. Despite this reputation, current scientific evidence indicates that all habitual marijuana users run a considerable risk of becoming physically dependent on the drug and subsequently developing the drug-oriented personal and social behaviors classically associated with the presence of addiction. Roughly 17 percent of individuals who start marijuana use before reaching adulthood become addicted, while anywhere from one-quarter to one-half of all everyday users develop an addiction. Part of the addiction risk associated with the drug stems from a rise in marijuana potency over the last several decades. While some sources report a 3,000 percent increase in the drug’s potency in that timespan, more reliable estimates place the increase in strength at anywhere from 200 percent to 600 percent.

Marijuana Smoker’s Estimates Of Usage

In the study published in Addiction, researchers from three Dutch institutions sought to determine how accurately habitual marijuana users can track their intake of the drug. To a certain extent, accurate tracking could potentially reduce the risks for the onset of addiction by allowing users to gauge their level of involvement in drug use and curb that level when necessary. The researchers made the first part of their assessment by asking 106 young adults to estimate their level of marijuana use, as well as their level of intoxication and the relative potency of the marijuana they consumed. Next, the researchers compared the participants’ estimates to objectively verifiable measurements of these same factors.

The authors of the study found that, by objective measurement, the amount of marijuana used by an individual in any given situation varies considerably, as does the potency of any given marijuana batch. However, they also concluded, marijuana users typically do a bad to mediocre job tracking these changes in potency and amount. As a result, marijuana users tend to have only a partially reliable ability to understand and monitor their true level of marijuana use.

Significance And Conclusions Of Marijuana-Use Study

The authors of the study in Addiction did not specifically associate a limited ability to track marijuana usage with increased risks for physical dependence and addiction. However, by logical inference, people who don’t know how much marijuana they use or how strongly that marijuana affects them may fail to notice key physical and mental changes that signal the onset of dependence- and addiction-related problems. Subsequently, they may fail to take critical steps necessary to prevent the onset of dependence or addiction. The study’s authors note that young adult marijuana users don’t entirely fail to track their marijuana intake; instead, they simply track their intake too poorly to make reliable estimates.

News accounts of the party drug known as “molly” seem to have been replaced recently with reports of a much more frightening drug called krokodil. Health officials are now concerned that the synthetic drug, which is said to deliver a heroin-like high, has made its way into the United States. Physicians in Utah, Arizona, and, most recently, Illinois, have reported possible cases of krokodil use, putting drug addiction and health experts on alert.

Krokodil Facts

Krokodil is a homemade version of a drug called desomorphine, which was developed in the 1930s as a morphine alternative. However, researchers found that it was up to 10 times stronger than morphine, so its use was discontinued. Illicit drug users now re-create desomorphine by using a base made from codeine, a narcotic used to relieve pain and suppress coughs.

The drug, which Time has called a “dirty cousin of morphine,” also contains a dangerous mix of alcohol, paint thinner, gasoline and lighter fluid. The mixture includes red phosphorus as well, a substance used in the striking pads of matchboxes. Iodine is another ingredient — one that often leaves addicts enveloped in a tell-tale heavy iodine odor that, as one Russian physician noted, can’t be washed out of clothing.

Krokodil can be easily concocted at home in about 30 minutes. Users inject krokodil wherever they find available veins on their body, from their head to their feet. Injecting the drug delivers a high quickly — in as little as five minutes.  This is in contrast to the one to two hours it can take to get high from drugs in pill or capsule form.

This dangerous substance delivers a more potent high than heroin.  However, the euphoric feeling doesn’t last as long, at anywhere from 90 minutes to two hours. Addiction occurs quickly, catapulting users into a never-ending cycle that moves from cooking the drug to getting high to cooking the next batch. Users interviewed for news accounts have reported going for days without sleep as they binged on krokodil.

Krokodil Effects

Anyone who has seen the sensational-sounding online headlines about this drug addiction may have written them off as attempts by websites to generate traffic: “Zombie apocalypse drug reaches U.S.”  or “Krokodil –The drug that eats junkies.”  However, headlines like these are not exaggerations. The drug gets its name from its effect on the skin and underlying tissue. It’s believed the damage is caused not by the psychoactive ingredient desomorphine, but rather the caustic substances used in the concoction. These chemicals destroy blood vessels and tissue. Unsanitary drug cooking and injection practices also likely play a role in the destruction.

After krokodil is injected, blood vessels burst and tissue surrounding the injection site dies. As a result, the skin takes on a greenish, scaly appearance that mimics that of a crocodile, or krokodil in Russian. The process leads to open, festering wounds and infections as the skin rots from the inside out, eventually causing gangrene. Those with an addiction to krokodil can be left with dead skin that peels away to reveal tissue and bone underneath. Many users experience blood poisoning. The damage addicts suffer typically requires intensive wound care or skin grafts. Amputations are common.

Over time, the drug’s acidity also dissolves porous bone, especially in the jawbone and teeth. The effect has been compared to “meth mouth,” which is the unsightly rotting of the gums and teeth often seen in methamphetamine addicts. Chronic krokodil abusers frequently lose their teeth.

The average life expectancy of a krokodil addict is estimated to be very short at only two to three years.  However, even those who are able to overcome the addiction are left with lasting and devastating physical effects. Krokodil causes brain damage in chronic users, leaving them with speech impediments and impaired motor skills, often in the form of jerky movements. In fact, the disjointed movements combined with addicts’ skin and tissue injuries have caused some to deem krokodil the “zombie” drug.

Krokodil In The U.S.

According to a report published in the Journal of Addictive Diseases, this homemade drug is believed to have first been used in Russia in 2003. For years, its use was confined largely to Russia and the surrounding countries that had been part of the Soviet Union. Experts estimate about 100,000 Russians have become addicted to krokodil and other illicit homemade drugs. By 2011, krokodil began moving into Germany and Norway. The ingredients are widely available, and users freely circulate recipes that make it easy to create batches on a home stove. It also costs a fraction of what users pay for heroin.

Currently, the U.S. incidents are being classified as possible cases; although the physical symptoms appear to be consistent with krokodil use, drug addiction experts have not been able to obtain samples of the drug, nor have they been able to get blood or urine samples that might confirm its use. Obtaining positive samples from addicts may be challenging because the body metabolizes the drug so quickly.

Krokodil Treatment

Because of the very serious side effects, treatment must start as soon as possible. Treating this addiction is a complex process, requiring a joint effort by physicians and addiction professionals. The obvious physical symptoms may require emergency care, making hospitalization necessary. As medical staff members try to stem the physical damage, a skilled addictions team will need to address the severe withdrawal symptoms.

Although the drug mimics the euphoric high of heroin, there are differences regarding withdrawal. Heroin’s physical withdrawal symptoms last about a week, while krokodil’s can draw out for as long as a month.  Russian addiction experts say it causes such intense pain that it’s common to tranquilize patients during withdrawal. Addicts also experience seizures, fever, and vomiting.

Following withdrawal, a drug rehab team will start the addict on an intensive therapy program.  Treatment will likely include extended inpatient rehab along with individual and group therapy. Long-term aftercare, including sober living, may also be part of the recovery plan. In addition, an addict might need physical or occupational therapy to address the physical aftermath of this addiction.

Krokodil addiction must be treated immediately by professional addiction treatment specialists. If you or someone you love is using this extremely dangerous substance, don’t wait to get help. Contact a drug addiction recovery center today.

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Inhalants are a broad range of common, commercially available chemicals that get grouped together because they can function as makeshift drugs when inhaled through the nose or mouth. Use of these chemicals can trigger a number of serious or potentially fatal short- and long-term health problems. In a study published in 2013 in the journal Addiction, a team of Australian researchers assessed the prospects for eventual recovery from the nervous system-related damage associated with inhalant use. These researchers concluded that most affected individuals substantially or fully recover their nervous system health after 15 years of abstinence from inhalant intake.

Types Of Inhalants

Courtesy of: www.drugfreeworld.org

Inhalants get their name because people almost always abuse them by breathing them in, rather than by injecting them or using other means of introducing them into the body. Substances employed in this manner in the U.S. and throughout the world include aerosol-based sprays (e.g., paints, computer cleaners and deodorants), volatile solvents (e.g., glues, gasoline and degreasers), gases (e.g., nitrous oxide, butane and refrigerants) and nitrites or “poppers” (e.g., amyl nitrite and butyl nitrite).

How Inhalants Work

Other than nitrites, most inhalants achieve their mind-altering effects by interfering with the normal function of the central nervous system (spinal cord and brain) and producing an effect that mimics certain aspects of alcohol intoxication. Affected individuals may also develop problems with delusional thinking and/or hallucinations (known collectively as psychosis). According to figures compiled in 2011 by the National Institute on Drug Abuse, about 10 percent of high school-age children in the U.S. have used an inhalant at least once.

Health Problems Of Inhalant Use

Short-term health problems associated with inhalant abuse include seizures, an unusually slow or fast heartbeat, high blood pressure, muscle function impairment, increased accident rates and increased levels of participation in risky behaviors. Short-term users are also susceptible to a phenomenon called sudden sniffing death syndrome, which occurs when an inhaled substance triggers a dangerously unstable heartbeat. Long-term health problems associated with inhalant abuse include central nervous system damage (usually brain damage), lung damage, kidney damage, heart damage, liver damage, mild to severe impairment of conscious mental function, increased risks for violent outbursts and increased risks for diagnosable mental disorders such as depression or antisocial personality disorder.

Inhalant Abuse Treatment

Many inhalant users don’t seek any type of medical treatment unless their patterns of abuse lead to obvious physical problems. For this reason, inhalant abuse treatment commonly starts with short-term efforts designed to stabilize a patient and counteract the effects of the specific inhalant substance in question. After an individual receives short-term treatment, he or she typically benefits from longer-term treatment in a program specifically designed to address inhalant-related recovery issues. Such a program usually features steps that include dealing with the effects of inhalant withdrawal, acquiring the personal and social skills required to abstain from inhalant use over extended periods of time and preparing for a return to everyday life after the active phase of treatment comes to a close. Some people also need to deal with additional issues related to other forms of substance abuse or various types of mental illness.

Long-Term Abstinence From Inhalants

Previous research efforts have shown that, after roughly two years of abstinence, most people who chronically abuse inhalants gradually experience a restoration of their conscious mental function, as well as a restoration of the normal physical function in their central nervous systems. In the current study published in Addiction, researchers from five Australian institutions examined the long-term mental and physical recovery outlook after 15 years of abstinence from inhalant use. This examination included 60 adults in long-term recovery from the chronic abuse of lead-free inhalants and 17 adults in long-term recovery from the chronic abuse of inhalants that contain lead, as well as a comparison group of 27 adults with no history of inhalant use/abuse.

After reviewing their findings, the researchers concluded that, after 15 years in recovery, former chronic abusers of lead-free inhalants have mental and physical nervous system functions that are basically indistinguishable from the mental and physical functions of people with no history of inhalant use. The former chronic users of lead-containing inhalants (usually lead-containing gasoline) commonly incur brain damage related to lead exposure. As a result of this exposure, they typically experience permanent changes in their normal mental and physical function. In turn, the permanent nature of their impairment contributes to ongoing problems even after 15 years of inhalant abstinence. While some users of lead-containing inhalants see modest improvements in their central nervous system-related abilities, others see no significant improvement over time.

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