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The Opioid Crisis in America - Part II (The Drug Culture in the U.S.)

The Opioid Crisis in America - Part II (The Drug Culture in the U.S.)

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Ethanol (dr<strong>in</strong>k<strong>in</strong>g alcohol; ethyl alcohol)<br />

Nonbenzodiazep<strong>in</strong>es<br />

O<strong>the</strong>rs<br />

o carisoprodol (Soma)<br />

o chloral hydrate<br />

o diethyl e<strong>the</strong>r<br />

o ethchlorvynol (Placidyl; "jelly-bellies")<br />

o gabapent<strong>in</strong> (Neuront<strong>in</strong>)<br />

o gamma-butyrolactone (GBL, a prodrug to GHB)<br />

o gamma-hydroxybutyrate (GHB; G; Xyrem; "Liquid Ecstasy", "Fantasy")<br />

o glutethimide (Doriden)<br />

o kava (from Piper methysticum; conta<strong>in</strong>s kavalactones)<br />

o ketam<strong>in</strong>e<br />

o meprobamate (Miltown)<br />

o methaqualone (Sopor, Mandrax; "Quaaludes")<br />

o phenibut<br />

o pregabal<strong>in</strong> (Lyrica)<br />

o propofol (Diprivan)<br />

o <strong>the</strong>an<strong>in</strong>e (found <strong>in</strong> Camellia s<strong>in</strong>ensis, <strong>the</strong> tea plant)<br />

o valerian (from Valeriana offic<strong>in</strong>alis)<br />

Stimulants<br />

Stimulants, also known as "psychostimulants", <strong>in</strong>duce euphoria with improvements <strong>in</strong><br />

mental and physical function, such as enhanced alertness, wakefulness, and<br />

locomotion. Due to <strong>the</strong>ir effects typically hav<strong>in</strong>g an "up" quality to <strong>the</strong>m, stimulants are<br />

also occasionally referred to as "uppers". Depressants or "downers", which decrease<br />

mental or physical function, are <strong>in</strong> stark contrast to stimulants and are considered to be<br />

<strong>the</strong>ir functional opposites.<br />

Stimulants enhance <strong>the</strong> activity of <strong>the</strong> central and peripheral nervous systems. Common<br />

effects may <strong>in</strong>clude <strong>in</strong>creased alertness, awareness, wakefulness, endurance,<br />

productivity, and motivation, arousal, locomotion, heart rate, and blood pressure, and a<br />

dim<strong>in</strong>ished desire for food and sleep.<br />

Use of stimulants may cause <strong>the</strong> body to reduce significantly its production of natural<br />

body chemicals that fulfill similar functions. Until <strong>the</strong> body reestablishes its normal state,<br />

once <strong>the</strong> effect of <strong>the</strong> <strong>in</strong>gested stimulant has worn off <strong>the</strong> user may feel depressed,<br />

lethargic, confused, and miserable. This is referred to as a "crash", and may provoke<br />

reuse of <strong>the</strong> stimulant.<br />

Examples <strong>in</strong>clude:<br />

<br />

<br />

Sympathomimetics (catecholam<strong>in</strong>ergics)—e.g. amphetam<strong>in</strong>e,<br />

methamphetam<strong>in</strong>e, coca<strong>in</strong>e, methylphenidate, ephedr<strong>in</strong>e, pseudoephedr<strong>in</strong>e<br />

Entactogens (serotonergics, primarily phenethylam<strong>in</strong>es)—e.g. MDMA<br />

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