Tuesday, May 21, 2019

Methamphetamine abuse

Methamphetamine abuse is a major problem in the United States, as it increases spreads from Western parts of the country to other parts. With its root in the hullo, it has gradually spread to the Southern and Mid-west part of the states and is increasingly associated with unsafe and frivolous behaviors that predispose to transmission of infectious diseases like hepatitis B and C, and even the dreaded virus, HIV. Of course, the subsequently condition makes it more(prenominal) worrisome for the government, health care workers and Drug agency. It is associated with brain damage, serious cardiovascular disorder, behavioral changes, psychotic symptoms, depression, and deleterious effects in significant women.This is a situation where an individual consumes methamphetamine in quantities that are above a therapeutic abuse, without prescription, and for unsolicited personal gains. It presents with short term gains such as euphoria accompanied by rush, high level of activity and increase assist. Methamphetamine is used as therapeutic drug in attention famine syndrome, and is used to treat narcolepsy, a sleep disorder.Methamphetamine is a Schedule II stimulant. This implies that it had a high addiction tendency and increased potential for abuse. Although it is single available through a prescription that can non be refilled, it is abused by many within the country. Most of these are man time-worn 18-25white.EtiologyThe cause of this abuse can not be divorced fro the use of drug for personal or group work. In most cases of abuses if not all, methamphetamine is taken as a neuroactive stimulant to produce short term effects in the individual. Such effects include euphoria, rush, increase assess of breathing, Increased attention and concentration, Increased activity and wakefulness, reduced appetite and decreased fatigue. It withal increases libido. These short term advantages are associated with a good feeling in the user.Besides, it does not last coherent eno ugh, and as a compensatory mechanism, methamphetamine drub users and degenerative abuser engage in continual use of drug, increased using up frequency. Sometimes, they take high dose of the drug to increase the effect of the drug on their behavior such as improved sexual performance, better attention and increased tendency to work better and more effectively.Methamphetamine comes in a variety of forms. It can be smoked, snorted, injected, or orally ingested. The method that is follow by a region depends on the cultural behaviour with respect to other abused drugs and the pattern of choice has changed over time. Of these methods, smoking is commonest because of its faster set up of absorption into the brain to produce the desired effects.One other factor that contributes to Methamphetamine abuse is that it is e readily available at topical anaesthetic hugger-mugger laboratories. Although it is manufactured by foreign specialized laboratories, the ingredients for its manufacture are readily available over the counter at affordable prices as a result, it is produced for local use. This contributes greatly to its widespread use.PathogenesisMethamphetamine is similar to amphetamine but they do not share essentially the same properties of site of action. It is particularly similar to dopamine structurally. Its primary site of action is the brain. Although t shares certain similar behavioral and physiological effects with cocaine, it is different from it in its mechanism of action. It has a high belongings rate in the body. This implies that is not readily eliminated from the system via excretion or detoxification in the liver. Since its primacy site of action is the brain, its absorption and long stay in there increase its stimulant action.Central to this action is the fact it increases the levels of the brain chemical dopamine. Dopamine is a neurotransmitter that is involved in emotional motivation, pleasure, and motor function. Methamphetamine blocks dopam ine re-uptake, while increasing the release of dopamine, leading to much higher concentrations in the synapse, which can be toxic to nerve terminals. This has an implication in chronic abusers, their increased frequency of consumption or ingestion of higher concentration potentates these effects and makes dopamine readily available for its deleterious effects on neurons.Clinical FeaturesThe symptoms of methamphetamine abuse and sign elicited on examination arise from the euphoria of short term effect, and the toxic effects of dopamine by virtue of long term use. The short term effects have been mentioned earlier. The long term effects are usually negative one of such is addiction. Association with chronic consumption of the methamphetamine is increased tolerance for the substance. This creates a preparatory ground for addiction.Other symptoms seen in chronic abusers of methamphetamine include anxiety, confusion, insomnia, mood disturbances, and violent behavior. They also can displa y a number of psychotic features, including paranoia, visual and auditory hallucinations, and delusions. Memory Loss, Aggressive or violent behavior, Mood disturbances, severe dental problems, pitch loss also form part of features seen in this category of people.TreatmentThe alarming rate of spread of methamphetamine indulgence across the nations is worrisome for health care providers. It is equally a headache for every member of the community interested in safe sexual behavior, peace and progress those averse towards fierceness and communal clashes which have been associated with methamphetamine abuse. In the midst of this sad picture emerges the god news that methamphetamine abuse can both be prevented and more interestingly treated.Since the disorder includes brain damage which presents in functional and behavioral disturbances, the treatment options available are targeted at these. Treatment of methamphetamine intoxication is to begin with supportive. Treatment of methampheta mine abuse is behavioral cognitive behavior therapy, contingency management, and the Matrix Model have proven effective. Treatments by use of drugs are down the stairs investigation.REFERENCESWinslow BT, Voorhees KI, Pehl KA., Methamphetamine abuse. Swedish Medical Center Family Medicine Residency, Littleton, Colorado 80121, USA.http//www.drugabuse.gov/about/organization/cewg/pubs.html.http//www.nida.nih.gov/ResearchReports/MethamphInjury associated with methamphetamine use A review of the literature Hawaii Med J. 199756346, 44. PubMed Murray JB. Psychophysiological aspects of amphetamine-methamphetamine abuse. J Psychol. 1998132227237. www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1448174Psychophysiological aspects of amphetamine-methamphetamine abuse. From The Journal of Psychology Date 3/1/1998 Author Murray, John B. www.encyclopedia.com/doc/1G1-20565391.htmlThomas Ernst, PhD, Linda Chang, MD, Maria LeonidoYee, MD and Oliver Speck, PhD take the stand for long-term neur otoxicity associated with methamphetamine abuse http//www.neurology.org/cgi/content/abstract/54/6/1344Methamphetamine Abuse During Pregnancy Outcome and Fetal Effects BERTIS B. LITTLE, MA, PhD, LAURA M. SNELL, MPH and LARRY C. GILSTRAP, III, MD ttp//acogjnl.highwire.org/cgi/content/abstract/72/4/541

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