Depressants
Stimulants
Opiates
Cannabis
AA One-Liners/ Rhymes
100

What Alcohol commercial is often associated with Clydesdales & miniature pony's? 

Budweiser 

100

Can withdrawing from stimulants kill you?

No

100

Can withdrawing from Opiates be life threating?

No: is correct answer


If precipitated withdrawal were mentioned and explained you get $100 extra


It's very rare that an incidence of precipitated withdrawal is fatal

100

What are common words for cannabis:

Pot, Ganja, Weed, reefer (granted it was coined in the 30s), grass, and The Devils Cabbage,

100

If the whole world smells like shit  ___ __ __

Check your pants!

200

Can alcohol withdrawal kill you?

Yes

200

Name four examples of stimulants?

Cocaine

Crack cocaine

Ritalin

Adderall

Methamphetamine

MDMA

Caffeine

Nicotine

200

Give three examples of different opiates:

Fentanyl, Morphine, Heroin, Oxycodone (OxyContin, Percocet),  Methadone, Buprenorphine (Subutex, Suboxone) 

200

Does Cannabis cause long-term damage to the brain and lungs?  If so what?



Yes!

Lungs:

  • Smoking marijuana clearly damages the human lung, and regular use leads to chronic bronchitis and can cause an immune-compromised person to be more susceptible to lung infections.


Brain:

  • Marijuana causes permanent damage to the Hippocampus leading to symptoms of ADHD (ability to focus), and short-term memory damage.  

NOT LONG-TERM Stomach:

  • Cannabinoid Hyperemesis Syndrome (CHS):This is a rare but serious condition that can develop in people who use cannabis heavily for long periods of time. 


  •   CHS is characterized by severe, persistent nausea, vomiting, and abdominal pain that can be relieved by hot showers or baths


  • Cannabis use has also been linked to other gastrointestinal issues, such as diarrhea, constipation, and gastroesophageal reflux disease (GERD)
200

If you go into a barber shop enough times...

You will get a haircut.


Anyone know what his means?

300

Why did liquor stores stay open during covid?

In many states liquor stores stayed open while other businesses were closed:

  1. Public health and safety:

    • Abruptly shutting down liquor stores could lead to withdrawal symptoms in people with alcohol dependence, which can be dangerous or even life-threatening. Keeping them open helped prevent a potential healthcare crisis.

  2. Economic reasons:

    • Alcohol sales represent a significant source of tax revenue for many states. Closing stores could have caused a substantial loss of revenue during an already challenging economic period.

  3. Legal and regulatory classification:

    • Some states include alcohol retailers under “essential retail” because they provide products that are widely consumed and legally regulated.

  4. Social stability:

    • In some areas, governments considered access to alcohol as a way to reduce potential social unrest or stress-related issues during lockdowns.

300

What are symptoms of stimulants in the body or mind?

Body: Insomnia, Increased heart rate, increased temperature, dry mouth, diarrhea, decreased appetite


Mind: Racing thoughts, euphoria, paranoia, anxiety, may trigger mania

300

What treatment method has been scientifically proven as most effective for long-term sobriety of opiate users?

Medication Assited Treatment (MAT): https://youtu.be/_RP27Qh1hZY?si=KXz9rrIrYFfuiTIj


MAT can be short or long-term treatment and is safe to use for months, years, or even a lifetime. The longer the treatment, the better the health outcomes. Methadone and buprenorphine prevent withdrawal symptoms and cravings. 

300

What are the symptoms of cannabis withdrawal?

Lack of sleep, lack decreases appetite, anxiety, 


In severe cases of chronic heavy use can even cause sweats, shakes, nausea, and vomiting 

300

AA Rhymes:

You have to put a plug in the ______


Jug

400

Name 4 Depressants (class of substances that decrease brain activity but are not opiates) 

Prescription Depressants

  • Benzodiazepines (anti-anxiety/sleep medications)

    • Examples: Xanax (alprazolam), Valium (diazepam), Ativan (lorazepam), Klonopin (clonazepam)

  • Barbiturates (less common now; used for anxiety, sleep, or seizures)

    • Examples: Phenobarbital, Secobarbital, Pentobarbital

  • Sleep medications (non-benzodiazepine sedatives)

    • Examples: Z-drugs: Ambien (zolpidem), Lunesta (eszopiclone), Sonata (zaleplon)

Alcohol

  • Ethanol (beer, wine, spirits) — legal depressant often abused, can be lethal in overdose or chronic misuse.

Illegal/Street Depressants

  • GHB (gamma-hydroxybutyrate) – sometimes used recreationally for euphoria, sedative effects, or “club drug” purposes.

  • Rohypnol (flunitrazepam) – powerful benzodiazepine, illegal in many countries, sometimes called a “date-rape drug.”

400

What neurotransmitters are most associated with stimulants?

Dopamine


Drug water is cocaine:

 https://youtu.be/xNmEboNEnd8?si=83XmRUlKB7MlCFwJ


400

What is Narcan, and how and when do you use it?

  • What Narcan is: A medication (naloxone) that quickly reverses opioid overdoses by blocking opioid effects, especially life-threatening respiratory depression.


  • When to use it: If someone shows signs of opioid overdose—unresponsiveness, slow or stopped breathing, blue lips or fingertips, or pinpoint pupils.


400

What neurotransmitter is primarily affected by cannabis use? 



400

You can turn a cucumber into a pickle but....

You can't turn a pickle back to a cucumber


What does this mean?

500

What neurotransmitter is often associated with Alcohol?

GABA: is an inhibitory neurotransmitter meaning it slows functions in the nervous system. 


Dopamine: the reward hormone

https://www.youtube.com/watch?v=1D2uyrNcGuo&t=8s



500

Why has over does on stimulants increased in American?

The combination of stimulants like methamphetamine or cocaine with synthetic opioids, particularly fentanyl, has significantly increased overdose deaths. 


In 2022, more than 10% of stimulant overdose deaths also involved fentanyl, underscoring the dangers of polydrug use.

500

What is the difference between Subutex and Suboxone?  

Both are partial opioid agonists used in MAT; they are safer than street/prescription drugs and helps prevent relapse. 


1️⃣ Subutex

  • Contains: Buprenorphine only.

  • Purpose: Typically used at the very start of treatment for opioid dependence, especially during induction, when someone is coming off full opioid agonists (like fentanyl or oxycodone).


  • Why no naloxone? Because the person is in a controlled medical setting at the start, there’s less concern about misuse in the clinic.




2️⃣ Suboxone

  • Contains: Buprenorphine + naloxone (an opioid antagonist).

  • Purpose: Maintenance treatment for OUD.

  • Role of naloxone: If taken as prescribed sublingually (under the tongue), naloxone is inactive. But if someone tries to inject it, naloxone blocks the opioid effect and can trigger withdrawal. This reduces misuse/diversion risk.



500

Is cannabis withdrawal common?

In an analysis of studies of more than 23,000 people, researchers found that 47% of people who used marijuana regularly experienced withdrawal symptoms.

Research also shows that the levels of THC in marijuana have been increasing over the past couple of decades. This may make marijuana withdrawal increasingly common.

500

Rhymes: 


When you get nudges from the _____

Judges

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