Depressants
What Alcohol commercial is often associated with horses?
Budweiser Clydesdales & miniature pony's
Can withdrawing from stimulants kill you?
No
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
What are common words for cannabis:
Pot, Ganja, Weed, reefer (granted it was coined in the 30s), grass, and The Devils Cabbage,
This Too, ____ _____
Shall Pass
Can alcohol withdrawal kill you?
Yes
Name four examples of stimulants?
Cocaine
Crack cocaine
Ritalin
Adderall
Methamphetamine
MDMA
Caffeine
Nicotine
Give three examples of different opiates:
Fentanyl, Morphine, Heroin, Oxycodone (OxyContin, Percocet), Methadone, Buprenorphine (Subutex, Suboxone)
What neurotransmitter is primarily affected by cannabis use?
Cannabinoids
If you go into a barber shop enough times...
You will get a haircut.
Anyone know what his means?
Is Alcohol the leading preventable cause of death in AMerica?
YES
The CDC: In the United States, excessive alcohol use leads to approximately 178,000 deaths annually, making it a significant public health concern.
COVID in the UK:
In 2023, the UK reported 10,473 alcohol-related deaths, marking an increase from the previous year. This surge is attributed to problematic drinking patterns that intensified during the COVID-19 lockdowns
Mixing alcohol with other depressants is highly dangerous:
Combining alcohol with substances like benzodiazepines or opioids can lead to severe respiratory depression, coma, or death.
This combination is particularly risky because both alcohol and depressants suppress the central nervous system.
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
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.
What are the symptoms of cannabis withdrawl?
Lack of sleep, lack decreases appetite, anxiety,
In severe cases of chronic heavy use can even cause sweats, shakes, nausea, and vomiting
AA Rhymes:
You have to put a plug in the ______
Jug
Name 4 Depressants
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.”
What neurotransmitters are most associated with stimulants?
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.
How to use it: Call 911, give the nasal spray into one nostril, repeat in the other nostril after 2–3 minutes if needed, and stay with the person until help arrives.
DAILY DOUBLE!!
Does Cannabis cause long-term damage to the brain and lungs? If so what?
Lungs:
Brain:
NOT LONG-TERM Stomach:
You can turn a cucumber into a pickle but....
You can't turn a pickle back to a cucumber
What does this mean?
What neurotransmitter is often associated with Alcohol?
GABA: is an inhibitory neurotransmitter meaning it slows functions in the nervous system.
Dopamine: the reward hormone
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.
What is the difference between Suboxone and Subutex?
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.
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.
Rhymes:
When you get nudges from the _____
Judges