Recovery Jeopardy

Street Names

100

What is another name for cocaine?

Blow or Snow

200

What is 'bars' a street name for? 

Xanax

300

What is 'smack'

Smack 

400

What are 'shrooms' short for?

Psilocybin mushrooms

500

What is 'ice'

Meth

Withdrawal Symptoms

100

What withdrawal symptom is common with opioids?

There are a number of protracted withdrawal symptoms that have been reported in the weeks and months following opiate detox, including sleep disruption, anxiety, and depression, as well as fatigue, feeling down, irritability, and decreased executive control functions.

200

Which substance can cause seizures during withdrawal? 

Alcohol or Benzos

300

What withdrawal symptoms are associated with meth? 

Acute meth withdrawal symptoms can be

• Fatigue.
• Anxiety.
• Irritability.
• Lack of energy.
• Weight gain.
• Dehydration.
• Chills.
• Insomnia followed by hyper-somnia (sleeping too much).
• Dysphoria (low mood) could progress to clinical depression and suicidal thoughts.
• The inability to think clearly.
• Anhedonia (loss of ability to feel pleasure)

Post-acute and protracted withdrawal symptoms from meth can be

• Depression.
• Mood swings.
• Drug cravings.
• Loss of ability to experience pleasure.
• Psychosis.
• Suicidal thoughts/ideation.
• Fatigue and excessive sleepiness.
• Increased appetite.

400

Which substance causes hallucinations when withdrawing?

Alcohol or Benzo

500

What are the three stages of alcohol withdrawal? 

Minor, moderate, and severe/DTs

The severity and length of alcohol withdrawal varies based on many factors. But a general timeline includes:

• From six to 12 hours after your last alcohol-containing drink: Mild symptoms appear, like headache, mild anxiety and insomnia.
• Within 24 hours of your last drink: You may experience hallucinations, depending on the severity of withdrawal.
• Between 24 to 72 hours of your last drink: For most people with mild to moderate withdrawal, the symptoms typically peak (reach their worst) and begin to resolve in this timeframe. If you have severe or complicated withdrawal, your seizure risk is highest 24 to 48 hours after your last drink. Delirium tremens may appear from 48 to 72 hours after your last drink.

Detox Facts

100

What is the typical length of opioid withdrawal symptoms?

4–10 days

200

Is medical detox always required?

No, depends on the substance and severity

300

Which withdrawal is the most life-threatening?

Alcohol and Benzodiazepines

400

What is PAWS? Give examples

Post-Acute Withdrawal Syndrome

• Irritability and hostility.
• Depression.
• Anxiety.
• Low energy and fatigue.
• Sleep disruption, including insomnia.
• Memory problems.
• Limited ability to focus or think clearly.
• Cravings.
• Impaired executive control.
• An inability to feel pleasure.
• Difficulty focusing on tasks.
• Lack of libido.
• Inexplicable chronic pain.

500

Name one reason people avoid detox.

Fear of symptoms, stigma, or access issues

Addiction Medications

100

What does Suboxone do?

Reduces opioid cravings and withdrawal

200

Which medication is a shot given monthly to block opioid effects?

Vivitrol (Naltrexone) 

300

What medication is used to prevent drinking by causing sickness?

Antabuse

Normally, when alcohol enters the body, it is converted into acetaldehyde and then into acetic acid. Disulfiram, acting as an alcohol antagonist drug, blocks this conversion from acetaldehyde to acetic acid, resulting in an upsurge of acetaldehyde, which is toxic and causes a person to become ill.

400

Which MAT is given daily at a clinic? Bonus points of 200 if you can name 2 places you can get methadone locally

Methadone

Roanoke Comprehensive Treatment Center

Brightview 

500

Which MAT has no opioid effect and works as an antagonist?

Naltrexone/Vivitrol

Long-Term Effects

100

What long-term effect is common with alcohol use?

Liver damage

200

What’s a brain-related long-term effect of meth?

Memory loss or psychosis

300

What can long-term cocaine use damage in the nose?

Nasal tissue/septum

Depending on how cocaine is consumed, it can have varying effects on one’s nose. Coke nose is a colloquial term that refers to the nasal damage caused by prolonged cocaine use.

Damage can range from mild to severe, leading to conditions such as a deviated septum, a perforated septum (hole in the nose from coke), or saddle nose deformity. People who inhale its vapors (known as freebasing) or snort cocaine through their nose put themselves at risk for the following conditions.

Deviated Septum

A deviated septum occurs when the tissue separating a person’s two nasal canals becomes out of line, leaning to one side and potentially causing obstruction. This can result from swelling, scarring, a foreign object inserted in the nose, injury, or a person may be born with it.

Cocaine use often leads to nasal inflammation or other nasal trauma, which may cause enough swelling or scarring to deviate one’s septum.

Cocaine Nosebleed

Cocaine use can irritate the mucosal lining inside the nose, causing frequent nosebleeds. This bleeding could result from direct damage to inner walls, increased irritation due to increased nasal secretions, greater sensitivity from chronic inflammation, or a combination of the three.

Continued cocaine use can worsen these factors, leading to ongoing nose bleeds or worse complications.

400

Long-term cannabis use may impact what?

• Respiratory difficulties. Marijuana smoke can irritate the respiratory tract—including the throat and lungs. Frequent use over a prolonged period increases the risk of problems such as cough, chronic bronchitis, increased risk and frequency of pneumonia, and other lung illnesses.
• Pregnancy-related risks. Research indicates that children exposed to marijuana while they were in the womb were more likely to experience problems with attention, memory, and problem-solving. Other studies suggest that moderate amounts of THC can pass from a nursing mother to her child through breast milk, which could impact fetal brain development.
• An increased risk of testicular cancer. A few studies show a link between adolescent marijuana use and an aggressive form of testicular cancer.
• Severe cyclic nausea and vomiting. While rare, the condition, known as cannabinoid hyperemesis syndrome, can develop with chronic use.

500

What long-term effect can happen with benzo use?

Cognitive decline or dependence

Cognitive impairment: Benzodiazepines cause acute adverse effects: drowsiness, increased reaction time, ataxia, motor incoordination, and anterograde amnesia.