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Substance Use and Abuse:

Alcohol Q and A

Alcohol - How Much is Too Much?

Marijuana Facts

Club Drugs

Ecstasy

Alcohol Abuse

Reducing the Risk of Substance Related Rape

Links to Web Resources

 

 

 

 

 

 

 

Alcohol Q & A

Q: What goes first when you are drinking?
A: Inhibitions.
What this means: When people lose their inhibitions, you might see them talking more easily, feeling friendlier, becoming less shy, being more relaxed. This state can be reached easily, usually after a couple of drinks.
What you can do: Let your friend know that buzzes can last a while. Don't encourage them to drink more, faster and quicker.

Q: What is the next thing to go when you are drinking?
A: Reasoning and Judgment
What this means: When people have a decrease in reasoning and judgment ability, you might see someone becoming lewd or moody, being more raucous or obnoxious, becoming more forgetful, or doing things he or she would not normally do.
What you can do: Try no to reason with this friend at this stage. It may be easier to distract them to do something else. Offer food, encourage non-alcoholic beverages, do something else besides have another drink.

Q: What does it mean when someone starts getting really loud when they are drinking?
A: It means that their sensory functions are impaired.
What this means: When people lose sensory functions, they have less sensitivity to pain, they may not be able to feel their tongues or teeth, and they misjudge distances. Eye and hand coordination is impaired, as well as general fine motor skills.
What you can do: Try to get them to slow down or stop drinking. Get help from other less impaired friends. If this person continues to drink, things can become dangerous.

Q: Why is it important for someone to stop drinking once they are slurring their speech and staggering?
A: It is important because the person is losing control of their muscular coordination.
What this means: It means that alcohol has depressed the parts of the brain that control gross motor movements. This person may also be exhibiting aggressiveness, spilling drinks, or frequently falling down. If this person continues to drink, your friend may pass out from too much alcohol in his or her system.
What you can do: Get help, even if you think it's not necessary. Take the drink away from this person if you can safely do so. Do not leave this person alone. This is when accidents of negligence happen. Be responsive to, not responsible for, your friend.

Q: What's the problem with letting someone sleep it off?
A: If the person has passed out, alcohol has affected the involuntary nervous system.
What this means: The person has had so much to drink that alcohol can shut down the part of the brain that controls vital functions like breathing and heartbeat.
What you can do: Get help immediately! Contact an RA, Public Safety or call 911 to have the person transported to the hospital.

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Alcohol - How Much Is Too Much?

The following questions are designed to help you identify drinking habits that may cause problems for you. Answer honestly; no one but you will know the score.
  • Have you cut afternoon classes so you can party?
  • Have you missed morning classes because of a hangover?
  • Have you done poorly on an exam because you drank too much the night before?
  • When drinking, have you ever done something for which you were later sorry or embarrassed?
  • Have you ever "blacked out" while drinking? That is, have you not been able to remember things you said or did while drinking?
  • Do you frequently drink until you are drunk? do you drink for the purpose of getting drunk?
  • Do you choose friends on the basis of how much they drink?
  • Have you ever had problems with friends, family, roommates, significant others, college authorities, or the law as the result of drinking?
  • Is drinking affecting your reputation?
  • Does it bother you when other people say you drink too much?

If you answered yes to one or two of these questions, stop and think for a moment. Evaluate your relationship with alcohol. Maybe it's time to get some information from the Health Education office.

If you answered yes to three or four questions, you may be exhibiting the beginning signs of a drinking problem. Psychological Services or the Health Education office would be glad to talk with you about reducing your use to a level that is comfortable for you and others around you.

If you answered yes to five or more questions, you should talk to someone in the Health Center or Psychological Services right away, before your alcohol use hurts you or someone else more than it may have already.

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Facts About Marijuana

  • Marijuana's active ingredient is THC
  • The marijuana plant is called cannabis sativa
  • It is illegal to grow, sell or possess marijuana
  • Marijuana may cause damage to your lungs, including lung cancer, because it burns hotter than tobacco and because it is inhaled deeper than tobacco smoke
  • Marijuana use can be linked to heart and lung disease. Smoking marijuana contributes to short-term memory loss, affects the immune system, and changes the production of sex hormones
  • Marijuana is psychologically addictive
  • No one has ever died of marijuana overdose

What you may not know about pot:

  • THC is stored in the fat cells for about 30 days
  • Pot smoke contains 50% more cancer-causing materials than tobacco
  • Marijuana may also be physically addictive as well as psychologically addictive. It is possible to develop tolerance and dependence on marijuana. Withdrawal symptoms include headaches, irritability and fatigue.
  • Long term users of marijuana often become bored, apathetic and unconcerned about the future. This has a name: Antimotivational syndrome
  • Marijuana affects perception and timing, so people could be killed doing things while stoned, for example, driving
  • Some marijuana contains a fungus called aspergellis which can do permanent damage to your lungs

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"Club Drugs"

Ketamine, sometimes called K, Special K, or Vitamin K, is a dissociative anesthetic which stimulates breathing and heart rate. Ketamine lasts about one hours, and recovery from the drug can be from 90-120 minutes. Effects of one dose include major changes in thought and perception, hallucinations, psychological dissociation, out-of-body experiences and near-death-like states. A user may experience panic, a sense of floating, disconnection from the body, and associations with "alternate worlds" or "parallel dimensions." Users may also experience numbness and lack of coordination. Ketamine is unpredictable, and users can injure themselves in falls or accidents.

Phenylethylamine, also known as 2 C-B, Nexus, Utopia, or Venus, produces effects similar to Ecstacy. It lasts about 5-6 hours, with an initial "energy tremor" after about 20-30 minutes and causes visual distortions and hallucinations 1-2 hours after ingesting the dose. Effects of 2 C-B include feelings of insight, heightened emotional awareness and sensitivity, and enhanced experience of the 5 senses. Examples of visual distortions that may be experienced include intensification of color, rippling in walls/ceilings and transformation of everyday objects into unusual forms.

GHB, also called Liquid E, has properties of both psychedelics and sedatives. Effects of GHB start within 30 minutes if ingestion and last 2-4 hours. Effects include dizziness, slowed heart rate, and slowed breathing. It may bring on non-rousable sleep. It can also cause nausea, vomiting, headaches and diarrhea. It has beeen linked to a number of date-rape incidents, where the drug has beeen deposited in an unsuspecting person's drink. Because doses of GHB are difficult to gauge, it is relatively easy to accidentally overdose on the drug.

Potential problems with all club drugs:

  1. Users of any "club drug" may experience hyperthermia, or dangerously high body temperature. some ravers have died from hyperthermia and dehydration, caused by excessive dancing and not drinking enough water.
  2. There is some evidence that suggests that people susceptible to psychological problems can have a recurrence when they use certain club drugs. Evidence of this has been shown in people with a history of panic/anxiety disorders, psychosis disorders, bipolar disorders, and depressive disorders.
  3. It is dangerous to mix any drug with alcohol, but club drugs in particular seem to have some serious side effects when mixed with alcohol, such as violent vomiting fits, long-term blackouts, and the ultimate negative side effect, death.

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Ecstasy

Ecstasy, also called MDMA, is an illegal drug. It is a stimulant with hallucinogenic properties. It is chemically related to amphetamines and some hallucinogens. MDMA (methylenedioxymethamphetamine) is sold in tablets, gelatine capsules or a powder. Tablets can be yellow or white, and have color speckles or designs on them. A tablet can cost anywhere from $10-40 per 100-mg dose. Other drugs may be mixedd in with MDMA, so you can never be sure what you are getting when you purchase it.

While some of the short-term effects such as: a sudden burst of energy, euphoria, tingling sensations and a sensation of floating may seem desirable, you might also be prepared for: rapid eye movement, increased heart rate and blood pressure, sweating, hot/cold flashes, dry mouth, teeth grinding, nausea, vomiting, hallucinations, anxiety, panic attacks, dizziness, confusion, or even irrational behavior, convulsions, dehydration, urinary retention, and "muscle melt-down" at high doses.

The effects begin within 15-90 minutes of ingesting the drug, with a peak between 2-3 hours. The effects usually last 4-8 hours, but can last up to 24 hours.

STILL THINKING OF TRYING ECSTASY?

Well, studies are looking at the long-term effects of this drug on brain chemistry. MDMA affects production of serotonin and may contribute to already-existing psychiatric disorders. While the jury is still out on the addiction potential of this drug, scientists generally agree that MDMA is psychologically addictive and primate studies show that MDMA could by physically addicting as well.

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Did you grow up in a household
where someone drank too much?

If so, you may need to be more aware
of the choices you make about alcohol and other drugs.

Watch for these signs:

  • You wonder if you are using substances too much.
  • You use alcohol or other drugs to solve problems.
  • You compare your substance use to that of your family members.
  • You do things while you are high/drunk that you wouldn't do otherwise.
  • You lose interest in friends, academics, hobbies, athletics or other activities you once enjoyed.
  • You spend more time getting high/drunk or thinking about the next possible opportunity to do so.

These are some signs of substance abuse problems, and oftentimes young people from substance-abusing families experience more of these types of problems than other people.  If you find you are having problems with drinking, or the effects of other people's drinking, call the Health Center at x401 or the Student Affairs Office at x243 for help or information.

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Reducing the Risk of Substance-Related Rape

Substance-related rape has been occurring more frequently in recent years. Although the often-tasteless drugs are hard to detect, there are precautionary steps one can take to reduce the risk of becoming prey to this criminal conduct.
  • Do not leave beverages unattended
  • Do not take any beverages, including alcohol, from someone you do not trust or know well.
  • At a party or social gathering, accept drinks only from the server
  • At parties, do not accept open-container drinks from anyone
  • Be alert to the behavior of friends. Anyone appearing disproportionately inebriated in relation to the amount of alcohol they have consumed may be in danger
  • Share this information with friends and talk about ways to look out for each other at parties and social events
  • Anyone who believes they have consumed a sedative-like substance should be driven to a hospital emergency room or should call 911 for an ambulance. Try to keep a sample of the beverage for analysis.

Actions to Take if You Think You Have Been Drugged and Sexually Assaulted

If you feel dizzy, confused or have other sudden, unexplained symptoms after drinking a beverage, call a friend, a Student Affairs Staff member, your RA, Public Safety, or the police, or 911 for help in getting to a hospital.

Here are the steps you should take:

  • Get to a safe place and call a rape crisis center for information or support. 
  • Determine whether or not to report the incident to the police. If there is any chance you do want to report the assault, you should not shower, bathe, douche, change clothes or straighten up the area until medical and legal evidence is collected because these actions will destroy evidence
  • If you want to report the incident, first call the police and then go to the hospital and have the medical evidence collected
  • Go to a hospital, clinic or private doctor for treatment of external and/or internal injuries, tests for pregnancy and sexually transmitted diseases, and support services.
  • Request a urine test to detect the presence of sedating substances as quickly as possible. Every hour matters. Chances of getting proof are best when the sample is obtained soon after the substance has been ingested, but the test can be reliable even on a sample obtained 72 hours later. The test is free, and can be requested by law enforcement officers, rape crisis centers and hospital emergency departments.

 

 

Drugs and Alcohol:

National Institute on Alcohol Abuse and Alcoholism
Facts on Tap
American Council for Drug Education
National Institute on Drug Abuse
US Dept of Health and Human Services
National Council on Alcoholism and Drug Dependance
 
Tobacco:
Truth.com
Tobacco Control Archives
Unhooked.org
Tobacco Cessation Guidlines
Nicotine Anonymous
Trytostop.org
You Can Quit Smoking Consumer Guide
California Smokers Hotline
American Cancer Society - Great American Smokeout

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Sally Colby, RN-C, NP

E-mail your questions to:  colbys@thomas.edu

207-859-1401