Amphetamine Dependence: Causes, Symptoms, and Diagnosis

Amphetamine Abuse Signs and Symptoms

Each center is ready to help people learn how to cope with their Ambien addiction and uncover the root causes for their substance use disorder. According to the National Survey on Drug Use and Health, roughly 4.8 million people in the United States abused amphetamines in 2015, which amounts to 1.8% of the country’s population aged 12 and older. While these are the most common signs to look for, some adverse effects may occur as well, including digestive problems, hallucinations, or aggressive, paranoid, or anxious behavior. The U.S. Food and Drug Administration approved certain amphetamines to manage and treat ADHD, obesity and narcolepsy, specifically dextroamphetamine and levoamphetamine. The tolerance and withdrawal criteria are not considered to be met if the stimulant is used only under appropriate medical supervision. Cooling treatments, such as wetting and blowing air over the person’s skin or using special cooling blankets, may be needed for hyperthermia.

  • Patients should be asked what drug(s) they used, the route of administration they utilized, and the duration of their drug use.
  • You don’t have to live with addiction, and it’s never too late to get help.
  • Treatment focuses on the person who is living with the addiction.

What are the complications of amphetamine dependence?

Amphetamine Abuse Signs and Symptoms

In 2020, about 5.1 million people in the United States reported misusing prescription stimulants, such as Adderall, within the past year. Reports indicate that children as young as eighth grade have misused prescription medications for ADHD. One of the most common signs someone is on amphetamines and possibly abusing them is talkativeness.

Stimulant (Cocaine, Amphetamine) Overdose and Intoxication

In general, many effects, including agitation, tachycardia and hypertension, are mediated by CNS stimulatory effects and will respond to sedatives. Start with benzodiazepines IV PRN; can escalate to antipsychotics as needed when benzodiazepines do not control agitation. The federal government classifies Adderall Amphetamine Addiction as a Schedule II drug, the same as cocaine. Studies also suggest increased dopaminergic pathways lead to glutamate excesses in the cerebral cortex, altering the function of cortical GABAergic neurons. This damage leads to dysregulation of glutamate in the cerebral cortex, a precursor to psychosis. Prior psychiatric studies have found that GABAergic cortical dysfunction seems to relate to schizophrenia.

Recognizing unhealthy drug use in family members

Amphetamine Abuse Signs and Symptoms

Contingency management interventions, which provide tangible incentives in exchange for engaging in treatment and maintaining abstinence, have also been shown to be effective. It may be done by family and friends in consultation with a health care provider or mental health professional such as a licensed alcohol and drug counselor, or directed by an intervention professional. It involves family and friends and sometimes co-workers, clergy or others who care about the person struggling with addiction. Schedule II drugs are considered dangerous substances when used without the supervision of a doctor. However, even when used medically, amphetamines can cause serious problems. No matter how amphetamines are taken, addiction can occur easily.

Amphetamine Abuse Signs and Symptoms

This is referred to as the “amphetamine come-down,” and withdrawal symptoms may include headaches, irritability, blurry vision, confusion, dizziness, periods of anxiety and cravings for more drugs. Prescription drugs are commonly misused substances by young people. Follow these steps to help prevent your teen from abusing prescription medicines.

Amphetamine Abuse Signs and Symptoms

Long-term effects

Phenytoin, fosphenytoin, and valproic acid should be avoided due to their ineffectiveness in aborting toxicologic seizures. Naltrexone has been evaluated for this indication based on its ability to decrease the effects of the dopamine reward system. There is an overall paucity of high-quality data from human subjects to base conclusions on naltrexone’s efficacy. As a result, consultation with an addiction specialist, cognitive behavioral therapy, and group therapy remain the primary means to treat amphetamine use disorder. While the initial effects of amphetamine use are enjoyable, the high ends with a noticeable crash, leaving addicts irritable and exhausted. It doesn’t take long for the body to build up a tolerance to amphetamines causing a user to increase the dosage to maintain the initial desired effects.

  • Acute amphetamine use with resultant psychosis can present like a sympathomimetic toxidrome.
  • ” you probably already have a suspicion that your loved one is using drugs and, in particular, abusing amphetamines.
  • Calcium channel blockers, alpha-blockers and beta-blockers may also prove helpful for amphetamine-related rapid heart rate.

While the effects of amphetamines are almost immediate, tolerance builds quickly, which frequently increases the amount needed to produce the desired effect. During periods of non-use, the user may recall the feeling of euphoria produced by the drug and desire to take it again. People who habitually use amphetamines rapidly develop tolerance as part of dependence.

Warning Signs of Adderall Addiction

  • Similarly to hypertension, hyperthermia may abate with the treatment of agitation.
  • Patients with agitation should be treated with parenteral benzodiazepines.
  • You may become dependent if you use these drugs without a prescription.
  • The dynamics of both acute and chronic amphetamine use and their profound impacts on cardiovascular, neurological, and psychiatric systems are discussed.
  • When used illegally, pure amphetamines may be mixed with other substances—such as sugar, glucose, or bi-carb soda—that can be poisonous.
  • Cooling treatments, such as wetting and blowing air over the person’s skin or using special cooling blankets, may be needed for hyperthermia.

Amphetamines are also indirect neurotransmitters leading to increased cytosolic levels of monoamines. It is theorized the excess dopamine in the cytosol leads to drug craving and seeking and psychiatric symptoms. These two processes lead to both alpha and beta-adrenergic receptor stimulation, causing sympathomimetic symptoms (hypertension, tachycardia, hyperthermia, vasoconstriction, and diaphoresis). Amphetamines are metabolized via the cytochrome CYP2D6 pathway and renally and hepatically excreted.

Meth, cocaine and other stimulants

You may continue to crave the stimulant even though you know they’re causing persistent or recurrent physical or psychological problems. It is important that a person does not feel ashamed about seeking help or following a program to support their recovery. Seeking help for addiction may feel daunting or even scary, but several organizations can provide support. If you notice someone once had a normal appetite and suddenly seems uninterested in food, particularly on a prolonged basis, it can indicate drug abuse. The individual may stay up for a day or more because the drug keeps them awake. But doing so without a doctor’s OK can lead to physical and mental problems.

Methamphetamine has the highest risk for overdose, although recreational abuse of other amphetamines can also result in amphetamine toxicity and potentially lethal overdoses. Amphetamine-related deaths have been steadily increasing over the past decade, underscoring the dangers of amphetamine abuse. When patients appear intoxicated and have symptoms consistent with amphetamine toxicity, testing for metabolites of amphetamine can be useful to confirm a diagnosis of the condition. Obtaining an accurate medication history for the patient may allow a diagnosis to be made independently of drug metabolite testing. Therefore, obtaining medication histories should always be a focus during the evaluation of patients who are intoxicated. In this course, participants explore the multifaceted management of amphetamine toxicity.

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