Showing posts with label Drugs. Show all posts
Showing posts with label Drugs. Show all posts

17 June 2016

Guaifenesin Not Allow Use In Children

Guaifenesin is used to treat coughs, flu, colds, blockage of phlegm and other respiratory diseases caused by Bronchitis.

These products are usually not used for ongoing cough from smoking or long-term breathing problems (such as Chronic Bronchitis Emphysema), unless directed doctor.

Guaifenesin is an expectorant that works to attenuate and loosen mucus in the airways and ease breathing. Products cough medicines have not been proven safe or effective in children younger than 6 years old.

Therefore, do not use this product to treat cold symptoms cough in children unless ordered by a physician.

Some brands of products Guaifenesin there that should not be used in children under the age of 12 years. Therefore, follow the instructions of the doctor and read the rules of use on the packaging contained in the product before using it.

WARNING:
  • For women who are pregnant or breastfeeding, adjust the dose recommended by your doctor.
  • Ask a dose of Guaifenesin for children, especially those who are still under 12 years old, doctor. Some brands of products Guaifenesin there that should not be used in that age group.
  • Please be careful if you suffer from epilepsy, liver disorders, kidney disorders, and had suffered from cough for a long time.
  • If within 5 days the cough does not go away, or relapse after recovery, accompanied by symptoms of headache, fever, and rashes, then immediately contact your doctor.
  • Ask your doctor first if you are going to use other medicines when they want to start taking Guaifenesin.
  • If an allergic reaction or overdose, call your doctor immediately.

DOSE GUAUFENESIN
For those above 12 years and over, the dose used was 100 mg to 200 mg 3-4 times a day. For children under 12 years of age, the dose ask your doctor.

GUAUFENESIN EATING RIGHT
Follow the doctor's advice and read the information on the packaging before it started taking guaifenesin.

Make sure there is sufficient interval between the doses with subsequent doses. For patients who forget to take guaifenesin, are advised to drink so thought if the next dose schedule is not too close. Besides, do not double the next dose of guaifenesin on schedule to replace the missed dose.

Make sure you keep taking guaifenesin until the time limit prescribed by the doctor, even if you have better conditions. This is to prevent symptoms from coming back.

Do not indiscriminate use other medicines while you are being treated with guaifenesin without telling your doctor first, because it feared could cause bad side effects.


IDENTIFY SIDE EFFECTS AND DANGER GUAUFENESIN
Just like other drugs, guaifenesin may also cause side effects. Some side effects may emerge after taking this drug is:
  • Stomach ache
  • Diarrhea
  • Nausea
  • Gag
  • Dizzy
If severe side effects, prolonged or allergic reactions, consult a doctor.

03 August 2014

Bronchodilators Drugs

CHAPTER I INTRODUCTION

Air enters the lungs through the main airways (bronchi) and then go into the smaller airways (bronchioles), then into the alveoli. Difficulty breathing include shortness of breath, coughing and wheezing, which is normally as a result of narrowing of the lumen of the bronchioles so that the air space to pass more narrow.

01 August 2014

Treating Heroin Addicts with Heroin

Researchers in Canada think that the injection contained the active ingredient in heroin to heroin addicts will do better in handling and keep them away from illegal drugs. But researchers claim that these measures will bring the risk of overdose. Therefore, giving injections should always be done under medical control.

31 July 2014

Atenolol Drug

Atenolol is a drug that is called beta-blockers. Beta-blockers affect the heart and circulation (blood flow through arteries and veins).

Indications:
To deal with chest pain (angina) and hypertension (high blood pressure). The drug is also used to treat or prevent heart attacks.

Side Effects:
CNS effects (fatigue, depression, dizziness, confusion, sleep disturbances); CV effects (heart failure, hypothermia, impotence); Effects in a row (bronchospasma in patients who are susceptible and drug content of beta1 should be used cautiously in these patients ), GI effects (N / V, diarrhea, constipation); metabolic effects (can produce hyper-or hypoglycemia, changes in serum cholesterol and triglycerides.

Special Instructions:
A. Observe HR, BP, and ECG during IV administration.

2. After IV administration's first, limited to patients without side effects may be altered by oral administration with a pause target HR between 50-60 bpm.

3. Indication to the contrary, bradycardia, SBP <100mmHg, a blockage in the lungs, signs of peripheral hipoperfusion.

4. Use with caution in patients with bronchopasma, asthma or other respiratory diseases. Use with caution in patients with depression, patients with peripheral vascular disease (PVD) and those taking insulin.

5. Beta-blockers may mask the symptoms of hyperthyroidism and hypoglycemia, and may worsen psoriosis.

6. Patients who are in long-term treatment may not cease use of all of a sudden, have to stop gradually over 1-2 weeks

Dose
A. 5-10 mg IV with an average of 1 mg / min

2. Dose may be repeated as many as 5 mg IV 10 minutes later.

3. Give oral dose 10-15 minutes after administration of IV last given.

4. 50 mg administered in 1 or 2 doses, within 12 hours apart.

5. Further doses: 50 mg by mouth (orally) administered 2 times daily or 100 mg by mouth (orally) a day 1 time.

Acyclovir Liquid

Including acyclovir antiviral drug classes used to treat infections caused by certain types of viruses. These drugs may treat injuries or water-filled bumps around the mouth caused by herpes simplex, herpes zoster and chickenpox. It can also be used to treat genital herpes (herpes on the sex organs).

30 July 2014

Analspec Anti Inflammatory Drugs

Analspec containing mefenamic acid. Mefenamic acid is a nonsteroidal anti-inflammatory drug (NSAID) used to treat mild to moderate pain. Other NSAIDs, including ibuprofen, indometacin, naproxen, and diclofenac. It can also be used to treat menstrual cramps and other conditions as determined by your doctor.

10 Drugs Can causes the Desperate People Doing Violence

Not just drugs and illegal drugs that can make the wearer vulnerable to violence. Legal drugs are used with a doctor's prescription can also result in the same thing, it can even lead to murder.

To find out what these drugs, the Institute for Safe Medication Practices conducted a study published in the journal PLoS One is based on reports from FDA. From these studies successfully identified 31 drug-related violence against others.

28 July 2014

26 July 2014

Injection Drug

Drug injection is streil dosage form solutions, emulsions, suspensions or powders that must be dissolved and suspended before use. Injection drug injected by network tearing into the skin or through the skin.

Drug injection is done with intravenous fluid containers to minimize side effects and maintain therapeutic blood. Injectable drug delivery aims to accelerate the absorption process (absorption) of drugs and get a rapid drug effect.

Injectable drug delivery can be performed among others by:

a. Intramuscular injection (inserted into the muscle).
Intramuscular injection with an angle of ninety degrees, usually injected in the area next to the buttocks, thighs and arms. The provision inserted into the muscles allowing more drug absorption.

b. Intravenous injection (through a vein).
Intravenous injection is the administration of drugs that go through the veins with the most rapid effect. Drugs given is a drug that is not soluble in water or sediment caused by blood proteins and grains.

c. Subcutaneous injection (under the skin).
Drugs given by subcutaneous injection is a drug that does not stimulate and dissolve in water or oil. For example, administration of insulin with diabetes mellitus and makes an angle of forty-five degrees.

d. Injection intraartikuler (joint space).
Injection intraartikuler done for certain diseases associated with joints.

e. Intrakutan (in leather).
Intrakutan conducted to test the skin with possible allergic to any medications that are injected into the dermis.

22 July 2014

Isradipine group of calcium channel blockers

Isradipine is a group of drugs called calcium channel blockers. Isradipine works by relaxing the heart muscle and blood vessels. These drugs are sometimes used with other blood pressure medications.

Indications:
To treat high blood pressure (hypertension).

Dosage:
The release of regular:
Initial dose: 2.5 mg by mouth (orally)
May be increased to 5 mg by mouth (orally), 2 times daily, after 3-4 weeks

Extended release:
5 mg by mouth (orally), 1 times daily.

Side Effects:

  1. CV effects (decreased cardiac function, hypotension, heart failure is getting worse, edema, skin redness, bradycardia), GI effects (constipation); CNS effects (headache, dizziness).

  2. HR regulate calcium antagonists (Diltiazem, Gallopamil & Verpamil) AV dissociation, AV block, bradycardia, and sinus stem dysfunction.

Short-acting dihydropyridine agents should be avoided because it has the potential to increase the risk of adverse cardiac events.

Special Instructions:
There will be contraindicated in patients who clearly have decompensated HR, although vasoselective dihydropyrBidine (eg Amlodipine and HR which regulates calcium antagonist that there will be contraindicated in patients with bradycardia, sinus stem dysfunction, and AV nodal block.

31 May 2014

NOT JUST Heroin

Powder death among users called the mix is actually a type of heroin but not pure. It is created by illegal factories which usually takes place in the garden of opium or opium in the Golden Triangle area or West Asia. What and why it is so dangerous to the health of the wearer?

Drug abuse in recent years widespread hit the younger generation. Drugs of abuse ranging from marijuana or hashish, koplo pills, cocaine, up to ecstasy. Even recently emerged shabu-shabu (a type of amphetamine) and mix (a type of heroin). Marijuana or hashish, cocaine, and mix including narcotics. While koplo pills, ecstasy, and shabu-shabu belonging psychotropic.

Mix is a type of heroin is not pure and very dangerous for the health of the wearer. The victims of addiction, illness, and deaths from heroin has been quite a lot. There are no official data how many victims in Indonesia, because their families are reluctant to report. There is a sense of shame and family trying to cover-up.

The manufacture of heroin is the opiate of fruit juice (opium) from Papaver somniferum, Papaveraceae family, who are old but not yet ripe. From the dried sap is opium obtained. The content of opium is a narcotic alkaloids, such as morphine, codeine, thebaine, narsein, and non-narcotic alkaloids, such as papaverine, narkotin, apomorfin.

While morphine is the standard content and dosage of another opiate, such as extracts, tinctures, powders, etc.. Year 1805, a German pharmacist named Sertuerner managed to isolate morphine (derived from the Greek Morpheus, which is a god Dreams). The content of morphine from opium to 10%. 1874, Bayer factory managed to synthesize heroin (diasetilmorfin or diamorphine) of raw materials morphine using anhydrous acetic acid or vinegar. The name heroin was taken from German, the heroic, which means hero. Heroin was first built, is tested for drugs cough suppressant (antitussive) and pain relievers (analgesics).

Nevertheless, only in 1898 examined the benefits and dangers in animals and humans. It turns out the dangers of heroin is much greater than the benefits. Therefore, in 1924 in the United States banned production and use.

Formerly made by the manufacturer heroin legal. But since the ban on the production of heroin is made by a dark industry (Clandestine). This dark industrial locations in the garden often take opium, for example in the Golden Triangle (Myanmar, Thailand, and Laos), West Asia (Turkey, Iran, Iraq, Afghanistan, Pakistan). This can be seen, from any police or military operations is found large amounts of acetic acid. Heroin is more expensive than morphine; addictive effects (addiction) and hallucinations more powerful than morphine.

It is said that the use of morphine increased among teenagers. In the past our adolescent drug abuse generally permitted legally circulating in Indonesia such as powder or extract of opium, morphine injection. But along with the ease of transportation, communications, and networks are more orderly narcotics syndicate, then heroin eventually can also go to Indonesia.

Some smuggling a reckless manner by members of the syndicate for example via condoms or capsules which are swallowed and detected in the stomach. Cases like this ever uncovered by customs officials in Jakarta some time ago.

Not classified as drugs

Heroin and the like, including mix, do not qualify as a drug, because:

a) Heroin or mix of chemicals that harm is far greater than the benefits. These chemicals are prohibited from being produced, circulated, and used and created by the illegal factory. This is different from the official drugs produced by legitimate manufacturers and distributed by a distributor who is also legal.

Violation of production, distribution, and its use can be sanctioned according to the Narcotics Law no.9/1976. Heroin use is only permitted when used for research. Quite severe legal sanctions for offenders.

b) Heroin or mix circulating on the black market are not pure heroin. If the factory can be 80% dark levels, but after arriving to the issuer (through 50-10 channels), levels of heroin dropped to 1-15%. This is reasonable because they were involved in falsifying or high grade heroin mix with additional ingredients such as quinine, mannitol (laxative), caffeine, lactose, etc.. As such they will benefit far greater. Heroin or mix is usually distributed in small packets.

c) Routes misuse is often fatal. Dose of 3 mg strength equivalent to 10 mg of morphine. The use of powder is done by dissolving the powder in a container or a spoon mixed with water that is not sterile, filtered with cotton, and injected into the intravenous (by vein) or subcutaneous (under the skin through). Sometimes also smoked like a cigarette, or aspirated.

Another way to chasing, the powder is placed on aluminum foil and heated underneath. Vapor flows through a hole of paper rolls or pipes, inhaled through the nose to be forwarded to the lungs.

In case of overdose can occur lung abscess. Chasing done by the user because the powder was purchased was not pure heroin. On the use of parenteral (intravenous, subcutaneous or to injure) there will be an abscess, infected some diseases such as HIV / AIDS, hepatitis, rheumatic heart disease, embolism, tetanus, cellulitis / thrombophlebitis.

The danger

Heroin in addition to causing psychological and physical dependence, also can cause euphoria, body ache, nausea and vomiting, miosis, drowsiness, dry mouth, sweating, respiratory depression, hypothermia, decreased blood pressure, constipation, biliary tract spasms, difficulty urinating. Death usually occurs when excessive doses are used. Users who already tend to use a drug addict with excessive doses. This is caused by the body's tolerance limits are more elevated.

In addition, users often use other drugs such as alcohol, cocaine, etc.. and do not know the dosage for sure, so often the case of overdose. Heroin with a dose of 3 mg when given parenterally, especially intravenously, can cause compulsive disorder. Three times the strength of morphine. Because of its more lipofil than morphine, then heroin penetrates the brain faster than morphine. Thus the work faster than morphine heroin. Heroin itself is converted into morphine in the body.

Drugs antidotum (bidder) to treat victims of drug abuse, especially morphine and heroin is readily available in the country, especially in the floating house drug dependence. However, efforts to prevent or avoid the use of illegal drugs will be better than having to go to the hospital first.

26 May 2014

Myeloma Drug Better at Low Doses

Myeloma Drug Works Better at Lower Dose.

To prove that less can really means more, U.S. government researchers say that lower doses of chemotherapy increased the number of patients with blood cancer multiple myeloma, can survive.

What happens is, the increased ability to survive one year, so shocking and exhilarating at the same time - from 86 percent to 96 percent - for the psien who received a lower dose of the steroid dexamethasone at the National Cancer Institute clinical trials so that the experiment was terminated prematurely so that all participants can obtain great benefits that may be ..

The patients received a lower dose of steroids along with other cancer drugs exterminator, lenalidomide, the chemical quality of thalidomide

"This treatment reduces the risk of side effects, and at the same time, it is also more effective, and to show that the GCC more is not always better," said Dr. Len Lichtenfeld, Chief Medical Officer in the Environment of the American Cancer Society. He himself was not involved in these penetilian.

The results of these studies have not been issued, but all data will be presented in June in the annual meeting of the American Society of Clinical Oncology in Chicago. The results of one year and the introduction of two studies designed for this year, released earlier this week for the interest of the patient who was struggling against the double mysloma, say the researchers.

These diseases, harmful cells from the plasma that live in the bone marrow and blood flow, was diagnosed in nearly 20,000 Americans each year, according to the NCI.

According to Lichtenfeld, particularly myeloma patients given one of the fourteen ways of treatment, depending on the type and level of their illness.

Starting in mid-1990s, scientists began to realize that the drug thalidomide may help fight myeloma, primarily through its effect in reducing the blood supply to cancer.

According to researchers who are both conducting research, namely Dr. Howard Streicher, drugs such as thalidomide may also inhibit meloma by the intervention of the major signaling molecules called cytokines, or by increasing the immune reactions

Nevertheless, Thalidomide had a past that is not fixed, most tekenal is the cause of devastating birth defects.

Lenalidomide name. (Brand name Revlimid) is a very significant part of thalidomide, which is a newly developed chemical compounds, said Strecher, a senior researcher at the NCI.

"Apparently this does not cause birth defects and the same; it does not have the nature of pain relievers, but it may be more powerful and active than thalidomide in myeloma," said Strecher.

Doctors have also long used dexamethasone (brand name Decadron) to fight myeloma, because the drug appears to make cancer cells die.

But dexamethasone has a drawback, too - the most notable increase in the risk for subtle nerve in thrombosis (DVT) and embolism associated with the lungs, blood clots which is a major threat to life.

New experiment seeks to determine whether a lower dose of dexamethasone would work as a high lelbih doses, when combined with the same dose of lenalidomide.

In these experiments, Streicher and his colleagues compared the survival rate and toxicity in 445 patients given a new diagnosis of multiple myeloma diagnosed. None of the patients who underwent any form of chemotherapy prior to the experiment, which is planned to be done for two years. The patients had been randomly selected to receive, if it dose dexamethasone plus lenalidomide treatment of low or high doses.

Results lpenelitian one year is a happy surprise, said Sreicher.

"Concentration of reaction in terms of survival in the two sides is very high, even higher with a lower dose of dexamethasone," said Streicher again. Content of the reaction is even higher than we had anticipated. "

He said it is unclear why the lower dose of dexamethasone could improve levels of living, despite a reduction toxins may play a large role. Levels for most of the side effects - particularly dangerous blood clots - was associated with a declining number of steroids at a low dose, according to Streicher.

In fact, the results achieved so positive so that (the board of the research review board) stopped the trial early so they do not need to reject the patients in this trial - and patients in general - treated in this way, "said Lichtenfeld. "It's usually a very, very positive indication of a successful experiment."

Streicher nonetheless asserts that these findings remain preliminary.

"We do not know what it would like within two years," he said again. "Maybe we will find that the benefits will continue to exist for a long time, or something else needs to be done if the patient is diseased replicates. That is a problem that still need answers. "

Lichtenfeld said the success of the experiment was "all part of the story is used as destination therapy," which he says is a breakthrough treatment for cancer.

But he also warned that the weaknesses of existing inventions at public health institutions such as NCI - who support and care of many types of clinical trials - threaten the progress of this kind.

"We are trying to better understand myeloma and we are able to use these drugs," said Lichtenfeld. "But if we do not continue to support these types of activities, then we may lose our progress."

23 May 2014

Pemoline (Cylert)

Pronunciation: PEM-oh-leen
Chemical Abstracts Service Registry Number: 2152-34-3
Formal Names: Cylert
Informal Names: Popcorn Coke
Type: Stimulant.
Federal Schedule Listing: Schedule IV (DEA no. 1530)
USA Availability: Prescription
Pregnancy Category: B

Uses.
In the United States pemoline became available for medical purposes during the 1970s. It is used to treat depression, weariness, and attention deficit hyperactivity disorder (ADHD). The drug’s stimulant effects are described as greater than caffeine but less than amphetamine. Unlike many scheduled stimulants, pemoline is unrelated to amphetamine.

Studies find pemoline useful in reducing symptoms of depression, and experimental usage of pemoline with monoamine oxidase inhibitor (MAOI) antidepressants has helped depressed persons who obtain insufficient relief with other drugs.

Pemoline has eliminated drowsiness felt by persons taking antihistamines. The drug has been proposed for workplace usage to reduce fatigue but has not been tested extensively for that purpose. Tests have found that the drug improves ability to perform arithmetic when users are tired. In a different but more robust experiment, members of the U.S. Navy Special Warfare group stayed awake 64 hours around the clock while using pemoline. Though their performance appeared to decline as the experiment continued, they not only did better than participants who used placebos, but they also did better than persons using methylphenidate. In England, Royal Air Force experimenters concluded that pemoline can help keenness and capabilities during long shifts of duty. A Russian report endorses the drug’s usefulness for “urgent increase” of functioning but notes that persons using pemoline cannot maintain initial ability if body temperature rises and oxygen supply declines, nor does the drug help persons push past emotional strain or fulfill complicated task requirements.

During the 1980s and 1990s sports officials in Belgium found the drug was frequently used by cyclists seeking a competitive edge. Multiple sclerosis patients using pemoline sometimes report less exhaustion than those using a placebo, but investigators who rigorously reviewed studies about multiple sclerosis fatigue found no evidence of pemoline improving weariness.

An instance is known of an elderly man taking pemoline to help him stay awake during lectures, but the regimen seemed to promote prostate trouble. Pemoline has been successfully used against narcolepsy.

Studies find pemoline about as effective as either dextroamphetamine or methylphenidate in helping children with ADHD. Pemoline has been used successfully against ADHD in teenagers and adults as well. Growth rates are below normal in some youngsters with ADHD, and pemoline itself can temporarily hold back such development but without long-term harm—youngsters
develop normal adult weight and height. Those deficient growth rates may be treated with growth hormone. One study found, however, that pemoline seems to make the hormone treatment less effective in some patients. As the age of ADHD patients grows, so can unwanted effects that they experience from pemoline.

Animal experiments in the 1960s indicated that pemoline boosts learning ability. The lure of a “smart pill” had understandable appeal to suffering students and teachers, but when the drug was tested on college students, no improvement in learning ability occurred. The same dismal outcome occurred when elderly persons received the drug; indeed, some performed worse than
elderly persons receiving a placebo. Group results in still another experiment showed either no improvement or worsening of learning scores when people used the drug. In contrast, long-term daily administration of the drug seemed to improve memory in some persons entering senility.
A review covering 10 years of pemoline reports found none attributing euphoria to the drug, a lack that sets it apart from other scheduled stimulants.

Unlike some other stimulants, pemoline also seems to have little effect on pulse rate or blood pressure.

Drawbacks.
The drug can bring on tics and partial muscle movements, in a particularly severe way if an overdose occurs. An instance is known of muscle damage in an adult misusing pemoline. Pemoline is also known to reduce appetite and salivation, increase crankiness, bring on headaches and stomachaches, cause skin rash, and interfere with sleep. Hallucinations from
pemoline have been reported.

In rats and mice pemoline can cause self-harm behavior, and the amount needed to induce such behavior declines when a certain kind of brain damage is present, damage that is often seen in mentally retarded humans. Those findings suggest that such persons receiving pemoline may need monitoring to guard against self-injury. Long-term excessive usage may generate temporary psychotic behavior, but such an outcome appears untypical.

Probably the most serious unwanted results of taking pemoline can be hepatitis and other liver injury, injury so severe as to require a transplant. Damage can continue to worsen after the drug is stopped, and people have died from liver failure induced by pemoline. Victims tend to be children. Such an adverse effect is particularly disquieting because it occurs at therapeutic dosage, rather then being created by reckless abuse. A child can take pemoline for months before harm is apparent, or alarming symptoms can arise after just a week of use.

Methylphenidate is suspected of contributing to liver trouble in persons who are also taking pemoline. Debate exists about how dangerous pemoline is to liver function when no other drugs are being taken, but the debate has limited practical significance because many patients taking pemoline receive other drugs as well. Because of concern about liver damage, parents are supposed to sign a written consent form before their children begin pemoline therapy.

Abuse factors.
Although pemoline is a scheduled substance, a review of reports covering the first 10 years of its medical availability in the United States found little evidence of addiction or abuse. A Norwegian review of pemoline use boldly described it as “a stimulant which cannot be abused.”

1 When given a choice of drugs, animals show no particular interest in pemoline, a sign of low abuse potential. Nonetheless, a case report does exist of a pemoline addict who developed a paranoid psychosis that went away after stopping the drug. A British medical practitioner reported that drug misusers were supplementing their amphetamine habit with pemoline.

An experiment tested pemoline’s ability to help reduce cocaine usage among persons receiving methadone treatment (meaning the persons were addicted to cocaine and heroin both). Results were unencouraging. In contrast, favorable response in an ADHD alcoholic caused researchers to predict that pemoline may be useful for treating alcohol addiction. Mice experimentation
shows that pemoline reduces effects produced by THC, considered the primary drug in marijuana.

Drug interactions.
Pemoline is suspected of interfering with epilepsy medicines.
It can boost mono amine oxidase inhibitor (MAOI) antidepressants and
urinary acidifers (the latter action interfering with pemoline’s psychostimulant
effects).

Cancer.
Rat experiments do not indicate any cancer risk from pemoline.

Pregnancy.
Experiments with rabbits and rats reveal no harm to fetal development, but influence on human fetal development is unknown.

Additional information.
When tested on mentally handicapped workers, magnesium pemoline (CAS RN 18968-99-5) brought on the kinds of temperament modification associated with caffeine but failed to increase either productivity or time worked. Two cocaine addicts who appeared to have mild ADHD were able to reduce their intake of cocaine while receiving magnesium pemoline, a result leading the scientific investigators to wonder if magnesium pemoline might have potential for helping to break cocaine addiction. Animal experiments have shown that both pemoline and magnesium pemoline can provide protection against atomic radiation.

Additional scientific information may be found in:
Bostic, J.Q., et al. “Pemoline Treatment of Adolescents with Attention Deficit Hyperactivity
Disorder: A Short-Term Controlled Trial.” Journal of Child and Adolescent Psychopharmacology 10 (2000): 205–16.

Elizur, A., I. Wintner, and S. Davidson. “The Clinical and Psychological Effects of
Pemoline in Depressed Patients—A Controlled Study.” International Pharmacopsychiatry
14 (1979): 127–34.

Honda, Y., and Y. Hishikawa. “Long Term Treatment of Narcolepsy and Excessive Daytime Sleepiness with Pemoline (Betanamin).” Current Therapeutic Research:
Clinical and Experimental 27 (1980): 429–41.

Langer, D.H., et al. “Evidence of Lack of Abuse or Dependence Following Pemoline
Treatment: Results of a Retrospective Survey.” Drug and Alcohol Dependence 17
(1986): 213–27.

Newlands, W.J. “The Effect of Pemoline on Antihistamine-Induced Drowsiness.” The
Practitioner 224 (1980): 1199–1201.

Shevell, M., and R. Schreiber. “Pemoline-Associated Hepatic Failure: A Critical Analysis
of the Literature.” Pediatric Neurology 16 (1997): 14–16.

Sternbach, H. “Pemoline-Induced Mania.” Biological Psychiatry 16 (1981): 987–89.
Valle-Jones, J.C. “Pemoline in the Treatment of Psychogenic Fatigue in General Practice.”
The Practitioner 221 (1978): 425–27.

Note
1. N. Lie, “Sentralstimuleren Midler ved AD/HD Hos Voksne. Kan De Misbrukes?
[Central Stimulants in Adults with AD/HD. Can They Be Abused?],” Tidsskrift for den
Norske Laegeforening 119 (1999): 82–83. Abstract in English.

24 April 2014

Oxymorphone (Numorphan)

Pronunciation: ox-i-MOR-fohn
Chemical Abstracts Service Registry Number: 76-41-5. (Hydrochloride form 357-07-3)
Formal Names: Numorphan
Type: Depressant (opioid class).
Federal Schedule Listing: Schedule II (DEA no. 9652)
USA Availability: Prescription
Pregnancy Category: C

Uses.
Medically this drug is used to ease pain and assist in anesthesia. It is about 9 to 13 times stronger than morphine, with similar actions. Oxymorphone has been likened to heroin. Because body chemistry transforms part of an oxycodone dose into oxymorphone, scientists wondered if oxycodone’s therapeutic actions actually came from oxymorphone; upon investigation, experimenters concluded that oxycodone does produce effects apart from those of oxymorphone. Allowing hospitalized patients to control their own oxymorphone dosage for pain relief has caused no problems. Hydromorphone can sometimes be used as a substitute. A case report indicates oxymorphone can have antidepressant actions.

Drawbacks.
Unwanted effects of oxymorphone can include nausea, vomiting, and breathing difficulty. Euphoria has been noted in horses that receive the drug.

Abuse factors.
Not enough scientific information to report, but the drug is legally classified as highly addictive.
Drug interactions. Other depressants should generally be avoided, and monoamine oxidase inhibitors (MAOIs, found in some antidepressants and other medicine) should also be avoided.

Cancer.
Not enough scientific information to report.

Pregnancy. Birth defects appeared after experimenters gave pregnant hamsters 1,500 times the recommended human dose. Effects on human pregnancy are unknown. The drug can influence fetal heartbeat if used in childbirth.

Oxymorphone has been found effective for easing pain after caesarean section.

Additional scientific information may be found in:
Heiskanen, T.E., et al. “Morphine or Oxycodone in Cancer Pain?” Acta Oncologica
(Stockholm, Sweden) 39 (2000): 941–47.

Johnstone, R.E., et al. “Combination of Delta-9-Tetrahydrocannabinol with Oxymorphone
or Pentobarbital: Effects on Ventilatory Control and Cardiovascular Dynamics.”
Anesthesiology 42 (1975): 674–84.

Sinatra, R.S., and D.M. Harrison. “Oxymorphone in Patient-Controlled Analgesia.”
Clinical Pharmacy 8 (1989): 541, 544.

Sinatra, R.S., et al. “A Comparison of Morphine, Meperidine, and Oxymorphone as
Utilized in Patient-Controlled Analgesia Following Cesarean Delivery.” Anesthesiology
70 (1989): 585–90.

Stoll, A.L., and S. Rueter. “Treatment Augmentation with Opiates in Severe and Refractory
Major Depression.” American Journal of Psychiatry 156 (1999): 2017.

20 April 2014

Alfalfa, Healing Help Drug Addicts

One of the wild plants that thinking about the efficacy of a drug is alfafa. Plants derived from the Persian state and cultivated on a large scale in various countries.  Plant named Latin "Medicago sativa" included family nuts. The flowers are very beautiful, young purple or blue, while its leaves resemble the leaves of roses. The Americans and Europeans, know him as a drug to help healing drug addicts and alcohol.

Alfalfa leaves are commonly used to facilitate urine and efficacious destroy kidney stones. Tall shrub 2-3 feet has long roots, so drought-resistant alfalfa. The healing process can be accelerated with the drug addicts using alfalfa leaf. Because these plants can remove toxins that enter the human body.

According to The Herbal Medicine, alfalfa is also known by the name of the spanish clover, california clover, lucerne, sinimailanen, kylvomailanen and blalusern.

Efficacy of alfalfa has been known to the Romans since 490 BC. Plants that love sun bathing is considered sacred by the Persians. Alfalfa used as a symbol of wealth, prosperity and happiness.

The Indians Coatanoan use alfalfa leaves to treat earache. The leaves are dried or alfalfa seed in place on the mattress and pillows to prevent insect nest. Bedbugs, cockroaches and mosquitoes ran if there are nearby alfalfa leaves.

In the Middle East, tree planting alfalfa in order to prevent erosion. With its roots are long and wiry, alfalfa is able to stop soil erosion by water. These plants contain essential minerals called selenium. In addition, alfalfa also contains vitamins A, D, E and K. No wonder people call it a plant that merit in maintaining stamina.

In the Arab world, this plant grows wild and often become food KUD. Animals that become stronger and resistant to disease attack. In addition to having positive benefits, alfalfa also has weaknesses. These plants contain alkaloids called conavanine. That's what makes alfalfa is not recommended for patients with rheumatoid arthritis consumed.

This plant produces seeds that red salmon. Small size such as soy beans. Alfalfa-shaped flowers such as orchids with attractive appearance. At still buds, flowers crown facing the sky. When blooming, the flower petals broke cover.

Seeing the graceful appearance, alfalfa is also suitable as an ornamental plant. The flowers are purple or blue can be placed as an ornamental porch. In North America cultivated alfalfa. The leaves are dried and packaged as medicines.

26 February 2014

Nitrite (Amyl Nitrite, Butyl Nitrite, Cyclohexyl Nitrite, Isoamyl...

Pronunciation: NIGH-tright
Chemical Abstracts Service Registry Number: 8017-89-8 (amyl nitrite); 542-56-3 (isobutyl nitrite)
Formal Names: Amyl Nitrite, Butyl Nitrite, Cyclohexyl Nitrite, Isoamyl Nitrite, Isobutyl Nitrite, Nitrous Acid
Informal Names: Aimes, Aimies, Ames, Amys, Army, Aroma of Men, Blackjack, Blue Heaven, Bolt, Boppers, Buds, Bullet, Buzz Bomb, Climax, Dixcorama, Hardware, Heart-On, High Ball, Liquid Gold, Liquid Incense, Locker Room, Man Aroma, Oz, Ozone, Pearls, Poppers, Quicksilver, Ram, Rush, Snappers, Thrust, Whiteout

Type: Inhalant.
Federal Schedule Listing: Unlisted, but may be in state schedules
USA Availability: Prescription for some formats; nonprescription for others
Pregnancy Category: X (amyl nitrite, also called isoamyl nitrite)

Uses.
Various chemical subvarieties of nitrite inhalants exist. Isobutyl nitrite is popular in some teenager circles and has been called "the cocaine of poor people." Although anyone is physically free to use any drug, authorities find that nitrite sniffing has particular appeal to male homosexuals, especially during sexual activity. Aphrodisiac qualities are claimed for the substance. Amyl nitrite sniffers report euphoria and muscle relaxation. Isobutyl nitrite users report losing their sense of who they are and also becoming calm or, in contrast, becoming prone to wild conduct—differences that may illustrate the impact that someone's personality and surroundings have on drug experiences.

Regardless of exact content of a nitrite experience, sensations are brief. Some persons have confused nitrites with nitrates; they have a similar spelling but are different substances.

Drawbacks.
Nitrite inhalants have brief action but may incapacitate a person during that time and thus should not be used while engaged in dangerous activity such as driving a car. Unwanted actions of nitrites include feelings of falling and spinning, headache, facial flushing, rapid heartbeat, generalized throbbing feelings, and low blood pressure (low enough to make a person faint). Less common are nausea, vomiting, agitation, sweating, loss of energy and strength, and loss of bladder and rectal control. In mice experiments involving single and multiple exposures, inhaling isobutyl nitrite can cause anemia, harm the immune system, create nose and lung abnormalities, and disturb the spleen. Similar results are seen with rats. Blood and spleen abnormalities developed in a mice experiment using cyclohexyl nitrite. In a human patient, sniffing isobutyl nitrite caused bronchitis severe enough to affect the trachea. Amyl nitrite (which has a long medical history as a heart medicine) and isobutyl nitrite may each cause methemoglobinemia, a sometimes fatal blood disease interfering with the body's use of oxygen; this affliction is particularly likely if a person drinks isobutyl nitrite instead of inhaling the vapor. Isobutyl nitrite interference with the body's ability to use oxygen may be perilous for persons with inadequate oxygen supply to the heart.

In the early days of AIDS (acquired immunodeficiency syndrome) research, scientists noticed that many victims were nitrite sniffers. Because of this association, at one time nitrite sniffing was suspected to be the cause of AIDS, an excellent example of why association of a chemical with a disease cannot be assumed to demonstrate a cause-effect relationship. The substance is still, however, suspected of worsening the progression of AIDS once the disease strikes. In addition, damage to the immune system caused by nitrite inhalation is suspected of making a user more susceptible to AIDS and to a type of cancer called Kaposi's sarcoma.

Abuse factors.
Tolerance to amyl nitrite can develop.

Drug interactions.
Although amyl nitrite is used as an antidote for cyanide poisoning, isobutyl nitrite can interact with coffee in a way that produces enough cyanide to poison someone who drinks the combination beverage. Using amyl nitrite with alcohol can cause heart failure. Nitrites are flammable, making them hazardous around flames or lit cigarettes. Persons with glaucoma
are supposed to avoid amyl nitrite. People report burns caused by isobutyl nitrite splashing on skin.

Cancer.
Laboratory tests and animal experiments (the latter involving longterm exposure) indicate that isobutyl nitrite liquid and vapor each cause cancer.

Pregnancy.
In the body nitrite breaks down into chemicals that may promote birth defects. The lower blood pressure produced by amyl nitrite is believed harmful to a fetus. Whether amyl nitrite passes into the milk of nursing mothers is unknown.

Additional scientific information may be found in:
Bradberry, S.M., et al. "Fatal Methemoglobinemia Due to Inhalation of Isobutyl Nitrite." Journal of Toxicology: Clinical Toxicology 32 (1994): 179–84.

Covalla, J.R., C.V. Strimlan, and J.G. Lech. "Severe Tracheobronchitis from Inhalation of an Isobutyl Nitrite Preparation." Drug Intelligence and Clinical Pharmacy 15 (1981): 51–52.

Haverkos, H.W., and J. Dougherty. "Health Hazards of Nitrite Inhalants." American Journal of Medicine 84 (1988): 479–82.

Haverkos, H.W., et al. "Nitrite Inhalants: History, Epidemiology, and Possible Links to AIDS." Environmental Health Perspectives 102 (1994): 858–61.

Israelstam, S., S. Lambert, and G. Oki. "Use of Isobutyl Nitrite as a Recreational Drug."
British Journal of Addiction to Alcohol and Other Drugs 73 (1978): 319–20.

Lange, W.R., and J. Fralich. "Nitrite Inhalants: Promising and Discouraging News." British Journal of Addiction 84 (1989): 121–23.

Soderberg, L.S. "Immunomodulation by Nitrite Inhalants May Predispose Abusers to AIDS and Kaposi's Sarcoma." Journal of Neuroimmunology 83 (1998): 157–61.  (drugsencyclopedia.blogspot.com)

09 February 2014

Candesartan Drugs for Hypertension

Description:
Candesartan is a group of drugs called angiotensin II receptor antagonists. Candesartan keep blood vessels from narrowing, which reduces blood pressure and improve blood flow. Candesartan sometimes given in conjunction with other blood pressure medications.

Indications:
To treat high blood pressure (hypertension).

Dosage:

  1. The initial dose: 4 mg by mouth (orally), 1 times daily

  2. Increase dose with ambiguous times lipatkan dose until the highest dose that can be accepted patients, at a distance of more than 2 weeks.

  3. Target dose: 32 mg by mouth (orally), 1 times daily.

Side Effects:

  1. Usually settled and mild: CNS effects (dizziness); Effects of CV (orthostatic hypotension associated with dose, which may occur particularly in patients who lack the volume); kidney damage.

  2. Other effects are somewhat rare: rash, angioedema, raised LFTs (liver function tests); myalgia.

Special Instructions:

  1. Patients who lack the volume (eg high-dose diuretic therapy) may experience hypotension and should start with low doses.

  2. Use with caution in patients with renal artery stenosis, kidney damage or liver damage.

  3. Check your blood pressure (BP), renal function and electrolytes 1-2 weeks after the addition of each dose, at 3 months and then do every 6 months. (It takes more control in patients with previous or new experience renal dysfunction).

19 January 2014

Tamadol

What is tamadol?
================
Tramadol is a centrally acting synthetic analgesic of the aminocyclohexanol group with opioid-like effects. Its mode of action is not completely understood but it appears to act by modifying transmission of pain impulses via inhibition of noradrenaline and serotonin re-uptake and also by weakly binding to mu-opioid receptors.

How its work
============
Tramadol may work as a pain blocker and may have a very mild antidepressant benefit. Alternatives include non-medication modalities, pain interventions and other medications that may work in a similar manner.

Tramadol has become a standard analgesic for the treatment of moderate to moderately-severe or severe pain; it is a stronger alternative to NSAIDS and an alternative to lower-dose morphine. Scheduling of tramadol would restrict its legitimate therapeutic use and worsen the existing under treatment of pain.

Thus given the already minimal levels of abuse, scheduling tramadol will have little or no impact on abuse and will only increase the potential for harming patients. The nature of the increased potential harm comes from
1) continued under treatment of pain;
2) increased use of NSAIDS;
3) increased use of potent opioids.
This would invert the concept of balancing benefit and risk and undermine the precautionary principle.

Tramadol has demonstrated therapeutic usefulness in the treatment of moderate to moderately-severe or severe pain, e.g. in postoperative and post-traumatic pain, cancer pain, and pain associated with chronic benign diseases. Tramadol’s efficacy overlaps with low doses of morphine.

Classical side effects of morphine-like drugs such as constipation, respiratory depression and sedation are reduced with tramadol.

Studies
=========
Studies of tramadol extended-release tablets suggest that in addition to relief from pain and improved function, additional benefits of fewer interruptions in sleep and improved compliance may occur. Thus, tramadol is an effective and safe drug for the treatment of pain. As such, tramadol is a unique tool for filling the analgesic gap that exists between NSAIDs and potent prototypic opioids.

19 November 2013

New Drug to Fight Anthrax Toxins

The researchers reported that tests on animals showed that the monoclonal antibody of a new drug is safe cure possible anthrax poisoning in humans.

Although antibiotics can kill the anthrax bacteria, antibiotics are not effective to kill the poison produced by bacteria.

New drugs, raxibacumab, specific targets of toxicity are now entering the blood vessels. After the anthrax attacks, the patients knew that they were poisoning until the toxin have been exchanged in his veins, and probably very late with antibiotics alone can work effectively, the researchers found.

"These drugs strengthen American defenses against bioterrorism that will work in the face of antibiotic-resistant anthrax bacterium," says principal investigator Sally Bolmer, senior vice president of development and arrangement of the Human Genome Sciences Inc.., The company that developed raxibacumab.

The drug works differently than antibiotics, Bolmer noted. "This is also the action faster than vaccination. Thus, it is a complement to both," he said.

"If we give in time in animals exposed to anthrax or even wait until symptoms develop, we can improve the ability to survive on rabbits and monkeys," he said.
The same dose of drugs given to humans and drugs that can be well tolerated, Bolmer added.

This research report can be viewed online at the New England Journal of Medicine.

In the study, researchers showed that a single dose of raxibacumab an effective treatment for inhalation anthrax in both rabbits and monkeys.

Drugs provide a significant survival advantage for animals that show symptoms. Animals exposed to doses of anthrax approximately 200 times the lethal dose, the researchers said.

In addition, raxibacumab safely given to human volunteers and can be used in the form of clinical disease when life is threatened because of inhalation anthrax, said Bolmer.

Under contract with the U.S. Biomedical Advanced Research and Development Authority, the company has been delivering to the U.S. raxibacumab dose 20.000 Strategic National Stockpile for emergency usage. Approval for the drug from the U.S. Food and Drug Administration is still pending, said Bolmer.

Mingtao Zeng, an assistant professor in the department of microbiology and immunology at the University of Rochester Medical Center, said the study provides solid data to support raxibacumab as candidate drugs for biodefense and public health.

"The most encouraging findings is raxibacumab looks safe and well tolerated, with a high dose on the first phase of human clinical trials, involving 333 healthy volunteers," said Zeng. "I expect that raxibacumab can be used as a prophylactic agent as a short-term protection against anthrax or as a combination drug therapy with antibiotics for a more effective treatment of anthrax."

Dr. Gary Nabel, director of the Vaccine Research Center at the U.S. National Institute of Allergy and Infectious Diseases and is also the author of the companion editorian journal said the study showed that the antibodies can block infection During his animals and similar levels of drug can be given safely to people.

"If there are criteria of satisfaction in animals, a guide regulations used to approve drugs for diseases that can be tested for efficacy in humans," said Nabel.

These antibodies provide new tools for controlling anthrax ifeksi and if proven, will be stocked as a countermeasure against the potential public health threat, "he said.

"The paradigm for approval as a biodefense agents that provide new ways to deal with that threat, although questions remain about how and when to use these drugs and how to provide the stimulus for industry to produce them," said Nabel.

24 October 2013

PCP (Phencyclidine)

Pronunciation: pee-see-pee
Chemical Abstracts Service Registry Number: 77-10-1. (Hydrochloride form 956-90-1)
Formal Names: Phencyclidine
Informal Names: Ace, Ad, Alien Sex Fiend (with heroin), Amoeba, Angel, Angel Dust, Angel Hair, Angel Mist, Angel Poke, Animal Trank, Animal Tranq, Animal Tranquilizer, Aurora Borealis, Belladonna, Black Dust, Black Whack, Blotter Acid, Blue Madman, Boat, Bohd, Bush, Busy Bee, Butt Naked, Cadillac, Cannabinol, Cigarrode Cristal, CJ, Clicker, Clickum, Cliffhanger, Columbo,
Cozmo’s, Crazy Coke, Crazy Eddie, Crystal, Crystal Joint, Crystal T, Cycline, Cyclone, D, Detroit Pink, Devil’s Dust, Dipper, DMT, DOA, Do It Jack, Domex, Drink, Dummy Dust, Dust, Dusted Parsley, Elephant, Elephant Trank, Elephant Tranquilizer, Elysion, Embalming Fluid, Energizer, Erth, Fake STP, Flake,

Flying Saucer, Fresh, Fuel, Good, Goon, Goon Dust, Gorilla Biscuit, Gorilla Tab, Green, Green Leaves, Green Tea, Happy Sticks, HCP, Heaven & Hell, He-Man,
Herms, Hinkley, Hog, Hog Dust, Horse Tracks, Horse Tranquilizer, Ice, Ill, Illy Momo, Jet Fuel, Juice, K, Kap, Kay Jay, K-Blast, Killer, KJ, Kool, Koolly High, Krystal, KW, LBJ, Leaky Bolla, Leaky Leak, Lemon Drop, Lemon 714, Lenos, Lethal Weapon, Little One, Live One, Log, Loveboat, Lovely, Mad Dog, Madman, Magic, Magic Dust, Magic Mist, Mean Green, Mint Dew, Mint Leaf, Mint Weed, Missile, Mist, Monkey Dust, Monkey Tranquilizer, More, New Acid,
New Magic, Niebla, Octane (mixed with gasoline), Oil, Omen, OPP, Orange Crystal, Ozone, P, Parsley, Paz, PCPA, Peace, PeaCe Pill, Peace Weed, Peep, Peter Pan, Pig Killer, Pikachu (mixed with MDMA), Pit, Polvo, Polvo de Angel, Polvo de Estrellas, Puffy, Purple Rain, Red Devil, Rocket Fuel, Scaffle, Scuffle, Selma, Sernyl, Sernylan, Sheets, Sherm, Sherman, Sherm Stick, Skuffle, Smoking, Snort, Soma, Space Base (mixed with crack cocaine), Space Cadet (with crack), Space Dust (with crack), Speedboat (with crack and marijuana), Spore, Squirrel (with crack and marijuana), Stardust, Stick, STP, Super, Super Grass (with marijuana), Super Joint, Super Kool, Super Weed, Surfer, Synthetic Cocaine, Synthetic THT, TAC, T-Buzz, Tea, Tic, Tic Tac, Tish, Titch, Trank, Wac, Wack, Water, Weed, Wet (alone or with marijuana), Wet Daddy, Whack (with crack or heroin), Whacky Weed, White Devil, White Horizon, White Powder,
Wicky Stick (with crack and marijuana), Wobble Weed, Wolf, Wooly (with marijuana), Worm, Yellow Fever, Zimbie, Zombie Dust, Zombie Weed, Zoom

Type: Depressant.
Federal Schedule Listing: Schedule II (DEA no. 7471)
USA Availability: Prescription

Uses.
This substance was invented in the 1920s, but not until the 1950s was it introduced as a drug, intended as a human and veterinary anesthetic. Human medical use soon ended because of psychological effects discovered during tests on patients. PCP is related to ketamine and, like that substance, has hallucinogenic qualities. Depending on how PCP is used, it can have stimulant, depressant, or hallucinogenic actions. In monkeys PCP is about 10 times stronger than ketamine.

Drawbacks.
PCP can make people feel aloof from the world around them, cause numbness, interfere with movement, and distort perception of time. Hallucinations, floating sensations, euphoria, and mania can occur. People may forget what they did while under the drug’s influence; such amnesia can last for 24 hours after a dose. Although euphoric effects are well documented,
one group of researchers noted bouts of depression brought on by chronic use of the substance, though not by intermittent use. Yet the same researchers also found people successfully using the drug as an antidepressant, and animal studies suggest PCP may have antianxiety properties. The substance reduces appetite in dogs. Rats lost weight when they chronically received PCP.

Law enforcement authorities say the drug can make people hostile and give them extra physical strength, and the same has been experienced by medical personnel dealing with overdose emergencies. Researchers, however, have generally not observed such results from PCP (although one of the very first studies in the 1950s noted violent reactions from about 5% of surgery patients who received the drug as an anesthetic). A study examining PCP cases at a
Los Angeles psychiatric hospital emergency room explicitly noted that wild conduct among PCP patients was uncommon. Perhaps police simply have more dealings with hostile individuals; for example, alcohol can embolden belligerent persons, but violence is not considered an inherent effect of alcohol.

Persons who become violent after taking PCP already have such a history without the substance, and during a police encounter they may well be under the influence of alcohol or other drugs as well. Military research found that PCP hostility did not occur unless persons were under stress, and not all stressed individuals reacted that way. The military study also found that psychotic
episodes did not occur with normal persons; someone had to be prone to psychosis in order for such behavior to occur while using the drug (a finding supported by other studies as well). In mice research PCP reduces violent behavior. Most species, including monkeys, act more docile after taking the drug. Some violent human episodes are described as coming not from aggression
but from a PCP user’s panic when police or medical personnel try to restrain the person. One group of addicts spoke of the substance lowering inhibitions, which is not the same as causing violence, although an already enraged person who loses inhibitions may engage in stormy behavior. In addition, users who attract attention from police or emergency medical personnel
are not necessarily representative of recreational users in general, either in personality or size of dose or reaction to the dose.

PCP’s physical effects include increased salivation, body temperature, pulse rate, and blood pressure. Case reports about humans indicate that PCP can raise blood pressure so high that a medical emergency occurs. The drug can bring on dizziness and double vision, create seizures, and cause muscle discoordination and damage. Numbness caused by PCP can promote injury due to lack of pain signals that ordinarily warn a person to stop doing something.

Cases of kidney failure and liver destruction have been associated with the
substance.

The higher one rises in the traditional evolutionary scale (for example, from mice to rats to humans), the lower the dose necessary for PCP to create anesthesia. Two observers who noted that trend concluded that human brains are exquisitely sensitive to PCP. Animal experiments reveal brain damage when the substance is used chronically for as little as five days. PCP addicts
have complained of memory trouble. A small human study found impaired ability for abstract thinking and for physical movement in response to signals, impairment measured years after the persons said they had stopped using PCP. Moreover, users of the drug may have normal scores on intelligence tests but have emotional disabilities and be crippled in their ability to cope with
problems. Those latter defects may be caused by the drug or may instead be reasons why people resort to the drug.

Abuse factors.
Initially PCP was a Schedule III drug, but in 1978 government authorities shifted it to Schedule II because of recreational use. At about that time a Los Angeles psychiatric hospital emergency room tested 145 consecutive patients for PCP; 63 were positive (over 40%).

A study of 200 recreational users found differences in effects reported by persons who took a little of the drug once a month and by persons who took a lot every day for years. Heavy users felt more pepped-up, violent, and suicidal. Regular users of PCP are known for self-destruction; one study found that 24% of regular users had tried to commit suicide, and 36% had overdosed
on other drugs. A study of PCP users who were treated at a charity hospital found no behavioral difference between black or white males, but black females acted much stranger and more aggressively than white females. The meaning of that finding is unclear—it could be racial, could be cultural, could be a statistical oddity that would disappear after more research.

When monkeys were given a choice between water or PCP, the animals showed no preference; such indifference is a sign of low addictive potential.

An experiment measuring rats with prenatal exposure to PCP found the animals were more sensitive to the drug than were rats lacking prenatal exposure— the opposite of tolerance. Dependence has been reported in monkeys that receive PCP. Pigeons that received the drug every day for 215 days did not develop dependence. Human research has found tolerance but not dependence among users, although dependence is suspected.

Various cold remedies contain doxylamine succinate, which can cause a false-positive drug test for PCP.

Drug interactions.
In a rat experiment neither alcohol nor PCP affected blood pressure, but blood pressure rose when they were used simultaneously. They also speeded up the heart. One human study found that PCP may be more likely to induce excitability in alcoholics than in nonalcoholics, possibly meaning that alcohol increases the likelihood of a manic reaction. In mice marijuana has reduced hyperactivity caused by PCP.

Cancer.
Not enough scientific information to report.

Pregnancy.
Two studies published only a few months apart in the 1980s gave different impressions about the prevalence of PCP use among pregnant women. In one study a group of 2,327 pregnant women were tested for PCP use; 19 were taking the drug. Those 19 were typically polydrug abusers. A different study of 200 pregnant women found 24 using PCP, a rate 15 times
higher than in the other group.

If a pregnant woman uses PCP, it passes into the fetus. Reports exist of PCP being detected in newborns three months after the mothers claimed to have stopped using the drug during pregnancy, which would mean that the drug remains in a fetus months after a pregnant woman stops taking PCP. Whether the women’s claims of abstinence were confirmed by laboratory testing during those months of pregnancy is unclear, however. In mice and pigs PCP builds
up in the fetus, reaching levels 7 to 10 times higher than in the female’s bloodstream.

The drug is suspected of causing birth defects. At dosage levels high enough to poison the pregnant female, birth defects have been produced in rats and mice. Rats with prenatal exposure to PCP show defective memory and learning ability. The substance is suspected of harming fetal brain development in humans. Pregnant women who use the drug tend to produce infants who are smaller than normal. In a group of 83 infants with prenatal PCP exposure,
almost half had a head circumference below the 25th percentile (meaning that 75% of infants in the general population have bigger heads and, by implication, larger brains). Some were below the 10th percentile. Smaller-than-normal infant skulls may interfere with physical growth of the brain. People who abuse one drug tend to abuse others as well; one study of 41 women who
used PCP during pregnancy found that most had also been using cocaine.

Two studies of women who used PCP during pregnancy found that all were poor; most were unmarried, were in an ethnic minority, and had received inadequate prenatal care. Such factors confound efforts to confirm what effect PCP alone has on pregnancy.

Offspring of mothers who have been using PCP can exhibit symptoms similar to those seen in infants undergoing opiate withdrawal—even though the drug is not an opiate, and research has yet to demonstrate that PCP dependence occurs. Infant distress may be real, but the newborn may be responding to the unpleasant effects of the drug itself rather than responding to sudden
absence of the drug.

A year after birth, a group of 57 babies with prenatal PCP exposure showed normal development in mental ability and physical coordination, although almost half were ill-tempered. About 15% had trouble sleeping, and the same percentage lacked normal emotional attachment. Those findings are consistent with other studies. Home environment, of course, may influence behavior as much or more than prenatal drug exposure. Factors noted above (lack of money, absent father, being in a disadvantaged ethnic minority) can weaken home life. Still, the kinds of brain function damage seen in animal studies are the kinds of damage that should interfere with children’s abilities to socialize normally—exactly the kind of deficit seen in children who have prenatal exposure to PCP.

In mice PCP not only passes into maternal milk, but milk levels are 10 times higher than maternal blood levels.

Additional information.
PCP is related to the Schedule I hallucinogens PCE (CAS RN 2201-15-2), PCPy (2201-39-0), TCP (21500-98-1), and TCPy (22912- 13-6).

Rat experimentation measured PCPy as about the same strength as PCP.
Other laboratory measurement shows TCP as stronger than PCP, and PCE as stronger than TCP. French military experiments found that TCP could protect rats and guinea pigs from the chemical warfare agent soman.

“Cannabinol” is a nickname for PCP and refers to THC, which is the active chemical in marijuana and dronabinol, but PCP is not THC. Likewise “DMT” and “STP” (DOM) are nicknames for PCP, but they are all different drugs.

Additional scientific information may be found in:
Baldridge, E.B., and H.A. Bessen. “Phencyclidine.” Emergency Medicine Clinics of North
America 8 (1990): 541–50.

Brecher, M., et al. “Phencyclidine and Violence: Clinical and Legal Issues.” Journal of
Clinical Psychopharmacology 8 (1988): 397–401.

Giannini, A.J., R.K. Bowman, and J.D. Giannini. “Perception of Nonverbal Facial Cues
in Chronic Phencyclidine Abusers.” Perceptual and Motor Skills 89 (1999): 72–78.

Graeven, D.B., J.G. Sharp, and S. Glatt. “Acute Effects of Phencyclidine (PCP) on
Chronic and Recreational Users.” American Journal of Drug and Alcohol Abuse 8
(1981): 39–50.

Harry, G.J., and J. Howard. “Phencyclidine: Experimental Studies in Animals and
Long-term Developmental Effects on Humans.” In Perinatal Substance Abuse: Research
Findings and Clinical Implications, ed. T.B. Sonderegger. Baltimore, MD:
Johns Hopkins University Press, 1992. 254–78.

Khajawall, A.M., T.B. Erickson, and G.M. Simpson. “Chronic Phencyclidine Abuse and
Physical Assault.” American Journal of Psychiatry 139 (1982): 1604–6.

Pradhan, S.N. “Phencyclidine (PCP): Some Human Studies.” Neuroscience and Biobehavioral
Reviews 8 (1984): 493–501.

Schuckit, M.A., and E.R. Morrissey. “Propoxyphene and Phencyclidine (PCP) Use in
Adolescents.” Journal of Clinical Psychiatry 39 (1978): 7–13.

Sioris, L.J., and E.P. Krenzelok. “Phencyclidine Intoxication: Literature Review.” American
Journal of Hospital Pharmacy 35 (1978): 1362–67.