Objectives

 To provide information about opiates

 To assist students in understanding consequences
of opiate use
 To assist students in understanding drug
interactions
 Toeducate students about the symptoms of
toxicity, overdose and withdrawal
 Tomotivate students to make informed choices
about opiateEarn
useCEUs at AllCEUs.com NBCC #6261, NAADAC
#599
Copyright AllCEUs 2006-2020
 Overview
 Opiates are better known as painkillers or
narcotics.
 Not all pain relievers are opiate based, but many
prescription ones are.
 They relieve pain and induce a state of sedation
and apathy

Earn CEUs at AllCEUs.com NBCC #6261, NAADAC

#599
Copyright AllCEUs 2006-2020
 Description/terms
 Narcotics:Strong prescription painkillers such as
Demerol, Stadol, or Codeine
 Heroin: a narcotic painkiller
 Methadone

 Naltrexone

Earn CEUs at AllCEUs.com NBCC #6261, NAADAC

#599
Copyright AllCEUs 2006-2020
 Overview
 Heroin
– Heroin WebCast

– WebCast II

– Heroin Info at a Glance

– Various Definitions of Heroin

– Other Opiates

– Other Pain Medications at a Glance

– Hydrocodone (Vicodin, Lortab)

Earn CEUs at AllCEUs.com NBCC #6261, NAADAC

#599
Copyright AllCEUs 2006-2020
 Effects and Symptoms of
Toxicity
General effects: pain relief, euphoria, drowsiness/nausea,
constipation, confusion, sedation, respiratory depression
and arrest, tolerance, addiction, unconsciousness, coma,
death

Also, for codeine—assists in cough suppression, less

analgesia, sedation, and respiratory depression than
morphine

Also, for heroin—staggering gait

Earn CEUs at AllCEUs.com NBCC #6261, NAADAC
#599
Copyright AllCEUs 2006-2020
 Detoxification Symptoms
– intense cravings for – sweating
the drug
– diarrhea
– irritability
– yawning
– nausea or vomiting
– fevers
– muscle aches
– chills
– runny nose or eyes
– inability to sleep
– dilated pupils
– depression
Earn CEUs at AllCEUs.com NBCC #6261, NAADAC
#599
Copyright AllCEUs 2006-2020
 Interaction with other drugs
 Alcohol

 Depressants(GHB, inhalants,
benzodiazepines)
 OTC

– Antihistamines

– Decongestants

 Stimulants
Earn CEUs at AllCEUs.com NBCC #6261, NAADAC
#599
Copyright AllCEUs 2006-2020
 Legal Issues and
Consequences
 First Conviction:
– Up to one year imprisonment and fined at least $1,000 (but not
more than $100,000) or both.

 After One Prior Drug Conviction:

– At least 15 days in prison (but not to exceed two years) and fined
at least $2,500 (but not more than $250,000) or both.

 After Two or More Prior Drug Convictions:

– At least 90 days in prison (but not to exceed three years) and fined
at least $5,000 (but not more than $250,000) or both.
Earn CEUs at AllCEUs.com NBCC #6261, NAADAC
#599
Copyright AllCEUs 2006-2020
 Issues in Pregnancy
 Common pregnancy complications include
miscarriage, placental abruption, poor fetal growth,
premature delivery, low birth weight and stillbirth.
 In sufficient quantity, opiates can depress the heart
rate of the baby sufficiently to kill the fetus
 Most babies of heroin users suffer from withdrawal
symptoms after birth, including fever, sneezing,
trembling, irritability, diarrhea, vomiting, continual
crying and, occasionally, seizures.
 Babies exposed to heroin before birth also face a ten-
fold increased risk of sudden infant death syndrome
(SIDS).

Earn CEUs at AllCEUs.com NBCC #6261, NAADAC

#599
Copyright AllCEUs 2006-2020
 Effects on Sports
Performance
 The
Physician and Sports Medicine Thomas L.
Schwenk Md
 Drug Free Sport---NCAA

Earn CEUs at AllCEUs.com NBCC #6261, NAADAC

#599
Copyright AllCEUs 2006-2020
 Rumors and Myths
There are three major misconceptions about Methadone :
 ”Methadone is more addictive than heroin”. Although
withdrawal from methadone does last significantly longer
than that from heroin, methadone is not more addictive
 ”Methadone depresses the immune system”.
Methadone is the only narcotic that does not depress the
immune system.
 ”Methadone rots the teeth”. Many heroin addicts do not
take care of their teeth, but when stabilized on methadone,
individuals become aware of their dental problems

Earn CEUs at AllCEUs.com NBCC #6261, NAADAC

#599
Copyright AllCEUs 2006-2020
 Additional Resources
 Analgesics & Opiates
 "Heroin Chic" from W. J. Bailey
 The Dextromethorphan FAQ by W. E. White

Earn CEUs at AllCEUs.com NBCC #6261, NAADAC

#599
Copyright AllCEUs 2006-2020
 Summary
 Overview Online Reading
 Responsible Use
– Use opiates as prescribed

– Do not mix with alcohol or other depressants

– Do not drive while using opiates

Earn CEUs at AllCEUs.com NBCC #6261, NAADAC

#599
Copyright AllCEUs 2006-2020