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What is meth
Methamphetamine, also known as meth, crystal meth, crystal, Tina, or crank, is a stimulant that affects the central nervous system, producing feelings of euphoria and increased energy. It is normally in the form of a white powder that has no smell and tastes bitter. Methamphetamine can also appear in a semi-transparent crystallized form, or in pill form made from compressed powder.Methamphetamine’s parent drug, amphetamine, was first synthesized in 1887 at the University of Berlin. However, amphetamines were not used clinically until they were re-synthesized in the U.S. in the 1920s to treat asthma, allergies, and colds as a decongestant. Methamphetamine was first manufactured in Japan in 1919. It was not widely used until World War II, when soldiers used amphetamine-type stimulants (ATS) to reduce fatigue and suppress appetite.
The major difference between methamphetamine and amphetamines is that methamphetamine has longer lasting and more potent effects. This occurs because methamphetamine passes through the blood-brain barrier more quickly than amphetamines.
Methamphetamine is classified by the Drug Enforcement Agency as a Schedule II drug. This means that the government has determined it has potential for misuse and dependence, but that it also has accepted medical use and can be prescribed for some health conditions with restrictions.
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How does meth works
Neurons are brain cells that both transmit and receive chemical messages called neurotransmitters, that generate our thoughts feelings and actions.
One important neurotransmitter is nor-adrenaline; nor adrenaline is the fight or flight chemical that prepares us to respond to threats. It increases heart rate and blood pressure, widens air passages in the lungs, dilates the pupils to improve vision and narrows blood vessels in organs that aren’t needed for defense, such as the stomach.
Another important neurotransmitter is dopamine, dopamine controls our movements, keeps our attention focused, and our memory working well. It’s also the key chemical responsible for those wonderful feelings of pleasure when we engage in everyday things that are necessary for our survival, such as eating, drinking, and sex. When we feel good we’re very likely to do these things again and again.
Now, along comes meth. Meth works by forcing neurons to release nor-adrenaline and most of their stored dopamine all at once. In fact, meth raises dopamine levels by more than ten times that of any pleasurable activity. In this way, meth causes people to feel energetic, awake, and alert, with an intense rush of pleasure or euphoria that’s unequaled by any natural activity. This powerful euphoric effect is a major reason why people can become dependent on meth so quickly.
Meth also stops the transmitting neurons from recycling excess dopamine, which is why the pleasurable feelings stay around for such a long time. The problem is that neurons can only store a certain amount of dopamine at any one time.
Think of a glass full of pleasure messages and after a short period of over stimulation by meth, the glass quickly empties. Even if people keep using meth they still won’t get the rush they are after, because there is just not enough dopamine left to tell the brain to feel good. It’s as if your brain has run out of petrol and no matter how many times you pump the accelerator, you just can’t get going.
It can take from two to ten days to restock dopamine stores, and during this time people can feel pretty flat, moody, irritable, forgetful, restless and exhausted. Kind of the opposite of using meth, it takes rest, a good diet, healthy exercise and most of all time to recover.
This is also when people often get strong cravings to use meth again. If people continue to use meth regularly, the brain can’t cope with so much stimulation, and over a time it shuts down many of its dopamine transmitters and receivers.
People then find that they have to use more and more meth, in higher and higher amounts to get any sort of rush. This is called tolerance. When meth tolerant people stop using meth, it can take months or even a year for the brain to fully recover. This is why people tend to feel depressed, moody, or irritable until dopamine can begin to work normally again.
Uses of meth
This medication is used to treat attention deficit hyperactivity disorder – ADHD. It works by changing the amounts of certain natural substances in the brain. Methamphetamine belongs to a class of drugs known as stimulants. It can help increase your ability to pay attention, stay focused on an activity, and control behavior problems. It may also help you to organize your tasks and improve listening skills.This medication should not be used to treat tiredness or to hold off sleep in people who do not have a sleep disorder.
Take this medication by mouth with or without food as directed by your doctor, usually once or twice daily. During treatment, your doctor may occasionally recommend stopping the medication for a short time to see if there are any changes in your behavior and whether the medication is still needed.
Do not take this medication late in the day because it may cause you to have trouble sleeping.
If you suddenly stop using this medication, you may have withdrawal symptoms (such as severe tiredness, sleep problems, mental/mood changes such as depression). To help prevent withdrawal, your doctor may lower your dose slowly. Withdrawal is more likely if you have used methamphetamine for a long time or in high doses. Tell your doctor or pharmacist right away if you have withdrawal
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Methods of Meth Use
Methamphetamine is used in different ways depending on what is available to the person using the drug and based on personal preference. Different methods of drug use can have different effects and should be considered when assessing the risks of meth.
Smoking
Smoking meth is the most common way of using crystal meth. It is done using a pipe or ‘flute’ and doesn’t require mixing with any other substance. Smoking meth causes the drug to enter the bloodstream immediately, which gives an intense high or ‘rush.’ This immediate effect can increase the risk of addiction and overdose because the instant high makes it appealing to smoke repeatedly.
Smoking meth has been tied with several health problems beyond the risk of addiction and overdose. For example, there has been a rise in the rates of ‘meth mouth,’ an oral health condition that develops as a result of smoking meth and includes tooth decay and stained or rotting teeth. Treating meth mouth can involve removing all teeth and can have a lifelong impact on diet, oral health and appearance.
Snorting
Snorting meth generally produces feelings of euphoria as it is absorbed into the body. Even though the effects aren’t felt as instantly as injecting or smoking meth, it only takes several minutes to feel high when snorting meth. To use meth in this way, the crystals are crushed into a fine powder that can be inhaled easily through the nose.
Some people may snort the drug because they believe the risk of contracting diseases or future health problems is lower compared to injecting it. However, snorting it can cause long term damage to sinuses, chronic nosebleeds and damage to nasal tissue.
Injecting
Injecting meth is done by diluting crystal meth from powder form into a liquid and injecting it directly into the bloodstream. Survey results have shown that injecting meth has increased in popularity in the last decade. Injecting meth produces an instant and powerful rush and is a popular method of meth use for this reason.
Injecting meth is extremely risky and is linked with diseases like HIV and hepatitis C. This is a result of sharing needles or using needles that have not been cleaned and carry serious diseases or bacteria. The result of injecting meth can be lifelong chronic illness, as well as an increased risk of long-term substance use disorder.
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Swallowing Methamphetamine Pills
Swallowing meth is the slowest acting way to use the drug, and it may take 15-20 minutes to feel the its effects. This can be particularly risky, since someone may think they haven’t taken enough of the drug to produce a high, and they may take more.
Meth pills, often called speed, are regularly combined with other drugs to increase their potency and effect. Taking meth in pill form can increase the risk of a bad reaction or overdose, which can cause long term disability or death.
Meth comes in different forms and can be used differently based on what is available or what a person prefers. Meth is extremely dangerous, and each method of use carries unique risks of complications that can impact health long after the high subsides.
“Meth overdose can occur at any time,” Meghan Mar-cum, PsyD, tells Web MD Connect to Care. She’s the chief psychologist of the addiction recovery center A Mission for Michael. Mar-cum says you don’t have to be an addict, and you can overdose the first time you use meth.
People who abuse meth may overdose because of the long-term buildup of the drug in the body. She cautions that an overdose is possible even if you think you didn’t take a large dose.
Mar-cum explains that, because meth is illegal, it varies a lot from drug to drug. Two doses that seem the same may be quite different. “It can be easy to overdose by accident even for those who have used it many times.”
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Mar-cum says that the early symptoms of a meth overdose may look similar to being high on meth. But you may notice subtle differences, like a more intense high or a rapid or irregular heartbeat.
Some other symptoms of a meth overdose are:
- Trouble breathing
- Signs of a heart attack or stroke, such as chest pain or confusion
- Seizures
- High or low blood pressure
- A high body temperature
- Kidney failure, which might cause symptoms such as peeing less or very dark urine
- Intense stomach pain
- Changes in personality or alertness
- Loss of consciousness
- Intensely hyper or aggressive behavior
- Paranoia
Meth Overdose Treatment
Treatment for a meth overdose depends on symptoms. The Icahn School of Medicine at Mount Sinai recommends immediate emergency treatment for those experiencing symptoms that indicate a bad reaction to methamphetamine. Emergency treatment may include:
- Vital sign monitoring
- Activated charcoal and laxative if methamphetamine was ingested by mouth
- Blood and urine testing
- Supportive care for breathing, including oxygen administration
- Chest x-rays if abnormal breathing is present
- Computerized tomography scans in cases of suspected injury
- Electrocardiogram
- Intravenous fluid administration
- Medications for any heart, brain, muscle, or kidney complications
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