Chapter 5

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Heroin depletes the neurotransmitter

dopamine

In 2006, ____ mixed with and sold as heroin was responsible for killing hundreds of people in cities from Chicago to Philadelphia

fentanyl

There are four different effects of heroin: the rush, the ____, the nod, and being straight

high

Analogs designed by underground chemists are known as ______.

designer drugs

Ingested intravenously, heroin has a _____ second onset

10

There are approximately ___ annual prescription painkiller overdose fatalities

19,000

Heroin has been banned in the United States since ____.

1924

There are about _____ derivatives of barbituric acid

2,500

3-methyl fentanyl is approximately ____ times as potent as morphine

3,000

The DEA reports that more than _____ tons of opium or its equivalent in poppy straw concentrate are legally imported each year into the United States

500

______ often carry a gene that makes them physically ill and flushed before they can consume an addicting amount of alcohol

Asians

_____ enable the organism to deal with "psychological pain," stress, by curbing an autonomic overreaction and producing calm

Endorphines

________ compounds are often sold as "China White," the street name for the finest Southeast Asian heroin, to addicts who cannot tell the difference

Fentanyl

________ was part of a class of drugs introduced as barbiturate substitute in the belief that they would be safer

Methaqualone

Oxycodone is the active ingredient of ____, and also found in medications such as Percodan and Tylox

OxyContin's

_________ is a synthetic version of morphine prescribed for chronic or long-lasting pain

Oxycodone

The liver converts alcohol to _____, which in high levels causes permanent liver damage

acetaldehyde

Chronic ___________ use leads to cirrhosis of the liver, damage to the heart muscle and nerve damage.

alcohol

Endorphin's enable organisms to deal with psychological stress by ____.

all of these

Unlike other drugs of abuse, alcohol _____.

all of these

Chemical variations of drugs are referred to as

analogs

Since passage of the Anti-Drug Abuse Act of 1986, all _____ of controlled substances have themselves become controlled substances

analogs

Common short-term effects of _______ include drowsiness, dizziness, confusion, and mood swings.

benzodiazepine

Barbituates are classified ______

by the speed with which they metabolized

Regular use of moderate daily amounts of alcohol

can produce psychological dependence

Physicians often use the less addictive drug __________ to relieve heroin withdrawal symptoms.

clonidine

Genetic factors _________

influence the development of alcoholism, but do not directly cause it

Rohypnol, although not approved for use in the United States, is prescribed in about seventy countries for the short-term treatment of ____.

insomnia

Barbiturates are often used for their ____ effects.

intoxicating

Benzodiazepines are referred to pharmacologically as ___

sedative-hypnotics

Because heroin is illegal, there is no way for the user to determine the level of ___.

opium

Alcohol ______

reinforces GABA activity while reducing NMDA activity

Most long-term alcoholics suffer from Wernicke-Korsakoff syndrome, deficiency in:

thiamine (vitamin B1)

Approximately ____ adult Americans Consume alcohol

three out of every four

Identical twins are about _______ as likely as fraternal twins to resemble each other in terms of the presence of alcoholism

twice


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