Stimulants encompass a wide variety of legal and illicit substances, which are classified based on chemical composition, pharmacological effects and medical uses. It’s crucial to remember that even legally prescribed stimulants can be misused for nonmedical purposes, leading to severe health risks. Prescription stimulants should be approached with caution and only used under the guidance of a health care professional.
Here are some common prescription and illicit stimulants.
Prescription amphetamines increase the release and inhibit the reuptake of dopamine and norepinephrine. They are often used to treat ADHD and narcolepsy and have a slower onset and longer duration than illicit stimulants like cocaine. Amphetamines may:
Adderall, Dexedrine and Vyvanse are examples of common prescription stimulants. Methamphetamine — commonly known as meth — is an illicit form of amphetamine that has a high potential for misuse that can lead to serious health consequences.
Another type of stimulant medication, methylphenidate, is often used to treat ADHD and narcolepsy. It works by increasing dopamine and norepinephrine in the brain. The stimulant is available on the market under the following trade names:
While both stimulants affect the central nervous system, methylphenidate differs from amphetamine. The effects of methylphenidate tend to be milder than those of amphetamine prescriptions, which come with several body effects like increased heart rate. Instead, patients report a more pronounced impact on cognitive function and thought processes when taking methylphenidate than amphetamines.
Cocaine is a very powerful stimulant. It is derived from the coca plant, which grows almost exclusively in northern and western South Africa. Cocaine most commonly comes in the form of a fine, white powder, though it can also be made into a solid rock crystal. Cocaine rapidly increases dopamine levels, leading to increased energy and intense euphoria. However, cocaine is illegal due to its high potential for addiction and abuse. Taking cocaine can lead to severe health effects, including the following:
MDMA, also known as ecstasy or molly, is a synthetic psychoactive drug with stimulant and hallucinogenic effects. MDMA increases the release of dopamine, serotonin and norepinephrine, which results in euphoria, increased energy and heightened sensory perception. This drug is often associated with recreational use in party settings, but it is illegal in most countries and can pose severe health risks.
MDMA is frequently taken with other illegal drugs, and pills sold as MDMA can often contain additives — all of which can contribute to serious and sometimes fatal health effects. MDMA can be addictive, and long-term use is associated with cognitive problems.
The short- and long-term effects of stimulant addiction can take a significant toll on an individual’s physical and mental health. The brain adapts to repeated stimulant exposure, so the reward pathways become less sensitive to natural reinforcers. Below are some of the common short- and long-term effects of simulant misuse:
Initial stimulant addiction symptoms may include the following:
Stimulant use can have a lasting impact on the body when used in the long term. The following physical effects can occur as a result of long-term stimulant use:
Prolonged addiction can have a profound psychological impact on people and can cause mental health problems and changes in behavior or cognition. Consider the long-term mental effects of stimulant addiction:
Addiction to stimulants can strain relationships and have an immense social impact. Any substance use disorder can lead to isolation and difficulties maintaining employment or academic performance. Individuals might withdraw from friends and family members out of feelings of shame or to continue their addiction without suspicion. They may have trouble getting to work or school, leading to job loss or poor school performance.
Stimulant use can also cause personality changes and lead to irritability, aggression and emotional instability. These behavioral changes can make connecting with others and maintaining meaningful relationships challenging. Ultimately, the social impact of addiction cannot be overstated, as it can often contribute to other issues like depression and continued substance use.
Here are the answers to common questions about stimulant addiction and addiction treatment.
Generally, treatment lasts from several weeks to several months. However, the specific duration of stimulant addiction treatment varies on a person’s needs, the severity of the addiction and their response to treatment.
The first step in treatment is detox, during which your body gets cleansed of substances. Detox might last a few days to a week. Inpatient care can last around a month or longer, while outpatient treatment can span several months and include regular therapy sessions and check-ins.
Always try to remember: Recovery from addiction is a lifelong journey. Ongoing support is crucial — after completing formal treatment, it’s often imperative to participate in aftercare programs, continued individual and group therapy, and healthy lifestyle changes to maintain sobriety and promote overall well-being. Health care professionals should determine your treatment program length. They will assess your progress and needs on an individual basis.
Tolerance can sometimes affect the withdrawal process. When someone develops stimulant tolerance, their body gets used to the presence of a substance. Because of this, the body requires higher doses to achieve the same effects as before. People who become tolerant of stimulants may take increasingly larger amounts to keep experiencing the desired effects.
People who stop taking stimulants or reduce their stimulant intake enter the withdrawal stage. The withdrawal phase is often accompanied by uncomfortable and sometimes dangerous side effects. Individuals experiencing tolerance may have more severe withdrawal symptoms because their body has become accustomed to higher doses. They may have intense psychological and physical symptoms when they suddenly stop taking the drug.
Withdrawal symptoms and their severity and duration depend on the person. Seeking withdrawal management from health professionals who can provide the proper guidance and support. They may also prescribe medications to help manage symptoms and aid in the detox process.
Stimulants come in various forms:
The following strategies can help minimize the risks of stimulant use:
These harm reduction strategies prioritize the health and well-being of those taking stimulants while acknowledging that abstinence might not be immediately possible or realistic. Professionals can help you keep loved ones safe with tailored harm-reduction strategies.
Vivitrol or Suboxone are sometimes recommended to aid patients through withdrawal and detox. These medications are not a substitute for long-term care, but they can help individuals focus on their recovery and help the body heal from the effects of stimulants. Medical professionals may also recommend medications that help with co-occurring mental health conditions like depression or anxiety.
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