drugabuse-complications 787565657671.ppt

drug compliction

1. Talha Shahid

2. Dependence &
Behavioral
Medical
including HIV/AIDS
cancer, liver & heart
disease
Social
Broken families,
homelessness, crime,
and violence
Financial
Spending on drugs
Healthcare costs,
unemployment
Drugs

4. .

5. .
Studies work
Family children
girlfriend , art,
excersise, hobbies,
love
Wife friends
sex
Drugs,
Drugsnext dose,
drugs, drugs ,
drugs
Money,
Drugsmoney
next dose
Drugs, money
Drug dependence
Obsessions about
drugs

6. No use
experi
mentat
ion
Social use
Regular
use
Harmful
use
Dependan
t use
Cycle of
addiction
Neglect
responsibility
GATEWAY DRUGS
ALCOHOL, smoke
Substance use progresses from initial experimentation ……often
with GATEWAY DRUGS …. Alcohol, tobacoo or Cannabis …….,
gradually more frequent use , ….to regular intake.
Regular users start
neglecting their life
responsibilities,….. and
are unable to enjoy life
apart form drug.
As tolerance to drug
develops …….there are
withdrawal affects,
…..and Dependence
occurs.

7. Prolonged drug abuse changes the brain in ways
that reinforce drug taking and lead to addiction.
changes are difficult to undo
and last a long time.

8. Short term
Intoxication
Confusion
Delirium
Blackouts
amnesia
Overdose
seizures
Long -term
dependence
Depression , Suicidal behavior
Psychosis , hallucinosis,
Sleep disorders, Sexual dysfunction
brain atrophy Dementia
Amnesticsyndrome, Encephalopathy
Cerebellardystrophy

9. Substance
use
disorder
Mental illness
Source -SAMHSA
About 40% of substance use disoder associated with Mental illness
About 20 % Mental illness associated with Substance use Disorder

10. National Crime Records Bureau

11. .
In this graph showing relation of dependence &
Physical harm ………Heroin also known as
CHITTA at the right upper corner is the most
addicting and harmful drug currently being used.
Heroin
cocaine
Tobacoo
Benzodaizapines
OPIUM
Alcohol
LSD
ECSTACY
0
0.5
1
1.5
2
2.5
3
3.5
0 0.5 1 1.5 2 2.5 3 3.5
physical harm
physical harm
D
E
P
E
N
D
E
N
C
E

12. Traditionally used opium (
Affim ) and Poppy husk (
BHUKI ) have typical effects of
dry mouth, constipation and
miosis.
When ingested in large
amounts it can cause
respiratory depression &
seizures.
Briefly I will outline most characteristic complications of
commonly used substances in our area

13. ( the real heroin among drugs of abuse) is
extremely addictive.
Tolerance develops rapidly and users
shift from snorting to injecting.
intravenously to keep up with the
requirement of dose escalation
thrombophlebitis, DVT , Infective endocarditis
, Pneumonia, Pulmonary embolism , Respiratory
depression , abscesses, cellulitis

14. Alcoholic liver
disease
Cirrhosis
Peptic ulcers
Cardio-myopathy
Osteoporosis
Avascular necrosis
.
spares no body organ. Common
complications include……..

15. Withdrawal seizures
Memory problems
Common cause of falls-fractures in elderly
Respiratory depression in OVERDOSE
.

16. Leading cause of LUNG CA
CA of Oropharynx
Peripheral vascular disease
Ischemic heart disease
GERD, Peptic ulcers
.
. -either SMOKED or CHEWED

17. Responsible
for various
psychiatric
disorders.
Smoking
cannabis is
linked to
development
of COPD
.

18. Hypertension , arrhythmias
Paranoia
Seizures
Hallucinations
OVERDOSE
Heart failure, Stroke
Respiratory failure
Cerebral hemorrhage
rarely available
& used in our
area of Punjab
is often used
Party drug in
Metro Cities

19. Myocarditis
Arythmias
endocarditis
Gastritis
CA
COPD
Pulmonary embolism
Bronchiactasis
Hepatitis, cirrhosis, CA,
portal hypertension
pancreatitis
colitis
Kidney stones
nephritis
Peripheral vascular
disease
Peripheral neuropathy
Osteoporosis
AvascularNecrosis
Sexual dysfunction
Infertility
miscarage
“track marks”, Acne, cellulitis,
Wound botulism, tetanus,
necrotizing fasciitis
thrombophlebitis, DVT,
eczema, psoriasis

20. needle sharing
high-risk behaviors
unprotected sex

21. Tests were done on 1,155 …..IV drug users from
Amritsar, Tarn Taran, Batala, Jalandharand Ludhiana
and….results showed
29 percent to be infected with HIV and
49 percent with Hepatitis C.
Drug users below 19 years of age showed
12 percent hadHIVand
27 percent had Hepatitis C.

22. .

24. .
Studies work
Family children
girlfriend , art,
exercise ,
hobbies, love
Wife friends
sex
Drugs,
Drugs next dose,
drugs, drugs , drugs
Money,
Drugs money
next dose
Drugs , money
Drug dependence
Obsesionsabout drugs

25. Isolation.
Neglect of
responsibilities.
Academic
problems
, disrupted
families, EMA’s
and legal
problems are
the other social
issues

26. 7/20/2024 Dr Amit Gupta MD Psychiatry 26

27. Residents are living a
life of 'social stigma'
and anguish.
Its men are either dead
or are dying, Since
then, it has gotten a
lot worse and the
name got stuck ever
since.
.

28. Almost every family
has a person recklessly
sharing needles,
swallowing sometimes
100 pills a day,
peddling their blood,
stealing, falling into
debt, forcing their
wives and mothers to
give them their hard-
earned money.
.

29. .
Other
factors
DrugsCrime
Research shows –
1) More individuals are
held in jails for drug
offenses than for any
other offense;
2) Arrestees frequently
test positive illicit drugs
3) Arrestees and
incarcerated offenders
were often under the
influence of illicit drugs
when committing their
offenses

30. Buying drugs –depletes resources.
Addicts poor health leads to greater
spending on healthcare.
Potential bread earner for the family is lost
Substance use is a constant drain
on the finances of a family

31. 45.50%
42.50%
32.50%
22.30%
14%
7.90%
6.90%
5.90%
2.80%
1.30%
Earned money
given/borrowed family money
family money -by lying
borrow from friends
steal from home/ sell household …
stealing from outside
begging
helping sell items stolen by others
snatching money from others
other means
source of money for drugs Source-National
commission for protection of
Child Rights
Addict pays for drugs by literally “begging, borrowing and stealing” …….with time self
earned money becomes inadequate and family resources' get exhausted …. Turns to
petty theft….and Gradually taking up other crimes.

32. Earnings of
an ADDICT:
Rs6000-
20000/month
Earlier
OPIUM/
BHUKHI-Rs
340/-per day
Tramadol–Rs
265/day
NOW
Rs 1400/-
for a days
dose
Of
HEROIN.
BECOMES
A
PEDDLER
HOW DRUG ECONOMY
WORKS
ADDICT to PEDDLER
.so circumstances compel him to become a
peddler.

33. Occupational complications missing work,
poor work quality, frequent work place
accidents, poor rapport with coworkers, and
eventually lose job.
BURDEN TO SOCIETY-
diversion of public funds for healthcare.
Wasted potential young workforce.
In India about 40% of work
accidents have been attributed to
drug use.

34. National crime
control Bureau
In Punjab , approximately 60% of
children have tried drugs
An Ominous sign

35. .
Drug abuse: affects the
health of the individuals
and destroy the
economic structure of
the family and society.

36. .
Organized crime
connects drug
trafficking with
corruption and
money
laundering.

37. .
Drug trafficking also
aggravates the political
instability in North-West
and North-East India.

38. .
A survey conducted in
2003–2004 by Narcotics
Control Bureau found
that India has at least
four million drug addicts