Drug Abuse - The hallucinogens: lsd and others



LSD (lysergic acid diethylamide) is one of a class of drugs legally classed as hallucinogens— agents that cause the user to experience hallucinations, illusions, and distorted perceptions. Others include mescaline , psilocybin and psilocin , PCP , DMT (dimethyl-tryptamine), and DOM or STP .

A colorless, tasteless, odorless compound, LSD is a semisynthetic acid of immense potency. A single effective dose requires, on the average, only 100 millionths of a gram. A quantity of LSD equivalent to two aspirin tablets would furnish 6,500 such doses. When sold on the street, LSD is generally mixed with colored substances. It may be manufactured in capsule, tablet, or liquid form.

History of LSD

With names such as California sunshine , acid , purple haze , and others, LSD reached a peak of popularity in the 1960s. Today it cannot be made legally except for use in certain supervised experiments. Physicians may use it to treat alcoholism and some mental disease, but without uniformly convincing results. It may be sold illegally in sugar cubes, candy, cookies, on the surfaces of beads, even in the mucilage of stamps and envelopes. One dose may produce a 4- to 18-hour trip , a hallucinogenic experience.

In the 1960s this trip made LSD the drug of choice for many substance abusers. Among those who claimed that LSD and other psychedelic drugs were consciousness-expanding were well-known public figures. The drugs, in brief, were supposed to enhance the user's appreciation of everything in the environment, to increase creativity, open the gates of awareness to mind-bending mystical or religious experiences, and perhaps to bring about profound changes, hopefully for the better, in the user's personality.

While some users reported such results, various studies suggested that the improvements were illusory. Members of some groups nonetheless felt that it was “in” to be an acid-head , an LSD user. One authority estimates that less than 1 percent of the total population have experimented with LSD. Partly because knowledge of dangers in LSD use has become common, the drug has passed the peak of its popularity even though it can still be obtained illegally.

Addictive Aspects

Abuse of LSD is difficult; the drug produces such a spectacular high that daily ingestion is virtually out of the question. Thus LSD use does not lead to physical dependence. But the heavy user can develop a tolerance for the drug very quickly. The tolerance disappears after a few days of abstinence.

Effects

Taking LSD, the individual is usually prepared for minor physical discomforts: a rise in temperature, pulse, and blood pressure; the sensation of hair standing on end; and some nausea, dizziness, and headache. The trip begins about an hour after the drug is first taken. Vision is affected the most profoundly. Colors become more intense and more beautiful; those in a painting may seem to merge and stream. Flat objects become three-dimensional.

The LSD user's reactions are closely related to his or her expectations. Thus one trip may be mind-expanding, filled with brilliant sights and sensations as well as euphoric feelings of oneness with the universe. Another trip may bring anxiety, panic, fear, and depression verging on despair. The latter experience can be terrifying; some bad trips have ended in psychiatric wards, with the tripper suffering from a severe mental disorder, a psychosis . An individual's body image may be distorted; in the LSD-induced vision he or she may have no head, for example. Such psychotic episodes, or breaks, may clear up within a day or two. Others can last for months or years.

Some trips have ended in tragedy. Convinced that they could fly or float through the air, some trippers have walked through high windows to their deaths. Others have walked in front of trains or cars.

In effect, no one can predict what psychological changes LSD use will produce. One reason is that no one really knows how LSD works inside the body to affect the mind. What is known is that the drug moves quickly to the brain and throughout the body, acting on both the central and autonomic nervous systems. But all traces of the drug disappear from the brain in some 20 minutes. The effects, as noted, last many more hours.

As with all drugs, LSD should not be ingested by persons who have psychotic tendencies or who are unstable. A disquieting side effect, usually occurring after chronic or heavy use, appears in the flashback, a reexperi-encing of the effects of the drug weeks or months after a trip. One theory holds that flashbacks are induced by stress or fatigue, or by resort to other drugs, but the theory remains a theory.

Studies have reported some statistical findings. One research project found that the children of LSD users are 18 times more likely to have birth defects than the children of non-users. Some research also suggests that the drug may have toxic effects on some cells of the human body. An unproved, and possibly unprovable, theory indicates that there may be a link between LSD use and breaks in chromosomes that could conceivably lead to leukemia or to birth defects in users’ children.

Other Hallucinogens

Many other substances, both natural and synthetic, are used as hallucinogens. Most of them produce effects similar to those of LSD, but are far less potent.

Mescaline

Mescaline is the active ingredient of peyote , a Mexican cactus that has been used by American Indians for centuries to achieve mystical states in religious ceremonies. Users consume cactus “buttons” either ground up or whole. Mescaline itself may be obtained as a powder or a liquid. It can also be synthesized in a laboratory.

Psilocybin and Psilocin

Psilocybin and psilocin are the active hallucinogenic ingredients in the Aztec mushroom Psilocybe mexicana . The mushroom grows in southern Mexico and has been eaten raw by the natives since about 1500 B.C. Both derivatives can be made in the laboratory.

PCP (Phencyclidine Hydrochloride)

First developed in 1959 as an anesthetic, PCP in its pure form is a white crystalline powder that is readily soluble in water or alcohol. It appears on the drug black market as tablets, capsules, and colored powders. Abusers snort, smoke, or eat PCP. They can also inject the drug, but do not usually do so. PCP appears as an adulterant in many drug mixtures—in mescaline, psilocybin, or LSD, for example. PCP reportedly has as many or more undesirable effects as positive ones, among them forgetfulness, loss of behavior control, feelings of depersonalization, paranoid episodes, hallucinations, and suicidal impulses.

DMT (Dimethyltryptamine)

Called the “businessman's high” because its effects may last only 40 to 50 minutes, DMT is similar in structure to psilocin. DMT can be smoked or injected; in either case the effect is a powerful wave of exhilaration. An ingredient of various plants native to South America, DMT has long been used by Indian tribes in the form of intoxicating drinks or snuff, often very dangerous. In the United States, DMT is synthesized from tryptamine in the laboratory.

DOM or STP

DOM or STP is a synthetic compound originally developed by the Dow Chemical Company for possible use in the treatment of mental disorders. The drug was never released. Manufactured illicitly, it was allegedly given the name STP for Serenity, Tranquillity, Peace. The drug is powerful, it produces vivid hallucinations, and it seems to last as long as LSD. It is also extremely poisonous, and can bring on fever, blurred vision, difficulty in swallowing, and occasionally death from convulsions. In some cases abusers suffer from manic psychoses lasting for days.

Marijuana (Cannabinoids)

Marijuana , or marihuana , is a Mexican-Spanish word originally used to refer to a poor grade of tobacco. Later it came to mean a smoking preparation made from the Indian hemp plant (Cannabis sativa) . A tall, weedy plant related to the fig tree and the hop, cannabis grows freely in many parts of the world and in a variety of grades depending on climate and method of cultivation. The different grades produce drugs of varying strengths. Some 300 million people around the world obtain drug preparations of one kind or another from cannabis.

Drugs are obtained almost exclusively from the female hemp plants. The male plants produce the fiber for hemp. When the female plants are ripe, late in the summer, their top leaves and especially the clusters of flowers at their tops develop a minty, sticky, golden-yellow resin, which eventually blackens. This resin contains the highest concentrations of THC (tetrahydrocannabinol), the group of substances containing the active principles of the drug. The pure resin of carefully cultivated plants is the most potent form of cannabis. It is available in cakes, called char as in India, and as a brown powder called hashish in the Middle East.

An estimated 15,000 tons of marijuana are illegally smuggled into the United States annually. But cannabis cultivation has become a major underground business inside the United States. Most illegal shipments of the drug come from Colombia, Jamaica, and Mexico.

Abuse Potential

Marijuana has puzzling aspects. Scientists have not succeeded in establishing exactly what substances in the cannabis plant produce drug effects, or how. THC is, of course, believed to be the most important active element, but chemists believe it is not the only one.

Beyond that, marijuana seems to be in a special class as a drug. It is classed as a hallucinogen, but is less potent than the true hallucinogens. It is not a narcotic, and it resembles both stimulants and depressants in some of its effects. Its use does not lead to physical dependence, nor does the user or abuser develop tolerance. Some users, in fact, find that with regular use they need less marijuana to achieve the desired high.

Users do acquire a slight to moderate psychological dependence—less, in some experts’ opinions, than do regular users of alcohol or tobacco. Thus much of the theorizing about marijuana is conjecture despite the fact that millions of persons use it regularly or occasionally.

Effects

Experimenters and newcomers to marijuana smoking may experience little at the beginning. A sense of panic may accompany early exposure to the drug. More serious reactions have been reported, however, including toxic-psychosis (psychosis caused by a toxic agent) with accompanying confusion and disorientation. But such reports are rare. Experimenters using large doses of marijuana, hashish, or THC have induced what they termed hallucinations and psychotic reactions.

The experienced smoker may feel halfway between elation and sleepiness. He or she may have some altered perceptions of sound or color, for example, and a greatly slowed-down sense of time. It is usually possible to control the extent of the high by stopping when a given point is reached. The smoker often experiences mild headache or nausea.

Medical Evidence

Research and medical use of marijuana have led to some relatively tentative findings. Some evidence indicates, for example, that the drug may produce genetic damage. More definitely, marijuana has been found to be effective for reducing the pressure of fluids in the eyes of patients suffering from glaucoma. In a 1976 case, the Food and Drug Administration (FDA) approved the use of marijuana for such treatment.

In 1985 the FDA licensed a small drug firm to manufacture THC for use in combating the nausea associated with cancer chemotherapy. Other studies indicated that the drug may also be useful in the treatment of such other diseases as multiple sclerosis.

The debate over full legalization of marijuana promises to continue. Few argue that all penalties for major suppliers should be dropped, at least as long as marijuana remains illegal. But many persons see a contradiction in sending a young person to prison for smoking a marijuana cigarette while his or her parents can drink three martinis every evening.

Inhalants

The inhalants as a class include solvents used in cleaning compounds, aerosol sprays, fuels, and glues. Abusers of these substances sniff or inhale the fumes for recreational and mind-altering purposes. But the substances, primarily chemical compounds, were never meant for human consumption. With some exceptions, they are available commercially and thus have appeal for persons who cannot afford or cannot obtain the more conventional drugs.

Strictly speaking, tobacco, cocaine, and marijuana could be considered inhalants. But the term more commonly refers to three categories of products: solvents, aerosols, and anesthetics. Among the solvents are commercial items such as gasoline, transmission fluid, paint thinner, and airplane cement. The aerosol products include shoeshine compounds, insecticides, spray paints, and hair spray. The type of inhalant used appears to vary according to geographic location, the ethnic backgrounds of abusers, and availability.

Anesthetics comprise a special group of inhalants. Some of them, including nitrous oxide, ether, and chloroform, were used recreationally before medical applications were found for them. Because they are not widely available, they are not abused as much as solvents and aerosols.

Abuse Patterns

Young teenagers are primary inhalant abusers. But some groups or classes of adults, such as prisoners in institutions, also use inhalants. Reasons for abuse vary; among teenagers they range from hostility and lack of affection to peer pressure. Adults, say authorities, are attracted by the ready availability of many inhalants. Alcoholics may resort to inhalants while trying to forestall the symptoms of withdrawal from alcohol.

Effects

Among the active chemicals in many inhalants are toluene, naphtha, carbon tetrachloride, acetone, and others. The fumes from these chemicals enter the bloodstream quickly. They are then distributed to the brain and liver. Entering the central nervous system, the fumes depress such body functions as respiration and heartbeat. It is possible for even first time users to be killed by “huffing.”

Classed as depressants, inhalants are sometimes referred to as “deliriants.” The reason is that they can produce illusions, hallucinations, and mental disturbances. These effects usually result in cases of overdose; in moderate doses, the abuser feels sedated, has changed perceptions and impaired judgment, and may experience fright or even panic. Depending on the dosage, the abuser may also feel intoxicated, and may have lowered inhibitions along with feelings of restlessness, uncoordination, confusion, and disorientation.

Prolonged abuse can lead to nausea, muscular weakness, fatigue, and weight loss. Other effects of such abuse can be extensive damage to the kidneys, bone marrow, liver, and brain. Inhalants have been implicated in some forms of cancer. A high can last from a few minutes to an hour or more. Repeated dosing can produce physical and psychological dependence.

In the 1960s the many deaths resulting from glue-sniffing made inhalant abuse a matter of nationwide concern. Studies reported later that about two-thirds of these deaths came about because the abusers, usually children, put plastic bags over their heads to intensify the effect and suffocated.

In recent years, inhalant abuse has become a serious problem. It is the fourth most commonly abused substance among eighth graders and is abused nearly as frequently as marijuana. Still, 9 out of 10 parents believe their children have never abused inhalants.



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