安非他明:强效娱乐性药物滥用

M. Uddin, M. Sufian, M. Kabir, Md. Farhad Hossain, M. Nasrullah, Israt Islam, Abdullah Al Mamun, M. Islam, Sayema Khanum
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引用次数: 7

摘要

安非他明是中枢神经系统(CNS)兴奋剂,属于精神活性药物,影响大脑和神经中的化学物质,并对多动症和冲动控制发挥持续的作用。常见的安非他明包括安非他明、右安非他明和甲基苯丙胺。安非他明通过诱导伏隔核和其他末端区域的突触间隙释放多巴胺和一定程度上的去甲肾上腺素,对中边缘多巴胺能奖励系统起作用。它们不仅给人一种欣快的感觉,还会让人上瘾。安非他明经常用于治疗儿童、青少年和成人的注意力缺陷多动障碍(ADHD)、嗜睡症和肥胖症。在治疗剂量下,安非他明会引起情绪和认知方面的影响,如欣快感、性欲望的改变、清醒程度的提高、认知控制能力的改善等。其临床应用面临的主要挑战是利益/风险的平衡。当过度使用这些药物时,这些药物会很容易上瘾,经常被转移到使用者身上,用作娱乐性药物。副作用包括焦虑、攻击性、头痛、失眠、多动、心悸、呼吸频率增加、血压升高、心动过速、心律失常、瞳孔扩大、偏执等。然而,在大剂量下,这些药物可能会损害认知功能并导致快速肌肉分解。甚至更高的剂量也可能引起幻觉、偏执、精神病和潜在的危及生命的情况,如抽搐、中风、肾衰竭等。长期使用安非他明造成的最严重的健康影响是依赖,即强迫性寻求药物和使用药物,以及臭名昭著的安非他明精神病现象。因此,本研究的目的是探讨安非他明作为滥用的娱乐药物的功能。
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Amphetamines: Potent Recreational Drug of Abuse
Amphetamines are central nervous system (CNS) stimulants and belong to psychoactive drugs that affect chemicals in the brain, nerves and exert a constant contribution to hyperactivity and impulse control. The communal group of amphetamines comprises amphetamine, dextroamphetamine and methamphetamine. Amphetamines show its action on the mesolimbic dopaminergic reward system by inducing release of dopamine and to some extent norepinephrine, in the synaptic clefts of the nucleus accumbens and other terminal areas. They offer not only a sense of euphoric state, but also addiction. Amphetamines are frequently prescribed for the treatment of attention deficit hyperactivity disorder (ADHD) in children, adolescents and adults, narcolepsy and obesity. At therapeutic doses, amphetamine causes emotional and cognitive effects such as euphoria, change in desire for sex, increased wakefulness, improved cognitive control, etc. The balance of benefit/risk is the main challenge for its clinical use. When overused these medications can be highly addictive, are often diverted from the user to be used as recreational drugs. Adverse effects include anxiety, aggression, headache, insomnia, hyperactivity, palpitations, increased breathing rate, increased blood pressure, tachycardia, arrhythmia, dilated pupils, paranoia, etc. However, at large doses, these drugs may impair cognitive function and induce rapid muscle breakdown. Even higher doses may give rise to hallucinations, paranoia, psychosis and potentially lifethreatening conditions such as convulsions, stroke, kidney failure, etc. The furthermost serious health implications of amphetamine resulting from chronic use are dependence, considered by compulsive drug-seeking and drug use and a phenomenon notorious as amphetamine psychosis. Therefore the objective of this study was to explore the functions of the amphetamines as recreation drug of abuse.
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