A general concern for all substances that alter self-control or level of awareness is the risk of exposure to physical risks such as sexually transmitted infections, sexual assault, and dangerous decision making such as choosing to drive while under the influence. (See also definitions and clarifications in “Sexual Misconduct.”) Perpetrators of sexual assault may use alcohol and other drugs to incapacitate their victims, intentionally.
Effects of High-Risk/Binge Drinking
Acute: High-risk or binge drinking can result in frequent colds, reduced resistance to infection, and increased risk of pneumonia; aggressive, irrational or violent behavior, depression, and anxiety. The Center for Disease Control lists unintentional injury as the number one cause of death for individuals ages 15-24; impaired sensation leading to falls and driving under the influence are two contributing factors. Alcohol consumption causes a number of marked changes in behavior. It is important to recognize that individuals absorb alcohol at different rates leading to variable ranges of alcohol content in the body. Low to moderate levels of alcohol may also increase the incidence of impulsive actions potentially contributing to negative social and academic consequences. Moderate to high levels of alcohol cause marked impairments in higher mental functions, severely altering a person’s ability to problem solve, to process information and to remember information.
Very high levels cause respiratory depression and death. If combined with other depressants of the central nervous system such as benzodiazepines, much lower doses of alcohol will produce the effects just described.
Chronic: Genetic predisposition, beginning use early in life, mental illness, trauma, and repeated long-term use of alcohol can lead to addiction. Alcohol interferes with the brain’s communication pathways, and can affect the way the brain looks and works. These disruptions can cause changes in mood and behavior, an inability to think clearly and move with coordination, temperature dysregulation, blackouts, sleep interference, loss of memory, and in extreme cases decreased brain volume. Additional potential long-term effects of high-risk drinking include cancer of the throat, mouth, and breast; liver damage, and stroke.
Effects of Other Drugs
The National Institute on Drug Abuse website features a page on the health effects of a number of drugs. To assist the public in keeping current on drug related issues, the NIDA website also features a page on emerging drugs.
Illegal (Non-prescribed) Drugs:
Marijuana (including Delta-9): Marijuana can produce an altered sense of reality, poor coordination of movement, lowered reaction time, and study difficulties due to the reduced ability to learn and retain information. Individuals can also experience panic attacks, anxiety, hallucinations, and psychosis.
Synthetic Cannabinoids: Chemically related to THC, the active ingredient in cannabis, these drugs may cause the individuals who use them to experience high blood pressure, agitation, anxiety, nausea, vomiting, seizure, paranoia, and violent behavior.
Cocaine (stimulant): Cocaine, crack, and related forms are highly addictive stimulant drugs. Short-term effects include increased heart rate and blood pressure, heart attack, stroke, seizure, and coma. In combination with alcohol there is an increased risk of overdose and sudden death.
Amphetamines (stimulants): Amphetamines, and their new derivatives “crystal,” “ice,” and Ecstasy (among other “street” names), are used for stimulation. These compounds are very addictive and may produce psychotic and violent behaviors.
- MDMA (Ecstasy/Molly): These synthetic psychoactive drugs can cause long-lasting confusion, depression, and a sharp rise in body temperature leading to liver, kidney, or heart failure and death.
- Bath salts (Purple Wave, Vanilla Sky, or Bliss): These synthetic powder products contain various amphetamine-like chemicals. Many side effects have been reported varying from agitation, high blood pressure, increased pulse, chest pain, to hallucinations, suicidal thoughts, to psychotic and violent behavior.
LSD and PCP (hallucinogens): These chemicals create a distortion of an individual’s ability to recognize reality. Use can cause delusions, paranoia, and at high levels, suicidal thoughts along with psychosis in some individuals. The long-term effects of PCP use include memory loss and depression. The negative effects of both PCP and LSD may continue after the drug is out of the system.
Heroin (opioid): These are among some of the most addictive substances known. They produce a high or euphoria. Withdrawal can produce cramping, severe muscle aches, vomiting, diarrhea, fever and runny nose, sweating and cold sweats, and severe insomnia. Overdose is common and can result in death. Use of a shared needle can increase the risk of contracting HIV, hepatitis, and other infectious diseases.
Prescription Drugs:
Medications and prescribed drugs are safe when used as prescribed for clinical conditions. However, many prescribed drugs have the potential for misuse when used recreationally. Those listed below are some of the most frequently misused, and can lead to dependence. When misused, these drugs can be dangerous.
- Adderall, Concerta, Ritalin, etc. are stimulants and controlled by the Drug Enforcement Agency (DEA). These drugs are often prescribed for students who have been diagnosed with Attention Deficit Hyperactivity Disorder (ADHD). The risk from misuse of these drugs ranges from lack of sleep, high body temperature and irregular heartbeat to anger and hallucinations (psychosis) with severely disorganized thinking. For individuals abusing these stimulants, abrupt withdrawal may lead to significant mood changes including depression with a risk of self-harm.
- Codeine, Hydrocodone (Lortab and Vicodin), and Oxycodone (Percocet and OxyContin) are medications that are prescribed for severe pain. Use can cause drowsiness, nausea, confusion, addiction, and in overdose, may cause slowed breathing and death.
- Xanax, Valium, and other benzodiazepine drugs are not recommended for ongoing management of anxiety. Use of all benzodiazepine compounds can lead to psychological and physiological dependence. Symptoms associated with withdrawal from these drugs can include seizures. In combination with alcohol, both heart rate and breathing may slow to a degree that can lead to death.
- Fentanyl (synthetic opioid) is typically prescribed after surgery or to manage chronic pain for those who are tolerant to opioids. It is approximately 100 times more potent than morphine and 50 times more potent than heroin. Its effects include sedation, slowed respiration, seizures, and unconsciousness. Fentanyl may be laced in counterfeit pills and cocaine which can lead to overdose deaths, due to its potency.
How can you help prevent prescription drug misuse?
- Ask your doctor or pharmacist about your medication, especially if you are unsure about its effects.
- Keep your doctor informed about all medications you are taking, including over-the-counter medications.
- Read the information your pharmacist provides before starting to take medications.
- Take your medication(s) as prescribed, and do not combine with alcohol or other drugs.
- Keep all prescription medications secured at all times and properly dispose of any unused medications.
- Do not share your medications with others, or consume medications prescribed for others.
If you have concerns or questions regarding the use and/or misuse of these prescription medications or others, ask for professional advice.