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Amphetamines
| Common names | Terms commonly used to refer to the substance:
|
|---|---|
| Classification | Stimulant:
|
| Mechanism of action | Increases the activity of several chemical substances in the brain (neurotransmitters):
|
| Routes of administration |
|
Effects sought out by the user
- Decreased fatigue and drowsiness
- Euphoria
- Heightened alertness and awareness
- Hyperexcitability
- Reduced appetite (weight loss)
- Sense of well-being
Common adverse effects
- Agitation
- Anxiety
- Delusions
- Dental problems ("Meth mouth")
- Digestive disorders
- Dilated pupils
- Dizziness
- Dry mouth and unpleasant taste in the mouth
- Erectile dysfunction in men
- Hallucinations
- Headache
- Increased respiratory rate
- Increased body temperature
- Insomnia
- Paranoia
- Reduced appetite
- Stomach cramps
- Sweating
- Teeth grinding
- Tremors
Overdose effects
- Abnormal increase in body temperature
- Agitation and violent behaviour
- Arrhythmias
- Acute kidney injury
- Cardiac arrest and hypertensive crisis
- Coma
- Convulsions
- Death (often caused by cardiac arrest, stroke or hyperthermia)
- Stroke
Tolerance (need to increase the dose to feel the same effect)
Yes (quick). Please note that amphetamine-based medications do not cause tolerance when taken as prescribed.
Addiction
Yes (considerable psychological dependence). The speed at which a person becomes addicted can vary depending on the route of administration.
Withdrawal
Withdrawal causes cravings, extreme fatigue, anxiety, depression, suicidal thoughts, sleep disturbances (prolonged but disrupted sleep), irritability, intense hunger, dysphoria and anhedonia (inability to experience pleasure).
| Route of administration | Onset of action | Duration of action | |
|---|---|---|---|
| Methamphetamine | |||
| Smoked or injected | A few seconds | 8 to 24 hours | |
| Snorted | 3 to 5 minutes | 8 to 24 hours | |
| Ingested | 20 to 30 minutes | 8 to 24 hours | |
| Amphetamine | |||
| Depends on the formulation used | |||
Screening
Urine tests are the most commonly used tests to screen for amphetamines. Other tests may be used for various purposes, such as blood, saliva or hair tests.
Intoxication management
- No antidote available.
- Treatment is mainly symptomatic.
Many different street drugs are sold under the same name. Furthermore, nothing guarantees the quantity, purity or even the content of a street drug in spite of the fact that it may, in some cases, look like medication.
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