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Methamphetamine
is an addictive stimulant drug that
strongly activates certain systems
in the brain. Methamphetamine is
closely related chemically to
amphetamine, but the central nervous
system effects of methamphetamine
are greater. Both drugs have some
medical uses, primarily in the
treatment of obesity, but their
therapeutic use is limited.
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Methamphetamine
is made in illegal laboratories and
has a high potential for abuse and
dependence. Street methamphetamine
is referred to by many names, such
as "speed,"
"meth," and
"chalk." Methamphetamine
hydrochloride, clear chunky crystals
resembling ice, which can be inhaled
by smoking, is referred to as
"ice,"
"crystal," and
"glass."
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Health
Hazards
Methamphetamine
releases high levels of the neurotransmitter
dopamine, which stimulates brain cells,
enhancing mood and body movement. It also
appears to have a neurotoxic effect,
damaging brain cells that contain dopamine
and serotonin, another neurotransmitter.
Over time, methamphetamine appears to cause
reduced levels of dopamine, which can result
in symptoms like those of Parkinsons
disease, a severe movement disorder.
Methamphetamine
is taken orally or intranasally (snorting
the powder), by intravenous injection, and
by smoking. Immediately after smoking or
intravenous injection, the methamphetamine
user experiences an intense sensation,
called a "rush" or
"swap," that lasts only a few
minutes and is described as extremely
pleasurable. Oral or intranasal use produces
euphoria - a high, but not a rush. Users may
become addicted quickly, and use it with
increasing frequency and in increasing
doses.
Animal
research going back more than 20 years shows
that high doses of methamphetamine damage
neuron cell-endings. Dopamine- and serotonin-containing
neurons do not die after methamphetamine
use, but their nerve endings
("terminals") are cut back and
re-growth appears to be limited.
The
central nervous system (CNS) actions that
result from taking even small amounts of
methamphetamine include increased
wakefulness, increased physical activity,
decreased appetite, increased respiration,
hyperthermia, and euphoria. Other CNS
effects include irritability, insomnia,
confusion, tremors, convulsions, anxiety,
paranoia, and aggressiveness. Hyperthermia
and convulsions can result in death.
Methamphetamine
causes increased heart rate and blood
pressure and can cause irreversible damage
to blood vessels in the brain, producing
strokes. Other effects of methamphetamine
include respiratory problems, irregular
heartbeat, and extreme anorexia. Its use can
result in cardiovascular collapse and death.
A
study in Seattle confirmed that
methamphetamine use was widespread among the
citys homosexual and bisexual populations.
Of these groups, members using
methamphetamine reported they practice
sexual and needle-use behaviors that place
them at risk of contracting and transmitting
HIV and AIDS.
Extent
of Use
Monitoring
the Future Study (MTF)
MTF
assesses the extent of drug use among
adolescents (8th-, 10th-, and 12th-graders)
and young adults across the country. Recent
data from the survey:
- In
1997, 4.4 percent of high school seniors
had used crystal methamphetamine at
least once in their lifetimes - an
increase from 2.7 percent in 1990.
- Data
show that 2.3 percent of seniors
reported past year use of crystal
methamphetamine in 1997 - an increase
from 1.3 percent in 1990.
Community
Epidemiology Work Group (CEWG)
Methamphetamine
is the dominant illicit drug problem in San
Diego. San Francisco and Honolulu also have
substantial methamphetamine- using
populations. Patterns of increasing use have
been seen in Denver, Los Angeles,
Minneapolis, Phoenix, Seattle, and Tucson.
New trafficking patterns have increased
availability of the drug in Missouri,
Nebraska, and Iowa.
National
Household Survey on Drug Abuse (NHSDA)
According
to the 1996 NHSDA, 4.9 million people (aged
12 and older) had tried methamphetamine at
least once in their lifetimes (2.3 percent
of population). This is not a statistically
significant increase from 4.7 million people
(2.2 percent) who reported using
methamphetamine at least once in their
lifetime in the 1995 NHSDA.
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