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Narcotics and Dangerous Drugs - An Overview

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Narcotic and dangerous drugs can be used in certain medical conditions, but when used for self-purposes, they are a curse to a person and his family.

Medically reviewed by

Dr. Achanta Krishna Swaroop

Published At December 14, 2022
Reviewed AtFebruary 8, 2024

Introduction:

Narcotics and dangerous drugs are drugs used to treat moderate and severe pain. They are classified into various categories. Some people misuse drugs for personal satisfaction and enjoyment. Prolonged use of drugs can lead to withdrawal syndrome (discontinuation syndrome that leads to physical dependence on drugs).

What Are Narcotic Drugs?

Narcotics is derived from the Greek word ‘narkos,’ which means sleep. They are also known as opioid pain relievers. They are used in case of severe pain under a physician's guidance. They have analgesic effects that depress the central nervous system (CNS) and tend to promote sleep. Narcotic preparation can be given intramuscularly, orally, or intravenously.

What Are Different Types of Narcotics?

There are three types of narcotic analgesics: natural narcotics, semi-synthetic narcotics, and synthetic narcotics.

  • Natural Narcotics: It occurs in nature as plants like barks, leaves, roots, flowers, fruit, seeds, and resinous and milky exudations. Examples include Cannabis /Marijuana-charas, Ganja, oil, Hashish, Bhang-cocaine, and Opium.

  • Semi-Synthetic Narcotics: These are obtained from crude and raw natural drugs that are isolated and processed to activate the compounds by a chemical process. For example, Heroin and brown sugar (smack).

  • Synthetic Narcotics: They are completely man-made and are prepared from elements like hydrogen, nitrogen, carbon, sulfur, and phosphorus—for example, Barbiturates, Amphetamine, and Lysergide.

What Are Common Narcotic Drugs?

Some of the common narcotic drugs used worldwide are :

  • Hydrocodone.

  • Meperidine.

  • Hydromorphone.

  • Morphine.

  • Oxycodone.

  • Tramadol.

  • Fentanyl available as a patch.

What Are Narcotic Drugs and Psychotropic Substances?

The Narcotic Drugs and Psychotropic Substances (NDPS) Act defines a narcotic drug as opium, poppy straw, coca leaf, cannabis (hemp), poppy straw, derivatives of all substances mentioned above, and other narcotic substances notified by the Central Government in the official gazette.

What Are Dangerous Drugs?

Dangerous drugs are illegal drugs in India. These drugs can harm and damage the brain, heart, and other vital organs. In addition, they are addictive and have adverse effects—for example, Morphine, Heroin, and Marijuana.

What Are Common Dangerous Drugs?

Some of the common dangerous drugs are mentioned below:

  • Nicotine.

  • Alcohol.

  • Fentanyl.

  • Heroin.

  • Cocaine.

  • Methadone.

  • Oxycodone.

  • Morphine.

  • Methamphetamines.

  • Xanax.

  • Hydrocodone.

  • Diazepam.

How Does Narcotic Work;

When used as a medication, narcotics work by binding to the receptor of the spine and brain to stop the signals from reaching their destination. In a brief period, the receptors begin to leak the pain signals, which makes it necessary for a person to take a more frequent dose to resist pain. As a result, the person becomes dependent, and withdrawal occurs along with a “breaking point” when the effect wears off.

Why Are Narcotic Drugs Dangerous?

  • The drugs can induce drowsiness and disrupt the mental status of the patient.

  • Drug interaction can be fatal when mixed with alcohol and other drugs.

  • The difficulty is seen in physical functioning and driving after the consumption of narcotic drugs.

  • Narcotic drugs affect the liver and kidney functioning and decrease the heart rate.

  • Constipation and bowel obstruction occurs after the consumption of narcotic drugs.

  • Chronic or prolonged use of narcotics can be fatal. In addition, when drug dependence increases narcotic drugs, withdrawal syndromes can be more severe.

What Are the Effects of Narcotics on the Mind?

The effects that occur on the mind due to the use of narcotics are as follows :

  • Reduced anxiety.

  • Positive outlook.

  • Hallucination or psychosis.

  • Feeling of not being able to resist without drugs.

  • Relaxed or calm feeling.

What Are the Effects of Narcotics on the Body?

The effects that occur on the brain due to the use of narcotics are as follows :

  • Reduced pain.

  • Dry mouth or dehydration.

  • Nausea and vomiting.

  • Reduced heart rate.

  • Slowed movement and lack of coordination.

  • Brain disorder.

  • Itchiness or other skin irritation.

  • Constricted pupil.

  • Coma (period of prolonged unconsciousness brought by injury or illness).

  • Seizure (sudden uncontrolled electrical disturbance in the brain).

What Are the Side Effects of Narcotic Drugs?

The side effects of narcotic drugs are :

  • Constipation.

  • Nausea.

  • Sleepiness.

  • Shallow breathing.

  • Loss of consciousness.

  • Slower heart rate.

What Are the Withdrawal Symptoms of Narcotic Drugs?

  • Anxiety.

  • Vomiting.

  • Diarrhea.

  • Abdominal pain.

  • Tremors (involuntary shaking or movement affecting hand, face, leg, and vocal cord).

  • Drug craving.

  • Insomnia.

  • Irritability.

  • Muscle pain.

  • Goosebumps.

  • Body ache.

  • Running nose.

  • Watery eyes.

  • Yawning.

  • Sweating.

  • Belly cramps.

  • Rapid breathing.

  • High blood pressure.

  • Seizures.

How to Diagnose the Withdrawal Symptoms?

It is diagnosed clinically by performing physical examinations. Urine and blood tests are used to check opioid levels in the body. Past medical history is helpful in the diagnosis of withdrawal syndrome.

What Are Management for Drug Toxicity and Withdrawal?

  • Supportive therapy, such as counseling patients to quit drugs.

  • For drug withdrawal, drug therapy can be done.

  • The patient should drink three liters of water daily during withdrawal syndrome to replace fluid lost due to diarrhea and perspiration.

  • Intake of vitamin B and vitamin C supplements.

  • Healthy and nutritious diet.

  • Exercise and workout.

  • Meditation will help to stay calm.

  • In case of intense withdrawal symptoms, some patients may require hospitalization.

  • Distracting the mind by watching a funny movie or a book.

  • Sweating is considered one of the side effects of drug withdrawal. Therefore, a wet washcloth and fan should be kept close to cool down.

What Is Overdose Risk?

Overdose is a significant risk when the drugs are consumed for a more extended period.

It can have toxic effects on multiple organs and create life-threatening situations. The overdose symptoms include unconsciousness, difficulty in breathing, and pinpoint pupils.

Conclusion:

Narcotics are drugs that save a life and can potentially ruin a life. Narcotics and dangerous drugs are habit-forming and cause drug abuse. Narcotic drugs should be given under a doctor’s prescription and consumed only when pain is experienced. Counseling should be done when there is increased addiction to narcotic drugs. The narcotic-prescribed medicines should be stored securely and safely in the home. Drug dependence affects emotionally as well as physically. People should be educated about the risks of using narcotics and dangerous drugs and the benefits of stopping them. Advice is necessary to prevent the behavior that causes the person to use drugs and deal with cravings. Rewards and incentives can be given to motivate and change. Addiction not only kills the addict but kills the family and people around too.

Frequently Asked Questions

1.

Why Are Narcotic Drugs Dangerous?

Narcotic drugs are used to treat pain, but sometimes, these drugs are misused for self-pleasure and relaxation. At smaller doses, these drugs can make the person feel painless and sleepy, but when induced in larger doses, heart rate and breathing rate are increased tremendously. However, long-term usage of narcotics can lead to withdrawal symptoms (psychological dependence on the drug). The symptoms include depression, sleeplessness, anger, and vomiting.

2.

What Are the Classifications of Narcotic Drugs?

Narcotic drugs are classified into three types:
- Natural Narcotics: Natural narcotic drugs occur naturally in plant parts such as leaves (cannabis), seeds(opium poppy), fruits(grapes), cascara (husk), and milky secretions (opium’s dried milk extract). Some of the examples of natural narcotics are Opium, Ganja, Cannabis, and Cocaine.
- Semi-Synthetic Narcotics: Semi-synthetic narcotics are obtained in crude and natural form from natural narcotics, and the compounds are separated from them by a chemical process to activate the compounds. Examples are Brown sugar and Heroin.
- Synthetic Narcotics: They are artificial and man-made drugs. Examples include Barbiturates and Amphetamine.

3.

What Are the Examples of Non Narcotic Drugs?

Aspirin and Paracetamol are commonly used non-narcotic drugs that are present in every household. Ibuprofen, Aspirin, and Acetaminophen are the commonly used drugs, but prolonged usage of these drugs causes hypertension (high blood pressure) in individuals. Aspirin helps in the reduction of inflammation in the body tissues, thereby relieving the pain. It also helps in the control of fever and prevents platelet coagulation.

4.

How Are Narcotic Drugs Different from Psychotropic Drugs?

Narcotic drugs are different from psychotropic drugs. In the medical context, narcotic drugs are potent pain relievers and sleep inducers. Examples of narcotic drugs include opiates and cocaine. Psychotropic drugs are denoted as mood-altering drugs such as Barbiturates and Amphetamines. These are mainly used in anxiety and depression disorders.

5.

What Are Narcotic Drugs Used For?

Narcotic drugs are used as pain-relieving medications. They are generally advised in people after severe injury or surgery. They are given in conditions of severe pain where other means of medication do not cause pain relief. Narcotic medications promote sleep and should be administered (orally, intravenously, and intramuscularly) only under a doctor’s guidance. It is not advisable to use narcotic medications for prolonged periods of time.

6.

Narcotic Drugs Are Prescribed By Whom?

Narcotic drugs are prescribed only by registered medical practitioners. According to the Narcotic Drugs and Psychotropic Substances Act (NDPS) 1985, it was unlawful for people to manufacture, own, trade, acquire, transfer,  supply, or ingest any narcotic or psychotropic drugs.

7.

What Does Narcotics Mean In Psychology?

Narcotic drugs are used in the psychiatric treatment of patients suffering from anxiety and depression disorders. Methadone, Tramadol, and Morphine are effective in treating psychiatric disorders in patients. These narcotics act by altering the neurotransmitters, which help stabilize the mood and avoid mood fluctuations.

8.

What Is the Mode of Action of Narcotic Drugs?

Narcotic drugs are potent painkillers, and they act by binding to the receptors (proteins) in the brain; and this blocks the pain perception in the individual. These proteins bind to the neurotransmitter (chemical substances that are released at the nerve endings in response to nerve impulses)  and block the pain feeling.

9.

Which Drugs Are Used As Narcotic Pain Relievers? Give Examples.

Narcotics are commonly used painkillers (opioids). They are used in the treatment of severe to moderate pain. They should be carefully used under the supervision of a doctor. Some of the commonly used narcotic pain relievers include:
- Tramadol.
- Morphine.
- Hydromorphone.
- Codeine.
- Hydrocodone.
- Oxycodone. 

10.

Are Narcotic Drugs Used In Intensive Care Units?

Narcotics are the widely used drugs in the critical and intensive care units. Opioid analgesics are extensively used to suppress pain in seriously ill patients. These opioids can be given either orally or intravenously. Orally administered opioids include Morphine and Methadone. Morphine sulfate and Hydromorphone are the commonly used intravenous opioids for pain management.

11.

What Is Narcotic Anesthesia?

Narcotic agents such as opioids are used as anesthetic agents. Morphine, Hydromorphone, and Fentanyl are commonly used anesthetic agents by anesthesiologists. Fentanyl is a very potent anesthetic agent used intraoperatively for years. Other drugs, such as Sufentanil, Remifentanil, and Alfentanil, are some of the commonly used intraoperative anesthetic drugs.
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Dr. Achanta Krishna Swaroop
Dr. Achanta Krishna Swaroop

Dentistry

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