Amphetamine
Amphetamine
Amphetamine
Amphetamine
Legal status Controlled (S8) (AU) Schedule II (CA) ? (UK) Schedule II (US) Prescription only
Data from The Lancet suggests amphetamine is ranked the 8th most addictive
and 6th most harmful of 20 popular recreational drugs.[3]
Physical effects
Physical effects of amphetamine can include hyperactivity, dilated pupils,
vasoconstriction, blood shot eyes, flushing, restlessness, dry mouth, bruxism,
headache, tachycardia, bradycardia, tachypnea, hypertension, hypotension,
fever, diaphoresis, diarrhea, constipation, blurred vision, aphasia, dizziness,
twitching, insomnia, numbness, palpitations, arrhythmias, tremors, dry and/or
itchy skin, acne, pallor, convulsions, and with chronic and/or high doses, seizure,
stroke, coma, heart attack and death can occur.[4][5][6][7][8]
Psychological effects
Psychological effects can include euphoria, anxiety, increased libido,
alertness, concentration, energy, self-esteem, self-confidence, sociability,
irritability, aggression, psychosomatic disorders, psychomotor agitation,
grandiosity, repetitive and obsessive behaviors, paranoia, and with chronic
and/or high doses, amphetamine psychosis can occur.[9][10]
Withdrawal effects
Withdrawal symptoms of amphetamine consist primarily of mental fatigue,
mental depression and increased appetite. Symptoms may last for days with
occasional use and weeks or months with chronic use, with severity dependent on
the length of time and the amount of amphetamine used. Withdrawal symptoms
may also include anxiety, agitation, excessive sleep, vivid or lucid dreams, deep
REM sleep and suicidal ideation.[11][12][13]
Side effects
Side effects may consist of severe weight loss, also addiction can occur
during use of this drug. Smoking this specific narcotic may induce a higher threat
to addiction for first time users. Speed Amphetamine can also raise heartbeat
levels to dangerous levels.
Contraindications
Amphetamine elevates cardiac output and blood pressure making it
dangerous for use by patients with a history of heart disease or hypertension.
Amphetamine can cause life-threatening complication in patients taking MAOI
antidepressants. The use of amphetamine and amphetamine-like drugs is
contraindicated in patients with narrow-angle glaucoma or anatomically
narrow angles. Like other sympathomimetic amines, amphetamine can induce
transient mydriasis. In patients with narrow angles, pupillary dilation can
provoke an attack of angle-closure glaucoma. These agents should also be avoided
in patients with other forms of glaucoma, as mydriasis may occasionally increase
interocular pressure.[14]
Amphetamine has been shown to pass through into breast milk. Because of
this, mothers taking amphetamine are advised to avoid breastfeeding during
their course of treatment.[15]
Dependence and addiction
Tolerance is developed rapidly in amphetamine abuse; therefore, periods of
extended use require increasing amounts of the drug in order to achieve the same
effect.[16]
Overdose
An amphetamine overdose is rarely fatal but can lead to a number of
different symptoms, including psychosis, chest pain, and hypertension.
Psychosis
Abuse of amphetamines can result in a stimulant psychosis that can present
as a number of psychotic disorders (e.g. paranoia, hallucinations, delusions). In an
Australian study of 309 active amphetamine users, 18% had experienced a
clinical level psychosis in the past year.[17] A Japanese study reported a 64%
recovery rate within 10 days rising to a 82% recovery rate at 30 days after
amphetamine cessation.[18] However it has been suggested that about 5-15% of users
fail to make a complete recovery from the psychosis in the long term.[19][20]
Mechanism of action
Primary sites of action
In mathematics
One of the greatest mathematicians of the 20th century, Paul Erds, took
amphetamines after the age of 58 until his death at the age of 83 (he had
previously sustained himself on copious amounts of coffee). He took
amphetamines despite the concern of his friends, one of whom (Ron Graham) bet
him $500 that he could not stop taking the drug for a month.[82] Erds won the bet,
but complained that during his abstinence mathematics had been set back by a
month: "Before, when I looked at a piece of blank paper my mind was filled with
ideas. Now all I see is a blank piece of paper." After he won the bet, he promptly
resumed his amphetamine use.
Legal status
In the United Kingdom, amphetamines are regarded as Class B drugs. The
maximum penalty for unauthorized possession is five years in prison and
an unlimited fine. The maximum penalty for illegal supply is 14 years in
prison and an unlimited fine.[83]
In the Netherlands, amphetamine and methamphetamine are List I drugs
of the Opium Law, but the dextro isomer of amphetamine is indicated for
ADD/ADHD and narcolepsy and available for prescription as 5 and 10 mg
generic tablets, and 5 and 10 mg gel capsules.
In the United States, amphetamine and methamphetamine are Schedule II
drugs, classified as CNS (central nervous system) stimulants.[84] A Schedule II
drug is classified as one that has a high potential for abuse, has a currently
accepted medical use and is used under severe restrictions, and has a high
possibility of severe psychological and physiological dependence.
In Canada, possession of amphetamines is a criminal offence under Schedule
I of the Controlled Drugs and Substances Act, with a maximum penalty for
repeat offenders of fines of up to $2,000, imprisonment for up to one year,
or both.[85]
Internationally, amphetamine is a Schedule II drug under the Convention on
Psychotropic Substances.[86]
Prodrugs
A number of substances have been shown to produce amphetamine and/or
methamphetamine as metabolites, including amfecloral, amphetaminil,
benzphetamine, clobenzorex, dimethylamphetamine, ethylamphetamine,
famprofazone, fencamine, fenethylline, fenproporex, furfenorex,
lisdexamfetamine, mefenorex, mesocarb, prenylamine, propylamphetamine, and
selegiline, among others.[87][88] These compounds may produce positive results for
amphetamine on drug tests.[87][88]
Derivatives
Amphetamine derivatives are a class of potent drugs that act by increasing
levels of dopamine, norepinephrine, and serotonin in the brain, inducing
euphoria.[89][90][91] The class includes prescription CNS drugs commonly used to treat
attention-deficit hyperactivity disorder (ADHD). It is also used to treat
symptoms of traumatic brain injury (TBI) and the daytime drowsiness symptoms
of narcolepsy, postural orthostatic tachycardia syndrome (POTS) and chronic
fatigue syndrome (CFS).
Smuggling
213 kg of amphetamine worth 40 million AED was seized by the United Arab
Emirate Drug combat authorities on 30 November 2011 from an Iranian ship
that was supposed to deliver the consignment in Malaysia and made a port stop
in Sharjah.
The Gulf News published on 30 November 2011, saying "This is the biggest drug
bust of its kind in 2011 and the second big one in the last three years worldwide,"
said Dr. Wadia Maalouf, International expert at the United Nation's Drug and
Crime office.[92]