What are amphetamines? The substances within the amphetamines group are all based on the amphetamine molecule. The group includes drugs such as amphetamine, methamphetamine and dexamphetamine. Street names include: speed, crank, goey, meth, ice, crystal, base, tweak, yaba, shabu, glass etc. After cannabis and ecstasy, amphetamines are the third most widely used illicit drugs in Australia. Recent research suggests that while around 6% of Australians have ever used amphetamines, their use appears to be in decline over the past few years. Methamphetamine is the most common type of amphetamine available in Australia and is sold in various forms and at various levels of potency. Speed – usually a white or slightly pink, yellow or brown substance, ranging from fine powder to coarse crystals. Can be snorted, injected or swallowed. Purity varies but generally less potent than other forms. Most ‘speed’ sold in Australia is methamphetamine. Base – oily or waxy paste, often yellow or light brown in colour. Does not dissolve in water and therefore is not suitable for injecting or snorting. Usually swallowed or smoked. Again, purity varies but more potent than speed. Ice/crystal – translucent or white crystals or crystalline powder. Can be smoked, snorted, injected or swallowed. Purity varies but can be as much as 80%. Most potent form of methamphetamine available. Dangers of injecting amphetamines Amphetamines tend to be more irritating or damaging to body tissue than other drugs. This means a greater chance of vein damage or inflammation and infection if you miss a vein. Cutting (adding bulk) or binding (to hold pills together) agents may not dissolve completely. When injected they can cause serious vein and/or organ damage. Psychological effects Physical effects (Depending on how much is consumed) (Depending on how much is consumed) • • • • • • • • • • • • • • • • • Euphoria & self confidence Elevated mood and sense of wellbeing Confusion, anxiety and agitation Repetitive actions (e.g. chain smoking) Impaired thinking Aggression, hostility and violent behaviour From ongoing or frequent heavy use: • Poor concentration, memory, and thinking • Extreme mood swings, anxiety, paranoia • Delirium and depression • Panic attacks and psychotic symptoms • Chronic sleeping problems The type, intensity and duration of the effects when using amphetamines will depend on three things: • The form of drug taken – generally the more potent forms will have longer lasting and more intense effects. • How the drug is taken – injecting will produce more intense effects with a faster come-on (often called the ‘rush’), but with a rapid fall off in intensity. Snorting will be less intense, though the effects will be felt for longer. Swallowing has the slowest onset, taking up to an hour to reach full strength, but the effects take the longest to fall off in intensity. • What other drugs are used – mixing different substances (e.g. alcohol, caffeine or cannabis) makes it more difficult to predict the effects on your body. Using a depressant like alcohol or cannabis will not ‘cancel out’ the effects of amphetamines or other stimulants. It will only place an additional burden on the functioning of your central nervous system. Increased heart rate & body temperature Rapid speech, increased alertness and energy Impaired co-ordination High blood pressure or seizures Rapid or abnormal heart beat Reduced appetite or nausea & vomiting Sleeplessness and reduced fatigue Dilated pupils Dry mouth Cerebral haemorrhage (stroke) Jaw clenching & teeth grinding From ongoing or frequent heavy use: • Malnutrition & weight loss • Seizures • Cardiovascular complications • Memory loss, dizziness • Menstrual problems ‘Serotonin toxicity’ is a potentially fatal condition that can occur when a person uses stimulants like cocaine, ecstasy, or amphetamines. The risk is even higher when these drugs are used in combination with some prescribed antidepressants. Symptoms include confusion, shaking, fever, coma and uncontrolled jerking movements. If you or anyone you know experiences these symptoms, seek medical attention immediately. All amphetamine use is risky. The best way to reduce the risk is not to use amphetamines at all. If you do use, there are things you can do to reduce the risks to yourself and others (see ‘Reducing the harms’ over the page).
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