Cocaine Drug Abuse

Is drug addiction is a disease, not a choice? Or it is a choice and not a disease? Drug Addiction has become a serious issue in society today, with an increase in controversy leading towards the topic of whether drug addiction is a disease or a choice. Addiction and disease are two different things and understanding them is very important when it comes to drugs and how it affects the mind and body. Several people tend to jump the gun and think that drug addiction is a disease, when in fact it is a choice. Some scientists believe that that drug addiction is a disease and to an extent that it makes people powerless to control its prevalence, on the other hand some scientists believe that addiction is a choice and that people have

One can feel the effects of cocaine almost immediately after use, with these effects lasting only a few minutes or hours. The duration of cocaine 's effects depends upon how it is administered. The faster the drug is absorbed, the more intense the high, but also the shorter the duration. The high from snorting is relatively slow to arrive but it may last 15 to 30 minutes. In contrast, the effects from smoking are more immediate but may last only 5 to 10 minutes. “In the brain, cocaine interferes with the chemical messengers -- neurotransmitters -- that nerves use to communicate with each other. Cocaine blocks norepinephrine, serotonin, dopamine, and other neurotransmitters from being reabsorbed. The resulting

The use of heroin, cocaine, and other illicit drugs has become a public health concern especially during pregnancy. Maternal substance abuse has become an issue during the crack epidemic in the 1980’s; however, there is an alarm rate of infants born addicted to heroin. More than 3.7% women have indicated the uses some form of illicit drugs during their pregnancy, as well as 1.9 % reports binge drinking (Bhuvaneswar el at., 2008; Grant el at., 2009). With this in mind, more than 375,000 infants are born to maternal substance abusers each year costing over $100,000 in medical expenses covered by the state (Reitman, 2002).

Through the years, substance misuse in the United States has turned into an industrious issue influencing numerous people. In 2008, it was assessed that 17.8 million Americans beyond 18 years old where substance subordinate. Women who use medications during pregnancy can have an enduring impact on fetal. Medications can have an impact of maternal and child wellbeing, yet there are a lot of different variables, which influence it, poor social environment, nourishment, cleanliness, and sexual abuse. Regenerative interruption connected with heroin utilization has been shown in both and women and even low dosages of opiates can impede ordinary ovarian capacity and ovulation. The harm that goes hand in hand with substance utilization comes either straightforwardly from the impact of the medication itself or from issues identified with development and/or unexpected labor. The entanglements of jumbling components clamorous way of life, poor nourishment, liquor utilization and cigarette smoking influence the appraisal of the impacts of cocaine in pregnancy. In obstetric practice, 100% of pregnant women utilizing cocaine or heroin are cigarette smokers. Cigarette smoking is presumably the most well known manifestation of substance utilizes and is noteworthy corresponding considering ladies who use unlawful medications. Babies whose moms smoked in pregnancy have a tendency to have lower conception weights and diminished length, cranial and thoracic

When a woman uses heroin while pregnant, her baby is at risk for many challenging effects that will ultimately follow him or her as they grow into an adult. As heroin enters a mother’s system, the drug crosses into the child through the placenta (“Heroin Addiction”, n.d.). While a baby is in utero, a mother’s substance abuse can cause a fetus to grow at a slower rate, lead to the rupturing of the membranes surrounding the baby that results in premature labor, and cause a possible stillbirth, which means the fetus dies in the womb (“An Overview of Heroin”, n.d.). Substance abuse can also cause the placenta to separate from the uterine wall leading to dangerous heavy bleeding, which is a threat to both mother and child (“Heroin and Pregnancy,” 2015). Along with possible placenta abruption, the use of heroin can lead to the intrauterine passage of meconium (“Opioid Abuse,” 2012). After labor and delivery, the effects

The National Health Institute (NIH) explains that addictive drugs such as amphetamines, cocaine, barbiturates, diazepam, and opiates consumed during pregnancy pass from mother to the fetus by crossing the placenta. This causes the baby to become addicted to these drugs along with the mother. Once born, the newborn no longer receives these drugs which then results in NAS (“Neonatal abstinence syndrome”, 2012a).

Within seventy-two hours after birth, many infants who were exposed prenatally to drugs experience withdrawal symptoms, including tremors and irritability. Their skin may be red and dry; they may have a fever, sweating, diarrhea, excessive vomiting, and even seizures. Such

It can cause substantial teratogenic effects early in gestation, during the embryonic stage. During the fetal period, abnormal growth and maturation, alterations in neurotransmitters and their receptors, and brain organization are direct effects caused by opioid abuse (Behnke & Smith, 2017). Continuous use of opioids throughout pregnancy increases the risk of prematurity and growth retardation, deficits in attention, cognition, and behavior, neonatal morbidity and mortality, and neonatal abstinence syndrome (NAS) (McQueen, Murphy-Oikonen, & Desaulniers, 2015).

The Adoption Encyclopedia “ Estimates of the percentage of pregnant women using cocaine have ranged from 10% to as high as 28% in some areas.” Cocaine is one of the oldest drugs known to man. This is a powerfully addictive stimulant, and is derived from coca leaves, and this drug has been abused for thousands of years. Crack Cocaine's worst damage to the fetus is its effect on the brain. It causes the brain's of both the mother and the fetus to experience the typical surge of dopamine. Since the fetal brain is still in the process of development, it can result in serious psychological addiction, attention deficit disorders, lack of cognitive abilities and developmental problems. Also crack's effects on the fetus result in seizures. Babies that are exposed to crack are at increased risk of birth defects, which include heart deformities. Crack causes an unborn baby to have a stroke or a heart attack. Cocaine abuse by mothers during pregnancy is linked with abnormalities in the development of the heart both before and after birth. Crack Cocaine

Children born to drug dependent mothers are susceptible to preterm delivery, decreased intrauterine growth, impaired neurological developments, as well as congenital abnormalities. Unfortunately, once the umbilical cord is cut, the withdrawal for the infants is initiated. The symptoms of withdrawal will be evident in 55% to 94% of infants within 2 to 7 days after delivery (Eichel & Johannemann, 2014).

Pretty soon they’ll find themselves having to use crack just to feel “normal” again. This is the physical dependency stage. It occurs when the user has built up such a high tolerance from frequent usage, that their body basically forgets what is normal so they have to maintain a continuum of the drug to ward of the withdraw effects. As a result of usage, anxiety and depression can last for weeks. Attempts to stop using the drugs can fail simply because the resulting depression can be overwhelming, causing the addict to use more cocaine in an attempt to overcome his depression. This is the point in which you get the more stereotypical crack addict. They begin to steal from their family and friends, miss work/school, prostitute, and do just about anything they can to get the money to support their habit. They begin to short or try to get over on the person who is selling them drugs, which can result in violence. Some even become drug dealers themselves so that they can pay for the drugs that they use.

The use of opioids during pregnancy has increased drastically over recent years, causing newborns to fall victim to the opioid crisis. It has now become an epidemic, affecting people in the United States and globally making it a major health concern. A vast percentage leading to the opioid crisis is due to women in their childbearing stages of life. Newborns born to women addicted to opioids suffer through a form of newborn drug withdrawal known as Neonatal abstinence syndrome (NAS), resulting in increased admission rates, prolonged length of stay in the hospital and infants often require medication to recover. NAS is a result of opioid exposure in utero characterized by “central nervous system hyperirritability and autonomic nervous system dysfunction” (Kraft et

(n.d.) also conducted a study focused on infants that were exposed to buprenorphine or methadone while in utero. Unlike MacMullen et al. (2014) their focus was on predicting how the symptoms of NAS might manifest in the exposed newborns. Since the 1970s (MacMullen et al., 2014) methadone has been the treatment of choice for mothers with opioid dependence during pregnancy, the use of this drug allows for a decrease in withdrawal symptoms for the child after birth. The main categories of symptoms include central nervous system hyperirritability, gastrointestinal dysfunction, respiratory distress and vague autonomic symptoms (MacMullen et al., 2014). Although methadone has been being used for many years buprenorphine has only been used since 2002 in the United States (MacMullen et al., 2014). Their research was consistent with Kaltenbach et al. (n.d.) in that infants born to buprenorphine-exposed mothers had lower scores for NAS than those born to methadone-exposed mothers, but still had varying severities of symptoms and scores across all infants. For at least 10 days after birth, an expert scored the newborns on a modified Finnegan scale every 4 hours. The results showed that high birth weight was often a predictor for high NAS scores, along with lower NAS scores for infants delivered by cesarean section. MacMullen et al. (2014) were unable to find any connection between the use of methadone and buprenorphine to indicators of symptoms of NAS. The main

Opioid addicted babies need treatment in the hospital setting to help them through the withdrawal process. Studies are showing what medications to use to help reduce the length of hospital stay. Today, many neonates stay in the hospital much longer than years past, this is generally due to being born addicted to opioids. The United States is suffering from an epidemic of opioid abuse. When a pregnant mother is addicted to opioids these drugs cross the placenta, causing the neonates to be born addicted. According to Hall et al. (2015), this epidemic can cause opioid misuse, overdose or even death. When looking at the United States from 2005-2011, “more than 14% of pregnant women were dispensed an opioid at some time in their pregnancy”, (Hall, 2015, pg.40). Depending on the length of medication used and timing during the pregnancy will determine how a neonate will withdraw after birth. This withdrawal is becoming a common practice and is known as Neonatal Abstinence Syndrome (NAS). By 2015, this syndrome would affect one neonate in 200 births. Improvements in medications and techniques help neonates get through withdrawal. I have created a PICO to help form this paper. This paper will compare the two medications; Morphine and Buprenorphine are most commonly used to help neonates withdrawing in the

They speed up the action of the brain. They make people feel more alert, more confident and less tired.