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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : -2 مورد

Classification of psychostimulants and entactogens with summary of action and side effects

Classification of psychostimulants and entactogens with summary of action and side effects
Categories Example Principle mechanism of action Other actions Desired effects Specific adverse effects Shared common adverse effects Abuse Physical dependence
Amphetamines and similar-acting nonamphetamine stimulants Amphetamine and methylphenidate Increased norepinephrine and dopamine; release of dopamine and norepinephrine and inhibition of transporters Release of epinephrine, serotonin, and histamine; also inhibits MAO Increased energy, wakefulness, excitement/euphoria, improved cognition, enhanced physical performance, and decreased appetite   Tachycardia, tachypnea, hypertension, diaphoresis, agitation, confusion, delirium, psychosis, hyperthermia, and hypovolemia Yes Yes
Amphetamine derivatives: methamphetamine Release of dopamine and serotonin; reverse transport of dopamine Release of norepinephrine, epinephrine; and inactivates reuptake   Dopaminergic toxicity and resulting Parkinsonism; short- and long-term paranoia and psychosis   Yes Yes
Local anesthetic–based stimulant Cocaine Increase dopamine and norepinephrine by inhibiting reuptake; also blocks sodium channels Also increase serotonin and epinephrine Increased energy, sense of well-being, euphoria/invincibility, confidence, elevated mood, and increased libido Peripheral vasoconstrictive effects on heart and vasculature; chest pain, arrhythmias, and myocardial ischemia   Yes Yes
Entactogens: stimulants with psychedelic properties, including social and sensory effects Synthetic amphetamine derivatives: MDMA/ecstasy Release of serotonin Release of dopamine Increased energy, feeling of personal relatedness/connectedness, euphoria, perception of sociability and enhanced communication, ability to empathize, and sexual arousal Serotonin syndrome   Yes Yes
No namphetamine synthetics Release dopamine, norepinephrine and serotonin; and reverse transport May interact directly with monoamine receptors; may block reuptake Excited/agitated delirium; serotonin syndrome   Yes Yes
Khat derivatives: cathinones
MAO: monoamine oxidase; MDMA: 3,4-methylenedioxymethamphetamine.
Reproduced with permission from Wolters Kluwer Health, Inc.: Emerick TD, Martin TJ, Ririe DG. Perioperative considerations for patients exposed to psychostimulants. Anesth Analg 2023; 137(3):474-487. Copyright © 2023 International Anesthesia Research Society. https://journals.lww.com/anesthesia-analgesia/pages/default.aspx.
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