Club drug

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A selection of MDMA pills, which are often nicknamed "Ecstasy" or "E". Ecstasy monogram.jpg
A selection of MDMA pills, which are often nicknamed "Ecstasy" or "E".

Club drugs, also called rave drugs, or party drugs are a loosely defined category of recreational drugs which are associated with discothèques in the 1970s and nightclubs, dance clubs, electronic dance music parties, and raves in the 1980s to today. [1] Unlike many other categories, such as opiates and benzodiazepines, which are established according to pharmaceutical or chemical properties, club drugs are a "category of convenience", in which drugs are included due to the locations they are consumed and/or where the user goes while under the influence of the drugs. Club drugs are generally used by teens and young adults. [2] This group of drugs are also called "designer drugs", as most are synthesized in a chemical lab (e.g., MDMA, ketamine, LSD) rather than being sourced from plants (as with marijuana, which comes from the cannabis plant) or opiates (which are naturally derived from the opium poppy). [3]

Nightclub entertainment venue which usually operates late into the night

A nightclub, music club or club, is an entertainment venue and bar that usually operates late into the night. A nightclub is generally distinguished from regular bars, pubs or taverns by the inclusion of a stage for live music, one or more dance floor areas and a DJ booth, where a DJ plays recorded music. The upmarket nature of nightclubs can be seen in the inclusion of VIP areas in some nightclubs, for celebrities and their guests. Nightclubs are much more likely than pubs or sports bars to use bouncers to screen prospective clubgoers for entry. Some nightclub bouncers do not admit people with informal clothing or gang apparel as part of a dress code. The busiest nights for a nightclub are Friday and Saturday night. Most clubs or club nights cater to certain music genres, such as house music or hip hop. Many clubs have recurring club nights on different days of the week. Most club nights focus on a particular genre or sound for branding effects.

Electronic dance music (EDM), also known as dance music, club music, or simply dance, is a broad range of percussive electronic music genres made largely for nightclubs, raves and festivals. It is generally produced for playback by disc jockeys who create seamless selections of tracks, called a mix by segueing from one recording to another. EDM producers also perform their music live in a concert or festival setting in what is sometimes called a live PA. In Europe, EDM is more commonly called 'dance music', or simply 'dance'.

Rave Dance party

A rave is an organized dance party at a nightclub, outdoor festival, warehouse, or other private property typically featuring performances by DJs, playing a seamless flow of electronic dance music. DJs at rave events play electronic dance music on vinyl, CDs and digital audio from a wide range of genres, including techno, hardcore, house,, bassline, dubstep, New Beat and post-industrial. Occasionally live performers have been known to perform, in addition to other types of performance artists such as go-go dancers and fire dancers. The music is amplified with a large, powerful sound reinforcement system, typically with large subwoofers to produce a deep bass sound. The music is often accompanied by laser light shows, projected coloured images, visual effects and fog machines.

Contents

Some club drug users take the drugs because they believe that the substances' effects enhance the experience of rave and electronic dance music clubs' pulsating lights, brightly colored projected images and massive sound systems with heavy basslines. RaveOn.jpg
Some club drug users take the drugs because they believe that the substances' effects enhance the experience of rave and electronic dance music clubs' pulsating lights, brightly colored projected images and massive sound systems with heavy basslines.

Club drugs range from entactogens such as MDMA ("ecstasy"), 2C-B ("nexus") and inhalants (e.g., nitrous oxide and poppers) to stimulants (e.g., amphetamine and cocaine), depressants/sedatives (Quaaludes, GHB, Rohypnol) and psychedelic and hallucinogenic drugs (LSD, magic mushrooms and DMT). Dancers at all-night parties and dance events have used some of these drugs for their stimulating properties since the 1960s Mod subculture in U.K., whose members took amphetamine to stay up all night. In the 1970s disco scene, the club drugs of choice shifted to the stimulant cocaine and the depressant Quaaludes. Quaaludes were so common at disco clubs that the drug was nicknamed "disco biscuits". In the 1990s and 2000s, methamphetamine and MDMA are sold and used in many clubs. "Club drugs" vary by country and region; in some regions, even opiates such as heroin and morphine have been sold at clubs, though this practice is relatively uncommon. [4] Narconon states that other synthetic drugs used in clubs, or which are sold as "Ecstasy" include harmaline; piperazines (e.g., BZP and TFMPP); PMA/PMMA; mephedrone (generally used outside the US) and MDPV. [5]

MDMA Psychoactive drug

3,4-Methyl​enedioxy​methamphetamine (MDMA), commonly known as ecstasy (E), is a psychoactive drug primarily used as a recreational drug. The desired effects include altered sensations, increased energy, empathy, and pleasure. When taken by mouth, effects begin in 30 to 45 minutes and last 3 to 6 hours.

2C-B chemical compound

2C-B (2,5-dimethoxy-4-bromophenethylamine) is a psychedelic drug of the 2C family. It was first synthesized by Alexander Shulgin in 1974. In Shulgin's book PiHKAL, the dosage range is listed as 12–24 mg. As a recreational drug, 2C-B is sold as a white powder sometimes pressed in tablets or gel caps and is also referred to by a number of other names. The drug is usually taken orally, but can also be snorted (insufflated) or vaporized.

Inhalant range of chemicals whose volatile vapors or pressurized gases are concentrated and breathed in via the nose or mouth to produce intoxication

Inhalants are a broad range of household and industrial chemicals whose volatile vapors or pressurized gases can be concentrated and breathed in via the nose or mouth to produce intoxication, in a manner not intended by the manufacturer. They are inhaled at room temperature through volatilization or from a pressurized container, and do not include drugs that are sniffed after burning or heating. For example, amyl nitrite (poppers), nitrous oxide and toluene – a solvent widely used in contact cement, permanent markers, and certain types of glue – are considered inhalants, but smoking tobacco, cannabis, and crack are not, even though these drugs are inhaled as smoke.

The legal status of club drugs varies according to the region and the drug. Some drugs are legal in some jurisdictions, such as "poppers" (which are often sold as "room deodorizer" or "leather polish" to get around drug laws) and nitrous oxide (which is legal when used from a whipped cream can). Other club drugs, such as amphetamine or MDMA are generally illegal, unless the individual has a lawful prescription from a doctor. Some club drugs are almost always illegal, such as cocaine.

Cocaine chemical compound

Cocaine, also known as coke, is a strong stimulant most frequently used as a recreational drug. It is named after the coca plant from which it is isolated. It is commonly snorted, inhaled as smoke, or dissolved and injected into a vein. Mental effects may include loss of contact with reality, an intense feeling of happiness, or agitation. Physical symptoms may include a fast heart rate, sweating, and large pupils. High doses can result in very high blood pressure or body temperature. Effects begin within seconds to minutes of use and last between five and ninety minutes. Cocaine has a small number of accepted medical uses such as numbing and decreasing bleeding during nasal surgery.

There are a range of risks from using club drugs. As with all drugs, from legal drugs like alcohol to illegal drugs like BZP, usage can increase the risk of injury due to falls, dangerous or risky behavior (e.g., unsafe sex) and, if the user drives, injury or death due to impaired driving accidents. Some club drugs, such as cocaine and amphetamines, are addictive, and regular use can lead to the user craving more of the drug. Some club drugs are more associated with overdoses. Some club drugs can cause adverse health effects which can be harmful to the user, such as the dehydration associated with MDMA use in an all-night dance club setting. [6]

Alcohol (drug) active ingredient in alcoholic beverages

Alcohol, sometimes referred to by the chemical name ethanol, is a psychoactive drug that is the active ingredient in drinks such as beer, wine, and distilled spirits. It is one of the oldest and most common recreational substances, causing the characteristic effects of alcohol intoxication ("drunkenness"). Among other effects, alcohol produces a mood lift and euphoria, decreased anxiety, increased sociability, sedation, impairment of cognitive, memory, motor, and sensory function, and generalized depression of central nervous system function. Ethanol is only one of several types of alcohol, but it is the only type of alcohol that is found in alcoholic beverages or commonly used for recreational purposes; other alcohols such as methanol and isopropyl alcohol are toxic.

Benzylpiperazine chemical compound

Benzylpiperazine (BZP) is a recreational drug with euphoriant and stimulant properties. The effects produced by BZP are comparable to those produced by amphetamine. Adverse effects have been reported following its use including acute psychosis, renal toxicity and seizures. No deaths have been reported following a sole ingestion of BZP, although there have been at least two deaths from the combination of BZP and MDMA. Its sale is banned in several countries, including Australia, Canada, New Zealand, the United States, the Republic of Ireland, the United Kingdom, Bulgaria, Romania and other parts of Europe.

Types

Ecstasy

MDMA (ecstasy) is a popular club drug in the rave and electronic dance music scenes and in nightclubs. It is known under many nicknames, including "e" and "Molly". MDMA is often considered the drug of choice within the rave culture and is also used at clubs, festivals, house parties and free parties . [7] In the rave environment, the sensory effects from the music and lighting are often highly synergistic with the drug. The psychedelic quality of MDMA and its amphetamine-like energizing effect offers multiple reasons for its appeal to users in the rave setting. Some users enjoy the feeling of mass communion from the inhibition-reducing effects of the drug, while others use it as "party fuel" for all-night dancing. [8]

House party

A house party is typically a type of party where medium to large groups of people gather at the residence of the party's host. In modern usage, a house party is typically associated with teenage or young adult crowds, loud music, dancing, and the consumption of alcohol, marijuana or other recreational drugs. Historically, the term has also referred to more genteel gatherings at country estates, lasting anywhere from several days to weeks, as well as rent parties held by African Americans in Harlem during the early Jazz Age.

A free party is a party "free" from the restrictions of the legal club scene, similar to the free festival movement. It typically involves a sound system playing electronic dance music from late at night until the time when the organisers decide to go home. A free party can be composed of just one system or of many and if the party becomes a festival, it becomes a teknival. The parties can be thought of as autonomous zones where all the people present create and enforce the rules. This typically means that drugs are readily available and noise levels are usually illegally high. The word free in this context is used both to describe the entry fee and the lack of restrictions and law enforcement.

Synergy is the creation of a whole that is greater than the simple sum of its parts. The term synergy comes from the Attic Greek word συνεργία synergia from synergos, συνεργός, meaning "working together".

MDMA is taken by users less frequently than other stimulants, typically less than once per week. [9] Effects include "[g]reater enjoyment of dancing", "[d]istortions of perceptions, particularly light, music and touch"; and "[a]rtificial feelings of empathy and emotional warmth". [5] MDMA is sometimes taken in conjunction with other psychoactive drugs, such as LSD, DMT, psilocybin mushrooms and 2C-B. Users sometimes use mentholated products while taking MDMA for its cooling sensation. [10]

<i>N</i>,<i>N</i>-Dimethyltryptamine chemical compound

N,N-Dimethyltryptamine is a chemical substance that occurs in many plants and animals and which is both a derivative and a structural analog of tryptamine. It can be consumed as a psychedelic drug and has historically been prepared by various cultures for ritual purposes as an entheogen. Rick Strassman labeled it "the spirit molecule". DMT is illegal in most countries.

Psilocybin mushroom Mushrooms containing psychoactive indole alkaloids

A psilocybin mushroom is one of a polyphyletic group of fungi that contain any of various psychedelic compounds, including psilocybin, psilocin, and baeocystin.

Menthol chemical compound

Menthol is an organic compound made synthetically or obtained from the oils of corn mint, peppermint, or other mints. It is a waxy, crystalline substance, clear or white in color, which is solid at room temperature and melts slightly above.

Stimulants

A blue form of crystal meth. Blue Crystal Meth.jpg
A blue form of crystal meth.

A number of stimulants are used as club drugs. Various amphetamines and methamphetamines are used as stimulants, as is cocaine. These drugs enable clubgoers to dance all night. Cocaine is a powerful nervous system stimulant. [11] Its effects can last from fifteen or thirty minutes to an hour. The duration of cocaine's effects depends on the amount taken and the route of administration. [12] Cocaine can be in the form of fine white powder, bitter to the taste. When inhaled or injected, it causes a numbing effect. Cocaine increases alertness, feelings of well-being and euphoria, energy and motor activity, feelings of competence and sexuality. Cocaine's stimulant effects are similar to that of amphetamine, however, these effects tend to be much shorter lasting and more prominent.[ citation needed ]

Depressants/sedatives

A variety of Quaalude pills and capsules. Quaalude.jpg
A variety of Quaalude pills and capsules.

Methaqualone (Quaaludes) became increasingly popular as a recreational drug in the late 1960s and 1970s, known variously as "ludes" or "sopers" (also "soaps") in the U.S. and "mandrakes" and "mandies" in the UK, Australia and New Zealand. The drug was often used by hippies and by people who went dancing at glam rock clubs in the 1970s and at discos (one slang term for Quaaludes in the disco era was "disco biscuits"). In the mid-1970s, there were bars in Manhattan called "juice bars" that only served non-alcoholic drinks that catered to people who liked to dance on methaqualone. [13] Purported methaqualone is in a significant minority of cases found to be inert, or contain diphenhydramine or benzodiazepines. Methaqualone is one of the most commonly used recreational drugs in South Africa. [14] [15] It is also popular elsewhere in Africa and in India. [15] Commonly known as Mandrax, M-pills, buttons, or smarties, a mixture of crushed mandrax and cannabis is smoked, usually through a smoking pipe made from the neck of a broken bottle. [16]

The depressant GHB (also used by assailants as a date rape drug, in which case they slip it into a victim's drink) is intentionally taken by some users as a party drug and club drug.

Rohypnol (also used as a date rape drug) is a sedative/hypnotic that causes intoxication and impairs cognitive functions. This may appear as lack of concentration, confusion and anterograde amnesia. It can be described as a hangover-like effect which can persist to the next day. [17] It also impairs psychomotor functions similar to other benzodiazepines and nonbenzodiazepine hypnotic drugs. [18]

The previously mentioned selection of drugs are generally categorized as club drugs by the media and the United States government, this distinction probably does not have an accurate correlation to real usage patterns. For example, alcoholic beverages (beer, wine, hard liquor) is generally not included under the category of club drugs, even though it is probably used more than any other drug at clubs, particularly those that are liquor-licensed nightclubs or bars.

Psychedelic drugs

LSD is widely known as a psychedelic drug and often features psychedelic artwork on its blotters Pink Elephants on Parade Blotter LSD Dumbo.jpg
LSD is widely known as a psychedelic drug and often features psychedelic artwork on its blotters

A psychedelic drug is a medication whose primary action is to alter cognition and perception, typically by agonising serotonin receptors, [19] causing thought and visual/auditory changes, and heightened state of consciousness. [20] Major psychedelic drugs include Bufotenin, Racemorphan, LSD, DMT, and psilocybin mushrooms.

Not to be confused with psychoactive drugs, such as stimulants and opioids, which induce states of altered consciousness, psychedelics tend to affect the mind in ways that result in the experience being qualitatively different from those of ordinary consciousness. Whereas stimulants cause an energized feeling and opiates produce a dreamy, relaxed state, the psychedelic experience is often compared to non-ordinary forms of consciousness such as trance, meditation, yoga, religious ecstasy, dreaming and even near-death experiences. With a few exceptions, most psychedelic drugs fall into one of the three following families of chemical compounds; tryptamines, phenethylamines, and lysergamides. Many psychedelic drugs are illegal worldwide under the UN conventions unless used in a medical or religious context. Despite these regulations, recreational use of psychedelics is common, including at raves and EDM concerts and festivals.

Inhalants

A selection of small bottles of poppers, a volatile drug inhaled at dance clubs for the "rush" it can provide. HOpoppers.jpg
A selection of small bottles of poppers, a volatile drug inhaled at dance clubs for the "rush" it can provide.

"Poppers" are small bottles of volatile drugs which are inhaled by clubgoers for the "rush" or "high" that they can create. Nitrites such as alkyl nitrite originally came as small glass capsules that were popped open, which led to the nickname "poppers." The drug became popular in the US first on the disco/club scene of the 1970s, where dancers used the drug for the "rush" it provides, and because it was perceived to enhance the experience of dancing to loud, bass-heavy disco. The drug became popular again in the mid-1980s and 1990s rave and electronic dance music scenes. As with disco clubgoers, rave participants and EDM enthusiasts used the drug because its "rush" or "high" was perceived to enhance the experience of dancing to pulsating music and lights.

Nitrous oxide is a dissociative inhalant that can cause depersonalisation, derealisation (feeling like the world is not real), dizziness, euphoria, and some sound distortion (flanging). [21] In some cases, it may cause slight hallucinations and have a mild aphrodisiac effect.[ citation needed ] While medical grade nitrous oxide is only available to dentists and other licensed health care providers, recreational users often obtain the drug by inhaling the nitrous oxide used in whipped cream aerosol cans. Nitrous oxide users also buy small "whippet" canisters of nitrous oxide intended for use in restaurant whipped cream dispensers and then "crack" open these canisters to inhale the gas. Users typically transfer the gas to a plastic bag or balloon prior to inhaling it.

Ketamine

Ketamine from the street drug trade, in the form of crystals. G 'o' K.jpg
Ketamine from the street drug trade, in the form of crystals.

Ketamine, a dissociative anesthetic, has a long history of being used in clubs and was one of the most popular substances used in the New York Club Kid scene. Ketamine produces a dissociative state, characterized by a sense of detachment from one's physical body and the external world which is known as depersonalization and derealization. Effects include hallucinations, changes in the perception of distances, relative scale, color and durations/time, as well as a slowing of the visual system's ability to update what the user is seeing.[ citation needed ]

Other

In the 2000s, synthetic phenethylamines such as 2C-I, 2C-B and DOB have been referred to as club drugs due to their stimulating and psychedelic nature (and their chemical relationship with MDMA). [22] By late 2012, derivates of the psychedelic 2C-X drugs, the NBOMes and especially 25I-NBOMe, had become common at raves in Europe. The drug organization Norconon states that other synthetic drugs used in clubs, or which are sold as "Ecstasy" include harmaline; piperazines (e.g., BZP and TFMPP); PMA/PMMA; mephedrone (generally used outside the US) and MDPV. [5]

Though far less common than other "club drugs" like MDMA, ketamine, or LSD, heroin can be found in some of New York City's clubs. Marijuana and related cannabis products are used by some clubgoers; for example, some Rohypnol and ketamine users mix the powdered drug with marijuana and smoke it. [5]

Effects

Desired effects

Although each club drug has different effects, their use in clubs reflects their perceived contribution to the user's experience dancing to a beat as lights flash to the music. Club drug users are generally taking the drugs to "enhance social intimacy and sensory stimulation" from the dance club experience. [23] Some club drugs' popularity stems from their ability to induce euphoria, lowered inhibition and an intoxicated feeling. Some drugs, such as amphetamine and cocaine, give the dancer hyperactivity and energy to dance all night. Many drugs produce a feeling of heightened physical sensation, and increased libido and sexual pleasure. Some club drugs, such as LSD, DMT, MDMA, 2C-B and ketamine enhance the experience of being in a nightclub with pulsating lights and flashing lasers and throbbing dance music, because they cause hallucinations or unusual perception effects.

Risks and adverse effects

Although research continues into the full scope of the effects of illegal drugs, regular and unsafe use of club drugs is widely accepted to have damaging side effects and carry a risk of addiction. Increased heart rate, a steep increase in body temperature, increase in blood pressure, spasms and dehydration are all common side effects of MDMA and methamphetamine. Breathing and respiratory issues, drowsiness, nausea and confusion are common side effects of said drugs. They can also make the user anxious, stressed and panicked, or even hallucinate. Withdrawal is also a risk with many club drugs. Drug cravings as the chemical leaves the user's body can be complicated by sleep deprivation, dehydration and hypoglycaemia to result in debilitating 'come downs' which can result in depression-like symptoms. In the worst instance, club drugs result in the death of the user from cardiac arrest or water intoxication due to the increase in heart rate and thirstiness induced. Inconsistency in the strength and exact composition of the supplied drug causing users to overdose. Wide variance in the measured rate of deaths caused by drugs such as ecstasy across countries suggest that user and societal/environmental factors may also affect the lethality of club drugs.

Drug interactions

Another risk is drug interactions. Some club drug users take multiple drugs at the same time. [24] "Club drugs often are taken together, with alcohol, or with other drugs to enhance their effect." [23] Drug interactions can cause hazardous side effects. When club drug users are in a liquor-licensed nightclub, users may mix pills or powders (MDMA, 2C-B, GHB, ketamine) with consumption of alcoholic drinks such as beer, wine or hard liquor. Some depressants, such as Rohypnol, are dangerous to take while drinking alcohol. "Ketamine often is taken in "trail mixes" of methamphetamine, phencyclidine, cocaine, sildenafil citrate (Viagra), morphine or heroin." [23]

Injury or death due to risky behaviour

Another risk with club drugs is one shared by all drugs, from legal drugs like alcohol to abused over-the-counter drugs (taking large amounts of dextromethorphan cough syrup) and illegal drugs (BZP, amphetamines, etc.): while impaired, the user is more likely to be injured, engage in dangerous or risky behaviour (e.g., unsafe sex) or, if she or he drives, have an accident resulting in injury or death due to impaired driving.

Misrepresentation

A tablet sold as MDMA. It contained no MDMA; instead, it contained benzylpiperazine (BZP), methamphetamine, and caffeine. Bzptablet.jpg
A tablet sold as MDMA. It contained no MDMA; instead, it contained benzylpiperazine (BZP), methamphetamine, and caffeine.

In many cases, illegal club drugs are misrepresented. [23] That is, a dealer will tell a purchaser that she/he has a certain illegal drug for sale, while in fact the dealer's pills, capsules or bags of powder do not contain that chemical. For example, MDMA ("ecstasy") is very hard to synthesize in illegal underground labs, and methamphetamine is much easier (it can be made from household chemicals and over-the-counter cold remedies containing pseudoephedrine). As such, what dealers sell as MDMA is often methamphetamine powder. Similarly, pills sold by drug dealers as LSD, a drug which only the top chemists have the training to synthesize, most often contain no LSD; instead, they often contain PCP, a veterinary tranquilizer which produces disassociation and hallucinations in humans. In some cases, the dealer has intentionally substituted a less expensive, more available illegal drug for another drug. In other cases, the substitution was made by a higher-level drug cartel or organization, and the dealer may in fact believe that the bogus product is MDMA or LSD.

"Cutting", adulteration and "spiking"

Baggies of cocaine adulterated with fruit-flavoured powder and colouring. Flavcocaine.jpg
Baggies of cocaine adulterated with fruit-flavoured powder and colouring.

With the exception of marijuana, which typically is uncut and unlaced, many illegal drugs, especially those which come in a powder or pill form are "cut" with other substances or "spiked" with other drugs.[ citation needed ] Cocaine, amphetamines and other stimulants often have caffeine powder added, as this increases the dealer's profit by bulking out the powder, so that less expensive cocaine or amphetamine has to be used in making the product. Some substances used to "cut" illegal drugs are not inherently harmful, as they are just used to "pad" or "bulk out" a quantity of the illegal drug and increase profits, such as lactose (milk sugar), a white powder often added to heroin. Even fairly innocuous powders that are added to illegal drugs, though, can have adverse effects with some routes of illegal drug administration, such as injection. With some drugs, adulterants are sometimes added to make the product more appealing. For example, "flavoured cocaine" has flavoured powder added to the drug.

Whereas the main goal of "cutting" is to bulk out a quantity of pure, expensive illegal drugs with an innocuous and not overly harmful substance (lactose) or fairly low-impact product (e.g., caffeine in amphetamine pills), the goal of "spiking" is to try to make lower-quality illegal drug or a lower-potency source of illegal drugs give the user the type of "high" or psychedelic experience she or he is seeking. While it was earlier stated that marijuana is most often uncut and un-spiked, some dealers add PCP to marijuana (this is nicknamed "wet marijuana"), because adding this disassociative psychedelic to low-grade, low-THC marijuana can convert it into a cannabis that creates striking hallucinogenic effects. Drug researchers learned that some dealers were spiking marijuana when they tested US teens who stated that they had only used a single illegal drug (marijuana) and the teens tested positive for marijuana and PCP. Some dealers who have a very small quantity of MDMA powder to sell "spike" it with less expensive and easier to produce methamphetamine powder.

Addiction

Not all club drugs are addictive (e.g. nitrous oxide). However, some club drugs are addictive. Amphetamine heavily used in recreational fashion pose a risk of addiction. [27]

Cocaine addiction is a psychological desire to use cocaine regularly. Cocaine overdose may result in cardiovascular and brain damage, such as: constricting blood vessels in the brain, causing strokes and constricting arteries in the heart; causing heart attacks. [28] The use of cocaine creates euphoria and high amounts of energy. If taken in large, unsafe doses, it is possible to cause mood swings, paranoia, insomnia, psychosis, high blood pressure, a fast heart rate, panic attacks, cognitive impairments and drastic changes in personality. The symptoms of cocaine withdrawal (also known as comedown or crash) range from moderate to severe: dysphoria, depression, anxiety, psychological and physical weakness, pain, and compulsive cravings.

A video warning about the dangers of GHB.

GHB addiction occurs when repeated drug use disrupts the normal balance of brain circuits that control rewards, memory and cognition, ultimately leading to compulsive drug taking. [29] [30] Although there have been reported fatalities due to GHB withdrawal, reports are inconclusive and further research is needed. [31]

Ketamine risks

Ketamine use as a recreational drug has been implicated in deaths globally, with more than 90 deaths in England and Wales in the years of 2005–2013. [32] They include accidental poisonings, drownings, traffic accidents, and suicides. [32] The majority of deaths were among young people. [33] This has led to increased regulation (e.g., upgrading ketamine from a Class C to a Class B banned substance in the U.K.). [34] At sufficiently high doses, Ketamine users may experience what is called the "K-hole", a state of extreme dissociation with visual and auditory hallucinations. [35]

Acute treatment

A music fan who has had a drug overdose at the Woodstock Music Festival is placed onto a wheeled cot by paramedics. Woodstock festival medical.jpg
A music fan who has had a drug overdose at the Woodstock Music Festival is placed onto a wheeled cot by paramedics.

The main treatment for individuals facing acute medical issues due to club drug consumption or overdoses is "cardiorespiratory maintenance". [23] Since club drug users may have consumed multiple drugs, a mix of drugs and alcohol, or a drug adulterated with other chemicals, it is hard for doctors to know what type of overdose to treat for, even if the user is conscious and can tell the medical team what drug they think they took. A doctor recommends "cardiac monitoring, pulse oximetry, urinalysis, and performance of a comprehensive chemistry panel to check for electrolyte imbalance, renal toxicity, and possible underlying disorders" and preventing "seizures". [23] Some doctors use activated charcoal and a cathartic" to detoxify the drugs in the gastrointestinal system. [23] Cooling the victim is recommended to avoid hyperthermia. If the victim overdosed on Rohypnol, the antidote flumazenil can be given; this is the only club drug for which there is an antidote. [23]

History

In the mid to late-1970s disco club scene, there was a thriving drug subculture, particularly for drugs that would enhance the experience of dancing to the loud dance music and the flashing lights on the dancefloor. Substances such as cocaine [36] (nicknamed "blow"), amyl nitrite ("poppers"), [37] and Quaaludes. Quaaludes were described as [the] "...other quintessential 1970s club drug", which suspends motor coordination." [38] ) According to Peter Braunstein, "massive quantities of drugs were ingested in discothèques."

Throughout the 1980s, the use of club drugs expanded into colleges, social parties, and raves. As raves grew in popularity through the late 1980s and into the late 1990s, drug usage, especially MDMA, grew with them. Much like discos, raves made use of flashing lights, loud techno/electronic dance music to enhance the user experience. Before their scheduling, some club drugs (especially designer drugs referred to as research chemicals) were advertised as alcohol-free and drug-free. Another reason that drug producers create new drugs is to avoid drug laws.

In Australia

Club drugs are used in Australia in a variety of dance clubs and nightclubs. One in ten Australians has used MDMA at least once in their lifetime; one in thirty have used MDMA in the past 12 months. One in a hundred Australians has used ketamine at least once in their lives and one in five hundred over the past 12 months. One in two hundred Australians have used GHB at least once in their lives and one in one thousand in the past 12 months. Regarding the entire Australian population, seven per cent of Australians have used cocaine at least once in their lifetime and two per cent of Australians have used it in the past 12 months. [39] Today, these drugs are widely used across age and socioeconomic groups and often sold in nightclubs and pubs throughout Australia.

See also

Related Research Articles

Recreational drug use Use of a drug with the primary intention to alter the state of consciousness

Recreational drug use is the use of a psychoactive drug to induce an altered state of consciousness for pleasure, by modifying the perceptions, feelings, and emotions of the user. When a psychoactive drug enters the user's body, it induces an intoxicating effect. Generally, recreational drugs are in three categories: depressants ; stimulants ; and hallucinogens. Many people also use prescribed and illegal opioids along with opiates and benzodiazepines. In popular practice, recreational drug use generally is a tolerated social behaviour, rather than perceived as the serious medical condition of self-medication. However, heavy use of some drugs is socially stigmatized.

Psychedelic drug seratonin receptor agonist temporarily altering states of consciousness

Psychedelics are a class of drug whose primary action is to trigger psychedelic experiences via serotonin receptor agonism, causing thought and visual/auditory changes, and altered state of consciousness. Major psychedelic drugs include mescaline, LSD, psilocybin and DMT. Studies show that psychedelics are physiologically safe and do not lead to addiction. Studies conducted using psilocybin in a psychotheraputic setting reveal that psychedelic drugs may assist with treating depression and alcohol addiction, possibly also nicotine addiction.

Stimulant type of psychoactive drug

Stimulants is an overarching term that covers many drugs including those that increase activity of the central nervous system and the body, drugs that are pleasurable and invigorating, or drugs that have sympathomimetic effects. Stimulants are widely used throughout the world as prescription medicines as well as without a prescription as performance-enhancing or recreational drugs. The most frequently prescribed stimulants as of 2013 were lisdexamfetamine, methylphenidate, and amphetamine. It is estimated that the percentage of the population that has abused amphetamine-type stimulants and cocaine combined is between 0.8% and 2.1%.

Methaqualone chemical compound

Methaqualone, formerly sold under the brand name Quaalude and Mandrax, is a sedative and hypnotic medication. It is a member of the quinazolinone class.

Empathogen–entactogen

Empathogens or entactogens are a class of psychoactive drugs that produce experiences of emotional communion, oneness, relatedness, emotional openness—that is, empathy or sympathy—as particularly observed and reported for experiences with 3,4- Methylenedioxymethamphetamine (MDMA). This class of drug is distinguished from the classes of hallucinogen or psychedelic, and amphetamine or stimulant. Major members of this class include MDMA, MDA, MDEA, MDOH, MBDB, 6-APB, methylone, mephedrone, αMT, and αET, MDAI among others. Most entactogens are phenethylamines and amphetamines, although several, such as αMT and αET, are tryptamines. When referring to MDMA and its counterparts, the term MDxx is often used. Entactogens are sometimes incorrectly referred to as hallucinogens or stimulants, although many entactogens such as ecstasy exhibit psychedelic or stimulant properties as well.

Stimulant psychosis is a mental disorder characterized by psychotic symptoms which involves and typically occurs following an overdose on psychostimulants; however, it has also been reported to occur in approximately 0.1% of individuals, or 1 out of every 1,000 people, within the first several weeks after starting amphetamine or methylphenidate therapy.

Sympathomimetic drug stimulant compounds

Sympathomimetic drugs are stimulant compounds which mimic the effects of endogenous agonists of the sympathetic nervous system. The primary endogenous agonists of the sympathetic nervous system are the catecholamines, which function as both neurotransmitters and hormones. Sympathomimetic drugs are used to treat cardiac arrest and low blood pressure, or even delay premature labor, among other things.

The United States Drug Enforcement Administration (DEA) maintains lists regarding the classification of illicit drugs. It also maintains List I of chemicals and List II of chemicals, which contain chemicals that are used to manufacture the controlled substances/illicit drugs. The lists are designated within the Controlled Substances Act but can be modified by the U.S. Attorney General as illegal manufacturing practices change.

Lacing is the act of adding one or more substances to another. Some street drugs are commonly laced with other chemicals for various reasons, but it is most commonly done so as to bulk up the original product or to sell other, cheaper drugs in the place of something more expensive. Individuals sometimes lace their own drugs with another substance to combine or alter the physiological or psychoactive effects.

Party and play the consumption of drugs to facilitate sexual activity

Party and play is the consumption of drugs to facilitate or enhance sexual activity. Sociologically, it refers to a subculture of recreational drug users who engage in high-risk sexual activities under the influence of drugs within sub-groups. This can include little use of condoms during sessions with multiple sexual partners that may continue for days.

Drug policy of California refers to the policy on various classes and kinds of drugs in the U.S. state of California. Cannabis possession has been decriminalized and is soon to be legalised following legislation changes, but its cultivation and sale remain criminal offenses, along with the possession, sale, and manufacture of harder drugs such as methamphetamine and cocaine. With respect to many controlled substances, terms such as illegal and prohibited do not include their authorized possession or sale as laid out by applicable laws.

E Talking 2005 single by Soulwax

"E Talking" is a song by Belgian electronic music duo Soulwax. It was released as the second single from their third studio album, Any Minute Now (2004), on 17 January 2005. It reached number 27 on the UK Singles Chart in 2005. A snippet of the song is featured on their 2005 album Nite Versions, through a hidden track in the pregap.

Many films have portrayed mental disorders or have used them as backdrops for other themes. This is a list of some of those films, sorted by disorder, regardless of whether or not the disorder is portrayed accurately. For instance, though 50 First Dates presents a case of anterograde amnesia, the type depicted does not actually exist. Also, of the "mental disorders" listed below, "catatonia", "sadistic personality disorder", and "self-injury"—while referring to a medical sign or a harmful behavior—are not mental disorders recognized in the American Psychiatric Association's Diagnostic and Statistical Manual.

Convention on Psychotropic Substances UN treaty on recreational drugs

The Convention on Psychotropic Substances of 1971 is a United Nations treaty designed to control psychoactive drugs such as amphetamine-type stimulants, barbiturates, benzodiazepines, and psychedelics signed in Vienna, Austria on 21 February 1971. The Single Convention on Narcotic Drugs of 1961 did not ban the many newly discovered psychotropics, since its scope was limited to drugs with cannabis, coca, and opium-like effects.

A hallucinogen is a psychoactive agent which can cause hallucinations, perceptual anomalies, and other substantial subjective changes in thoughts, emotion, and consciousness. The common types of hallucinogens are psychedelics, dissociatives and deliriants. Although hallucinations are a common symptom of amphetamine psychosis, amphetamines are not considered hallucinogens as they are not a primary effect of the drugs themselves. While hallucinations can occur when abusing stimulants, the nature of stimulant psychosis is not unlike delirium.

The U.S. state of Oregon has various policies restricting the production, sale, and use of different substances. In 2006, Oregon's per capita drug use exceeded the national average. The most used substances were marijuana, methamphetamine and illicit painkillers and stimulants.

A drug precursor is a substance which can be used to make illicit drugs.

Illegal drug abuse is the action of using drugs that are prohibited by the government or strictly controlled by means of prescription to alter one’s consciousness and emotions. The Hong Kong government has a zero tolerance policy against illegal drug use. Drugs such as cannabis and ecstasy, which can be considered recreational drugs in other countries are all illegal in Hong Kong.

Illegal drug trade in Japan has a long history, influenced by various factors such as economy and war. As a developed country in Asia, Japan also faces the same serious drug abuse problem as the developed countries in Europe and America. Japan's manufacturing industry is developed, and is one of the pillars of the national economy, but it is also very short of resources, therefore it needs to import a lot of raw materials from other countries. This has made Japan an important hub for the trade of goods in Asia, which in turn has allowed Japan's illegal drug trade to flourish.

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Further reading