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Stimulant

What is prescription drug misuse?

If you take a medicine in a different way than your health care provider prescribed, it's called prescription drug misuse. It could be:

  • Taking medicine prescribed for someone else.
  • Taking a larger dose than you are supposed to.
  • Taking the medicine in a different way than you are supposed to. For example, instead of swallowing your tablets, you might crush them and then snort or inject them.
  • Using the medicine for another purpose, such as getting high.

Misusing some prescription drugs can lead to addiction. These include opioids, sedatives, tranquilizers, and stimulants. Drug addiction is a chronic brain disease. It causes a person to take drugs repeatedly despite the harm they cause.

Who is at risk for prescription drug misuse?

Prescription drug misuse can affect anyone at any age, including teenagers and older adults. It can happen if you need certain medicines to treat a medical condition, reduce pain after an injury or surgery, or for chronic pain.

Risk factors can include:

  • A lack of knowledge about the prescription drug and possible risks
  • A previous addiction to other substances, including alcohol and tobacco
  • Certain mental health conditions
What are the risks of prescription drug misuse?

Prescription drug misuse can have serious medical consequences. Every medicine has some risk of side effects, which providers think about when prescribing medicines. People who misuse these drugs may not know the risks. Some medicines may not be safe for them, especially at higher doses or when taken with other medicines.

What are treatments for prescription drug misuse?

Treatment for prescription drug misuse often includes medicines and counseling, but it depends on the type of drug and your needs.

The counseling may be individual, family, and/or group therapy. It can help you:

  • Understand why prescription drug misuse began
  • Learn how to change unhealthy patterns of thinking and behavior
  • Manage personal problems and develop positive relationships
  • Learn how to manage cravings and avoid situations that could lead to a relapse

Stopping or cutting back on prescription drugs used for a while, may cause different symptoms for different drugs. This is called withdrawal. Your provider will work with you to manage the symptoms as your body gets used to being taken off the medicine.

How can I prevent problems with taking prescription drugs?

Providers and pharmacists play a role in preventing or reducing prescription drug misuse, but you can also take steps to reduce your risk.

A few ways to help reduce your risk and make sure that you are using any prescription medicines correctly include:

  • Talk to your provider about any other prescription medicines, over-the-counter-medicines, and supplements that you're taking to see if it is safe to take the prescription drug with them.
  • Follow the directions carefully and take medicine as prescribed. If you're taking prescription drugs for pain and it isn't working, don't stop or change the amount you're taking without talking to your provider.
  • If your provider prescribes opioids, ask about the risks and benefits of taking the medicine, and if another medicine with less risk of addiction could be used.

NIH: National Institute on Drug Abuse


WARNING: All medicines, drugs, plants, chemicals or medicial precedures below are for historical reference only. Many of these treatments are now known to be harmful and possibly fatal. Do not consume any plant, chemical, drug or otherwise without first consulting a licensed physician that practices medine in the appropriate field.

Felter's Materia Medica on Stimulant

ABIES (Tsuga canadensis)TSCA
   The bark and prepared resinous exudate of Tsuga canadensis, Carriére (Abies canadensis, Michaux; Pinus canadensis, Linné). (Nat. Ord.... / ...Internal. Pinus Canadensis, the name under which most of the alcoholic preparations pass, is mildly stimulant, antiseptic, and useful where an astringent remedy is desired in conditions of relaxation,... / ...be used where there is excessive secretion of mucus and the cough is largely precipitated by a feeble and relaxed state of the uvula and fauces. 1

ÆSCULUS GLABRA
   The bark and fruit of Aesculus glabra, Willdenow (Nat. Ord. Sapindaceae). A small fetid tree common to the central portion of the United... / ...s not been verified to any great degree in professional practice. It has been suggested as a spinal stimulant in paralysis. If so used it should be used like strychnine after active symptoms have ceas...1

ALLIUM CEPA
   The fresh bulb of Allium Cepa, Linné (Nat. Ord. Liliaceae). Common in cultivation everywhere. Common Name: Onion. Principal Constituent.—A... / ... only when made too heavy, carelessly applied, or when applied to open surfaces. Internal. Onion is stimulant, expectorant, and diuretic. A syrup of onion, prepared by drawing the juice with sugar, is... / ...pus, and mucus. The dose is from 5 to 10 drops in water. It is sometimes given with an equal quantity of tincture of Xanthium Strumarium. 1

ALLIUM SATIVUM
   ...2 fluidrachms. 2. Succus Allii, Juice of Allium. Dose, 1 fluidrachm. Action and Therapy.—External. Stimulant and rubefacient. Garlic poultice, like that of the onion, may be applied with benefit in a......ated. It should not be used when there is marked irritation or inflammation. As a food, garlic is a stimulant to digestion if not used to excess. As such it is a common ingredient of certain meat saus...1

ALOEALOE
   The dried juice of the leaves of several species of Aloe: (1) Aloe Perryi, Baker; (2) Aloe vera, Linné; (3) Aloe ferox, Miller. (Nat. Ord.... / ...oids are present; nor when pregnancy exists. Therapy.—Aloes, in 1/2 to 1 grain doses, is a gastric stimulant of value in atonic indigestion, with obstinate constipation. It has had a large vogue as a...1

ANEMOPSIS CALIFORNICA
   The root of Anemopsis californica, Hooker (Nat. Ord. Saururaceae). A native perennial of wet places in Southern California and Northern Mexico.... / ...up. Action and Therapy.—Reputed astringent, tonic, carminative, and anti-emetic. A mucous membrane stimulant for catarrhal conditions of the respiratory, gastro-intestinal, and genito-urinal tracts. ... / ...slightly glycerinated water. It has a reputation for relieving the excessive discharges of chronic gonorrhea, acting somewhat like cubeb. 1

APOCYNUM CANNABINUM
   The root of Apocynum cannabinum, Linné (Nat. Ord. Apocynaceae) gathered in autumn after the leaves and fruit have matured. Grows throughout the... / ...om the blood vessels is the ideal condition which we seek to remedy with apocynum. It is a vascular stimulant. Such results one would not expect to obtain if there were circulatory obstruction or acti... / ...may be looked for. Under these circumstances we have removed enormous dropsical swellings with it, giving quick relief from dyspnea and1

ARALIA HISPIDA
   The bark of the root of Aralia hispida, Linné (Nat. Ord. Araliaceae). A perennial undershrub of the eastern section of the United States. Dose, 1... / ...al inactivity or renal irritation. Moreover, it often fails. It is, however, useful as a mild renal stimulant and laxative, and occasionally gives a good account of itself in the treatment of gravel. 1

ARISÆMA TRIPHYLLUM
   The fresh corm of Arisaema triphyllum, Torre (Nat. Ord. Araceae). Common in damp woods and wet situations in North and South merica. Common Names:... / ...risaema has been recommended for a variety of disorders, chiefly of the respiratory tract, and as a stimulant in low forms of fever, when delirium is marked and the membranes are inflamed and the tong... / ...may be given in drop doses every half to one hour, and a throat wash of one drachm of the tincture to a half glass of water may be used freely. 1

ARNICA MONTANA
   ...cters lost, and there is feeble respiration due to central vagal impairment, it is a most important stimulant. It should be used when breathing can be carried on chiefly only by force of the will, and......tic fever of phthisis, with exhausting diarrhoea and excessive sweating, it often proves the needed stimulant and antihydrotic. Arnica is a stimulant of great power in anemia, with weak heart and capi...1

ASPIDOSPERMA
   The dried bark of Aspidosperma Quebracho-blanco, Schlechtendal (Nat. Ord. Apocynaceae). An evergreen tree of Chili and the Argentine Republic.... / ...apy.—Quebracho is a remedy for dyspnea when not due to pronounced organic changes. Being a centric stimulant to the pneumogastric it affects chiefly the cardiac and pulmonary plexuses, and is a remed...1

AURANTII AMARI CORTEX
   The dried rind of the fruit of Citrus Aurantium amara, Linné (Nat. Ord. Rutaceae). Dose, 5 to 30 grains. Common Names: Bitter Orange Peel (of... / ...on.—Tinctura Aurantii Amara. Tincture of Bitter Orange Peel. Dose, 1/2 to 2 fluidrachms. Therapy.—Stimulant, carminative and tonic, but used chiefly as a flavoring agent. This preparation is contain...1

AURANTII DULCIS CORTEX
   The outer rind of the ripe, fresh fruit of Citrus Aurantium. sinensis, Gallesio (Nat. Ord. Rutaceae) Common Names: Sweet Orange Peel (of Sweet... / ...juice). Deep red tongue, with brown to black coating; scurvy. Therapy.—Sweet Orange Peel. Slightly stimulant, carminative, and tonic. Used almost wholly as a flavoring agent. It makes an elegant addi...1

AVENA SATIVA
   The unripe seed of the Avena sativa, Linné, and the farina derived from the ripened seed (Nat. Ord. Graminaceae). Probably indigenous to Sicily... / ... and fingers; and also remove the odor of some substances, as iodoform. Tincture of Avena is a mild stimulant and nerve tonic. It is regarded by many as a remedy of some importance for nervous debilit... / ...off the habit has not been sustained. In our own experience we have utterly failed to accomplish any good with it in any form of drug habit. 1

BALSAMUM PERUVIANUM
   A balsam obtained from Toluifera Pereirae (Royle) Baillon. San Salvador in Central America; called Balsam of Peru because first exported to Europe... / ...ffective in senile and other forms of pruritus, especially pruritus vulvae, and in chilblains. As a stimulant to ulcers of low vitality and pus-oozing granulations following operations, and similar co... / ...balsam should not be used in inflammatory or febrile conditions; and its use should be discontinued if it produces gastro-intestinal irritation.1


WARNING: All medicines, drugs, plants, chemicals or medicial precedures below are for historical reference only. Many of these treatments are now known to be harmful and possibly fatal. Do not consume any plant, chemical, drug or otherwise without first consulting a licensed physician that practices medine in the appropriate field.

Physician's Materia Medica on Stimulant

ACID BENZOIC
   Antiseptic; a stimulant expectorant; renders the urine acid, hence useful in chronic cystitis; said to be as efficient in rheumatism as Salicylic Acid. Used internally in chronic bronchitis and in later stages of gonorrhea. A constituent of Paregoric, q. v. Dose, as an expectorant 0.015 to 0.030 Grm. (% to % gr.), as an antilithic, 0.6 to 1.3 Grm. (10 to 20 grs.). Sodium or Lithium Benzoates are commonly used in urinary af fections in preference to the free acid. Sodium Benzoate is a solvent for2

ACID NITRO-HYDROCHLORIC
   Hepatic stimulant and gastric and intestinal antiseptic; pre scribed in cirrhosis of the liver, in chronic hepatitis, in dyspepsia with deficient secretion, especially with torpid liver, and for its specific action in oxaluria. Only the freshly prepared strong acid should be used, of which the dose is 0.06 to 0.2 c. c. (1 to 3 minims) to be largely diluted when taken. The oflicial diluted acid should not be prescribed .2

ACID PHOSPHORIC
   The diluted acid is a useful tonic and gastric stimulant; frequent ly prescribed with benefit in cases of nervous exhaustion. The dose of the oflicial diluted acid (10%) is 2 to 4 c. c. (30 to 60 Ill), largely di luted with water.2

ALCOHOL
   The stimulant most often used and perhaps also most often mis used. The indication for its use is depressed cardiac action, whether due to shock or to lowered vitality. Alcoholic drinks, vinous or malt ed, serve a good purpose also in some cases in promoting appetite and aiding digestion, but they cannot be prescribed indiscriminately for these effects. As active stimulants whiskey or brandy are most e lcient; gin may be prescribed when a diuretic action is desired; brandy in small doses may rel2

AMMONIA
   The medicinal preparation (Water of Ammonia) is a solution in water of the gas, Ammonia. Powerful irritant, rubefacient; much used in stimulating liniments, which should never be confined under an impervious covering unless blistering is desired. Internally a powerful stimulant, the effect passing off, however, quickly. It is antacid, but the carbonate is to be preferred for this use. Dilute solutions give relief for insect stings. Dose, 0.06 to 1.0 c. c. (1 to 15 m), highly diluted.2

AMMONIAC
   Gum resin from DOREMA AMMONIACUM, Don. Loc_a1lycount_er irritant, a constituent of “warming” plasters. Internally used as a stimulant expectorant in chronic bronchitis. Dose, 0.12 to 0.30 Grm. (2 to 5 grs.).2

AMMONIUM CARBONATE
   An active cardiac and general stimulant; antacid. Valuable in adynamic fevers, in capillary bronchitis and in some forms of dyspep sia. Dose, as expectorant, 0.13 to 0.20 Grm. (2 to 3 grs.); as stimulant 0.3 to0.6 Grm. (5 to 10 grs.), repeated every hour.2

AMMONIUM CHLORIDE
   Stimulant expectorant, alterative, hepatic stimulant. Used es pecially in bronchitis, acute or chronic, in hepatic torpor and catar rhal jaundice, in neuralgias and as a resolvent in glandular enlarge ments. Dose, as expectorant, 0.13 to 0.6 Grm. (2 to 10 grs.); as hepa tic stimulant, 0.6 to 2.0 Grm. (10 to 30 grs.).2

AMYL NITRITE
   Antispasmodic, reducing arterial tension and so causing momen tary acceleration of the heart beat. Used chiefly by inhalation to relax spasm, notably in asthma, in whooping cough. in spasmodic croup, in epileptic seizures, in tetanus and strychnine poisoning and in spasmodic dysmenorrhea. It is a valuable agent also in angina pec toris and in sudden heart failure, but must be used always intelli gently and with due caution remembering that it is a depressant, not a stimulant. Dose. usually 0.13 2

ANISEMYOD
   The fruit of PIMPINELLA Amsmvr, Lin. Stimulant, aromatic, anodyne, carminative, reputed galactagogue. Especially useful in infantile colic and as a remedy for nausea.2


WARNING: All medicines, drugs, plants, chemicals or medicial precedures below are for historical reference only. Many of these treatments are now known to be harmful and possibly fatal. Do not consume any plant, chemical, drug or otherwise without first consulting a licensed physician that practices medine in the appropriate field.

Physician's Therapeutics Memoranda on Stimulant

ANGINA PECTORIS
   In intervals between attacks, prescribe a simple but nourishing diet with avoidance of all forms... / ...in in solution or hypoder matically; for more prolonged action, sodium nitrite. If blood pre - sure is not high, in place of the foregoing, alcoholic stimulants, Elixir Digitalin Compound, N., B. & Co. or compound spirit ether. Other remedies of value are antipyrin, injections of morphine and atropi...2

APOPLEXY, CEREBRAL
   Blood pressure must be reduced by ve-nesection, if the case ad mits it, by action of a rapid... / ...ad high and the feet low. In the days immediate ly following the attack, use nerve sedatives and keep the patient on a low diet, strictly prohibiting stimulants. To cause absorption of clot (a week or more after the stroke) potassium iodide in full doses. The paralysis is to be treated on general pr...2

ATONY
   Strychnine is generally useful; appropriate local stimulants.2

BILIOUSNESS
   When “bilious” attack is threatened give mercurous iodide, 1 gr. or calomel 2 to 5 grs. (or % gr. every 15 minutes till six... / ...ught of tepid water. Between attacks, pre scribe avoidance of any food found to disagree with digestion; regu late bowels, using if necessary hepatic stimulants; insist on regular open air exercise, advising especially horseback riding.2

BURNS AND SCALDS
   For shock, stimulants, especially Elixir Digitalin Compound: hypodermatic injections morphine and atropine. Among the best local remedies are carron oil (linseed oil and lime-water, equal parts, to which may be added 5 per cent. of carbolic acid), solution picric acid (picric acid, 37 grs.; alcohol, 1% fl. ozs.; water, (1. s. to make one pint), creosote water (to relieve pain); in less severe burns, carbolated oil (15 grs. to fl. oz.), Alkal-antiseptine, sodium carbonate in aqueous solution.2

CHOLERA, ASIATIC
   As prophylactic measures, avoid all uncooked foods, especiaHy water that has not been boiled; sulphuric... / ... chlorodyne; morphine only in urgent cases. An old plan of treatment which was very successful was with heroic doses of calomel. In stage of collapse stimulants and hot baths or hot water bed; strychnine and atropine hypodermatically; subcutaneous injection of normal salt solution.2

DELIRIUM TREMENS
   Hypnotic remedies are indicated, particularly bromides with chloral, Bromanodyne, hyoscine, sulphonal; also nervines, especially ammonium and morphine valerianates, monobromated |camphor; capsicum as a gastric stimulant.2

DIARRHEA
   See also Cholera Infantum, Cholera Morbus and Dysentery. Simple Atonic Diarrhea is best treated by... / See also Cholera Infantum, Cholera Morbus and Dysentery. Simple Atonic Diarrhea is best treated by opium combined with gastric and intestinal stimulants, carminatives and astringents. Chlorodyne is an efficient remedy, also the sun cholera mixture and similar formulas given under Astringents... / ...over abdomen. bismuth. silver nitrate, alum waters; intestinal antiseptics are often indicated.2

HEART DISEASE
   ...d similar agents are to be used when increase of blood pressure is desired; strophanthus when increas ed pressure will do harm, while yet an arterial stimulant is needed; nitroglycerin to diminish arterial tension, aconite when the heart’s action is excessive. Functional disturbance of the heart c......continued. Where palpitation arises from debility, general tonics are indicated, particularly nux vomica and iron. In cardiac failure, use diffusible stimulants, ammonia, ether and alcohol.2

IMPOTENCE
   Theremedies of real value are general tonics, particularly nux vomica, phosphorus and iron. Mere sexual stimulants do harm rather than good.2

NIGHT SWEATS
   The remedies most efficient are belladonna or atropine, camphoric acid, zinc oxide, pilocarpine (as a stimulant to the sweat-glands), sulphuric acid; as a lotion, solution of alum in water or dilute alco hol; diluted acetic acid.2

PNEUMONIA (Croupous.)
   ...olidation has begun, pyrexia is to be combat ed by cold sponging, while the action of the heart is reinforced if necessary by digitalis and alcoholic stimulants. Elixir Digitalin Compound, N., B. & Co., is often useful. Strychnine and atropine hypodermatically are important remedies if cyanosis is e...... third stage prescribe expecto rants to aid in clearing the lungs, ammonium chloride being the most important, to be combined sometimes with the more stimulant am monium carbonate.2

PUERPERAL FEVER
   Irrigate the uterine cavity thoroughly with mercuric chloride solution (1:2000); if necessary employ curette (with caution) to remove decomposing substances; touch ulcerated spots in vagina with solu tion ol silver nitrate, 10 per cent. Sustain the patient, giving alco— holic stimulants freely; treat complication of peritonitis on general principles; if infection extends to bladder, irrigate well with strong solution of boric acid, or with corrosive sublimate, 1:8000.2

TYPHOID FEVER
   Medication except to meet special indications is probably useless, although the Woodbridge... / ... has its advocates. Antipyre tics are not to be used. A milk or koumys diet is best; in any case the food must be soft and easily digested. Alcoholic stimulants must be used to maintain strength, but not to the point of producing ex citement, circulatory or cerebral. Cold sponging or cold baths serv...2


References

1) Felter, Harvey Wickes, 1922, The Eclectic Materia Medica, Pharmacology and Therapeutics, Cincinnati, Ohio.
2) Nelson, Baker & Co., 1904, Physician's Handy Book of Materia Medica and Therapeustics, Detroit, Michigan.