DRUGS AND ALCOHOL ABUSE:
              Opioid:
              
                - The drugs which bind to specific opioid receptor  present in central nervous system and gastrointestinal tract.
- Heroin commonly called smack, chemically diacetylmorphine.
- It is white, odourless, bitter crystalline  compound.
- Obtained by acetylation  of morphine.
- Extracted from latex of poppy plant Papaver  somniferum.
- Generally taken by snorting and injection.
- Heroin is depressant and slows down body  function.
Canabinoids:
              
                - Group of chemicals that interact with the  canabinoid receptors of brain.
- Obtained from inflorescence of Cannabis  sativa.
- Flower top, leaves and resin of cannabis plant  are used in various combinations to produce marijuana, hashish, charas and ganja.
- Generally taken by inhalation and oral ingestion
- Effects on cardiovascular  system of the body.
Cocaine:
              
                - Coca alkaloid or cocaine is obtained from coca  plant Erythroxylum coca.
- It interferes with transport of  neuro-transmitter dopamine.
- Cocaine is commonly called as coke or crack is usually snorted.
- Potent stimulating effect on central nervous  system.
- Produces sense of euphoria and increased energy.
- Excessive dosage causes hallucination.
                - Other plants with hallucinogenic properties are  :
                  
                    - Atropa  belladonna
- Datura.
 
 
- Canabinoids are also being abused by some  sportspersons.
Medicinal use of drugs:
              
                - Barbiturates, amphetamines, benzodiazepines,  lysergic acid diethyl amide (LSD) used as medicines to help patients cope with  mental illnesses, depression and insomnia.
- Morphine is a very effective sedative and  painkiller used for surgery patient
- Plant product with hallucinogenic property have  used as folk-medicine, religious ceremonies and rituals.
Tobacco:
              
                - It is smoked, chewed or used as a snuff.
- Tobacco contains nicotine an alkaloid.
- Nicotine stimulates Adrenal glands to raise  blood pressure and increased heart rates.
- Smoking tobacco is associated with cancer of  lung, urinary bladder, and throat, bronchitis, emphysema, coronary heart  disease, gastric ulcer etc.
- Smoking increased CO content of blood reduce  oxygen carrying capacity of hemoglobin.
- Tobacco chewing is associated with cancer of  oral cavity.
Adolescence and Drug/Alcohol Abuse:
              
                - The period between 12-18 years of age may  thought of an adolescent period.
- Adolescent is a bridge linking childhood and  adulthood.
- Curiosity, need for adventure and excitement,  and experimentation, are the common cause of drug/alcohol abuse.
Addiction and dependence:
              
                - Addiction is a psychological attachment to  certain effects such as euphoria and a temporary feeling of well-being  associated with drugs and alcohol.
- With repeated use of drugs the tolerance level  of the receptors present in our body increases. Consequently the receptors  respond only to higher doses of drugs or alcohol leading to greater intake and addiction.
- Use of drugs even once, can be a fore-runner to  addiction.
- Dependence is the tendency of the body to  manifest a characteristic and unpleasant withdrawal  syndrome if regular dose of drugs/alcohol is abruptly discontinued.
- Withdrawal syndrome characterized by anxiety,  shakiness, nausea and sweating.
Effects of Drug / Alcohol Abuse:
              
                - Immediate effects are reckless behavior,  vandalism and violence.
- Excessive doses of drugs may lead to coma and  death due to respiratory failure, heart failure or cerebral hemorrhage.
- Warning sign of drug and alcohol abuse among  youth include:
 
                    - Drop in academic performance, 
- Unexplained absence from school/college.
- Lack of interest in personal hygiene
- Withdrawal, isolation, depression fatigue,  aggressive and rebellious behavior.
- Deterioting relationship with family and  friends.
- Loss of interest in hobbies.
- Change in eating and sleeping habits.
- Fluctuation in weight and appetite.
 
 
- Intravenous drug user more prone to acquire  infections like AIDS and hepatitis.
- The chronic use of drugs and alcohol damages  nervous system and cause of liver  cirrhosis.
- Use of drug and alcohol during pregnancy affect  the foetus.
Prevention and control:
              
                - Avoid undue peer pressure.
- Education and counseling.
- Seeking help from parents and peers.
- Looking for danger signs.
- Seeking professional and medical help.
Abbreviations:
              
                - PMNL :                Polymorpho-Nuclear  Leukocytes
- CMI :                    Cell  Mediated   Immunity
- ELISA :                Enzyme  Linked   Immuno sorbent  Assay
- HLA :                   Human  Leukocyte   Antigen
- MALT :                 Mucosal  Associated   Lymphoid  Tissue
- SCID :                 Severe  Combined   Immuno  Deficiency
- NACO :                 National  AIDS   Control  Organization
- MRI :                    Magnetic  Resonance   Imaging
- CT:                      computerized  tomography.