Skip to main content

Management of Acute and Chronic Drug Abuse of Amphetamines

  • Chapter
Substance Abuse

Abstract

Amphetamine was first discovered in the 1800s, although not used in clinical medicine until the 1930s. Historically, it was used to treat congestion and battle fatigue but more modern clinical applications include use in treatment of narcolepsy, ADHD and weight loss. It is a commonly used recreational drug, with 0.7 % of the world’s population aged 15–64 having ingested amphetamine in 2012. Acute intoxications have serious complications, in particular cardiac and neurological. Chronic misuse has significant clinical and sociological impact. This chapter discusses history of amphetamine misuse, pharmacology, acute management of amphetamine intoxication and chronic misuse.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Trevor AJ, Katzung BG, Kruidering-Hall MM, Masters SB. Chapter 32. Drugs of abuse. In: Trevor AJ, Katzung BG, Kruidering-Hall MM, Masters SB, editors. Katzung & Trevor’s pharmacology: examination & board review. 10th ed. New York: McGraw-Hill; 2013.

    Google Scholar 

  2. Miranda-G E, Sordo M, Salazar AM. Determination of amphetaminoe, methamphetamine, and hydroxyamphetamine derivatives in urine by gas chromatography-mass spectrometry and its relation to CYP2D6 phenotype of drug users. J Anal Toxicol. 2007;31(1):31–6. PMID 17389081.

    Article  CAS  PubMed  Google Scholar 

  3. Piness G, Miller H, Alles G. Clinical observations on phenylethanolamine sulfate. J Am Med Assoc. 1930;94:790–1.

    Article  Google Scholar 

  4. AMA Council on Pharmacy and Chemistry. Benzedrine. J Am Med Assoc. 1933;101:1315.

    Google Scholar 

  5. AMA Council on Pharmacy and Chemistry, Present status of benzedrine sulfate. J Am Med Assoc. 1937;109:2064–9.

    Google Scholar 

  6. Kiloh LG, Brandon S. Habituation and addiction to amphetamines. Br Med J. 1962;2(5296):40–3.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  7. Brandon S, Smith D. Amphetamines in general practice. J Coll Gen Pract. 1962;5:603–6.

    CAS  PubMed Central  PubMed  Google Scholar 

  8. World drug report; 2013.

    Google Scholar 

  9. White TL, Lott DC, de Wit H. Personality and the subjective effects of acute amphetamine in healthy volunteers. Neuropsychopharmacology. 2006;31(5):1064–74.

    Article  CAS  PubMed  Google Scholar 

  10. Huang B, Dawson DA, Stinson FS, Hasin DS, Ruan WJ, Saha TD, et al. Prevalence, correlates, and comorbidity of nonmedical prescription drug use and drug use disorders in the United States: results of the National Epidemiologic Survey on alcohol and related conditions. J Clin Psychiatry. 2006;67(7):1062–73.

    Article  PubMed  Google Scholar 

  11. Borders TF, Booth BM, Han X, Wright P, Leukefeld C, Falck RS, et al. Longitudinal changes in methamphetamine and cocaine use in untreated rural stimulant users: racial differences and the impact of methamphetamine legislation. Addiction. 2008;103(5):800–8 [Medline].

    Article  PubMed  Google Scholar 

  12. Justice AJ, De Wit H. Acute effects of d-amphetamine during the early and late follicular phases of the menstrual cycle in women. Pharmacol Biochem Behav. 2000;66(3):509–15.

    Article  CAS  PubMed  Google Scholar 

  13. Bidwell LC, McClernon FJ, Kollins SH. Cognitive enhancers for the treatment of ADHD. Pharmacol Biochem Behav. 2011;99(2):262–74.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  14. Miller GM. The emerging role of trace amine-associated receptor 1 in the functional regulation of monoamine transporters and dopaminergic activity. J Neurochem. 2011;116(2):164–76.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  15. Brodie B. Effects of cocaine and amphetamine on acetylcholine release in the hippocampus and caudate nucleus. Publisher Medical. Department of Neuroscience, University of Cagliari, Italy. Accessed 5 June 2013.

    Google Scholar 

  16. Stuber GD, Hnasko TS, Britt JP, Edwards RH, Bonci A. Dopaminergic terminals in the nucleus accumbens but not the dorsal striatum corelease glutamate. J Neurosci. 2010;30(24):8229–33. doi:10.1523/JNEUROSCI.1754-10.2010. PMC 2918390. PMID 20554874.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  17. Gu XL. Deciphering the corelease of glutamate from dopaminergic terminals derived from the ventral tegmental area. J Neurosci. 2010;30(41):13549–51.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  18. Eiden LE, Weihe E. VMAT2: a dynamic regulator of brain monoaminergic neuronal function interacting with drugs of abuse. Ann N Y Acad Sci. 2011;1216:86–98.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  19. Sulzer D. How addictive drugs disrupt presynaptic dopamine neurotransmission. Neuron. 2011;69(4):628–49. doi:10.1016/j.neuron.2011.02.010. PMC 3065181. PMID 21338876.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  20. Kuczenski R, Segal DS. Effects of methylphenidate on extracellular dopamine, serotonin, and norepinephrine: comparison with amphetamine. J Neurochem. 1997;68(5):2032–7.

    Article  CAS  PubMed  Google Scholar 

  21. Downes MA, Whyte IM. Amphetamine-induced movement disorder. Emerg Med Australas. 2005;17(3):277–80.

    Article  PubMed  Google Scholar 

  22. Wappler F, Roewer N, Kochling A, Scholz J, Loscher W, Steinfath M. Effects of the serotonin2 receptor agonist DOI on skeletal muscle specimens from malignant hyperthermia-susceptible patients. Anesthesiology. 1996;84(6):1280–7.

    Article  CAS  PubMed  Google Scholar 

  23. Murray JB. Psychophysiological aspects of amphetamine-methamphetamine abuse. J Psychol. 1998;132(2):227–37.

    Article  CAS  PubMed  Google Scholar 

  24. Karch S. The problem of methamphetamine toxicity. West J Med. 1999;170(4):232.

    CAS  PubMed Central  PubMed  Google Scholar 

  25. Westfall DP, Westfall TC. 12: adrenergic agonist and antagonists. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s pharmacological basis of therapeutics. 12th ed. New York: McGraw-Hill; 2010. p. 277–334.

    Google Scholar 

  26. Jacobs W. Fatal amphetamine-associated cardiotoxicity and its medicolegal implications. Am J Forensic Med Pathol. 2006;27(2):156–60.

    Article  PubMed  Google Scholar 

  27. Albertson TE. Amphetamines. In: Olson KR, Anderson IB, Benowitz NL, Blanc PD, Kearney TE, Kim-Katz SY, Wu AHB, editors. Poisoning & drug overdose. 6th ed. New York: McGraw-Hill Medical; 2011. p. 77–9.

    Google Scholar 

  28. Chin KM, Channick RN, Rubin LJ. Is methamphetamine use associated with idiopathic pulmonary arterial hypertension? Chest. 2006;130(6):1657–63.

    Article  CAS  PubMed  Google Scholar 

  29. Alldredge BK, Lowenstein DH, Simon RP. Seizures associated with recreational drug abuse. Neurology. 1989;39(8):1037–9.

    Article  CAS  PubMed  Google Scholar 

  30. Angrist B, Corwin J, Bartlik B, Cooper T. Early pharmacokinetics and clinical effects of oral D-amphetamine in normal subjects. Biol Psychiatry. 1987;22(11):1357–68.

    Article  CAS  PubMed  Google Scholar 

  31. Robson P, Bruce M. A comparison of ‘visible’ and ‘invisible’ users of amphetamine, cocaine and heroin: two distinct populations? Addiction. 1997;92(12):1729–36.

    Article  CAS  PubMed  Google Scholar 

  32. Luna CG. Use and abuse of amphetamine-type stimulants in the United States of America. Rev Panam Salud Publica. 2001;9(2):114–21.

    Article  Google Scholar 

  33. Peters A, Davies T, Richardson A. Increasing popularity of injection as the route of administration of amphetamine in Edinburgh. Drug Alcohol Depend. 1997;48(3):227–34.

    Article  CAS  PubMed  Google Scholar 

  34. Shargel L, Wu-Pong S, Yu A. Applied biopharmaceutics & pharmacokinetics. 6th ed. New York: McGraw-Hill; 2012.

    Google Scholar 

  35. Flomenbaum NE, Goldfrank LR, Hoffman RS, Howland MA, Lewin NA, Nelson LS. Goldfrank’s toxicologic emergencies. 8th ed. New York: McGraw-Hill; 2006.

    Google Scholar 

  36. Uvnas-Moberg K, Hillegaart V, Alster P, Ahlenius S. Effects of 5-HT agonists, selective for different receptor subtypes, on oxytocin, CCK, gastrin and somatostatin plasma levels in the rat. Neuropharmacology. 1996;35(11):1635–40.

    Article  CAS  PubMed  Google Scholar 

  37. Boyer EW, Shannon M. The serotonin syndrome. N Engl J Med. 2005;352(11):1112–20.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sahra Lantz-Dretnik M.B.B.S., B.Sc. (Hon.), F.R.C.A. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Science+Business Media New York

About this chapter

Cite this chapter

Lantz-Dretnik, S., Czernicki, M., Kunnumpurath, S. (2015). Management of Acute and Chronic Drug Abuse of Amphetamines. In: Kaye, A., Vadivelu, N., Urman, R. (eds) Substance Abuse. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1951-2_13

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-1951-2_13

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1950-5

  • Online ISBN: 978-1-4939-1951-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics