ABCDEFGHIJK
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Drug ClassSpecific DrugsExamplesMechanismAny medical useDuration of Action (Hours)Habituation Potential
(Psychological Dependence)
Tolerance Potential
(Leading to Higher Dose)
Addiction Potential
(Physical Dependence)
Possible Short-Term EffectsPossible Long-Term Effects
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Benzodiazepines (Subgroup, Depressants)Diazepam (Valium/Librium), clonazepam (Klonopin), lorazepam (Ativan), temazepam (Restoril), flunitrazepam (Rohypnol), triazolam (Halcion), alprazolam (Xanax)Agonist at benzodiazepine site on the GABA-A receptorAnxiety, insomnia, epilepsy, many other diseasesCalm, relaxed muscles, sleepy, relieves anxietyDrowsiness, falls, impaired coordination, impaired memory, dizziness
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Benzodiazepine agonists (Subgroup)Zolpidem (Ambien), eszopiclone (Lunesta), zopiclone, zaleplon (Sonata)Same as aboveInsomniaMainly just sleepy, sometimes hallucinations and sleep-like states, relieve anxiety, relax musclesSame as above
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SedativesBarbiturates (Subgroup, Depressant)Phenobarbital, pentobarbital, thiopental (sodium pentothal, sodium amytal), secobarbital, nembutal, seconal quaaludesAgonist at barbiturate site on the GABA-A receptorEpilepsy, other diseases in the past and more rarely today4-6Moderate to highYesYesCNS depressants; sleep induction; relaxation (sedation); confusion; euphoria, drowsiness; impaired judgement, reaction time, coordination, and emotional control; relief of anxiety-tension; lethargy; suppression of hallucinations; hallucinationsIrritability; weight loss; breathing suppressed; addiction with severe withdrawl illness; drowsiness; blurred vision; jaundice; habituation; possible death, similar to benzodiazepines
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Alcohol (Depressant)———Opens BK potassium channels (hyperpolarizing neurons), closes SK potassium channels in reward center of brain (causing DA release), probably other effectsAlcohol withdrawal2-4HighYesYesCNS depressant; relaxation (sedation); confusion; drowsiness; impaired judgement, reaction time, coordination, and emotional control; frequent aggressive behavior; euphoria: loss of inhibitions (facilitates socializing, talking, singing, sex), impair memory and judgement; same as benzodiazepines, plus nausea, vomiting, breathing suppressed, terrible withdrawal (including psychosis and seizures)Diversion of energy and money from more creative and productive pursuits; habituation; possible obesity with chronic excessive use; irreversible damage to brain and liver; addiction; DTs; death; brain damage; various diseases
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Gammahydroxybutyrate (GHB), GBL, 1,4-butanediol———Agonist at GHB receptor (may desensitize it or inhibit GABA), agonist at GABA-B receptorNarcolepsy (improves cataplexy, not simply a sleep aid)Euphoria; energetic; sleepy; calm (mix of stimulant and sedative effects); same as benzodiazepines, plus nausea, vomiting, breathing suppressed, psychosis,Seizures, death
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StimulantsAmphetamines (Subgroup)Amphetamine (Adderall), methamphetamine (Desoxyn), methylphenidate (Ritalin), phentermine, 4-methylaminorex, phenmetrazine (Preludin), methcathinone, fenfluramine (Pondimin, Fen-Phen), dexfenfluramine (Redux), pseudoephedrine (Sudafed), ephedrine, phenylpropanolamine (old Triaminic), phenylephrine (Sudafed PE), Benzedrine, Methedrine, DexedrineIncrease release and inhibit reuptake of 5-HT, DA, and NE.ADHD, narcolepsy, obesity, rarely depression4-8Very high (injected)
Moderate (oral)
YesYesCNS stimulants; increased alertness, reduction of fatigue; loss of appetite; insomnia; increased respiration and heart rate; euphoria; energetic; reduces appetiteRestlessness; insomnia; irritability; weight loss; paranoia; gastric irritation; habituation; death; anxiety; psychosis; high blood pressure; heart attack; stroke; brain damage when used excessively
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Cocaine (Crack)———Inhibits 5-HT, NE, and DA reuptake, blocks voltage-gated sodium channelsLocal anesthesia and bleeding control, diagnostic tests1-2ModerateYesYesCNS stimulant; often elevates mood; increased heart rate and respiration; drying of the nose; laxative; depression and fatigue after effects wear offRestlessness; irritability; destruction of nasal walls; habituation; diversion of energy and money; weight loss; paranoia; death
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CaffeineCoffee, Tea, other plantsAdenosine receptor antagonist, inhibits some PDE enzymes causing increased cAMP signalingHeadaches2-4ModerateYesYesCNS stimulant; increased alertness; reduction of fatigue; increased pulse rate; headache relief; appetite suppressionSometimes insomnia, restlessness, gastric irritation; habituation; anxiety; headaches on withdrawal; diuresis
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Nicotine (Tabacco)———Nicotinic acetylcholine receptor agonist1-2HighYesYesCNS stimulation; relaxation; constriction of blood vessels; impaired breathing; headache; nausea; mouth/tooth/throat pain; cough; runny/stuffy nose; change in taste; heartburn; hiccups; sweating; diarrhea; stimulate brain activityHeart and blood vessel disease; respiratory diseases; habituation
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NarcoticsFull opioid agonists (Subgroup)Morphine, heroin (diacetylmorphine), hydrocodone (Vicodin), oxycodone (Percocet, Oxycontin), fentanyl, Demerol, codeine, opium, hydromorphone (Dilaudid), oxymorphone (Opana), methadoneActivate all opioid receptors completely. Reduce NE release.Pain relief, rarely depression and diarrheaNausea, constipation, vomiting, drowsiness, breathing suppressed, euphoria, pain relief, calm, relaxed, sleepy, appetite suppression, decrease attention to real world, unpleasant withdrawl effects as drug's effect wears off
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Partial, selective, or mixed opioid agonists (Subgroup)Buprenorphine (Suboxone), pentazocine, nalbuphine, tramadol (Ultram), tifluadom
Only activate certain subtypes of opioid receptors, and/or do not activate them fully, and/or block certain subtypes.Pain relief, rarely depression, opioid addictionPain relief, not quite as euphoria or relaxing as full agonists (above), nausea, constipation, vomiting, drowsiness, breathing suppressed
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Phenethylamines (Subgroup)Mescaline (peyote cactus), 2C-series drugs (2C-B, 2C-I, 2C-C, 2C-T-7), 3C-E, 4-MTA, PMA, DO-series drugs (DOC, DOB, DOI, DOM)Partial agonist at 5-HT2 receptors (2A and possibly 2C). This receptor is mostly excitatory, but it is inhibitory in certain parts of the brain dealing with perception.NoneFeeling of novelty, inspiration, reverence. Fast, disordered thoughts, trances. Perceptual anomalies: patterns move, colors brighter, seeing sounds, smelling colors. Crazy ideas and beliefs. Causes hallucinations, sensory distortions, and occasional panic. Anxiety, insomnia, paranoia, temporary psychosis. Some cause nausea, increased body temperature, tremors.May contribute to psychosis in the long term, or cause "flashbacks" (HPPD).
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Tryptamines (Subgroup)Psilocybin and psilocin (both in mushrooms), bufotenin (in toads), DMT (in plants), 5-MeO-DMT (in plants), 5-MeO-DiPT, DET, AMT, 4-HO-DiPTPsilocybin and LSD have been tested for the treatment of cluster headaches
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Ergolines (Subgroup)Lysergic acid diethylamine (LSD), LSA (ergine, in plants)Same as above, plus agonism at other 5-HT, DA, and NE receptors.Other ergolines are used for many diseases but are not psychedelicSame as above, plus other effects, depends of frequency of use and dose.
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PsychedelicsLSD———10-12LowYesNoEffects are unpredictable but can include intense visual imagery; increased sensory awareness; feeling of conciousness expansion; anxiety; rapid mood changes; nausea; increased pulse arte and blood pressure; very violent behavior with PCP; occasional panic; hallucinationsSometimes precipitates or intensifies an already existing psychosis. Other effects include panic reaction; distorted judgement and perception; flashbacks; possible brain damage and genetic damage
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Psilocybin———Psilocybin has been tested for the treatment of cluster headaches6-8LowYesNoSame as aboveSame as above
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Mescaline———12-14LowYesNoSame as aboveSame as above
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PCP———VariableHighYesYesSame as aboveSame as above
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Marijuana (Cannabis)———Agonist at cannabinoid receptorsMight relieve nausea, vomiting, neuropathic pain, and glaucoma. Pills already legal, other forms under investigation2-4ModerateYesLowDistortion of thoughts, feelings, and perception; short-term memory loss; impared coordination; panic reaction; increased appetite; hallucination in larger doses; relaxation; happiness; enhanced appreciation of art; intensifies sensory experiences; distorts perception of time, nausea sometimes impairs learning and memoryImpared judgement; apathy; temporary sterility and infertility; brain damage; lung cancer; possible genetic damage; habituation; hinders long-term memory; may contribute to psychosis
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Hashish———2-4ModerateYesLowSame as aboveSame as above
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Dissociative
Anesthetics
Phencyclidine (PCP), dextromethorphan, ketamine———NMDA (glutamate receptor) antagonistsAnesthesia. A related drug, memantine, is used in Alzheimer's disease, and these could be used in stroke sufferersFeeling of distance from reality and body, numbing of sensations and pain. Convincing and absorbing hallucinations. Nausea, vomiting, coma, violence, extreme confusion, temporary psychosis. PCP causes brain damage
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DeliriantsScopolamine and atropine (in plants), diphenhydramine (Benadryl), dimenhydrinate (Dramamine)———Muscarinic (ACh receptor) antagonistsMany legitimate usesLoss of memory, convincing and absorbing hallucinations, extreme confusion, temporary psychosis, hot, dry skin, dry mouth, huge pupils, fast heartbeat, death
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Diethyl ether (starter fluid), toluene, gasoline, glue, paint, xenon, freon, halothane, sevoflurane———Unknown, probably multiple mechanismsGeneral anesthesiaCalm, relaxed, euphoria, pain relief, hallucinations, strange sensations (different inhalants cause different effects from this list), nausea, vomiting, accidental asphyxiation, falls, varies depending on particular drugMany diseases, death
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InhalantsNitrous oxide, hydrocarbons, chlorohydrocarbons———Unknown, but opioid pathways are necessaryGeneral or partial anesthesia1-2ModerateUnknownUnknownEuphoria; shortness of breath; nausea; headache; dizziness; fainting; relaxation; pain relief; memory loss; unconsciousnessUnknown
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Nitrites (Subgroup)Isoamyl nitrite, isobutyl nitriteStimulate NO system (NO is a neurotransmitter)Heart conditions"Head rush", muscle relaxation, dizziness, dangerously low blood pressure, fainting
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Salvinorin A (salvia divinorum)———Selective agonist of the kappa opioid receptorTheoretically similar to pain relievers (pentazocine)Convincing, absorbing hallucinations, visionary states, pain relief, dysphoria, panic, headache, inability to talk, falls, sweating, persisting anxiety
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OtherMuscimol (amanita muscaria)———GABA-A agonistUseful in researchVaguely like a hallucinogen, nausea, other side effects
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Methaqualone (Quaalude, Sopor), thalidomide, meprobamate (Miltown), carisoprodol (Soma), glutethimide, chloral hydrate (knockout drops, Micky), ethchlorvynol (Placidyl), methyprylon, primidone———Various mechanisms, mostly related to GABA, similar to barbituratesAnxiety, depression, insomnia, pain, anesthesia, epilepsy, muscle relaxation, nauseaDepending on the drug: calm, sleepy, euphoria, relaxed muscles, pain relief, nausea relief, falls, poor coordination and memory, coma
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Lithium———8-12LowNoNoRelief of depression (elevation of mood); stimulationBasically the same as tranquilizers
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AntidepressantsDibenzapines———8-13LowNoNoSame as aboveSame as above
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MAO inhibitors———8-14LowNoNoSame as aboveSame as above
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Understand the risks of taking drugs/medications. Educate yourself and others.This chart provides a rough overview, it is an oversimplification, it has omissions, and it may have inaccuracies due to ongoing scientific data.