, ETOH w/d
early onset
later onset - 6 hrs of significant drop in BAC
early 6-24 hrs
late 10-72 hrs
adverse effects of cannabis Carlat - "makes you feel great until it doesn't"
hallucinations, anxiety, tachycardia, sleepiness, impaired memory/problem solving
heavy use unmask psychotic d/o earlier than it would have otherwise occurred
how long can impaired motor skills and slow rxn time last after acute cannabis use? - 8-
12 hrs
chronic cannbis use can mimic - ADHD
ANXIETY
DEPRESSION
Cannabis w/d onset and duration - 3-14 days last use lasts a week or less
what percent of people w/ OUD have another psychiatric d/o? - 90%
what percent of people with OUD will attempt suicide at least once? - 15%
fatal withdrawals - ETOH
BZDs
heroine w/d onset and peak
methadone w/d onset and peak - 1. 6-8 hrs, 2-3 days, resolves 7-10 days
2. 1-3 days, lasts 10-14 days
how to taper BZD - decrease by no more than 10% total dose each week
stimulant w/d onset peak and duration - peak 2-4 days last about a week
onset hrs after last use
hallucinogen intoxication sx - synesthesia (see sounds, taste words etc)
hallucinations
illusions
hallucinogen persisting perception disorder - "flashbacks" that occur in 15-80% of users
DSM-5
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