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Tox Test 4

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Question
Answer
What is heroin?   A semi-synthetic opiate synthesized from morphine  
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What are the routes of administration for heroin?   Mainly IV Snorting Smoking Subcutaneous (skin popping)  
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What are the metabolites of heroin?   6-monoacetylmorphine (6-MAM) and morphine  
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What is the half life of heroin?   2-6 minutes  
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What are the metabolites of morphine?   morphine-3-glucoronide (M3G) morphine-6-glucoronide (M6G)  
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Describe the distribution of 6-MAM.   6-MAM is more lipid soluble than morphine and corsses teh blod-brain barrier more readily.  
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How is morphine eliminated?   90% is eliminated in the urine in 72 hours.  
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What is the mechanism of action for heroin?   Heroin metabolites affect CNS through mu, kappa, and delta opiate receptors.  
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What are the effects of heroin?   analgesia, respiratory depression, euphoria, sedation, delusions, hallucinations, decreased gastrointestinal activity  
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What are the short term effects of heroin?   euphoria, alternately alert/drowsy state, dry mouth, warm skin, slowed breathing, muscular weakness  
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What are the long term effects of heroin?   addiction, tolerance, dependence, collapsed veins, heart lining/valve infection, pneumonia, decreased liver function, abcesses  
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Why could the incidences of heroin use be increasing?   higher purity product available, cheaper than prescription drugs, other drugs can't be taken by IV, use at younger age  
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Created by: bdcox15
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