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Launch Activity

Egg and Sperm
Body Positive
Stressed

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PSHE - Up Close and Personal
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Tobacco Alcohol
Cannabis Ecstasy
Cocaine Speed
LSD Ketamine
Heroin

back to top Tobacco

Background
Most people have tried tobacco. In Britain, 28 per cent of men and 27 per cent of women smoke.

Tobacco was first introduced to the UK in the sixteenth century.

Tobacco comes from the dried leaves of the plant nicotiana tabacum. The drug it contains, nicotine, is a mild stimulant / upper.

Health concerns about tobacco use have been offset by the money it generates, not least for the government. However, there are now restrictions on advertising and, increasingly, on smoking in public places.

Nicotine
Nicotine stimulates the central nervous system and raises the heart rate and breathing rate, helping you to keep going and to maintain concentration. Paradoxically, smokers usually feel that smoking helps them relax and reduces stress.

As with drinking, alcohol, and smoking cannabis, people also enjoy the taste and sensation of smoking tobacco.

Nicotine acts almost instantaneously, but nicotine levels decline very rapidly.

Health issues
Tobacco contains more than 4,000 chemicals, many of which damage health.

The well-documented risks include bronchitis, emphysema, lung cancer, heart disease, blood clots, and ulcers. The risks increase in proportion to how much you smoke and how long you've been smoking.

Nicotine is particularly habit-forming because the effects don't last long and because tolerance develops rapidly.

A remarkably high proportion of people who start smoking go on to become psychologically dependent.

Special risks
Sudden withdrawal can cause symptoms such as headaches and insomnia, as well as anxiety, depression, and a craving to smoke.

Women who smoke during pregnancy tend to have underweight babies.

Women who both smoke and take the pill are more likely to develop blood clots and heart disease.




back to top Alcohol

Legal
You need a licence to sell alcohol, and it's illegal to sell alcohol to someone under 18 or give it to a child under five.

It's also an offence to be drunk in a public place or to drive with too much alcohol in your system (more than 80mg of alcohol per 100ml of blood).

Alcohol has been widely used for thousands of years. Alcohol-related legislation in the UK dates from the late-nineteenth century, when age restrictions were introduced.

Current restrictions on when alcohol can be sold date from the First World War.

The effects
The way moderate quantities of alcohol affect you as an individual has a lot to do with personality, mood, and circumstances.

The main desirable effects are that it can relieve tension, reduce anxiety and inhibitions, and produce feelings of warmth and contentment.

The effects come on after about 10 minutes and can last for several hours if you drink a large amount.

The intensity of the effects of alcohol depends mainly on the amount you drink in a session, but weight, metabolism, how much you have eaten, how quickly you're drinking, and how much you usually drink are also factors.

On average, women get drunk more quickly than men, partly because they tend to weigh less and partly because water constitutes less of their body weight, so the same amount of alcohol produces a higher concentration in the blood.

Ethyl alcohol or ethanol, the type of alcohol found in drinks, is a depressant / downer produced by fermenting or distilling fruits, vegetables, or grains.

Short term effects
Losing your inhibitions is a good thing only up to a point, as many people realise in the cold light of dawn. In addition, emotions can be unpredictable when you're drunk.

Some people become aggressive or tearful after only a couple of drinks and, the larger the amount, the more exaggerated these reactions can be. A lot of violence is associated with alcohol.

The more you drink, the worse your brain and body work. Symptoms include slurring of speech, staggering, confusion, loss of memory and comprehension, and, eventually, oblivion.

Hangovers are due partly to poisoning by alcohol and other constituents of drinks and partly to short-term withdrawal. Symptoms include headache (caused by dehydration), the shakes, tiredness, vomiting, depression, and anxiety.

Many people say certain drinks produce worse hangovers than others, and that mixing grape and grain (for example wine and beer) is particularly bad. However, the amount of alcohol you drink and keep in your stomach is by far the most important factor.

Long term effects
Psychological dependence on alcohol can occur with the daily use of even moderate amounts.

Alcohol can also lead to physical dependence, so that sudden withdrawal produces sweating, anxiety, the shakes, and nausea and vomiting.

In severe cases, delirium tremens or the DTs, hallucinations, convulsions, and even death are possible from withdrawal.

Long-term alcohol use can directly harm most parts of the body. In particular, it often leads to heart and liver disease and inflammation of the stomach. The risk of serious disease increases in proportion to the amount you drink, though some people are more resilient than others.

In addition, almost all drinkers seeking help say they feel anxious and depressed. These feelings are likely to be made worse by other problems associated with alcohol dependence, such as strains on finances and relationships.



back to top Cannabis

The effects
Cannabis is the most popular illegal drug in the UK: an estimated 42 per cent of people aged between 16 and 29 have used it.

Partly for this reason, and partly because there is no conclusive evidence that it has significant ill effects, the illegal status of this drug in particular is controversial.

Many people enjoy the taste of cannabis smoke and the rituals associated with using it, just as they do with alcohol.

As far as the effects are concerned, small amounts can make you feel relaxed, happy, talkative, and giggly. Many users also feel that their senses are heightened, particularly with reference to colours and music.

With large amounts or very strong cannabis, there may be mild, pleasurable hallucinations of colours, patterns and slight movement in objects. The effects can last several hours.

If you eat hashish, the effects come on more slowly and last longer.

Background
Cannabis was used both medicinally and for pleasure in ancient China and later in India.

In the UK, it was first legally controlled in 1928, though its widespread use as a recreational drug dates from the 1950s and 1960s.

The medical use of cannabis was banned in 1973, despite evidence that the drug can relieve muscular spasms in multiple sclerosis and glaucoma, as well as nausea in patients undergoing drug treatment for cancer.

Short term effects
Cannabis can make you anxious, panicky, paranoid, confused or depressed, particularly if you're very stoned. Forgetfulness and difficulty in concentration are common.

There is also controversy about whether cannabis is a gateway drug, leading to other drug use.

It's statistically true that cannabis users are more likely to take other drugs, as are people who smoke tobacco or drink. But there is no evidence of a causal link.

Long term effects
Cannabis doesn't produce physical dependence, but there is some evidence that long-term heavy users find it difficult to give up.

It's likely that smoking cannabis can cause bronchitis and other breathing disorders, and of course people who smoke it mixed with tobacco also run all the health risks associated with tobacco.

Someone who is stoned all the time is unlikely to be a live wire, and some people say they suffer from general anxiety, paranoia, or depression as a result of regular, long-term use of cannabis. However, there is no conclusive evidence that cannabis causes any lasting damage to mental or physical health.

Long-term cannabis smoking has been linked with cancers, but the link is disputed. Similarly, there is conflicting evidence on whether frequent cannabis use in pregnancy can lead to premature birth.



back to top Ecstasy

The effects
Ecstasy or 3,4 methylenedioxymethamphetamine (E or MDMA for short; also called XTC, pills, jubes, smarties, doves, and so on) is a mind-altering stimulant, combining some of the effects of amphetamines and LSD.

It's usually sold in capsules or tablets that vary widely in colour, size, and content. The effects usually take 30 to 60 minutes to come on and can last for several hours.

The psychological effects vary to some extent according to mood and circumstances. Ecstasy can make you feel relaxed and calm as well as energetic, exhilarated, and able to experience things with more intensity.

Ecstasy is also widely said to make you feel warmer towards other people.

Physically, your heart and breathing speed up, your body temperature rises, your mouth dries up, your jaw tightens, and you lose your appetite.

The effects
Some people feel unsteady and nauseous or actually throw up. Ecstasy can also make you anxious and paranoid.

Remember that, as with LSD, your frame of mind and the circumstances in which you take the drug can affect what you experience.

When the effects wear off, you will feel tired and you may feel anxious and depressed.

Some people report having LSD-type 'flashbacks' - a recurrence of the feelings experienced on the drug. All of these problems are more likely to occur and to be more serious with high and repeated doses.

Short term effects
A number of deaths have been directly associated with ecstasy.

Most were caused by exhaustion, overheating, and dehydration, though a few people have had a heart attack or brain haemorrhage brought on by the stimulant effect of the drug.

A very small number have died as a result of drinking too much water, because ecstasy can cause a condition which leads to a build-up of water in the cells of the brain, causing it to swell.

Special risks:
  • Ecstasy is dangerous for anyone suffering from high blood pressure, a heart condition, diabetes, asthma, or epilepsy
  • Adulterated ecstasy may be particularly dangerous. Testing a small amount first may reduce the risks
  • Ecstasy raises body temperature and this, combined with dehydration and exhaustion from long spells of dancing in a hot club, can be dangerous. Sipping water - about a pint an hour - and taking regular rests will help. Alcohol makes dehydration worse
  • It's particularly dangerous to mix ecstasy with anti-depressants or other stimulants

Long term effects
Ecstasy does not produce physical dependence, but psychological dependence is possible.

You can build up a tolerance to ecstasy, putting you more at risk from toxic side effects.

Other symptoms reported by long-term users include general anxiety, panic attacks, depression, insomnia, and confusion. As with amphetamines, long-term users may become generally run-down.

There is also a growing body of evidence that ecstasy can produce changes in the serotonin systems of the brain, possibly putting users at risk of serious mood or memory problems.



back to top LSD

What is it?
Lysergic acid diethylamide (LSD) can dramatically change the way you perceive the world around you.

Full hallucinations are rare, at least with 'normal' doses, and it's common to see patterns and colours that don't really exist and also slight movement in solid, stationary objects.

Familiar objects and people may seem unfamiliar, fascinating, or very funny. A feeling of increased self-awareness is also common, and some people report ecstatic or transcendental experiences, as if they've moved beyond their bodies.

The effects usually come on anywhere from half an hour to an hour and can last from 5 to 24 hours, but 8 to 12 hours is common.

Background
In the UK, an estimated 11 per cent of people aged between 16 and 29 have taken LSD.

LSD was first produced in 1938. In the 1950s and 1960s it was used in psychotherapy.

In the sixties it became popular with 'hippies' and with some writers and intellectuals. Such users tended to believe that LSD expanded the consciousness and led to spiritual experiences. The authorities took a dim view and, in the UK, LSD was first controlled by legislation in 1966.

Like everything associated with 'hippy values', LSD became very unfashionable in the late seventies, but the acid house dance scene of the late eighties led to a revival of interest, and the drug was easily incorporated into the subsequent rave and dance culture.

LSD is a chemical compound derived from the ergot fungus, though it is possible to produce a totally synthetic version. A powerful hallucinogen, LSD is now usually sold as a liquid, soaked in small pieces of blotting paper.

Other forms include the liquid itself, pills, sugar cubes with a drop of liquid, gelatine sheets or shapes, and powder. The strength of a dose sold as a trip varies and, for the average user, the only way of finding out the potency of a batch is by word of mouth.

A drop of liquid can contain a huge amount of LSD, though the liquid is usually constituted so, that one drop is a single medium dose.

Short term effects
LSD is unpredictable, even for experienced users.

Things may seem fascinating or funny, but they may also seem alien and terrifying. You might feel dizzy, confused, anxious, panic-stricken or paranoid, or as if you're dying or losing your mind.

To quite a large extent, the effects of the drug depends on how you feel when you take it - if you feel anxious or depressed anyway, you're more likely to have a bad trip.

Friendly reassurance and efforts to divert the mind towards pleasant subjects may help a user who is having a hard time. Occasionally, a bad trip may produce a longer-lasting disturbance, such as recurring anxiety attacks, but this will normally fade.

Even if you've had a good trip, you may feel anxious and depressed the next day. Flashbacks - sudden recurrences of the experience of a trip - can occur a few days or even weeks later. These can be disturbing, especially if they happen at an awkward time, but they don't usually last long.

Long term effects
LSD does not produce physical dependence, and psychological dependence is rare because the drug stops working if you keep using it for three or four days. However, after a few days' rest, tolerance subsides and some people feel a strong desire to keep repeating the experience.

Despite talk of 'acid casualties', there is no reliable evidence that LSD damages the brain. However, long-term use may increase anxiety and depression.

More serious and prolonged psychological problems do occur, but it's difficult to know to what extent the drug is to blame. However, it is thought that LSD can make existing mental health problems worse, or bring hidden problems to the surface.



back to top Cocaine

What is it?
In the UK, an estimated 6 per cent of people aged between 16 and 29 have tried cocaine.

Cocaine is a Class A drug. Cocaine (coke, charlie, snow, C) is a powerful stimulant/upper, made from the leaves of the coca plant.

It usually takes the form of a white powder, which can be injected or smoked with tobacco, but is usually snorted up the nose.

Freebase is cocaine treated with chemicals to make it more suitable for smoking. Crack (crack, wash, rock, stone) is a form of freebase cocaine that comes in small 'rocks' or pellets.

Cocaine can make you feel elated, positive, confident, and alert - strong both mentally and physically. The effects are in many ways similar to those of amphetamines, but cocaine wears off much more quickly - in less than two hours - and it's considered a smoother, more subtle drug. All the same it's a powerful stimulant, speeding up the heart and breathing. Some people say it improves sex.

The effects of crack are both more intense and more short-lived, lasting only a matter of minutes.

Background
There is a long tradition of chewing coca leaves in the areas of South America, where the plant grows.

Cocaine was first extracted at the end of last century, and it became a popular stimulant and tonic. For years, Coca-Cola contained small amounts of the drug. Sigmund Freud believed it could be used to treat depression and addiction.

Cocaine has also been widely used as a local anaesthetic, and is still sometimes used in surgery. In the UK, legal controls were introduced during the First World War, after rumours that troops were taking the drug.

Cocaine became popular in the music and entertainment industries in the 1970s, but it has come to be much more widely used.

Short term effects
Cocaine can make you feel anxious and panicky, and any negative feelings will be worse with high doses or repeated doses.

If you smoke a lot of crack over a short period, anxiety and paranoia can be still more intense, and you may become wildly overexcited and hyperactive. Overdose on cocaine or crack, leading to a heart attack or a stroke, is rare but possible.

After the effects wear off, people often feel tired and hungry and may also feel agitated, anxious, paranoid, or depressed.

Taking large amounts or smaller amounts in quick succession (and there's a great temptation to go back for more, because the effects wear off so quickly) make the come-down worse. However, the after-effects are not considered to be as bad as those of amphetamines.

Despite cocaine's reputation for going well with sex, some men find it difficult to get an erection or come after using the drug.

Many of the special risks of amphetamines also apply to cocaine. In addition:

  • Mixing cocaine and downers, especially heroin, in a speedball is extremely dangerous
  • Snorting cocaine a lot can permanently damage the inside of your nose
  • Over time, smoking crack can damage the lungs

Long term effects
Cocaine does not lead to physical dependence - there are no heroin-type withdrawal symptoms if you stop taking it.

But you can become psychologically dependent on the high and, as with amphetamines, a craving for the positive effects may be reinforced by a desire to escape the negative after-effects.

Smoking crack is more likely to lead to dependence, because both the positive and the negative effects are more intense, and because crack wears off even more quickly than cocaine, encouraging people to smoke more.

Frequent long-term use of cocaine and crack can make people chronically anxious, excitable, paranoid, and unable to sleep. As with amphetamines, loss of sleep and appetite can leave long-term users very run down.

back to top

Speed

The effects
About 20 per cent of people aged 16 to 29 have taken amphetamines.

Amphetamines have a similar effect to an adrenalin rush - one that can last for anything between 3 to 8 hours.

Your breathing and heart rate speed up, your pupils dilate, your mouth dries up and you feel more energetic and alert.

You may also feel more confident and positive, and become very talkative, thinking you're on top form - though if your friends aren't doing speed they might not agree.

In the UK, the use of amphetamines for fun dates mainly from the 1960s, and legal controls followed in 1964. Amphetamines are now common in the dance scene and, apart from cannabis, are the most commonly used illegal drug in the UK.

Background
Amphetamines (speed, billy, whizz, sulphate, sulph, pink champagne) are powerful synthetic stimulants/uppers.

The commonest illegally made form, amphetamine sulphate powder, can be smoked, swallowed in a drink, or injected in a solution, but it's usually snorted up the nose. The powder should be white, but can be pink or grey.

Crystal methamphetamine (meth, ice, crystal) is a very strong, pure, crystalline form of the drug, which is usually smoked.

Amphetamine base, the base from which amphetamine sulphate powder is made, is also very strong and pure. Base is injected or wrapped in cigarette papers and swallowed.

Risks
People may mainly feel anxious and restless, rather than confident and energetic, and all users have to cope with coming down.

Taking amphetamines is like getting an advance on your energy reserves, and as those reserves are used up, you begin to feel tired. You may also feel depressed.

If taken in large quantities, and especially if repeated high doses are taken over several days, the possible unwanted effects are more serious. They include aggression, panic, paranoia, hallucinations, and delirium.

The physical effects of very high doses can include the shakes, uneven heartbeat, breathlessness, chest pain, seizure, and even heart failure. But deaths caused directly by amphetamines are rare in people without heart problems or high blood pressure.

Long term effects
Some people become psychologically dependent on amphetamines, partly because these drugs can make you feel more confident and more able to cope, and partly because it's tempting to take more to counteract the effects of coming down.

There are no heroin-type withdrawal symptoms if regular users give up abruptly, but long-term users may well feel generally tired, apathetic and continually hungry when they stop using.

Special risks:

  • Amphetamine sulphate powder is notoriously impure, often being cut by up to 95 per cent with anything from paracetamol to chalk. This means injecting it could be lethal
  • Dangerous for people with high blood pressure, heart problems or breathing problems to take amphetamines
  • Long periods of dancing in hot clubs may lead to serious dehydration. Sipping water and taking rests can prevent this

back to top
Ketamine

Legal
Possession of ketamine is not illegal, but it can only be legally supplied on prescription.

Ketamine (techno smack, special K, vitamin K, K) is used medically as an anaesthetic, but it also acts as a hallucinogen and painkiller.

It's occasionally sold as a liquid for injection, but usually comes as a powder or as tablets. Ketamine tablets are sometimes passed off as ecstasy.

The effects
As with other drugs with hallucinogenic properties, the experience of taking ketamine varies greatly according to mood, personality, and circumstances.

There may be an initial speedy rush, after which effects include visual hallucinations and distortion of hearing, and a feeling of being detached - both from your body and from things around you.

If you snort ketamine, the effects come on after 5 to 10 minutes. If you swallow it, effects start after about 20 minutes. They last for up to 3 hours.

Risks
The possible unpleasant effects of ketamine are pretty much those you'd expect from an anaesthetic - numbness, slurred speech, blurred vision, confusion, lack of co-ordination, and even paralysis.

You may feel sick or throw up, especially if you've eaten within a few hours of taking the drug. Some people say ketamine makes them aggressive.

The higher the dose, the greater the risk of serious unpleasant effects, and overdose can result in heart or breathing failure. However, deaths from overdose are rare.

Long term effects
Ketamine does not produce physical dependence, but there is a risk of psychological dependence.

There has been little research into its long-term effects, though one study has suggested that memory, vision, and concentration may be affected.

Special risks:
  • Particularly dangerous to mix ketamine with downers/depressants, including alcohol
  • Ketamine increases the risk of physical injury, both because it affects co-ordination and because you feel less pain

back to top
Heroin

Background
About 1 per cent of the adult population of the UK (about a quarter of a million people) have used heroin at some point in their lives.

Heroin, like the other opiates, reduces pain, both physical and emotional. In the short term, it stops you worrying and makes you feel safe, warm and contented.

Physically, these drugs slow down the heart and breathing, and higher doses make you sleepy. Opiates don't impair you as mentally and physically as true downers/depressants, such as alcohol and tranquillisers.

More info
Methadone does not produce such an intense high as heroin, but the effects last longer - up to 24 hours.

For dependent heroin users, methadone is mainly used as a way of avoiding withdrawal symptoms. In treatment programmes, it also helps people to move away from the street heroin scene and get more control over their lives.

Heroin, morphine, opium, methadone, dipipanone and pethidine are all Class A drugs. Codeine is Class B unless prepared for injection, in which case it's considered Class A.

More info
Some people take heroin or other opiates occasionally, but these drugs can be very difficult to control, particularly if you're using them because you feel troubled, anxious or unable to cope.

Psychological dependence is the biggest risk, but after as little as a few weeks of frequent doses, users also experience physical withdrawal symptoms if they stop using abruptly (going 'cold turkey').

These include a runny nose and sneezing, diarrhoea, vomiting, sweats, chills, cramps, and insomnia. Abrupt withdrawal from heroin is not thought to be as dangerous as abrupt withdrawal from alcohol, however.

The effects
First-time users may feel sick or actually throw up. With high doses, people can black out and even go into coma. Death from breathing failure is possible.

The impurities of street heroin can lead to illness or death if the drug is injected.

Death from methadone overdose is also a risk, particularly for people who haven't built up a tolerance.

Estimates put the number of people dependent on heroin at up to 200,000. Though methadone is used as a substitute for heroin, some dependent users say that methadone is harder to give up.

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