Paul Chastain
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May 24, 2021

A Reminder: Drugs Can Kill You In 2021

People abuse drugs for various reasons. Some do so to fit in, to seem more mature, or to experiment. Others use drugs to escape, to relieve boredom, or rebel. They see drugs as a solution or a way to cope with a situation. But since most of these drugs are highly addictive, they often end up being the problem. According to the National Institute on Drug Abuse, illicit drug use can lead to dependence, addiction, and in worst cases, the drugs can kill you.

You’ve probably heard that drugs are dangerous one too many times; it’s getting hard to believe. But all drugs, including prescription pain relievers, have real potential for harm. Prescription drugs can kill you - irrespective of whether you use them alone, or you mix them with other drugs. Vital statistics show that the death toll from abuse and misuse of such drugs is steadily rising. And if you don’t stop using, you could be part of these statistics soon.

How do drugs kill?

Most drug fatalities result from a combination of factors, not just the drug itself. For example:

Death from ecstasy happens due to:

  • Contaminants in the drug
  • Polydrug use
  • Heatstroke
  • Dehydration
  • Water intoxication
  • Serotonin syndrome
  • Other causes like an underlying heart condition, or high blood pressure

 

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How cocaine kills

Stimulants like cocaine flood the brain with norepinephrine and dopamine, creating euphoric effects while boosting focus and confidence. They also stimulate the cardiovascular system – and that’s where the danger comes in. Cocaine causes rapid or irregular heart rate, blood vessel constriction, and increased blood pressure.

The constriction of blood vessels means less oxygen supply to the heart muscle and can cause a heart attack. Cocaine users are 23 times more likely to have a heart attack than those who don’t use. No wonder cocaine is referred to as the perfect heart attack drug.

 

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How opioids kill

When opioids and other depressants, get to the brain, they bind to mu-opioid receptors and activate them. This produces euphoric effects but also triggers a series of physical and psychological actions. Opioids produce respiratory-depressing effects. As a result, fatal overdose victims often die from respiratory depression (choking to death) because they cannot get enough oxygen to feed the demand of their body’s organs.

What is overdose, and how does it happen?

A drug overdose happens when a person takes too much of a substance or a mix of substances. This is so even if it was an accidental overdose. People can overdose on alcohol, prescription drugs, illicit drugs, and other substances. In many cases, overdoses are fatal.

But those who get immediate medical attention can be saved. As mentioned earlier, drugs can overwhelm the body in different ways. But the most common cause of death during an overdose is respiratory failure.

Signs of drug overdose

The signs of an overdose depends on the type of drug involved. Overdose deaths involve sleepiness, confusion, and coma. Other factors can include:

  • Problems with vital signs like blood pressure, temperature, pulse rate, and respiratory rate
  • Hot and dry or cool and sweaty skin
  • Seizures
  • Chest pain
  • Nausea, abdominal pain, diarrhea, and vomiting

 

Drug overdose deaths, in numbers

Accidental overdose is the leading cause of death in the US for people under 50 years. Drug overdose deaths now surpass deaths from homicides, car accidents, firearms, or HIV/AIDS. In 2017 alone, more Americans died due to drug overdose than they did in the entire Vietnam War. Of these deaths, nearly 66% involved illicit drugs or prescription opioids.

In 2019, more than 70,000 Americans died from a drug overdose. And the drug overdose trend doesn’t seem to be slowing down. According to recent provisional data from the CDC, the number of overdose deaths shot to 68,630 deaths in 2020. This increase is attributable to the pandemic and its negative impacts on lives, especially of those struggling with substance use disorders.

The addiction epidemic was already a significant problem across the US. But the pandemic has only made the problem worse. Its spread has sent people into panic. And with long term travel restrictions, social isolation, economic shock, disrupted access to addiction support, and increased mental health distress, people turn to drug use and misuse trying to cope.

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Cocaine and psychostimulants overdose deaths

In 2018, there were 14,666 overdose deaths involving cocaine in the US, according to a CDC report. This represents about a 2.5% rate increase in cocaine-involved deaths in 2018 than in 2014. The report says that the overdose death rates attributed to cocaine that has been cut with synthetic opioids, like fentanyl increased faster in recent years than did deaths from pure cocaine. Among 70,237 drug overdose deaths in 2017, about 23,139 or 32% involved cocaine, psychostimulants, or both.

Opioid overdose deaths

50,000 of the 2019 drug deaths were from an opioid overdose. The abuse of and addiction to opioids, including heroin, prescription drugs, and fentanyl, is a severe crisis that affects public health and economic and social welfare. CDC estimates the annual economic burden of prescription opioid abuse alone in the US to be $78.5b. This includes the cost of addiction treatment, health care, lost productivity, and criminal justice involvement.

 

Fentanyl overdose deaths

States across the US are reporting a sharp increase in fentanyl-involved overdose deaths. Fentanyl overdoses can happen within seconds to minutes of use. The sad part is many users don’t seem to be looking for fentanyl and have no idea that the drug they’re using contains fentanyl.

Meth, cocaine, and powder heroin may be cut with fentanyl. There have also been cases of illicit Oxycodone and Xanax tablets containing fentanyl.

Meth overdose death rates

Meth-related deaths are also rising across the US, according to NIDA. Overall data shows overdose rates rose from less than 0.8 to 4.5 per 100,000 women and 2 to 10 per 100,000 men, a more than fivefold rise from 2011 to 2018.

Getting help for drug overdose

Call 911 if you suspect a drug overdose. Emergency help can save a life. General treatment strategies involve:

  • Giving activated charcoal to absorb the drug from the digestive tract.
  • Pumping stomach to get rid of the substance.
  • Inducing vomiting to get rid of the drug from the stomach.
  • Issuing IV fluids to help the body speed up the removal of the substance.
  • Clearing the airway.

 

Preventing an overdose from occurring

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Overdose deaths remain a critical problem across our nation. If you have prescription medicines, ensure that you use them according to the doctor’s recommendations. Overdose occurring from prescription drugs often happens when they are used in ways not advised by your doctor.

Quitting drug use is also a great way to prevent overdose. If you are having a hard time quitting, you should seek professional help. Addiction treatment centers in Texas and across the US have therapists and physicians who can help address mental and physical health issues.

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