Pervitinovaya addiction

In the mid-80s in a number of regions of Russia among adolescents of older age (16-17 years) there were cases of using a homemade drug that was called "shirka" in the slang of drug addicts. It contains about 40% α-iodine-pervitin (iodine is used in the manufacturing process).

Symptoms of Primary Drug Addiction

Pervitin is administered intravenously. Take the drug with 1 -2 ml. When forming drug addiction, it is possible to increase the single dose to 10-12 ml. When an overdose develops acute psychosis.

The pattern of intoxication with primate has similarities to the intoxication of ephedra. Intoxication at the first use occurs in 10-15 minutes, a peculiar euphoria is characteristic. There comes an "epiphany", everything around gets extraordinary clarity and color, there is a feeling of pleasant bodily comfort. After 30-60 minutes a hypomanic condition is formed. Increased mood is accompanied by hyperactivity, self-confidence, their strengths and capabilities. The drunkard gets the impression that he receives especially important and heartfelt thoughts. Own solutions seem very successful and clever. The mandatory effect of intoxication is a sharp increase in sexual desire. In men, there is an increase in sexual potency, they are able to perform dozens of sexual intercourse in a row, each time reaching orgasm. The duration of intoxication with preretin is 6-8 hours. Dysphoria, irritability, anger, gloominess, suspicion are characteristic of the post-toxication state ("exit"). Gradually, asthenia, lethargy, adynia, apathy appear on the foyer of dysphoria.

After the first use of primaeviaa in the post-toxication regimen, there may be an inclination to re-administer the drug. In this regard, a strong dependence on it occurs in a short time. Pathological attraction with the use of pervonine is insurmountable, a pronounced degradation of the person with a tendency to socially dangerous behavior is formed. With the development of drug addiction, the duration of intoxication is reduced, the introduction of the drug is repeated several times during the day. Daily and single doses are growing rapidly.

Abstinence syndrome is characterized by severe dysphoria. At the same time, malice and aggressiveness are combined with anxiety and suspicion. Characteristic of the change of this condition is a pronounced asthenia, a recruiting of consciousness. In some cases, even 1 month after the cessation of taking pervitin, lethargy, apathy, inability to sustain purposeful activity remain.

There are light, medium and heavy prenitis abstinence syndromes (depending on the severity and depth of asthenic, psychopathological, somatovegetative and neurological disorders).

AC of mild severity develops 22-24 hours after the last drug use. It is represented by a strong pathological attraction, anxiety, fear, irritability. Reduced mood background, behavioral disorders, sleep disorders. The structure of AS includes pronounced algic (muscle and back pain, headaches) and moderately expressed vegetative disorders (decreased appetite, nausea, lacrimation, runny nose, pale skin, hyperhidrosis, dizziness, tachycardia). The blood pressure rises to 135-140 / 95-110 mm Hg. Asthenic (fatigue, weakness, fatigue, fatigue, difficulty in gathering thoughts) and neurological (diffuse muscular hypotension, hypomia, internal trembling) are minor.

AC of moderate severity occurs 16-20 hours after the last drug use. It is characterized by moderately pronounced aesthetic (weakness, impotence, lethargy, fatigue, inability to actively concentrate) and pronounced somatovegetative and neurological disorders. Parameters of blood pressure within the limits of 125-130 / 90-95 mm Hg. Psychopathological disorders (fear, anxiety, melancholy mood, depression) are strongly pronounced.

In severe AS, it occurs 12-14 hours after the last use of Pervitin. It is characterized by an intense pathological attraction to the drug. Dominant sleep disorders, there is emotional lability, low mood. In these patients moderate irritability is observed. Manifestations of severe asthenic disorders: fatigue, in the conversation, the inability to do anything without help. Neurological disorders are significant (dysarthria, weakening of convergence, lack of pupillary response to light, nystagmus, twitching of the tongue, impaired surface sensitivity, ataxia). Vegetative symptoms (decrease or lack of appetite, postural hypotension, lacrimation, hyperhidrosis) moderate. The arterial pressure is 85-90 / 55-60 mm Hg. The heart rate is an average of 114 per minute. Algic disorders are insignificant (a sense of inconvenience, tension in the muscles of the back, legs, neck and hands).

Neurological disorders that develop in case of primary drug addiction include blurred speech, intentional muscle tremor, unsteady walking, abnormal reflexes from the feet, increase or decrease of tendon reflexes.

In patients with primary drug addiction, explosive and epiloptoid personality changes occur, manifestations of the psychoorganic syndrome. They are characterized by antisocial behavior, evasion from studies and work, disregard for laws and regulations, the desire for immediate satisfaction of the desires that have arisen, and complete indifference to the interests of others. Patients are indifferent to remarks and praise, intolerant of criticism, they have no attachment to their loved ones. Their behavior is determined not by common sense, but by desire and mood. Manifestations of psycho-organic syndrome - violation of concentration of attention, memory loss, exhaustion at the slightest mental strain, inability to navigate in a changing environment. Thinking in these patients is slow; the tendency to excessive detailing, getting stuck on small things, has been noted.

Pervitinovaya addiction is formed a few weeks after the start of the drug. After 2-3 months, toxic encephalopathy develops.

Personal premorbid and its correlations with the consumption of pervinine, the clinic and the dynamics of the withdrawal syndrome point to three predominant personality types: schizoid, asthenic, unstable.

In the schizoid type of personality, in the overwhelming majority, the first use of pervitin was noted at the age of 14-16 years, and the majority - immediately intravenously. The formation of a pathological attraction to the drug, and then the withdrawal syndrome occurred very quickly (15-30 days). The average dose of vomiting is 12-16 ml / day. Patients of this group were characterized by a cyclical form of use. The multiplicity of the introduction of the drug during the next cycle was 5-6 injections per day every 4-5 hours. The rhythm of narcotization: 2-3 days with a rest period (4-6 days). The withdrawal syndrome occurred 24-36 hours after the last administration of the drug and was manifested by moderate psychopathological, vegetative, somatic and expressed asthenic and neurological disorders. Their intensity decreased on the third day. However, their reduction did not occur even 14 days after the start of treatment.

With the prevalence of asthenic features, the use of pervitin first occurred at the age of 16-18 years. Pathological desire was formed after 1-1,5 months of admission. The patients took the drug continuously. The average dose of pervitin in them is 4-6 ml / day. Multiplicity of administration - 2-3 injections per day, mainly during the day. The withdrawal syndrome occurred 8-12 hours after the last drug use (moderate asthenic, vegetative, neurological and expressed psychopathological and algic disorders). Weakening of the severity of psychopathological manifestations of AS occurred on the third day of treatment, although asthenic, autonomic, neurological and algic disorders decreased only by 14 days of treatment.

In patients with unstable features, the first use of pervonin is attributed to the age of 17-20 years. Pathological attraction was formed within 2-2,5 months. The duration of drug abuse was about one and a half years. The drug was administered continuously. 2-3 injections per day, mainly during the day. The average dose of 1-2 ml / day. The withdrawal syndrome occurred 10 to 14 hours after the cessation of anesthesia. He was represented by poorly expressed asthenic, neurologic, moderately expressed vegetative, algic and expressed psychopathological disorders. Reduction of vegetative and psychopathological manifestations occurred on the third day of treatment. By the 14th day, a complete reduction of all of the above disorders was observed.