Abusers usually retain the odor of the substance thatthey have inhaled on their breath and in their clothes.Irritation of the mucous membranes in the mouth andnose may result in excessive nasal secretions. Rednessand watering of the eyes commonly occur. The user mayappear intoxicated or lack muscular control and maycomplain of double vision, ringing in the ears, vividdreams, and even hallucinations. Drowsiness, stupor,and unconsciousness may follow excessive use of thesubstance.Abusers usually inhale these drugs from thecontainer or from plastic or paper bags. Therefore,discovery of plastic or paper bags or handkerchiefscontaining dried plastic cement is a telltale sign of thisform of drug abuse.MARIJUANA. –Marijuana is a greenish,tobacco-like material consisting of the leaves, flowers,small stems, and seeds of the plant Cannabis Sativa L,which grows throughout the world. Its fibers have beenused to manufacture twine, rope, bags, clothing, andpaper. The sterilized seeds are used in various feedmixtures, particularly bird seed. Traffic in, and use of,drugs from the cannabis plant are now restricted by lawin most countries, including the United States.Although known to exist for nearly 5,000 years, weprobably know less about marijuana than any othernatural drug. In the past, it has been used in the treatmentof a variety of clinical disorders. Very early in China’shistory, it was used to relieve pain during surgery. InIndia it was used as medicine; in the United States it wasused as an analgesic, a poultice for corns, and acomponent in a variety of patented medicines.You can identify marijuana smokers by theirpossession of such cigarettes, often called sticks,reefers, or joints. A marijuana cigarette is often rolled ina double thickness of brownish or off-white cigarettepaper. Smaller than a regular cigarette, with the papertwisted or tucked in on both ends, the marijuanacigarette often contains seeds and stems and is greenerin color than regular tobacco.Another clue to the presence of “reefers” is the wayin which they are often smoked. Typically, such smokingoccurs in a group situation. Because of the rapid burningand harshness of the marijuana cigarette, it is generallypassed rapidly, after one or two puffs, to another person.Users inhale the smoke deeply and hold it in the lungsas long as possible. When inhaling, persons often cupthe cigarette in the palms of both hands to save all thesmoke possible. An additional clue to marijuana use isan odor similar to that of burnt rope. You can readilydetect the odor on the person’s breath and clothing.When smoked, marijuana appears to enter thebloodstream quickly because the onset of symptoms israpid. It affects the user’s mood and thinking. Theeffects of the drug on the emotions and senses varywidely, depending on the amount and strength of themarijuana used. The social setting in which it is takenand the effects anticipated by the user also influence theperson’s reaction to the drug.You probably will not recognize marijuana (pot)users unless they are heavily under the influence. Inearly stages, when the drug acts as a stimulant, usersmay be very animated and appear almost hysterical.They commonly talk loudly and rapidly and easily burstinto laughter.Usually, the effects of the drug start about 15minutes after the person inhales the smoke of thecigarette. The effects can last from 2 to 4 hours. At lowdoses of one or two cigarettes, persons who becomeintoxicated may experience an increased sense ofwell-being, initial restlessness, and hilarity. That stageis followed by a dreamy, carefree state of relaxation andan alteration of sensory perceptions, includingexpansion of space and time. Users also experience amore vivid sense of touch, sight, smell, taste, and sound;a feeling of hunger, especially a craving for sweets; andsubtle changes in thought formation and expression. Toan unknowing observer, a person in this state ofconsciousness would not appear noticeably differentfrom a normal state.At higher but moderate doses, the user experiencesthe same reactions experienced with the use of lowdoses, only they are intensified. Still, you wouldscarcely notice the changes. The person may alsoexperience altered thought formation and expression,such as fragmented thoughts, sudden loss of ideas,impaired immediate memory, disturbed associations,and an altered sense of self-identity. Some perceive afeeling of enhanced insight. Such distortions canproduce feelings of panic and anxiety in those who havelittle experience with drugs. The panic and anxiety cancause persons to fear they are dying or going crazy. Thatpanic reaction usually disappears as the effects of thedrug wear off. Low to moderate doses of the drugproduce minimal changes in body functions.At very high doses, effects may include distortionsof body images, loss of personal identity, fantasies, andhallucinations. In addition, toxic psychoses can occur3-12
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