• Effects differ from one person to another (lasts 1-4 hrs)
    Associated with slowed thinking/reaction time, confusion, impaired balance, coordination, etc.
  • Long term effects include cough, respiratory infections, impaired memory and learning, increased heart rate, anxiety, panic attacks, etc.
  • May result in decreased testosterone levels and sperm levels in males and abnormal periods, reduced ovulation in females
  • Withdrawal symptoms can include irritability, anxiety, decreased appetite, restlessness, sleep difficulty, and craving


  • Cocaine is an addictive stimulant
  • Associated with increased heart rate, blood pressure, metabolism, mental alertness, and energy
  • Long term effects include irregular heartbeat, reduced appetite, chest pain, respiratory failure, nausea, seizures, and strokes
  • High doses or prolonged usage can trigger aggressive behavior, and paranoia
  • Combining cocaine and alcohol forms a third substance by the liver called Cocaethylene which intensifies the effects of both drugs and increases risk of sudden death 


  • Picture of drug user with track marksHighly addictive stimulant
  • Creates sensations of energy, excitement, hyperstimulation lasting 6-8 hrs
  • After initial rush, high state of agitation can lead to violent behavior
  • Associated with increased activity, decreased appetite, shakiness, cramping, visual or auditory hallucinations
    Increases heart rate, blood pressure, metabolism, mental alertness, breathing, and body temperature
  • Many users experience “crank sores” or skin wounds (picking at imaginary bugs crawling on skin -leads to scabs and infections)
  • Withdrawal symptoms include depression, anxiety, irritability, paranoia, violent outbursts
  • Long term effects include tremors, loss of coordination, delirium, panic, paranoia, insomnia, aggression, damage to brain, heart, respiratory system, liver, and increased risk of HIV and Hepatitis


  • Synthetic, psychoactive drug with both stimulant and hallucinogenic properties
  • Produces sense of euphoria, energy, alertness, enhancement of senses, especially touch
    Associated with increase of self-confidence, self-acceptance, and empathy for others
  • Associated with muscle tension, involuntary teeth clenching, jaw pain, nausea, blurred vision, rapid eye movements, dizziness, chills, and sweating
  • May cause confusion, depression, anxiety, panic attacks, paranoia, psychotic episodes, sleep problems
  • Long term effects include muscle breakdown, kidney failure, cardiovascular problems, increased heart rate and blood pressure, and body temperature
  • Overdose symptoms include jitteriness, dry mouth, muscle cramping, and nausea
  • Combined with alcohol may cause nausea, vomiting, coma, and death


  • Picture of pills spilling out of a bottlePrescription pain reliever that can be addictive
    Has a euphoric high similar to heroin
  • Effects of OxyContin and other narcotic painkillers include constipation, nausea, headache, dry mouth, vomiting, sweating
  • Long term usage can cause cardiovascular damage, scarred/collapsed veins, risks of infections (HIV and Hepatitis)
  • Overdose symptoms include slow breathing, small pupils, confusion, dizziness, clammy skin, seizures, loss of consciousness
  • Combined with alcohol or over the counter meds increases risk of overdose, convulsions, coma, and death

Percocet, Percodan, Tylox, Vicodin, Darvocet, Darvon

  • Picture of pillsPhysical dependence may develop after a few days of use
    Associated with drowsiness, mental clouding, lethargy, anxiety, fear, mood changes, irregular breathing
  • Withdrawal symptoms may include restlessness, muscle & bone pain, insomnia, diarrhea, vomiting
  • Combined with alcohol or over the counter meds increases risk of overdose, convulsions, coma, and death

Adderall & Ritalin

  • Nervousness, restlessness, difficulty falling or staying asleep, mood swings, agitation, shaking hands, headache, dry mouth, loss of appetite
  • Fast or pounding heartbeat, motor tics, psychosis, hives
    Combined with alcohol, the depressant effects of alcohol may be blocked, resulting in consumption of potentially dangerous amounts of alcohol

Hazards of Combining Alcohol and Other Drugs

  • Picture of a skull and cross bonesAlcohol + Depressants – heart rate and respiration slows down, increased risk of coma, convulsions, and death
  • Alcohol + Narcotics – heart rate and respiration slows down, may cause drowsiness, and vomiting, increase risk of unconsciousness, coma, and death
  • Alcohol + Stimulants – can lead to nausea, vomiting, loss of consciousness, coma, and death
  • Alcohol + Antihistamines – intensifies the sedative effects of the drugs
  • Alcohol + Antidepressants – may lead to blood pressure problems, and increases sedative effects of the drugs, and increases negative effect of alcohol on the liver


Question: Combining alcohol with narcotics (Oxycontin, Vicodin, and others) may cause...

  • A A person’s heart rate to slow down.
    Only partially correct
  • B A person’s heart rate to increase rapidly.
  • C A person to slip into a coma and possibly die.
    Only partially correct
  • D A & C
  • E B & C.