2025 – PAGE 209 – EMERGENCY MEDICINE & TOXICOLOGY

DRUGS OF ABUSE AND ASSOCIATED SYMPTOMS (TABLE)

Drug Category BP HR Temp Pupils Gastrointestinal Neurological Other
Alcohol (Ethanol) Lo ~ ~ Small or Large Nausea, vomiting, pain Ataxia, agitation, sedation, coma Respiratory depression hypo-glycemia
Stimulants

  • Amphetamines
  • Cocaine
Hi Hi Hi Large Nausea, vomiting, diarrhea Agitation, psychosis Diaphoresis
Hallucinogens

  • PCP
  • LSD
Hi Hi Hi Large ~ Hallucination (A&V), euphoria, nystagmus, ataxia, coma, psychosis ~
Sedative hypnotics

  • Benzodiazepines
  • Barbiturates
Lo Lo ~ ~ ~ Sedation, ataxia, nystagmus, coma Respiratory depression
Opioids Lo Lo ~ Small Ileus Euphoria, sedation, coma Respiratory depression
Marijuana Hi Hi ~ ~ Nausea, vomiting, pain Psychosis, agitation, sedation ~
Nicotine Hi Hi ~ ~ Nausea, vomiting Seizures, weakness, sedation, coma Late effect: bradycardia, hypotension
Dextromethorphan Hi Hi Hi ~ ~ Hyperreflexia, nystagmus, ataxia, delirium Flushed, hallucination, agitation, sedation
Antihistamines Hi Hi Hi Large Decreased bowel sounds Delirium, agitation, sedation, urinary retention Flushed, dry mucous membranes, dry skin
Inhalants ~ Hi ~ ~ ~ Euphoria, sedation Angioedema, dysrhythmia (rare)