DrugPhysiologic effectsShort-term effectsLong-term effectsSerious drug interactions
Cocaine5,19,24,25 Arrhythmias, hypertension, hyperthermia, tachycardia, tremorAcute MI, aortic dissection, cerebrovascular accidents (ischemic and hemorrhagic), crack lung (diffuse alveolar damage), seizures, tactile hallucinations (e.g., bugs crawling)Cardiomyopathy, memory loss, movement disorders, perforated nasal septum, psychiatric disordersBeta blockers
Methamphetamine26 Arrhythmias, hypertension, hyperthermia, tachypneaAcute MI, insomnia, psychotic symptoms (e.g., delusions, hallucinations, paranoia), seizure, strokeExtreme weight loss, impaired verbal learning and motor skills, infectious diseases, psychiatric disorders, tooth decay, violent behaviorNone
3,4-methylenedioxy-methamphetamine 25,27 Arrhythmias, distortion of sensory and time perception, hypertension, hyperthermia, increased muscle rigidityAcute MI, agitation, aortic dissection, bruxism, paranoia, rhabdomyolysis, serotonin syndromeMemory impairment, psychiatric disordersMonoamine oxidase inhibitors, ritonavir (Norvir)
Synthetic cannabinoids25,28 Conjunctival injection, death, diaphoresis, dystonia, tachycardiaAcute MI, agitation, hallucinations, psychosisHyperemesis syndrome, psychiatric disordersSildenafil (Viagra), tricyclic antidepressants, warfarin (Coumadin)
Synthetic cathinones (“bath salts”)29 Arrhythmias, cerebral edema, death, hypertension, hyperthermia, muscle spasmsAcute MI, analgesic effects, dysphoria, paranoia, psychosis, seizures, strokePsychiatric disorders, renal failureUnknown