Inhalants/Volatile Substances
p. 77-81

Mind-altering fumes, vapors, gases etc. that are inhaled into lungs.

Most often refers to inhaling vapors of commercial non-drug products.

Does not include medical use of inhaled products or drugs that are smoked

Inhalant Use

Estimated 1 million current US users

Most often used by those 12-17 yrs old

About 20% of 8th graders have tried

Also used when other drugs are unavailable

Impossible to control access to these products

Main Groups

Industrial/household solvents(e.g. thinners, removers)

Art/office supply solvents (e.g. whiteout)

Aerosol propellants (e.g. in spray paint,Scotchguard)

Househohold/commercial gases (butane, propane)

Abused anesthetic gases (nitrous oxide, halothane )

Volatile nitrites (amyl and butyl nitrite)

Most Abused: Fumes From Petroleum Products & Hydrocarbons

glue, plastic cement

whiteout

permanent markers

polish; polish remover

cleaning fluids 

paint thinners, varnish

solvents (toluene, xylene, benzene)

de-icers

kerosene, gasoline

lighter fluid 

Aerosol propellants in:

spray paints

hair spray

cooking spray

Scotchguard

deodorant

cleaning products

Modes of Delivery

u Sniffing fumes from the container

u Placing inhalant in plastic bag and inhaling from the bag

u Soaking a cloth, cotton ball, or kleenex in the substance, then inhaling through the cloth

u Spraying and then inhaling

Characteristics of Inhalants

u Most have an intoxicating, stupefying depressant + mind-changing deliriant effect, but user can lose consciousness

u Users often called “huffers” or “baggers”

u Rapid action (like smoking route) with short duration (30-60 min. unless re-administered)

u Most are toxic (never intended for intake)

Risks

u “Sudden sniffing death syndrome” (death due to cardiac arrhythmia)

u Accidental suffocation; aspiration of vomitus

u Other kinds of accidental injuries

u Hypoxia & toxins can cause brain/nerve damage

u Heart, kidney, liver, lung & nervous system damage from inhaling toxic substances

u Some products are also carcinogenic

u “Fetal solvent syndrome” if inhalants abused during pregnancy

Warning Signs

u Chemical odor on body, breath, clothes or in room

u Red, glassy or watery eyes; nosebleeds

u Inflamed nose, rash around nose or mouth

u Coughing, sneezing, drooling, nausea

u Inhalant supplies (plastic bags, rags, paint cans)

Behavioral Changes With Abuse

u neglect of appearance

u loss of drive

u withdrawn

u decreased interest in physical activity

u slurred speech

u incoordination

 

u intoxication

u confusion

u fatigue

u irritability

u depression

u nonsensical speech

u headache, hangover

 

 

Volatile Nitrites (“Poppers”)

u Amyl nitrite is a prescription drug for angina

u Butyl nitrite (“Locker Room”, “Rush”) OTC “room odorizer”

u Produce peripheral & coronary vasodilation & rapid HR - this produces short-lived light-headedness and dizziness

u Nitrites may be used to enhance orgasm

u Evidence of increased risk of Kaposi’s sarcoma & glaucoma

Nitrous Oxide (“laughing gas”)

mild anesthetic gas used in medicine and dentistry

propellant in whipped cream

used to increase combustion in auto racing

produces euphoria & dreamy intoxication but deprives body of oxygen

ether & other gases also sometimes abused