Depressants are a broad category of drugs that slow down the central nervous system. They have both legal and illegal uses. Unlike other potential drugs of abuse, they rarely come from illicit laboratories. Instead, prescription medications make their way to the illegal market. Among the terms used to describe such drugs are downers, sedatives, minor tranquilizers, anti-anxiety medications and anxiolytics.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
Types
Prescription barbiturates, also known as sedative-hypnotics, are available under names such as Phenobarbital, Amytal and Nembutal. Benzodiazepines, sold under such names as Xanax and Valium, are one of the most widely prescribed medication types in the U.S., according to the Partnership for a Drug-Free America 1. Alcohol, marijuana and certain kinds of inhalants also fall into the depressant category, though alcohol according to the University of Rochester, also has stimulant properties.
Effects
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Among the uses of depressants are reducing anxiety, inducing sleep and lowering inhibitions. Abusers of other drugs, including cocaine and heroin, sometimes use depressants to increase the high they feel or mitigate side effects related to overstimulation, according to the U.S. Drug Enforcement Agency.
Risks
Addiction is a possibility with depressants. Overdose leading to coma and death is another risk, especially when two or more depressant drugs are combined. The drugs tend to lead to tolerance, meaning that more and more of the substance is needed to achieve the same effects, so abusers sometimes take dangerously high doses. Additionally, the majority of depressant drugs carry a risk of withdrawal symptoms when you stop using them, according to the U.S. Drug Enforcement Agency. Mild cases cause anxiety and insomnia. More severe cases can involve tremors, weakness, seizures and delirium and even death.
- Addiction is a possibility with depressants.
- Overdose leading to coma and death is another risk, especially when two or more depressant drugs are combined.
History
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Barbiturates dominated the realm of antidepressants during the early half of the 20th century for both legal and illegal use. The number of deaths associated with them led drug makers to develop alternatives, and as of 2010, the U.S. Drug Enforcement Agency was reporting that fewer than 10 percent of U.S. depressant prescriptions were for barbiturates. Benzodiazepines came out in the 1960s and have ruled the market since then. They now account, according to the agency, for one of every five prescriptions for a controlled substance.
- Barbiturates dominated the realm of antidepressants during the early half of the 20th century for both legal and illegal use.
- The number of deaths associated with them led drug makers to develop alternatives, and as of 2010, the U.S. Drug Enforcement Agency was reporting that fewer than 10 percent of U.S. depressant prescriptions were for barbiturates.
Trend
Emerging since about 1990 as a depressant drug of abuse has been gamma hydroxybutyrate, or GHB. It is illegal in the United States but can be brought from other countries or produced in illicit labs. Some users take it for its intoxicating and hallucinogenic effects, according to the U.S. Drug Enforcement Agency. Others use it in bodybuilding for purported anabolic properties. And others secretly give it to victims as a date-rape drug.
- Emerging since about 1990 as a depressant drug of abuse has been gamma hydroxybutyrate, or GHB.
- Some users take it for its intoxicating and hallucinogenic effects, according to the U.S. Drug Enforcement Agency.
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References
- Partnership for a Drug-Free America: Depressants
- National Institute on Alcohol Abuse and Alcoholism. Alcohol facts and statistics. Published February 2020.
- National Institute on Drug Abuse. (2014). How do CNS depressants affect the brain and body?
- Staff AP. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR®). American Psychiatric Pub; 2010.
- Kaplan MS, Huguet N, McFarland BH, et al. Use of alcohol before suicide in the United States. Ann Epidemiol. 2014;24(8):588-592.e5922. doi:10.1016/j.annepidem.2014.05.008
- López-muñoz F, Ucha-udabe R, Alamo C. The history of barbiturates a century after their clinical introduction. Neuropsychiatr Dis Treat. 2005;1(4):329-43.
- Latner, A. (2000). The top 200 drugs of 1999. Pharmacy Times, 66, 16-32.
- Julien, R.M. (2001). A primer of drug action. New York: Worth Publishers.
- Olfson M, King M, Schoenbaum M. Benzodiazepine use in the United States. JAMA Psychiatry. 2015;72(2):136-42. doi:10.1001/jamapsychiatry.2014.1763
- Zlott DA, Byrne M. Mechanisms by which pharmacologic agents may contribute to fatigue. PM R. 2010;2(5):451-5. doi:10.1016/j.pmrj.2010.04.018
- Latner, A. (2000). The top 200 drugs of 1999. Pharmacy Times, 66, 16-32.
- American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders. (4 ed., Text Revision). Washington DC: American Psychiatric Association.
- Hedden, S.L, Kennet, J., Lipari, R., Medley, G., & Tice, P. (2015). Behavioral health trends in the United States: Results from the 2014 national survey on drug use and health. Substance Abuse and Mental Health Services Association (SAMHSA).
- Julien, R.M. (2001). A primer of drug action. New York: Worth Publishers.
- National Institute on Drug Abuse. (2014). How do CNS depressants affect the brain and body?
Writer Bio
Ranlyn Oakes is a business writer and journalist with more than a decade as either a staff writer or freelancer for a variety of regional and national publications, including newspapers and magazines. His specialties include health care, international trade, manufacturing and career advice. Oakes holds a Bachelor of Arts in print journalism from the University of Kentucky.