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Experienced Academic Resource Creator, Digital Marketplace Strategist, E-Commerce Seller, Content Curator, and Global Student Engagement Specialist with Proven Track Record in Online Study Material Development and Sales Optimization Verified Questions Complete with A+ Graded Rationales Latest Updated 2026 Comprehensive Clinical Pharmacology, Toxicology, Withdrawal Management, and Therapeutic Interventions for Marijuana, PCP, LSD, Dextromethorphan, Ketamine, Alcohol, and Opioid Use Disorders Questions Verified and Provided with A+ Graded • Cognitive behavioral therapy (CBT) • If severe: dronabinol, gabapentin • Sleep disturbance with sedative hypnotics (zolpidem) or BZDs Treatment for Marijuana Withdrawal • Supportive care; fluids • BZDs for agitation -Chlorpromazine (hyperemesis) -Albuterol (bronchospasms) Treatment for acute Marijuana toxicity Marijuana ____________________ Toxicity: • Tachycardia, blood pressure changes (hypo or hypertension); tachypnea, conjunctival injection, dry mouth, increased appetite, impaired attention, concentration and memory • Severe effects at higher doses include delirium, panic attacks, myoclonic jerking and rarely psychosis/hallucinations Marijuana Therapeutic uses (NOT FDA approved): • Treatment of chronic severe pain (e.g., cancer), refractory nausea/vomiting, anorexia/cachexia, glaucoma, seizures CB2 Receptor that is assoc with regulation of immune response and inflammatory reactions CB1 Receptor that Inhibits release of ACh, L-glutamate, GABA, NE, DA, and 5-HT into CNS Marijuana -Partial agonist to GPCR cannabinoid receptors CB1 and CB2, inhibits adenylyl cyclase, ↓cAMP -Supportive -Benzodiazepines -Haloperidol -Barbituates -Nitroglycerin or Nitroprusside (htn) Treatment for PCP intoxication Phencyclidine (PCP) ________________ Toxicity: • Adrenergic Stimulation: Hypertension, tachycardia, hypo or hyperthermia, rhabdomyolysis • Altered mental status: CNS stimulation or depression, odd or violent behavior secondary to hallucinations, diminished perception of pain • Rotary nystagmus and pain insensitivity (hallmark) • Psychomotor agitation similar to acute psychosis • Severe intoxication can include acute brain syndrome, seizures, respiratory depression and coma Phencyclidine (PCP) • Non-competitive antagonist of NMDA receptors which leads to excess of excitatory neurotransmitter release • DA, NE and 5HT reuptake inhibitor • Therapeutic uses: non-narcotic dissociative anesthetic in 1950s; post-op dysphoria and hallucinations occurred frequently Lysergic Acid Diethylamide (LSD) __________________ Toxicity: • Patients feel a heightened perception of sensory input, distorted sense of time, euphoria/well-being, enhanced mystical/spiritual experiences • Synesthesia: blending of the senses (e.g., "hearing" colors; "seeing" sounds) • Fear, panic, dysphoria, overwhelming sense of dread may also occur • Serotonin syndrome may occur • Sympathomimetic effects: mydriasis, tachycardia, hypertension, hyperthermia Lysergic Acid Diethylamide (LSD) -1st synthetic hallucinogen -interaction w/serotonin, dopamine and glutamate via 5-HT2A receptors • Physical dependence is not thought to occur; psychological dependence may occur • Supportive care • BZD • Add barbiturates (seizures) • Nitroprusside (htn) • Cyproheptadine (SS) • Naloxone Treatment for Dextromethorphan Toxicity Dextromethorphan __________________ Toxicity: • 1st plateau: mild stimulation; similar to common AEs • 2nd plateau: euphoria and hallucinations • 3rd plateau: Dissociative "out of body" state *desired by misuse* • 4th plateau: Complete dissociation and unresponsiveness Dextromethorphan AEs: • Common: dizziness, somnolence, fatigue • Serious: manic symptoms, visual hallucinations, serotonin syndrome Dextromethorphan -cough suppressant -works in the medulla oblongata cough center to elevate the threshold for cough (affects 5HT, NE reuptake, receptors) • May decrease glutamate activity via non-competitive antagonism of the NMDA receptor Lofexidine Indications: mitigate

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Experienced Academic Resource Creator,
Digital Marketplace Strategist, E-Commerce
Seller, Content Curator, and Global Student
Engagement Specialist with Proven Track
Record in Online Study Material Development
and Sales Optimization Verified Questions
Complete with A+ Graded Rationales Latest
Updated 2026
Comprehensive Clinical Pharmacology, Toxicology, Withdrawal Management, and Therapeutic
Interventions for Marijuana, PCP, LSD, Dextromethorphan, Ketamine, Alcohol, and Opioid Use
Disorders Questions Verified and Provided with A+ Graded

• Cognitive behavioral therapy (CBT)
• If severe: dronabinol, gabapentin
• Sleep disturbance with sedative hypnotics (zolpidem) or BZDs

Treatment for Marijuana Withdrawal

• Supportive care; fluids
• BZDs for agitation
-Chlorpromazine (hyperemesis)
-Albuterol (bronchospasms)

Treatment for acute Marijuana toxicity

Marijuana

____________________ Toxicity:
• Tachycardia, blood pressure changes (hypo or hypertension); tachypnea, conjunctival
injection, dry mouth, increased appetite, impaired attention, concentration and memory
• Severe effects at higher doses include delirium, panic attacks, myoclonic jerking and rarely
psychosis/hallucinations

Marijuana

Therapeutic uses (NOT FDA approved):

• Treatment of chronic severe pain (e.g., cancer), refractory nausea/vomiting,
anorexia/cachexia, glaucoma, seizures

1|Page

, CB2

Receptor that is assoc with regulation of immune response and inflammatory reactions

CB1

Receptor that Inhibits release of ACh, L-glutamate, GABA, NE, DA, and 5-HT into CNS

Marijuana

-Partial agonist to GPCR cannabinoid receptors CB1 and CB2, inhibits adenylyl cyclase, ↓cAMP

-Supportive
-Benzodiazepines
-Haloperidol
-Barbituates
-Nitroglycerin or Nitroprusside (htn)

Treatment for PCP intoxication

Phencyclidine (PCP)

________________ Toxicity:

• Adrenergic Stimulation: Hypertension, tachycardia, hypo or hyperthermia, rhabdomyolysis

• Altered mental status: CNS stimulation or depression, odd or violent behavior secondary to
hallucinations, diminished perception of pain

• Rotary nystagmus and pain insensitivity (hallmark)

• Psychomotor agitation similar to acute psychosis

• Severe intoxication can include acute brain syndrome, seizures, respiratory depression and
coma

Phencyclidine (PCP)

• Non-competitive antagonist of NMDA receptors which leads to excess of excitatory
neurotransmitter release
• DA, NE and 5HT reuptake inhibitor
• Therapeutic uses: non-narcotic dissociative anesthetic in 1950s; post-op dysphoria and
hallucinations occurred frequently

Lysergic Acid Diethylamide (LSD)

__________________ Toxicity:
• Patients feel a heightened perception of sensory input, distorted sense of time, euphoria/well-
2|Page

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