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Inhalants are a
diverse group of substances that include volatile solvents, gases, and nitrites
that are sniffed, snorted, huffed, or bagged to produce intoxicating effects
similar to alcohol. These substances are found in common household products
like glues, lighter fluid, cleaning fluids, and paint products. Inhalant abuse
is the deliberate inhaling or sniffing of these substances to get high, and it
is estimated that about 1,000 substances are misused in this manner. The easy
accessibility, low cost, legal status, and ease of transport and concealment
make inhalants one of the first substances abused by children. Survey data
indicates that about 15 to 20 percent of junior and senior high school students
have tried inhalants with about 2 to 6 percent reporting current use. The
highest incidence of use is among 10 to 12 year old children with rates of use
declining with age. Parents worry about alcohol, tobacco, and drug use but may
be unaware of the hazards associated with products found throughout their
homes. Knowing what these products are, how they might be harmful, and
recognizing the signs and symptoms of their use as inhalants, can help a parent
prevent inhalant abuse.
Volatile solvents
are found in a number of everyday products. Some of these products include nail
polish remover, lighter fluid, gasoline, paint and paint thinner, rubber glue,
waxes, and varnishes. Chemicals found in these products include toluene,
benzene, methanol, methylene chloride, acetone, methyl ethyl ketone, methyl
butyl ketone, trichhloroethylene, and trichlorethane. The gas used as a
propellant in canned whipped cream and in small lavender metallic containers
called "whippets" (used to make whipped cream) is nitrous oxide or "laughing
gas"--the same gas used by dentists for anesthesia. Tiny cloth-covered ampules
called poppers or snappers by abusers contain amyl nitrite, a medication used
to dilate blood vessels. Butyl nitrite, sold as tape head cleaner and referred
to as "rush," "locker room," or "climax," is often sniffed or huffed to get
high.
Inhalants may be
sniffed directly from an open container or huffed from a rag soaked in the
substance and held to the face. Alternatively, the open container or soaked rag
can be placed in a bag where the vapors can concentrate before being inhaled.
Some chemicals are painted on the hands or fingernails or placed on shirt
sleeves or wrist bands to enable an abuser to continually inhale the fumes
without being detected by a teacher or other adult. Although inhalant abusers
may prefer one particular substance because of taste or odor, a variety of
substances may be used because of similar effects, availability, and cost. Once
inhaled, the extensive capillary surface of the lungs allows rapid absorption
of the substance and blood levels peak rapidly. Entry into the brain is fast
and the intoxicating effects are intense but short lived.
Inhalants depress
the central nervous system, producing decreased respiration and blood pressure.
Users report distortion in perceptions of time and space. Many users experience
headaches, nausea, slurred speech, and loss of motor coordination. Mental
effects may include fear, anxiety, or depression. A rash around the nose and
mouth may be seen, and the abuser may start wheezing. An odor of paint or
organic solvents on clothes, skin, and breath is sometimes a sign of inhalant
abuse. Other indicators of inhalant abuse include slurred speech or staggering
gait, red, glassy, watery eyes, and excitability or unpredictable
behavior.
The chronic use
of inhalants has been associated with a number of serious health problems. Glue
and paint thinner sniffing produce kidney abnormalities while the solvents
toluene and trichloroethylene cause liver damage. Memory impairment, attention
deficits, and diminished non-verbal intelligence have been related to the abuse
of inhalants. Deaths resulting from heart failure, asphyxiation, or aspiration
have occurred.
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