The narcotic drug problemBishop, Ernest S. (Ernest Simons)
Science
The narcotic drug problem
Bishop, Ernest S. (Ernest Simons)
Drug addiction
Prominent among the drugs mentioned have been the preparations and
alkaloids of belladonna, of hyoscyamus, pilocarpine, and some others.
These drugs have by reason of more or less supposed specific action,
alone, or in various combinations or in conjunction with purgatives,
etc., formed the basis for many if not most of the various special
treatments and “cures.” For example, what is described as the “specific
mixture” of one of the most widely-known treatments contains as its
active agents belladonna and hyoscyamus. These drugs are not mentioned
here in condemnation of their employment as therapeutic measures
in the hands of those skilled in the estimation of their values,
indications and actions--and dangers if unskillfully employed. They
have unquestioned therapeutic value in their proper places, as and when
properly indicated, in individual cases. Routinely used, as specific
curative agents, they seem to me to be demonstrating their failure. In
the conception of addiction-disease herein outlined it is difficult to
attribute to them specific properties.
In a paper, “The Rational Handling of the Narcotic Addict” read before
the Section on Pharmacology and Therapeutics, Annual Session of the
American Medical Association, 1916, I stated, “It is not my purpose
to enter into discussion of the various therapeutic methods and
therapeutic measures which have been advocated and employed in the
treatment of narcotic addiction. Their number is legion, and they
include most of the therapies known to lay as well as to medical
literature.
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