The narcotic drug problemBishop, Ernest S. (Ernest Simons)
Science
The narcotic drug problem
Bishop, Ernest S. (Ernest Simons)
Drug addiction
Intelligent addicts well know that, other factors being equal, the less
number of times in a day they take their drug, the less inhibited, the
less constipated and more normal they are, and the smaller amount of
narcotic drug they require to maintain them physically and mentally
competent. It is unfortunate that this therapeutic principle so widely
recognized among intelligent addicts has not received full recognition
and therapeutic employment by all of those who handle and treat
addiction-disease. Its probable explanation is very simple--apparently
a period of inhibition follows the administration of narcotic or opiate
drugs; and the length of this period is not in ratio to the size of the
dose administered. Consequently, the fewer number of times in a day a
dose of narcotic drug is administered, the greater amount of competent
metabolism is present--the more adequate is the patient’s elimination
and nutrition--the smaller amount of opiate or its product lies stored
in inhibited and atonic cells, and the smaller amount of antidotal
substance is manufactured for the protection of the body, and to some
extent, the smaller amount of opiate is required.
In caring for the narcotic addict, therefore, one of the most important
therapeutic measures is the regulation of the interval of his narcotic
drug administration. I have repeatedly experimented upon addicts who
were not confined or under restraint in any way. I explained to them
the inhibitory effects of too frequent dosage and instructed them to
use the amount of drug they found necessary for twenty-four hours in
larger doses at longer intervals. This procedure alone, in many cases
transforms the pallid, starved, constipated and deteriorated addict
within a surprisingly short time into a well-nourished, well-reactive
and practically normally functioning individual. With the return of
health, vitality, and normal nutrition and elimination, his body
requires still less drug and he voluntarily and without mental struggle
and nervous strain reduces the amount of drug used. I wish to emphasize
that in these experimental cases there were no other therapeutic
measures employed in the way of medication.
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