The narcotic drug problemBishop, Ernest S. (Ernest Simons)
Science
The narcotic drug problem
Bishop, Ernest S. (Ernest Simons)
Drug addiction
The practical therapeutic application of wide-interval administration
of opiate drug is made possible by the fact that the narcotic addict
can tolerate without harm large doses of the drug of addiction. It is
made controllable by the fact, that, within certain limits, the length
of time over which a dose of narcotic drug will maintain a patient in
narcotic drug balance--or free from the symptomatology of drug need--is
in mathematical ratio to the size of the dose administered. Each addict
requires, under the conditions of his daily life at a given time, to
satisfy the demands of his physical addiction-disease mechanism, and
to maintain him in narcotic drug balance, an amount of drug which can
be estimated in terms of twenty-four hours and which I have called the
amount of minimum daily need. The most important consideration in the
administration of narcotic drug to a narcotic addict is to supply the
amount of minimum daily need and maintain narcotic drug balance with
the least inhibition of function.
Failure to maintain narcotic drug balance and a degree below the amount
of minimum daily need renders the addict functionally and physically
incompetent. He is in a condition of physical and nerve incapacity
and exhaustion. He has no physical tone; he has markedly impaired
circulation; he cannot react, he has no recuperative powers; he has
constantly in his body, according to modern theory, unneutralized
autogenous poison which robs him of vitality, reaction and functional
efficiency even though it may not be present in sufficient amounts
to give rise to the violent spectacular and agonizing manifestations
of complete narcotic deprivation. In other words, as I have written
elsewhere, “the reduction of the drug of addiction below the amount
of body-need robs the addict of his most valuable asset in securing
and maintaining recuperative powers.” In no other disease would an
intelligent physician persist in the application of measures which
robbed his patient of recuperative powers and expect satisfactory issue
of the case he was trying to treat. Until the physician and patient are
ready and prepared for the institution of the stage of final withdrawal
of drug, the patient should never be allowed to drop below the amount
of minimum daily need in his opiate intake.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account